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Isoniazid

Also known as isonicotinylhydrazide (INH), is an antibiotic used for the treatment of tuberculosis. More

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Description

Also known as isonicotinylhydrazide (INH), is an antibiotic used for the treatment of tuberculosis.

Generic Name

Isoniazid

Chemical names

Isoniazid; Isonicotinic acid hydrazide; Isonicotinohydrazide; 54-85-3; Pyridine-4-carbohydrazide

Brand names

Myconx-800, 3-Fd, 4-D, 4-D Plus, Acrifa, Acrifa Forte, Acrifa Plus, Acrifa-DS, Afb3, Afb4, Akt-2, Akt-3, Akt-4, Akt-FD, Akurit, Akurit Kid, Akurit-3, Akurit-4, Akurit-Z, Akurit-Z Kid, Antibin, Antibin-Kid, Arzade, Becox, Becox Forte, Becox-RH, Bicox Kid, Bicox Kid Forte, Bicox-600, Bicox-E, Bicox-Kid 50, Binex, Binex Kid, Binex-DT, Binex-E, Binex-Z, Binex-ZE, Bionex Plus, Cavidin-INH, Cavirip-1000, Caviter, Caviter-FD, Caviter-RHE, Combunex, Confez-3, Coxcure-4, Coxina-3, Coxina-4, Coxinex, Coxkit-3

IUPAC name

pyridine-4-carbohydrazide

Pharmacokinetics

Oral absorption

Actions

It is a bactericidal agent active against organisms of the genus Mycobacterium, specifically M. tuberculosisM. bovis and M. kansasii. It is a highly specific agent, ineffective against other microorganisms. 

Dosage/Dosage form

5mg/kg up to 300 mg daily in a single dose; or 15 mg/kg up to 900 mg/day, two or three times/week. 

Therapeutic uses

For the treatment of all forms of tuberculosis in which organisms are susceptible.

Adverse effects/Side effects

Fever, optic neuritis; convulsions, psychotic reactions, nausea, fatigue, vomiting, visual disturbances, epigastric distress, rash, and pyridoxine deficiency. Hepatotoxicity. Peripheral neuritis.

Interaction

  • May increase metabolism of enflurane resulting in nephrotoxic fluoride levels.
  • May increase toxicity of chlorzoxazone, carbamazepine, clofazimine, chlorzoxazone, ethosuximide, diazepam & triazolam, phenytoin, theophylline, theophylline, cycloserine & warfarin.
  • Reduced efficacy & increased risk of peripheral neuropathies & hepatotoxicity with alcohol.
  • Reduced absorption with aluminium- containing antacids; give at least one hour before the antacid.
  • Decreased serum levels with ketaconazole zalcitabine.
  • Increased risk of hepatotoxicity with rifampicin and other drugs. 

Contraindications

Acute liver disease or history of hepatic damage during INH therapy; hypersensitivity.

Storage

Store at 59°-86° F (15°-30° C).

Information

Molecular weight

137.1393

Molecular formula

C6H7N3O

CAS number

54-85-3

Precautions

  • Renal or hepatic impairment
  • Careful monitoring of hepatic function is necessary for black & Hispanic women.
  • Convulsions disorders; history of psychosis; patients at risk of neuropathy or pyridoxine deficiency e.g. Diabetic, alcoholic, malnourished, uraemic, infected with HIV.
  • Check hepatic function before & during treatment.
  • Pregnancy & lactation.