TB drugs Flashcards
neurotixicity caused by isoniazid can be prevented by
Vitamin B6
Common side effects of isoniazid
INH
injures neurons and hepatoxytes
CYP450 inducer
rifampicin
Rifampin derivative that is not absorbed in the GIT so is used for the prevention of hepatic encephalopathy, for travellers diarrhea
Rifaximin
resistance is due to changes of drug sensitivity of the polymerase enzyme
rifampicin
resistance is due to deletion of KatG gene which codes for catalase-peroxidase enzyme involved in its bioactivation
INH
SimD to rifampicin, preferred drug TB with AIDS px
rifabutin
RNA polymerase inhibito
Red-orange body fluids
Rapid development of resistance
Revs up CP450 (inducer)
Rifampicin
Hepatotoxicity Non-gouty polyarthralgia Asymptomatic hyperuricemia Myalgia GIT irritation Rash Porphyria Photosensitivity
Pyrazinamide
“sterilizing agent” used during the first 2 months of therapy
Pyrazinamide
Most hepatotoxic Anti-TB drug
Pyrazinamide
Resistance is due to mutation in pncA gene and increased efflux systems
Pyrazinamide
Most active drug against M. leprae
dapsone
Prophylaxis for atypical mycobacterial infection in patients with CD4 count lest than 50/L
clarithromycin or azithromycin with or without rifabutin