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Isoniazid (brand names include: Laniazid / Nydrazid / Isokin / Isonex / Isoniazid / Isozid / Pycazide / Rimifon / Tibinil-I) belongs to a group of medicines known as antitubercular agents.

Isoniazid is used for the treatment and prevention of tuberculosis, including the treatment of latent tuberculosis infection (LTBI).





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abdominal pain; Option 2: Daily isoniazid, rifampin, pyrazinamide, and streptomycin or ethambutol for 2 weeks followed by twice weekly administration of the same drugs for 6 weeks, subsequently twice weekly isoniazid and rifampin for 16 weeks. unusual weakness or fatigue; Continuous administration of isoniazid for a sufficient period is an essential part of the regimen because relapse rates are higher if chemotherapy is stopped prematurely. In the treatment of tuberculosis resistant organisms may multiply and the emergence of resistant organisms during the treatment may necessitate a change in the regimen. Isoniazid is bactericidal to rapidly dividing mycobacteria, but is bacteriostatic if the mycobacteria are slow-growing.[citation needed] Patients with Extra pulmonary Tuberculosis (See also INDICATIONS): The most frequent reactions are those affecting the nervous system and the liver. http://edmedics.net/frblg/achat-clomid/#clomid-jour-ovulation
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Option 3: Three times weekly with isoniazid, rifampin, pyrazinamide, and ethambutol or streptomycin for 6 months. Foreign-born persons from high-prevalence countries who never received BCG vaccine. Pregnant Women with Tuberculosis. The options listed above must be adjusted for the pregnant patient Streptomycin interferes with in utero development of the ear and may cause congenital deafness. Routine use of pyrazinamide is also not recommended in pregnancy because of inadequate teratogenicity data The initial treatment regimen should consist of isoniazid and rifampin. Ethambutol should be included unless primary isoniazid resistance is unlikely (isoniazid resistance rate documented to be less than 4%) Patients with Pulmonary Tuberculosis and HIV Infection Medically underserved low-income populations, including high-risk racial or ethnic minority populations, especially blacks, Hispanics, and Native Americans.
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Before isoniazid preventive therapy is initiated, bacteriologically positive or radiographically progressive tuberculosis must be excluded. Appropriate evaluations should be performed if Extra pulmonary tuberculosis is suspected. Mechanism of action Read the Isoniazid Tablets (isoniazid) Side Effects Center for a complete guide to possible side effects » Additionally, in the absence of any of the above risk factors, persons under the age of 35 with a tuberculin skin test reaction of 10 mm or more are also appropriate candidates for preventive therapy if they are a member of any of the following high-incidence groups: Bacteriologic evaluation of Extra pulmonary tuberculosis may be limited by the relative inaccessibility of the sites of disease. Thus, response to treatment often must be judged on the basis of clinical and radiographic findings. There are 3 regimen options for the initial treatment of tuberculosis in children and adults: Option 2: Daily isoniazid, rifampin, pyrazinamide, and streptomycin or ethambutol for 2 weeks followed by twice weekly administration of the same drugs for 6 weeks, subsequently twice weekly isoniazid and rifampin for 16 weeks.
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Isoniazid is recommended for all forms of tuberculosis in which organisms are susceptible. However, active tuberculosis must be treated with multiple concomitant anti-tuberculosis medications to prevent the emergence of drug resistance. Single-drug treatment of active tuberculosis with isoniazid, or any other medication, is inadequate therapy. Hematologic Reactions: Agranulocytosis; hemolytic, sideroblastic, or aplastic anemia, thrombocytopenia; and eosinophilia. Nervous System Reactions: Peripheral neuropathy is the most common toxic effect. It is dose-related, occurs most often in the malnourished and in those predisposed to neuritis (e.g., alcoholics and diabetics), and is usually preceded by paresthesias of the feet and hands. The incidence is higher in "slow inactivators".

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abdominal pain; Foreign-born persons from high-prevalence countries who never received BCG vaccine. Miscellaneous Reactions: Rheumatic syndrome and systemic lupus erythematosus-like syndrome. Usual Oral Dosage (depending on the regimen used): Hepatotoxicity of INH is by nitrogen group in its chemical structure, as it is metabolized in the liver and gets converted to an ammonium molecule, which causes hepatitis. The basic principles that underlie the treatment of pulmonary tuberculosis also apply to Extra pulmonary forms of the disease. Although there have not been the same kinds of carefully conducted controlled trials of treatment of Extra pulmonary tuberculosis as for pulmonary disease, increasing clinical experience indicates that a 6 to 9 month short-course regimen is effective. Because of the insufficient data, miliary tuberculosis, bone/joint tuberculosis, and tuberculous meningitis in infants and children should receive 12 month therapy. INH is known to reduce cytochrome P450 and in theory promotes the efficacy of contraceptives. Therapy is often combined with Rifampin. Rifampin increases the P450 enzyme and also can reduce the efficacy of contraceptives. Alternative means of birth control should be used when taking these medications.
 
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