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Isoniazid + Rifampicin

Uses of Isoniazid + Rifampicin

  • The primary use of Isoniazid + Rifampicin is for the management of all forms of active tuberculosis. It belongs to the class of antibiotics.

Side effects of Isoniazid + Rifampicin

  • Nausea

  • Vomiting

  • Loss of appetite

  • Abdominal pain

  • Skin rash

How Isoniazid + Rifampicin works

  • Isoniazid + Rifampicin is a combination used to treat tuberculosis (TB).

  • Isoniazid is a bactericidal agent. It works by blocking the formation of mycolic acids, which are crucial building blocks of the bacterial cell wall. This action increases the permeability of the cell wall, leading to the eventual death of the TB bacteria.

  • Rifampicin, on the other hand, also exhibits bactericidal activity. It inhibits an essential enzyme in the bacteria known as DNA-dependent RNA polymerase. By doing so, it blocks the initiation of RNA synthesis, preventing the TB bacteria from generating important proteins and inhibiting their growth and replication. The synergy between these two medicines effectively kills TB bacteria and aids in preventing the development of medicine resistance.

Certified content

Written By

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Dr Nikita LoboMedical Editor & Reviewer| 7 years

BDS, MDS

Reviewed By

Dr. Osama Ahmed
Dr. Osama Ahmed Dental/Medical Writer, Editor, Reviewer| 2 years

Bachelor of Dental Surgery

Expert Advice

Dosage Forms Available

  • Isoniazid + Rifampicin can be taken orally (tablet, suspension and capsule).

Age and Dose Restrictions

  • Isoniazid + Rifampicin is meant for use in adults and children.

Contraindications

  • Isoniazid + Rifampicin is contraindicated in patients with known hypersensitivity to either isoniazid or rifampicin. It is also contraindicated in those with severe liver disease or acute liver failure, as well as individuals with a history of medicine-induced hepatitis or severe skin reactions with either isoniazid or rifampicin.

Other Medicines to Avoid

  • The combination of Isoniazid + Rifampicin may interact with oral contraceptives (such as ethinyl estradiol and levonorgestrel), anticoagulants (such as warfarin), antidiabetic agents (like glyburide, glipizide), anticonvulsants (carbamazepine, phenytoin), protease inhibitors (indinavir, ritonavir), and corticosteroids (prednisone).

Overdose and Missed Dose

  • An overdose of Isoniazid + Rifampicin can be harmful and could potentially cause liver damage, peripheral neuropathy, and blood disorders. If you suspect an overdose, seek immediate medical attention.

  • If you forget to take a dose of Isoniazid + Rifampicin, take it as soon as you remember. However, if it's nearly time for the next dose, skip the missed one. Do not take a double dose to make up for the missed one.

Management of Side Effects

Most side effects of Isoniazid + Rifampicin are temporary and resolve once the medicine is discontinued. Consult your doctor if you experience severe side effects or if your symptoms worsen.

  • For nausea or vomiting, try taking the medication with meals.

  • For abdominal discomfort, try eating smaller, frequent meals instead of large ones.

  • If you experience dizziness, avoid sudden movements and ensure you get up slowly from a sitting or lying position.

Use in Driving and Operating Machinery

  • Isoniazid + Rifampicin may cause dizziness and fatigue. These side effects might affect your ability to drive or operate heavy machinery. Avoid these activities if you feel dizzy or fatigued after taking this medicine.

Use in Pregnancy and Lactation

  • Consult your doctor before using this medicine during pregnancy or while breastfeeding.

Caution in Other Conditions

  • Patients with pre-existing liver disease, alcohol abuse, malnutrition, advanced age, or renal impairment should exercise caution when taking Isoniazid + Rifampicin. Regular monitoring of liver function may be necessary.

Special Dietary and Lifestyle Recommendations

  • Patients on Isoniazid + Rifampicin should maintain a healthy diet to support overall health and recovery from tuberculosis.

  • Adherence to the prescribed medication regimen is crucial for effective management of tuberculosis.

Frequently asked questions

No, changes in the menstrual cycle are not a typical side effect of Isoniazid + Rifampicin. However, each individual may react differently to medicines. If you notice any unusual changes, consult your doctor.

Isoniazid + Rifampicin is not directly associated with causing mood swings or impacts emotional health. However, if you are experiencing emotional distress or changes in mood while taking this medicine, discuss it with your doctor.

Isoniazid + Rifampicin is a prescription medicine and is not available over the counter. It is crucial to take it under the supervision of a doctor.

No, Isoniazid + Rifampicin is not a steroid. It is a combination of two antibiotics that are used primarily for managing tuberculosis.

While sleep disturbances are not typically reported with Isoniazid + Rifampicin, every individual's reaction to medication can vary. If you experience significant sleep changes while taking this medication, consult your doctor.

Isoniazid + Rifampicin is not directly associated with affecting fertility. However, if you have concerns about fertility or plan to become pregnant, it is recommended that you discuss this with your doctor.

Yes, it is usually safe to take Isoniazid + Rifampicin daily as prescribed by your doctor. It is vital to adhere to the recommended dosage and duration of treatment.

Terms & Conditions


Available medicines for ISONIAZID + RIFAMPICIN
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