Bacteriocidal. Inhibits mycolic acid biosynthesis. Also disrupts DNA, lipid, carbohydrate and NAD synthesis and metabolism.
See also
Respiratory Infection Formulary
Indication
Part of DOTS (directly observed therapy)
DOTS has a success rate exceeding 95% and prevents the emergence of further MDR-strains.
Latent TB
A/E
Drug-induced hepatitis
Peripheral neuropathy (uncommon), can be minimized by coadministration of Vitamin B6 (pyridoxine)
Note
Available IM or in combination pills
Safe in pregnancy
Contraindications
Caution in liver failure, increased risk for hepatotoxicity