Isoniazid + Rifampicin

Uses

Rifampicin and Isoniazid are used in the treatment of tuberculosis.

How it Works

How Rifampicin and Isoniazid Work Rifampicin and Isoniazid are a combination of two antibiotics that treat tuberculosis (TB). Rifampicin inactivates a bacterial enzyme, RNA polymerase, which is essential for TB bacteria to produce vital proteins and reproduce. Isoniazid prevents these bacteria from forming their protective covering. Together, they kill the bacteria and eradicate the infection.

Side Effects

Common side effects of Rifampicin and Isoniazid include vomiting, nausea, peripheral neuropathy (tingling and numbness in the hands and feet), abdominal pain, skin rash, itching, hepatitis (viral infection of the liver), dizziness, lethargy, and low blood platelets.

Expert Advice

  • You have been prescribed Rifampicin + Isoniazid for the treatment of tuberculosis.
  • Complete the full course of the medication, even if you feel better. Stopping it early may cause the infection to return.
  • Take the medication on an empty stomach, preferably at the same time every day.
  • It may cause discolouration of your urine, sweat, saliva, and tears to a reddish-orange color. This is normal and not harmful.
  • Your doctor may check your liver function before starting treatment and regularly thereafter.
  • Inform your doctor if you notice any of the following symptoms:
    • Yellowing of the eyes or skin
    • Dark urine
    • Stomach pain
  • Avoid drinking alcohol while taking Rifampicin + Isoniazid, as this may increase the risk of liver side effects.
  • Use an alternative or additional contraceptive method (such as condoms or a diaphragm) to prevent pregnancy while taking Rifampicin + Isoniazid, as it may reduce the effectiveness of hormonal contraceptives like the pill.
  • Do not take indigestion remedies (antacids) within at least two hours of taking Rifampicin + Isoniazid.

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MRP 48

Molecule
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Molecule
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Molecule
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Frequently asked questions

Rifampicin+Isoniazid is a combination medication used to treat tuberculosis. Rifampicin inhibits bacterial RNA-polymerase, essential for bacterial protein synthesis and reproduction, while Isoniazid prevents the bacteria from forming a protective covering. Together, they effectively kill the bacteria and eliminate the infection.
Yes, Rifampicin+Isoniazid can cause urine, skin, sweat, saliva, tears, and feces to turn brownish-red or orange. This change is harmless.
Take Rifampicin+Isoniazid as directed by your doctor, preferably on an empty stomach—one hour before or two hours after meals.
Store the medication in its original container, tightly closed, following the storage instructions on the label. Dispose of any unused medicine properly to prevent accidental ingestion by pets, children, or others.
Yes, Rifampicin+Isoniazid can reduce the effectiveness of birth control pills. Consult your doctor about alternative contraceptive methods that do not affect hormone levels, such as condoms or diaphragms.
Complete the full course of the prescribed medication, even if you feel better. Avoid alcohol during treatment to reduce the risk of liver damage. Contact your doctor immediately if you experience vision changes, loss of appetite, fatigue, stomach pain, nausea, vomiting, yellowing of the skin or eyes, or dark urine.
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