Treatment FAQ

what to avoid when taking isoniazid and rifampin for treatment of tb?

by Prof. Ceasar Beer II Published 3 years ago Updated 2 years ago

Avoid wearing contact lenses. isoniazid and rifampin may discolor your tears, which could permanently stain soft contact lenses. Avoid drinking alcohol. It may increase your risk of liver damage while you are taking isoniazid and rifampin.

Antacids may also help. However, do not take aluminum-containing antacids (eg, Maalox®, Mylanta®) within 1 hour of the time you take rifampin and isoniazid combination. They may keep this medicine from working properly.May 1, 2022

Full Answer

What should I avoid while taking isoniazid and rifampin?

Your liver function may need to be checked every month while you are taking isoniazid and rifampin. Call your doctor right away if you have: nausea, upper stomach pain, loss of appetite, and unusual weakness or tiredness. Avoid drinking alcohol. It may increase your risk of liver damage while you are taking isoniazid and rifampin.

What is the recommended regimen for isoniazid and rifampin?

3HR Therapy: The recommended regimen is Isoniazid (INH) and Rifampin (RIF) daily for 3 months. Medication Formulation: INH is formulated into 100 mg and 300 mg tablets. Rifampin is formulated into 150 mg and 300 mg capsules.

How many milligrams of rifampin should I take for tuberculosis?

For the oral dosage form (capsules): For the treatment of tuberculosis: Adults and older children—600 milligrams (mg) of rifampin and 300 mg of isoniazid once a day.

How is isoniazid prescribed to treat TB?

You will need to take several medicines to treat TB - isoniazid is just one of the medicines prescribed. Isoniazid is usually prescribed as a tablet which contains a combination of two, three or four medicines to treat TB. The brand names of these are Rifinah®, Rifater® and Voractiv®.

What foods should you avoid while taking isoniazid?

Patients should be advised to avoid foods containing tyramine (e.g., aged cheese, cured meats such as sausages and salami, fava beans, sauerkraut, soy sauce, beer, or red wine) or histamine (e.g., skipjack, tuna, mackerel, salmon) during treatment with isoniazid.

What monitoring is necessary while taking rifampin and isoniazid?

Pharmacodynamic Interactions Isoniazid, when given concomitantly with rifampin, has been reported to increase the hepatotoxicity of both drugs. Patients receiving both rifampin and isoniazid as in RIFAMATE should be monitored closely for hepatotoxicity.

What is contraindicated with isoniazid?

Isoniazid is contraindicated in patients who develop severe hypersensitivity reactions, including drug -induced hepatitis; previous isoniazid-associated hepatic injury; severe adverse reactions to isoniazid such as drug fever, chills, arthritis; and acute liver disease of any etiology.

Can I take rifampin with milk?

You can take your medicine with milk, water, juice, soda, coffee or tea. If your medicine causes upset stomach, you can take it with food. If you are taking an antacid (like Maalox or Mylanta), take it 1 hour before or 2 hours after taking Rifampin.

What can you not take with rifampin?

Antacids may also help. However, do not take aluminum-containing antacids (eg, Maalox®, Mylanta®) within 1 hour of the time you take rifampin. They may keep this medicine from working properly.

What happens if you take rifampin with food?

This is because your body absorbs less rifampicin if taken at the same time as food, which means it is less effective. If you have been given rifampicin liquid medicine to give to your child, please read the directions carefully to make sure that you give the correct amount.

What should I monitor with isoniazid?

Carefully monitor patients who are daily users of alcohol, those who are >35 years of age, those receiving long-term concomitant therapy, those who previously discontinued isoniazid, those who use illicit injection drugs, those with a history of peripheral neuropathy or conditions predisposing to neuropathy, those with ...

What drugs interact with isoniazid?

Isoniazid interacts principally with anticonvulsants, theophylline, benzodiapines, paracetamol (acetaminophen) and some food. Fluoroquinolones can have absorption disturbance due to a variety of agents, especially the metal cations.

How do I reduce the side effects of isoniazid?

Your doctor may also want you to take pyridoxine (e.g., Hexa-Betalin, vitamin B 6) every day to help prevent or lessen some of the side effects of isoniazid. This is not usually needed in children, who receive enough pyridoxine in their diet.

How can we keep liver healthy during TB treatment?

As is always the case for good health, there are certain foods you shouldn't eat and substances you shouldn't use.Skip tobacco in all forms.Don't drink alcohol — it can add to the risk of liver damage from some of the drugs used to treat your TB.Limit coffee and other caffeinated drinks.More items...•

Can I drink coffee while taking isoniazid?

You can take your medicine with milk, water, juice, soda, coffee or tea. If your medicine causes upset stomach, take it with food. If you are taking an antacid (like Maalox, Mylanta), take it 1 hour before or 2 hours after taking your INH.

Can I take vitamins with rifAMPin?

rifAMPin cholecalciferol Using rifAMPin together with cholecalciferol may decrease the effects of cholecalciferol. Contact your doctor if your condition changes. If your doctor does prescribe these medications together, you may need a dose adjustment or special test to safely use both medications.

When to not take rifampin and isoniazid?

If you are taking itraconazole, do not use rifampin and isoniazid combination 2 weeks before and during itraconazole treatment.

How much isoniazid is in a capsule?

For the oral dosage form (capsules): For the treatment of tuberculosis: Adults and children 15 years of age and older weighing 55 kilograms (kg)—2 capsules (containing 600 milligrams (mg) of rifampin and 300 mg of isoniazid) once a day.

What to do if you miss a dose of a sulfate supplement?

Missed Dose. If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Can you take rifampin with antacids?

If this medicine upsets your stomach, take it with food. Antacids may also help. However, do not take aluminum-containing antacids (eg, Maalox®, Mylanta®) within 1 hour of the time you take rifampin and isoniazid combination.

Can you take IBM Micromedex more often?

Proper Use. Drug information provided by: IBM Micromedex. Take this medicine only as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. To do so may increase the chance of side effects. This medicine should be taken on an empty stomach, ...

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Can rifampin and isoniazid be taken together?

If rifampin and isoniazid combination is taken on an irregular schedule, side effects may occur more often and may be more serious than usual. If you have any questions about this, check with your doctor.

What are the side effects of isoniazid?

isoniazid, pyrazinamide, and rifampin side effects. Get emergency medical help if you have signs of an allergic reaction ( hives, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning in your eyes, skin pain, red or purple skin rash that spreads and causes blistering and peeling).

How to know if you overdosed on isoniazid?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of isoniazid, pyrazinamide, and rifampin can be fatal, especially when combined with alcohol. Early symptoms of an overdose may include nausea, vomiting, stomach pain, lack of energy, headache, and itching.

What is the best antibiotic for tuberculosis?

Isoniazid, pyrazinamide, and rifampin are antibiotics that prevent tuberculous bacteria from multiplying in your body.

What foods can you eat with tyramine?

These foods include: beer or wine (especially red wine); cheese (especially aged or processed cheeses); soy sauce, miso soup, fava beans; or. pickled or smoked fish, herring, tuna, skipjack, or other tropical fish.

Can rifampin cause miscarriage?

In animal studies, isoniazid and rifampin have caused miscarriage or birth defects. It is not known whether these effects would occur in a human pregnancy. However, taking rifampin during the last few weeks of pregnancy may cause bleeding in the mother or the newborn baby. Tell your doctor if you are pregnant.

Can you take rifater while pregnant?

If you take Rifater during pregnancy, be sure to tell the doctor who delivers your baby. Both you and the baby may need to receive medications to prevent excessive bleeding in the baby just after birth.

Can you take isoniazid if you are allergic to pyrazinamide?

Before taking this medicine. You should not use this medicine if you are allergic to isoniazid, pyrazinamide, or rifampin, or if you have: severe liver disease; an attack of gout; or. a history of fever, chills, and joint pain or stiffness caused by isoniazid. Many drugs can interact and cause dangerous effects.

How to treat latent TB?

Go to your planned clinic visits. Discuss any alcohol use with your doctor. Alcohol use may cause side effects. Tell your doctor about all other medicines you are taking. Be sure to tell your other doctors that you are being treated for latentTB infection.

How to take medicine at the same time?

Ask a family member or friend to remind you. Use a pillbox. Put a reminder note on your mirror or refrigerator. Use a calendar to check off the day when you take your medicine.

How to take a pill?

Tips to Help You Take Your Medicine: 1 Take your medicine at the same time every day. 2 Set an alarm reminder for the time you should take your medicine. 3 Ask a family member or friend to remind you. 4 Use a pillbox. 5 Put a reminder note on your mirror or refrigerator. 6 Use a calendar to check off the day when you take your medicine.

What to do if you forget to take your medicine?

IF YOU FORGET TO TAKE YOUR MEDICINE: If it is still the same day, take the dose as soon as you remember. If the day has passed, skip the missed dose and take your next scheduled dose — do not take 2 doses at the same time.

What is the best medicine for TB?

Isoniazid is one of several medicines that you will need to take to treat tuberculosis (TB).

What foods can you not eat with isoniazid?

Try to avoid eating foods containing histamine or tyramine. Examples include tuna fish, fermented or pickled products, strong cheeses, cured meats and red wine.

How long does isoniazid last?

It is treatable with a course of medicines which usually lasts for six months in total. You will need to take several medicines to treat TB - isoniazid is just one of the medicines prescribed.

What is the name of the drug that is used to treat tuberculosis?

Tuberculosis (TB) Also called. Rifinah® (isoniazid with rifampicin); Rifater® (isoniazid with rifampicin and pyrazinamide); Voractiv®, Rimstar® (isoniazid with rifampicin, pyrazinamide and ethambutol) Available as. Tablets. Isoniazid is used to treat tuberculosis (TB). TB is a bacterial infection which mostly affects the lungs, ...

How to dispose of expired medications?

Do not keep out-of-date or unwanted medicines. Take them to your local pharmacy which will dispose of them for you.

Is isoniazid bad for you?

If you are pregnant, trying for a baby or breastfeeding. Although isoniazid is not known to be harmful in pregnancy, it is important that you tell your doctor, as you may need to be given a vitamin supplement. If you have any problems with the way your kidneys work, or the way your liver works.

Does isoniazid cause numbness in feet?

Although isoniazid is a very effective medicine, it can sometimes cause damage to peripheral nerves (such as numbness and tingling sensations in the hands and feet). If you are considered to be at risk of this, your doctor will prescribe you a vitamin supplement of pyridoxine to prevent it.

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