II. Indications

  1. Multi-drug Tuberculosis Treatment regimen

III. Mechanism

  1. Bactericidal antibiotic via Protein synthesis inhibition
    1. Binds 30s/50s ribosome site
  2. Does not penetrate CSF, and poorly penetrates infected cells
    1. Only 10% of drug penetrates Tb infected cells

IV. Dosing

  1. Adult: 1 gram (15 mg/kg) IM daily
  2. Pediatric: 20 to 40 mg/kg/day

V. Pharmacokinetics

  1. Renal excretion

VI. Adverse Effects

  1. Cranial Nerve 8 and Vestibular toxicity
    1. Vertigo
    2. Decreased Hearing acuity or Deafness
  2. Renal damage

VIII. References

  1. (2012) Med Lett Drugs Ther 10(116): 29-36

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