Pyrazinamide

DEA Class; Rx

Common Brand Names; Nydrazid

  • Antitubercular Agents

Antituberculosis agent; useful when resistance to isoniazid or rifampin has been confirmed; used in combination with other agents.

Indicated for the treatment of drug-susceptible tuberculosis infection as part of combination therapy.
For the treatment of drug-resistant tuberculosis infection as part of combination therapy.
 

Severe hepatic damage, acute gout, hypersensitivity

  • Malaise
  • Nausea
  • Vomiting
  • Anorexia
  • Arthralgia
  • Myalgia
  • <1%
  • Fever
  • Rash
  • Itching
  • Acne
  • Photosensitivity
  • Gout
  • Dysuria
  • Porphyria
  • Thrombocytopenia
  • Hepatotoxicity
  • Interstitial nephritis

See pkg insert for complete dosage info

Pregnancy Category: C

Lactation: enters breast milk

Dosing is based on lean body weight.

Adults

30 mg/kg/dose (Max: 3 g/dose) PO once daily or 75 mg/kg/dose PO twice weekly are the FDA-approved maximum dosages. Other regimens and maximum dosages have been used off-label.
Weighing more than 90 kg: 30 mg/kg/dose (Max: 3 g/dose) PO once daily or 75 mg/kg/dose PO twice weekly.
Weighing 76 to 90 kg: 2 g PO once daily or 5 days/week, 3 g PO 3 days/week, or 4 g PO twice weekly.
Weighing 56 to 75 kg: 1.5 g PO once daily or 5 days/week, 2.5 g PO 3 days/week, or 3 g PO twice weekly.
Weighing 40 to 55 kg: 1 g PO once daily or 5 days/week, 1.5 g PO 3 days/week, or 2 g PO twice weekly.

Geriatric

30 mg/kg/dose (Max: 3 g/dose) PO once daily or 75 mg/kg/dose PO twice weekly are the FDA-approved maximum dosages. Other regimens and maximum dosages have been used off-label.
Weighing more than 90 kg: 30 mg/kg/dose (Max: 3 g/dose) PO once daily or 75 mg/kg/dose PO twice weekly.
Weighing 76 to 90 kg: 2 g PO once daily or 5 days/week, 3 g PO 3 days/week, or 4 g PO twice weekly.
Weighing 56 to 75 kg: 1.5 g PO once daily or 5 days/week, 2.5 g PO 3 days/week, or 3 g PO twice weekly.
Weighing 40 to 55 kg: 1 g PO once daily or 5 days/week, 1.5 g PO 3 days/week, or 2 g PO twice weekly.

Adolescents

30 mg/kg/dose (Max: 3 g/dose) PO once daily or 75 mg/kg/dose PO twice weekly are the FDA-approved maximum dosages. 40 mg/kg/dose (Max: 2 g/dose) PO once daily or 5 days/week or 50 mg/kg/dose PO 3 days/week (Max: 3 g/dose) or twice weekly (Max: 4 g/dose) have been used off-label.

Children

30 mg/kg/dose (Max: 3 g/dose) PO once daily or 75 mg/kg/dose PO twice weekly are the FDA-approved maximum dosages. 40 mg/kg/dose (Max: 2 g/dose) PO once daily or 5 days/week or 50 mg/kg/dose PO 3 days/week (Max: 3 g/dose) or twice weekly (Max: 4 g/dose) have been used off-label.

Infants

30 mg/kg/dose (Max: 3 g/dose) PO once daily or 75 mg/kg/dose PO twice weekly are the FDA-approved maximum dosages. 40 mg/kg/dose (Max: 2 g/dose) PO once daily or 5 days/week or 50 mg/kg/dose PO 3 days/week (Max: 3 g/dose) or twice weekly (Max: 4 g/dose) have been used off-label.

Neonates

Safety and efficacy have not been established. 40 mg/kg/dose PO once daily has been used off-label.

Pyrazinamide

tablet

  • 500mg

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