Side Effects of Drugs During Treatment of Tuberculosis

Isoniazid

Common side effects: Hepatitis, peripheral neuropathy
Uncommon side effects: Cutaneous reactions, arthralgia, drug induced lupus, optic neuritis, convulsions, mental symptoms aplastic anaemia, haemolytic anaemia agranulocytosis, gynaecomastia.

Rifampicin

Common side effects: Anorexia, nausea, vomiting, epigastric pain, hepatitis
Uncommon side effects: Anaemia, cutaneous reaction, flue like syndrome, shortness of breath, acute renal failure, shock, thrombocytopaenic purpura, haemolytic anaemia.

Pyrazinamide

Common side effects: Arthralgia (21 percent cases) hepatitis, anorexia, nausea, vomiting.
Uncommon side effects: Cutaneous reaction, hyperuricemia, sideroblastic anaemia.

Ethambutol

Common side effects: Retrobulbar neuritis, arthralga
Uncommon side effects: Cutaneous reactions, peripheral neuropathy.

Streptomycin

Common side effects: Cutaneous reactions, auditory and vestibular toxicity resulting in giddiness, numbness and tinnitus.
Uncommon side effects: Vertigo, ataxia and deafness-if streptomycin is continued despite early symptoms

Stop immediately and don’t reuse in case following reactions occur

  • Rifampicin – Acute haemolytic anaemia, shock, acute renal failure or thrombocytopaenic purpura.
  • Ethambutol – Retrobulbar neuritis.
  • Streptomycin – Deafness or ataxia.
  • Thiacetazone – Severe skin rashes or agranulocytosis.

About Arun Pal Singh
Dr Arun Pal Singh is an orthopaedic surgeon, trauma and spine specialist. He has published over 35 international papers and is avid participant in academic discussions. He lives and practices in Jalandhar, Punjab

Comments

  1. rodina says:

    I take the rifampicin + isoniazid + pyrazinamide+ethambutol HCL for two weeks now,when I started taking it there’s a little rash appear on my legs and it’s itching.. Is it serious side effects? Do I need to be threaten to this side effect? I need a full explanation from a doctor who is focus to this disease of TB. please… Because I don’t have a private doctor.

  2. Arun Pal Singh says:

    You need to watch your rash. If it is temporary and mild I think you can continue with your medication but if it is progressive or persists then you must see your doctor.

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