Isoniazid/pyridoxine/sulfamethoxazole/trimethoprim

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Isoniazid/pyridoxine/sulfamethoxazole/trimethoprim is a combination medication used in the treatment of various bacterial infections, particularly tuberculosis. It contains four active ingredients: isoniazid, pyridoxine, sulfamethoxazole, and trimethoprim.

Composition[edit | edit source]

The medication is composed of four active ingredients:

  • Isoniazid is an antibiotic that is primarily used in the treatment of tuberculosis. It works by inhibiting the synthesis of mycolic acid, a component of the bacterial cell wall.
  • Pyridoxine, also known as vitamin B6, is included to prevent the peripheral neuropathy that can be caused by isoniazid.
  • Sulfamethoxazole is an antibiotic that inhibits the synthesis of folic acid in bacteria, preventing their growth and reproduction.
  • Trimethoprim works in conjunction with sulfamethoxazole to inhibit bacterial growth. It does this by blocking the production of tetrahydrofolic acid, a chemical that bacteria need to produce DNA.

Uses[edit | edit source]

This combination medication is primarily used in the treatment of tuberculosis, a serious bacterial infection that primarily affects the lungs. It may also be used to treat other types of bacterial infections, as determined by a healthcare provider.

Side Effects[edit | edit source]

As with any medication, isoniazid/pyridoxine/sulfamethoxazole/trimethoprim can cause side effects. These may include nausea, vomiting, diarrhea, and skin rash. In rare cases, it can cause more serious side effects such as liver damage, peripheral neuropathy, and severe allergic reactions. Patients should contact their healthcare provider immediately if they experience any unusual or severe side effects.

Precautions[edit | edit source]

Before starting treatment with isoniazid/pyridoxine/sulfamethoxazole/trimethoprim, patients should inform their healthcare provider about any other medications they are taking, as well as any allergies or medical conditions they have. This medication should be used with caution in patients with liver disease, kidney disease, or a history of alcohol abuse.

See Also[edit | edit source]

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Contributors: Prab R. Tumpati, MD