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TB medicines

Isoniazid

Prescription neededTB medicines
Comes as:Tablet

Usual adult dose

Dose is set by your doctor as part of TB treatment, usually 5 mg per kg (about 300 mg for adults) once a day on an empty stomach. Vitamin B6 (pyridoxine) is often given with it. Never stop TB treatment early.

Your doctor may give you a different dose. Children's doses depend on weight.

Side effects

Common

  • nausea
  • tingling or numbness of hands and feet (prevented by vitamin B6)

Serious — get help

Stop taking it and see a doctor straight away if you notice:

  • yellow eyes or skin
  • dark urine
  • severe stomach pain or vomiting (liver damage)
  • seizures
  • severe skin rash

Do not take it, or take care, if

  • Active liver disease
  • Previous liver damage from isoniazid
  • Heavy alcohol use (use with caution)
  • Epilepsy (use with caution)

Interactions

Medicines that can react with this one.

Serious2 medicinesDo not take these together unless your doctor says so.
  • Carbamazepine

    Raises carbamazepine levels, and the combination raises the risk of liver damage.

  • Phenytoin

    Isoniazid raises phenytoin levels and can cause toxicity; levels should be checked.

Minor2 medicinesUsually not a problem, but tell your doctor.
  • Aluminium hydroxide + Magnesium hydroxide

    Antacids reduce absorption; take isoniazid at least 1 hour before them.

  • Pyridoxine

    Pyridoxine is usually given with isoniazid on purpose to prevent nerve damage; this is a helpful combination.

Pregnancy

  1. A
  2. B
  3. C
  4. D
  5. X

Category C

A risk to the baby cannot be ruled out. Use only if your doctor says the benefit is greater than the risk.

Generic alternatives

Similar medicines your doctor or pharmacist may offer instead.

  • Rifampicin + Isoniazid
Check with my other medicines

Always follow your doctor or pharmacistThis page is general information, not a prescription. Do not start, stop or change a medicine on your own.