Exam 5: Kays TB Flashcards

1
Q

is latent TB infectious

A

NO

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2
Q

Standard therapy for TB

A

RIPE

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3
Q

Regimen 1 Intensive phase options for TB

A

Rifampin, INH, pyrazinamide, and ethambutol 7 days/week for 56 doses (8 weeks)
OR
5 days/week for 40 doses

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4
Q

Regimen 1 continuation phase: preferred

A

INH and rifampin 7 days/week for 126 doses (18 weeks) OR 5 days/week for 90 doses (18)

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5
Q

Regimen 1 continuation phase: alternative

A

INH and rifampin 3 times weekly for 54 doses (18 weeks)

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6
Q

regimen 2 intensive phase

A

INH, rifampin, pyrazinamide, and ethambutol three times weekly for 24 doses (8 weeks)

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7
Q

regimen 2 continuation phase

A

inh and rifampin 3 times weekly for 54 doses (18 weeks)

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8
Q

regimen 3 intensive phase

A

INH, rifampin, pyrazinamide, and ethambutol 7 days/week for 14 doses (2 weeks), then twice weekly for 12 doses (6 weeks)

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9
Q

regimen 3 continuation phase

A

INH and rifampin twice weekly for 36 doses (18 weeks)

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10
Q

Do not use _______ in HIV-infected patients or patients with smear-positive and/or cavitary disease

A

twice-weekly regimens

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11
Q

Administer ______ to patients receiving INH

A

pyridoxine (vit B6)

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12
Q

ART and TB therapy

A

2 weeks: CD4 <50

8-12 weeks: CD4 >50

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13
Q

Rifampin and dolutegravir relationship

A

dolutegravir may be administered BID rather than daily

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14
Q

FQ DOC in intensive stage

A

moxifloxacin

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15
Q

Treatment options of latent TB

A
  1. rifampin 600mg x4 month
  2. INH 900 + rifapentine 900 x12 w
  3. INH + rifampin x3 m
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16
Q

isoniazid metabolism

A

genetically determined

metabolized in liver

17
Q

isoniazid dose adjustment

A
  1. decrease dose by 1/2 in severe hepatic insufficiency

2. Reduce dose in slow acetylators if renal failure

18
Q

isoniazid AE

A

hepatitis

neurotoxicity

19
Q

isoniazid drug interactions

A

inhibitor of CYP450

20
Q

rifampin AE

A

hepatotoxicity

discoloration of body fluids

21
Q

rifampin drug interactions

A

potent inducer of cyp 450

22
Q

rifabutin vs rifampin

A

rifambutin has less induction of cyp p450 than rifampin

23
Q

rifabutin AE

A

orange body fluids
arthralgias
uveitis
leukopenia

24
Q

pyrazinamide AE

A

hepatotoxicity

hyperuricemia

25
Q

ethambutol pharmacology

A

primarily renally eliminated unchanged

26
Q

ethambutol AE

A

peripheral neuropathy

optic neuritis