part 3 Flashcards
(11 cards)
How long and what are the drugs of the initial phase of TB?
-3 months (RIPE) -Isoniazid -rifampin -pyrazinamide -Ethambutol
What are the 2 phases for the drug treatment of TB?
initial and continuation
For how long and what are the drugs for the continuation phase?
- 18 weeks
- rifampin
- isoniazid
All the medications for TB are hepatotoxic. Which is the least hepatotoxic?
rifampin
Which TB medication causes red/orange urine, sweat, tears, and sputum?
rifampin
What is DOT therapy and why is it used for a pt with TB?
- Direct observation therapy
- someone brings the pt the medication and watches them take it
- ensures adherence
Because the medications for TB are commonly hepatotoxic what labs need to be monitored?
-monitor LFT’s
How many medications are needed for latent TB?
- 1 drug
- daily isoniazid
- 9 months
- or isoniazid and rifapentine for 3 month is an option
- primary agent
- suppresses bacterial growth
- excreted in urine (may become toxic if poor renal function)
- active LTBI
- take on empty stomach (1 hour before or 2 hours after a meal)
first line drug Isoniazid
What types of drugs are of concern if combined with isoniazid?
benzo’s and phenytoin
What are some adverse effects of Isoniazid?
peripheral neuropathy
hepatitis
decreased B6 absorption
hepatotoxicity