Bedaquiline is an antimycobacterial diarylquinoline that inhibits the mycobacterial ATP synthase proton transfer chain necessary for energy production in Mycobacterium tuberculosis. This refers to the replicating and non-replicating bactericidal effects of tubercle bacilli.

Use this medication precisely as recommended by your physician. Follow the prescription of your doctor carefully.

The medication dose given by your physician is based on your health conditions, other medications or food supplements taken, and your reaction to the treatment. To diminish risks for adverse effects, do not increase your dosage, thus take it regularly, or take it as instructed by your physician. Adverse events may still happen even at usual prescription dosages.

If your physician requests you to use this drug consistently, take it regularly to get the most benefits from it. To make you remember it better, take it at a fixed time every day.

Your doctor may need to modify your dosages to ease your symptoms or if you develop adverse reactions.

Bedaquiline is used in the following conditions:

  • Pulmonary multidrug-resistant TB

This medicine may be recommended for different uses. Approach your physician or pharmacist for more information.  

Do not use Bedaquiline in people with the following conditions:

  • Hypersensitivity
  • Concomitant use with moderate or strong CYP3A4 inducers

Bedaquiline may have the following side effects:

  • QT interval prolongation
  • Hepatotoxicity
  • Increased risk of mortality
  • Chest pain
  • Nausea
  • Vomiting
  • Diarrhea
  • Transient increase in serum transaminases (AST, ALT)
  • Increased serum amylase
  • Anorexia
  • Arthralgia
  • Myalgia
  • Headache
  • Dizziness
  • Hemoptysis
  • Rash

Keep in mind that your physician has recommended this drug since he or she has known that the advantage to you is more significant than the risk of adverse reactions. Many individuals utilizing this medicine don’t have serious side effects.  

A severe allergy to this medication is uncommon. In any case, seek emergency medical help if you see any manifestations of a serious allergic response, including a rash, tingling or swelling particularly of the face or tongue or throat, dizziness or difficulty in breathing.

This is not a complete list of side effects. If you see other effects not recorded above, contact your physician or pharmacist.

Take extra caution in patients with the following medical conditions:

  • Patients with or history of heart failure
  • Hypothyroidism
  • Bradyarrhythmia
  • Family history of congenital QT prolongation
  • Ventricular arrhythmia
  • History of torsade de pointes
  • Syncope
  • Hypokalemia
  • HIV infection
  • Not indicated for latent, extrapulmonary (CNS, bone), drug-sensitive TB, or infections due to non-tuberculosis mycobacteria
  • Severe renal and moderate to severe hepatic impairment
  • Pregnancy
  • Lactation

Prior in taking this medicine, tell your physician or pharmacist if you have allergies  or other hypersensitivity reactions with the drug. This drug may contain inert ingredients which can cause unfavorable side effects or different issues. Talk with your pharmacist for more information.


Bedaquiline may interact with the following medicines:

  • Ketoconazole
  • Lopinavir
  • Ritonavir
  • Ciprofloxacin
  • Gatifloxacin
  • Clarithromycin
  • Erythromycin
  • Clofazimine

Potentially Fatal:

  • Rifabutin
  • Rifampicin
  • Efavirenz
  • Etravirine

Inform your physician about the drugs you take including over-the-counter medications, prescribed drugs, supplements and vitamins.

This is not a complete list of drug interactions. Approach your physician or pharmacist for more details.

The effects of certain medications can change if you consume different medications or herbal products simultaneously. This can build your risk for side effects or may cause your drugs not to work effectively. These interactions are possible, yet don’t generally happen. Your physician or pharmacist can prevent or oversee interactions by changing how you utilize your prescriptions or by close checking.

While utilizing this drug, don’t start, stop, or change the dose of other medicines you are using without your physician’s advice.

If an overdose is suspected, call your health care provider immediately.

Available brand:

  • Sirturo

Related Articles


Perazine is a phenothiazine antipsychotic agent used in the treatment of acute and chronic psychotic disorders. Use this medication precisely [...]


Niceritrol is a nicotinic acid and pentaerythritol ester. It has been utilized as a vasodilator and a lipid-lowering drug since [...]


Pentoxyverine is a centrally acting cough suppressant, mainly used for non-productive cough. It is often used in a form of [...]