HUMAN PAPILLOMAVIRUS 9-VALENT VACCINE

Rifampicin + Isoniazid + Pyrazinamide

Rifampicin, Isoniazid and Ppyrazinamide are all antitubercular drugs which possess an active bactericidal action. Rifampicin inhibits DNA-dependent RNA polymerase activity in susceptible cells and has broad spectrum activity against most gram-positive and gram-negative bacteria, especially Mycobacterium tuberculosis. Isoniazid inhibits the synthesis of mycolic acids, which is an essential component of the bacterial cell wall. Pyrazinamide, a highly specific agent, is active only against Mycobacterium tuberculosis, and active only at a slightly acid pH. Combination of these agents covers activity against the 3 different bacterial populations.

 

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.

If you have any inquiries with regards to information, ask your physician or pharmacist.

Rifampicin, isoniazid and pyrazinamide are used in the following conditions:

 

  • Tuberculosis

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

Do not use Rifampicin, isoniazid and pyrazinamide in people with the following conditions/medications:

 

  • Hypersensitivity
  • Patients withjaundice
  • Concomitant use withritonavir/saquinavir, atazanavir, darunavir, fosamprenavir, saquinavir, or tipranavir

Rifampicin, isoniazid and pyrazinamide may have the following side effects:

 

  • Gastrointestinal symptoms
  • Pseudomembranous colitis
  • Flushing and itching with or without rash
  • Urticaria
  • Pruritus
  • Erythema
  • Rash
  • Hepatitis
  • Thrombocytopenia with or without purpura
  • Eosinophilia
  • Leucopenia
  • Edema
  • Muscle weakness
  • Loss of tendon reflexes
  • Paresthesia
  • Myopathy
  • Vertigo
  • Polyneuritis
  • Occasional menstrual cycle disturbances
  • Flu-syndrome
  • Shortness of breath
  • Low blood pressure
  • Shock
  • Acute hemolytic anemia
  • Acute renal failure
  • Anaphylaxis
  • Reddish urine, sputum, sweat and tears coloration
  • Convulsions
  • Toxic encephalopathy
  • Optic neuritis and atrophy
  • memory impairment
  • Toxic psychosis
  • Systemic lupus erythematosus (SLE)-like syndrome
  • Pellagra
  • Hyperglycemia
  • Gynecomastia and anti-nuclear antibodies
  • Active gout
  • Sideroblastic anemia
  • Dysuria
  • Malaise
  • Aggravation of peptic ulcer
  • Psychoses
  • Disseminated intravascular coagulation
  • Adrenal insufficiency
  • Lyells syndrome
  • Vasculitis
  • Exfoliative dermatitis
  • Erythema multiforme
  • Stevens-Johnson syndrome
  • Pemphigoid reaction
  • Acute yellow atrophy
  • Death
  • Elevation in serum bilirubin, alkaline phosphatase and serum transaminases

 

Potentially fatal;

 

  • Severe hepatitis
  • Cerebral hemorrhage

 

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:

 

  • Patient with history of gout
  • Psychosis
  • Peripheral neuropathy
  • Patient with diabetes mellitus
  • Alcoholism
  • Porphyria
  • Human immunodeficiency (HIV) infection
  • Malnutrition
  • Epilepsy
  • Slow acetylator status
  • Hepatic and renal impairment
  • Elderly
  • Pregnancy and 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.

 

Interactions

 

Rifampicin, isoniazid and pyrazinamide may interact with the following medicines:

 

  • Hormonal contraceptives
  • ACE inhibitors
  • Antiemetics
  • Antineoplastics
  • Diuretics
  • Drugs for erectile dysfunction
  • Oral hypoglycemics
  • Non-steroidalanti-inflammatory drugs (NSAIDs)
  • Atovaquone
  • Ketoconazole
  • Antacids
  • Anesthetics
  • Phenytoin and theophylline
  • Carbamazepine
  • Stavudine
  • Para-aminosalicylic acid
  • Cycloserine
  • Probenecid and sulfinpyrazone
  • Concomitantuse with saquinavir/ritonavir,  atazanavir, darunavir, fosamprenavir, saquinavir, or tipranavir

 

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 you think you have used Rifampicin, isoniazid and pyrazinamide more than the usual dosage, please seek medical help immediately

 

Symptoms of overdose may include the following:

Rifampicin

  • Nausea
  • Vomiting
  • Abdominal pain
  • Pruritus
  • Headache
  • Lethargy
  • Unconsciousness
  • Transient increases in liver enzymes and/or bilirubin
  • Brownish red or orange coloration of the skin, urine, sweat, saliva, tears, and feces
  • Liver enlargement
  • Facial or periorbital edema
  • Hypotension
  • Sinus tachycardia
  • Ventricular arrhythmias
  • Seizures
  • Cardiac arrest

Isoniazid

  • Dizziness
  • Slurred speech
  • Blurred vision
  • Visual hallucinations
  • Respiratory distress and central nervous system depression
  • Progressing rapidly from stupor to profound coma with severe intractable seizures
  • Severe metabolic acidosis
  • Acetonuria
  • Hyperglycemia

Pyrazinamide

  • Hepatotoxicity
  • Hyperuricemia

 

Available Brands:

  • CombiPack
  • Rifater
  • Rimcure Paed
  • Triofix

Related Articles

ULTRAVIST

UsesWarningsSide EffectsPrecautionsOverdose & BrandsUses Ultravist is used in the following conditions: Radiographic Imaging: Iopromide injection is utilized to enhance the [...]

ULTRAMOX

UsesWarningsSide EffectsPrecautionsOverdose & BrandsUses Ultramox is used in the following conditions: Respiratory Infections: Amoxicillin is often used to treat respiratory [...]

ULTRALIV

UsesWarningsSide EffectsPrecautionsOverdose & BrandsUses Ultraliv is used in the following conditions: Carnitine Orotate: Carnitine orotate is a combination of L-carnitine [...]