Formulary Monographs [PYRAZINAMIDE, 081604]

PYRAZINAMIDE
ANTITUBERCULOSIS AGENTS
Tuberculosis as a second line drug in combination with other drugs.
Hyperuricemia, acute gout, hepatotoxicity, G.I. upset. Diabetes mellitus becomes more difficult to manage. Monitor SGOT, SGPT and uric acid levels. Give intermittently to avoid hypercalcaemia.
15-30 mg/kg/day up to a max.of 2 g daily ; or 50-70 mg/kg 2-3 times weekly. Tuberculosis in AIDS p atients, doses of 20 to 30mg/kg/day have been successful. Dosage reduction is recommended in patients with endstage renal disease. Take with food to avoid
Because pyrazinamide is distributed into milk in small amounts, a decision should be made whether to discontinue nursing or the drug, taking into account the importance of the drug to the woman.