Pyrazinamide
A key component of short-course TB therapy. It is specifically active against bacteria residing in acidic environments like macrophages.
Dosage by Body Weight
Pediatric dose: 30-40 mg/kg once daily for the first 2 months of TB treatment.
- Body Weight
- 5-7 kg
- Dose
- 250 mg
- Frequency
- Once daily
- Tracking Notes
- Monitor liver function tests and uric acid levels.
- Body Weight
- 8-12 kg
- Dose
- 400 mg
- Frequency
- Once daily
- Tracking Notes
- May cause joint pain (arthralgia).
- Body Weight
- 13-18 kg
- Dose
- 600 mg
- Frequency
- Once daily
- Tracking Notes
- Usually given as part of a Fixed Dose Combination (FDC).
| Body Weight | Dose | Frequency | Tracking Notes |
|---|---|---|---|
| 5-7 kg | 250 mg | Once daily | Monitor liver function tests and uric acid levels. |
| 8-12 kg | 400 mg | Once daily | May cause joint pain (arthralgia). |
| 13-18 kg | 600 mg | Once daily | Usually given as part of a Fixed Dose Combination (FDC). |
Formulation
Purpose
Anti-tuberculosis medication used in the initial phase of treatment.
Generic Name
PyrazinamideBranded Drug Names
Pyrazinamide is listed as a generic drug name. Common branded medicines that may contain the same active ingredient include:
Scheduled Drug
Yes. This medicine should be supplied or used only according to applicable prescription and regulatory requirements.
Alternatives
Safety Advice
Alcohol
CAUTIONPyrazinamide: Alcohol may worsen dehydration, stomach upset, or interfere with nutritional recovery. Avoid or limit alcohol.
Pregnancy
SAFE IF PRESCRIBEDPyrazinamide: Generally safe in pregnancy when used at recommended doses or as prescribed. Avoid excessive supplementation.
Breast Feeding
SAFEPyrazinamide: Generally compatible with breastfeeding when used at recommended doses. Ask a healthcare provider before high-dose use.
Driving
SAFEPyrazinamide: Usually does not affect driving. Avoid driving only if you feel unwell, dizzy, or weak from the underlying condition.
Liver
SAFE IF PRESCRIBEDPyrazinamide: Usually safe at recommended doses, but high-dose or fat-soluble vitamin use should be medically supervised in liver disease.
Kidney
CAUTIONPyrazinamide: Kidney disease may require avoiding or adjusting minerals and electrolytes such as potassium, magnesium, calcium, or phosphate.