Sural
Sural is an antibacterial prescription medicine containing ethambutol hydrochloride. It is classified as an antituberculosis agent that works by inhibiting the synthesis of cell wall metabolites in actively growing tubercle bacilli, thereby halting their growth. Sural must always be used in combination with other anti-TB medications to prevent the development of drug resistance.
Dosage by Body Weight
The standard daily dosage is 15 mg/kg to 25 mg/kg of body weight, administered as a single dose once every 24 hours. Dosage must be strictly adjusted based on patient weight, clinical response, and renal function. Regular monitoring of visual acuity is highly recommended during treatment.
- Body Weight
- Below 5 kg
- Dose
- Not routinely recommended
- Frequency
- Once daily if prescribed
- Tracking Notes
- Use only under strict specialist supervision. Visual acuity testing is difficult to perform in this age/weight group.
- Body Weight
- 5-7 kg
- Dose
- 75 mg to 150 mg
- Frequency
- Once daily
- Tracking Notes
- Calculated based on standard pediatric range of 15-25 mg/kg. Monitor vision closely.
- Body Weight
- 8-10 kg
- Dose
- 120 mg to 250 mg
- Frequency
- Once daily
- Tracking Notes
- Administer as a single daily dose alongside other anti-TB companion drugs.
- Body Weight
- 11-15 kg
- Dose
- 165 mg to 375 mg
- Frequency
- Once daily
- Tracking Notes
- Dosing may be adjusted to match available tablet fractions safely under medical supervision.
- Body Weight
- 16-20 kg
- Dose
- 240 mg to 500 mg
- Frequency
- Once daily
- Tracking Notes
- Standard pediatric and low-weight adult dosing guidelines.
| Body Weight | Dose | Frequency | Tracking Notes |
|---|---|---|---|
| Below 5 kg | Not routinely recommended | Once daily if prescribed | Use only under strict specialist supervision. Visual acuity testing is difficult to perform in this age/weight group. |
| 5-7 kg | 75 mg to 150 mg | Once daily | Calculated based on standard pediatric range of 15-25 mg/kg. Monitor vision closely. |
| 8-10 kg | 120 mg to 250 mg | Once daily | Administer as a single daily dose alongside other anti-TB companion drugs. |
| 11-15 kg | 165 mg to 375 mg | Once daily | Dosing may be adjusted to match available tablet fractions safely under medical supervision. |
| 16-20 kg | 240 mg to 500 mg | Once daily | Standard pediatric and low-weight adult dosing guidelines. |
Formulation
Purpose
Used in combination with other antituberculosis drugs for the treatment of pulmonary and extrapulmonary tuberculosis.
Generic Name
Ethambutol HydrochlorideScheduled Drug
Yes. This medicine should be supplied or used only according to applicable prescription and regulatory requirements.