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. 2023 May 18;14(5):275–293. doi: 10.5312/wjo.v14.i5.275

Table 2.

The first-line anti-tubercular medications' dose, pharmacological activities, and side effects[85]

Anti-tuberculosis drugs
Dose (mg/kg)
Pharmacological activities
Side effects
Isoniazid 5 -Inhibits the enoyl-ACP reductase InhA of the fatty acid synthase type II (FASII) pathway -Peripheral neuropathy, lethargy, hepatitis, insanity, convulsions, and a lupus-like condition
Rifampicin 10 -Inhibits messenger RNA elongation by binding to the β-subunit of the RNA polymerase -Hemolytic anemia, gastrointestinal distress, purpura, and orange-red urine stains
Ethambutol 15 -Inhibits enzyme arabinosyltransferases, glycerol metabolism, and RNA synthesis -Abdominal discomfort, eosinophilia, peripheral neuritis, myocarditis, and hypersensitivity
Pyrazinamide 25 -Disrupts membrane energetics and inhibits membrane transport function -Hepatotoxicity, pruritis, hyperuricemic arthralgia, and exanthema
Streptomycin 15 -Binds to the small 16S rRNA of the 30S ribosomal subunit irreversibly, interfering with the binding of formyl-methionyl-tRNA to the 30S subunit -Ototoxicity, rashes, fever, nephrotoxicity, eosinophilia, and vestibulotoxicity