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. 2018 Jun;10(6):3849–3868. doi: 10.21037/jtd.2018.05.204

Table 5. Treatment regimens for slow growing nontuberculous mycobacteriosis.

Pathogen Recommended regimen Second-line or additional agents
M. avium complex Azithromycin 250–500 mg daily Clarithromycin 500 mg twice daily
Rifabutin 300 mg daily Rifampin 10 mg/kg daily (max. 600 mg)
Ethambutol 15 mg/kg daily Amikacin 10–30 mg/kg once daily or Streptomycin 15 mg/kg daily (max. 1,000 mg)
M. kansasii Rifabutin 300 mg daily Rifampin 10 mg/kg daily (max. 600 mg)
Ethambutol 15 mg/kg daily Clarithromycin 500 mg twice daily or azithromycin 500 mg daily
Isoniazid 5 mg/kg daily (max. 300 mg) Trimethoprim-sulfamethoxazole 960 mg twice daily
Moxifloxacin 400 mg daily
Amikacin 10–30 mg/kg once daily or streptomycin 15 mg/kg daily (max. 1,000 mg)
M. marinum Azithromycin 250–500 mg daily Rifampin 10 mg/kg daily (max. 600 mg)
Ethambutol 15 mg/kg daily (consider adding rifabutin 300 mg daily for extensive disease) Clarithromycin 500 mg twice daily or azithromycin 250–500 mg daily
Trimethoprim-sulfamethoxazole 960 mg twice daily
Doxycycline or minocycline 100 mg twice daily
M. haemophilum Azithromycin 500 mg daily Rifampin 10 mg/kg daily (max. 600 mg)
Rifabutin 300 mg daily Clarithromycin 500 mg twice daily or azithromycin 500 mg daily
Ciprofloxacin 500 mg twice daily Trimethoprim-sulfamethoxazole 960 mg twice daily
Doxycycline 100 mg twice daily