Table 1.
Generic Names | Medicinal Compound | Side Effects | Mode of Action | References |
---|---|---|---|---|
Isoniazid, isoniazide, azuren, INH, L 1945, Mybasan, neumadin, RP 5015, tubomel, vazadrine, isoniazidum | Isonicotinic acid hydrazide (isoniazid) | Hepatotoxic (hepatitis, nausea, vomiting, and decreased appetite) |
Suppresses the multiplication of mycobacteria | [54] |
Streptomicina, streptomycin, streptomycine, strepidin-4-α-streptobiosaminosid, streptomycin sulfate, streptomycini sulfas, streptomycinsulfat | Streptomycin | Ototoxicity | Inhibition of protein synthesis of mycobacteria in the ribosome | [55] |
Ethionamide, TH 1314, aethionamidum, Bayer 5312, etionizina, ETP, ethionamidum | Ethionamide | Hepatitis, depression, hypersensitivity | A prodrug that is activated by the enzyme ethA, a mono-oxygenase in Mycobacterium tuberculosis; binds NAD+ to form an adduct that inhibits InhA in the same way as isoniazid | |
Cycloserine, lilly 106-7, MK 65, PA 94, Ro 1-9213, SC 49088, cicloserina, cycloserinum | Cycloserine | Psychosis, rashes | Cycloserine is a broad-spectrum antibiotic with only moderate anti-TB activity. It inhibits cell wall synthesis. The MIC of cycloserine in the Bactec 460-TB system is 25–75 μg/mL | |
Capreomycin sulfate, capreomycin, CAM, capromycin, L 29275 | Capreomycin | Deafness, vestibular toxicity | Inhibit protein synthesis by binding to the 70S ribosomal unit | |
Kanamicina, kanamycin, kanamycine, kanamycin monosulfate, kanamycin sulfate, kanamycin acid sulfate, kanamycin monosulfate, kanamycinmonosulfat | Kanamycin | Deafness, nephrotoxic | Inhibits protein synthesis by tightly binding to the conserved A site of 16S rRNA in the 30S ribosomal subunit | |
Rifampicin | Rifampicin | Hepatotoxic, interaction with other drugs, a potent inducer of microsomal enzymes | Inhibits bacterial DNA-dependent RNA synthesis by inhibiting bacterial DNA-dependent RNA polymerase | [56] |
Pirazinamide, pyrazinamide, pyrazinecarboxamide, pyrazinoic acid amide, pyrizinamide, pyrazinamidum | Pyrazinamide | Hepatitis, Hyperuricemia, arthralgia, arthritis | It diffuses into the granuloma of M. tuberculosis, where the tuberculosis enzyme pyrazinamidase converts pyrazinamide to the active form of pyrazinoic acid | |
Ethambutol, ethambutolo, ethambutol hydrochloride, CL 40881, ethambutol hydrochloride, ethambutoldihydrochlorid, ethambutoli hydrochloridum | Ethambutol | Optic neuritis | It works by obstructing the formation of the cell wall. Mycolic acids attach to the 5’-hydroxyl groups of D-arabinose residues of arabinogalactan and form mycolylarabinogalactan-peptidoglycan complex in the cell wall | [57] |
Protionamide, PTH, PTP, RP, protionamidum, prothionamide | Prothionamide | Hepatotoxic, hypersensitivity, idiosyncrasy | It is activated by mono-oxygenase (EthA), forms covalent adducts with nicotinamide adenine dinucleotide (NAD), and inhibits InhA, leading to blocking of the mycolic acid pathway | |
P.A.S., Para-aminosalicylic acid, pasalicylum, aminosalicylic acid, aminosalicylate sodium, para-aminosalicylsaures natrium-2-wasser, parasal sodium, sodium para-aminosalicylate, natrii aminosalicylas dihydricus, sodium aminosalicylate dihydrate | Para-aminosalicylic acid | Hepatotoxic, hypersensitivity, idiosyncrasy | It targets dihydrofolate reductase (DHFR); it is incorporated into the folate pathway by two enzymes, dihydropteroate synthase (DHPS) and dihydrofolate synthase (DHFS) to produce a hydroxyl dihydrofolate compound that inhibits DHFR, and subsequently blocks the folate pathway |