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. 2021 Dec 14;10(12):1990. doi: 10.3390/antiox10121990

Table 1.

The list of side effects caused by various synthetic drugs, along with generic names.

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