Table 2.
Anti-TB Drug | Treatment Duration | Benefits of Treatment | Disadvantages of Treatment | Adverse Events | Reference |
---|---|---|---|---|---|
Rifampicin | 4 months, daily rifampicin intake | Greater adherence and fewer side effects | Development of side effects | Hepatotoxicity; immunoallergic reactions: minor (a cutaneous, gastrointestinal, or flu-like syndrome) or major (hemolytic anemia, shock, or acute renal failure); discoloration of body fluids |
[114] [116] [117] |
Isoniazid | 6–12 months, daily intake | Isoniazid prophylaxis provides an additional protective effect of ART | Treatment duration, low patient adherence, development of side effects | Hepatotoxicity, estimated at 1 to 4%, occurring within the first few months after starting treatment; peripheral neuropathy, which can be prevented by the addition of vitamin B6 (pyridoxine); dermatitis and lupus syndrome | [83,88,115,117] |
Rifampicin + pyrazinamide | 2 months, daily intake | Greater adherence, given the duration of therapy | Development of undesirable phenomena. Not recommended by WHO | Severe hepatotoxicity; increased uric acid levels, joint pain | [78,118] |
Isoniazid + rifapentine | Once a week for 12 weeks | Short duration of the regimen, low incidence of side effects | Development of side effects | Hepatotoxicity rarely occurs Rifampicin is a potent inducer of the hepatic CYP450 system in the liver and intestine. It also induces increasing hydrazine production via isoniazid hydrolase (especially in slow acetylators) Rarely: pyrexial syndrome, renal failure, precipitous thrombocytopenia, epistaxis, and bleeding of the tongue and lips |
[116,117] [119] [120] |