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. 2022 Mar 8;7(3):48. doi: 10.3390/tropicalmed7030048

Table 2.

Comparison of treatment regimens for the treatment of LTBI in world practice.

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]