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. 2022 Dec 6;11(12):1481. doi: 10.3390/pathogens11121481

Table 2.

Treatment regimens for latent TB infection in pregnancy.

Regimen Dosing Comment
6H or 9H
Isoniazid * daily for 6 or 9 months
Isoniazid 5 mg/kg (300 mg maximum) CDC/WHO: preferred for pregnant PWHIV
36H
Isoniazid * daily for 36 months
Isoniazid 5 mg/kg (300 mg maximum) WHO: preferred in settings of high TB transmission including pregnant PWHIV
3HR
Isoniazid * AND Rifampin
daily for 3 months
Isoniazid 5 mg/kg (300 mg maximum) AND
Rifampin 10 mg/kg (600 mg maximum)
4R
Rifampin daily for 4 months
Rifampin 10 mg/kg (600 mg maximum)
3HP
Isoniazid * AND Rifapentine
weekly for 3 months
Not currently recommended in pregnancy
(some pregnancy safety data)
1HP
Isoniazid * AND Rifapentine
daily for 1 month
Not currently recommended in pregnancy
(no data in pregnancy, trials planned)

Abbreviations: CDC = US Centers for Disease Control and Prevention; WHO = World Health Organization; PWHIV = people with HIV; * Isoniazid containing regimens should be administered with pyridoxine (B6) 25 to 50 mg daily to reduce risk of peripheral neuropathy; Data on safety of rifapentine in pregnancy are limited; therefore, 3HP and 1HP are not currently recommended in people who are pregnant or expecting to become pregnant during the treatment period.