Isoniazid

Isoniazid is a topic covered in the Washington Manual of Medical Therapeutics.

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General Principles

Isoniazid (INH; 300 mg PO q24h) exerts bactericidal effects by interfering with the synthesis of lipid components of the mycobacterial cell wall. INH is a component of most TB treatment regimens and can be given twice a week in directly observed therapy (15 mg/kg/dose; 900 mg maximum). INH remains the drug of choice for treatment of latent TB infection (300 mg PO q24h for 9 months, or combined with rifapentine in a 12-week regimen).

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