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TB Drugs
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Drug Name/Classification
Dose Action Indications Side Effects Nursing Considerations
Rifampicin
Antituberculotic Antibiotic
600mg PO OD
Inhibits DNA dependent RNA polymerase activity in susceptible bacterial cells
Treatment of pulmonary tuberculosis
HeadacheRashDiarrheaFatigue
Watch closely for sign of hepatic impairment
If adverse GI reaction occurs, monitor hydration
Ethambutol
Antituberculotic
1200mg PO OD
Inhibits the synthesis of metabolites in growing mycobacterium cells, impairing cell metabolism and causing death
Treatment of pulmonary tuberculosis
NauseaVomitingAbdominal painHeadacheDecreased visual acuity & color discrimination (blue.green)
Monitor dug effectiveness by regularly assessing for improvement in patient’s conditions and evaluating culture and sensitivity test results.
Be alert for adverse reactions and drug interactions.
Isoniazid
Antituberculotic
300mg PO OD
Bactericidal – interferes with lipid and nucleic acid biosynthesis in activity
Treatment and prophylaxis of tuberculosis
NauseaVomitingJaundiceFever
Assess patient’s infection before starting therapy by physical examination and culture And sensitivity testing
Monitor patient for improvement, and evaluate culture and sensitivity test
Pyrazinamide
Antituberculotic
1500mg PO OD
Bactericidal againstMycobacteriumtuberculosis; exactmechanism is unknown
Treatment of tuberculosis
NauseaVomitingDiarrheaRashes
Assess patient for allergy to pyrazinamide, acute hepatic disease, gout, and diabetes mellitus
Administer only with in conjunction with other antituberculotic
Vitamin B6 50mg PO Blocks effects of Antidote for Drowsiness Assess patient before
Nutritional supplement
OD isoniazid poisoning isoniazid poisoning
ParesthesiaSomnolenceUnstable gait
and after drug therapy to monitor drug’s effectiveness
Bactrim DS
Antibiotic
1 tablet PO OD
Inhibits susceptible bacteria
Treating infection caused by certain bacteria and to prevent certain infections.
Loss appetiteNauseaVomitingMild diarrhea
Assess patient’s infection before therapy and regularly thereafter.
Obtain specimen for culture and sensitivity test before giving first dose.
Atazanavir
Anti HIV drugAntiretroviral
1 tablet PO OD
Inhibits processing of viral protein in HIV-infected cells, preventing the formation of mature viruses.
In combination with other antiretroviral for the treatment of HIV-1 infection
HeadacheDepressionVomitingJaundice
Assess patient for allergy for any component of the product, hepatic impairment, signs of lactic acidosis
Ritonavir 1 tablet PO OD
Inhibits HIV protease activity, leading to decrease in production of HIV particles
Treatment of HIV infection in combination with other antiretroviral
RashHeadacheDry skinDiarrhea
Assess for allergy to drug.
Assess BP, bowel sounds and skin color
Abacavir/Lamivudine
Antiretroviral
1 tablet PO OD
Inhibits the activity of HIV-1 reverse transcriptase, stopping viral DNA growth
In combination with other antiretroviral for the treatment of HIV-1 infection
FeverHeadacheLoss appetiteNausea
Monitor glucose level during therapy
Watch for hypersensitivity reaction
Ferrous Sulfate
Iron preparation
1 tablet PO OD
Replaces iron, elevate serum iron concentration which then helps to form hemoglobin
Preventing and treatment of iron deficiencies anemias (help build up the blood)
VomitingConstipationDark stoolDiarrhea
Obtain baseline assessment of patient’s iron deficiency before starting therapy
Evaluate HGB, HCT levels and reticulocyte count during therapy
Vitamin C
Water soluble vitamin
1 tablet PO OD
It is a highly effective antioxidant. It is also required for the
It helps with preventing of infection eg. cold
HeartburnStomach crampsDiarrhea
Assess patient before and after drug administration and
growth and repair of tissues in all parts of the body.
Acid urine drug’s effectiveness
When giving for urine acidification, check urine pH to ensure effectiveness.
ColaceLaxativeStool softener
100mg PO BD
Promotes incorporation of water into stool, resulting in softer fecal mass.
Prevention of constipation
Throat irritationMild crampsDiarrheaRash
Obtain history of patient’s bowel patterns before and after therapy.
Be alert for adverse reactions and drug interactions.
Clexane
AntithromboticAnticoagulant
40mg SC OD Inhibits thrombus and clots formation
Prevention and treatment of various thrombolytic disorders
FeverEdemaHemorrhageConfusion
Obtain history of patient’s coagulation parameters before starting therapy
Be alert for adverse reactions and drug interactions.