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At a glance

Pyrazinamide is an anti-tuberculosis medication used in the treatment of tuberculosis, particularly as part of a multidrug regimen. It acts as a bactericidal or bacteriostatic agent against susceptible strains.

Indications
  • Tuberculosis (as part of a multidrug regimen)
Pharmacology

Pyrazinamide is converted to pyrazinoic acid (POA), which lowers the pH of the environment, disrupting conditions necessary for Mycobacterium tuberculosis growth. Susceptible strains produce pyrazinamidase, which deaminates pyrazinamide to POA.

Dosage

Adult Dose (Oral):

  • Standard 2-month treatment (unsupervised): 50 kg: 2 g daily
  • Intermittent 2-month treatment (supervised): 50 kg: 2.5 g three times weekly
  • Severe hepatic impairment: Contraindicated

Pediatric Dose (Oral):

  • Standard 2-month treatment: 35 mg/kg daily
  • Intermittent 2-month treatment: 50 mg/kg three times weekly
Side effects

Side Effects:

  • Jaundice
  • Hepatitis
  • Increased liver enzymes
  • Joint pain
  • Nausea
  • Vomiting
  • Abdominal pain
  • Skin rash
Use in pregnancy

Use in Pregnancy: May be unsafe during pregnancy; animal studies have shown harmful effects; consult your doctor.

Pregnancy Category: C — always consult a doctor before taking during pregnancy.

Precautions & warnings
  • Monitor liver function before and during treatment
  • Inform doctor if yellowing of eyes/skin, dark urine, abdominal pain occurs
  • Avoid alcohol (liver toxicity risk)
  • Caution in pregnancy
Overdose effects

No overdose information available; consult your doctor if taken in excess.

Storage conditions

Store in a cool and dry place, away from light; keep out of reach of children.

Pyrazinamide — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.