المحتويات
Update: November 2022
Forms and strengths
- 300 mg and 100 mg tablets
- 100 mg and 50 mg dispersible tablets, to be dispersed in 10 ml water
Dosage
- Child under 30 kg: 15 to 20 mg/kg once daily
- Child 30 kg and over and adult: 10 to 15 mg/kg once daily
- Maximum dose: 600 mg daily
Weight |
Daily dose |
300 mg tablet |
100 mg tablet |
---|---|---|---|
5 |
75-100 |
− |
1 tab |
6 |
90-120 |
− |
1 tab |
7 |
105-140 |
− |
1½ tab |
8 |
120-160 |
− |
1½ tab |
9 |
135-180 |
− |
1½ tab |
10 |
150-200 |
− |
2 tab |
11 |
165-220 |
− |
2 tab |
12 |
180-240 |
− |
2 tab |
13 |
195-260 |
− |
2 tab |
14 |
210-280 |
− |
2 tab |
15 |
225-300 |
− |
3 tab |
16 |
240-320 |
− |
3 tab |
17 |
255-340 |
− |
3 tab |
18 |
270-360 |
− |
3 tab |
19 |
285-380 |
− |
3 tab |
20 |
300-400 |
− |
3 tab |
21 |
315-420 | − | 4 tab |
22 |
330-440 | − | 4 tab |
23 |
345-460 | − | 4 tab |
24 |
360-480 | − | 4 tab |
25 |
375-500 | − | 4 tab |
26 |
390-520 | − | 4 tab |
27 |
405-540 | − | 4 tab |
28 |
420-560 | − | 4½ tab |
29 |
435-580 | − | 4½ tab |
|
|||
30-35 |
450 |
1½ tab |
− |
36-45 |
450 | 1½ tab |
− |
46-55 |
600 |
2 tab |
− |
56-70 |
600 |
2 tab |
− |
> 70 | 600 | 2 tab | − |
Alternatively, 50 mg dispersible tablets may be used instead of ½ tablets of 100 mg.
Contra-indications, adverse effects, precautions
- Do not administer to patients with severe hepatic impairment.
- May cause:
- peripheral neuropathy;
- hepatotoxicity;
- hypersensitivity reactions, arthragias, optic neuritis, psychotic reactions, seizures and depression.
- Monitor closely:
- pregnant and breastfeeding women; patients with renal impairment, diabetes, malnutrition or HIV infection (increased risk of neuropathy);
- patients with alcohol dependence (increased risk of neuropathy and hepatotoxicity);
- patients with chronic hepatic disease or taking rifampicin or ≥ 35 years (increased risk of hepatotoxicity);
- patients taking antiseizure medications, benzodiazepines (risk of toxicity), warfarin (risk of bleeding). Dose adjustment may be required.
- Avoid or monitor combination with cycloserine or terizidone and thionamides (increased risk of neurotoxicity).
- For the management of adverse effects, see Appendix 17.
- Administer concomitantly pyridoxine (vitamin B6): child: 1 to 2 mg/kg (usual range: 10 to 50 mg) once daily; adult: 100 mg once daily.
- Pregnancy and breastfeeding: no contra-indication. Administer pyridoxine to the mother (as above). Observe the breast-fed neonate or infant for adverse effects and supplement it with pyridoxine (1 to 2 mg/kg once daily).
Monitoring
- Symptomatic monitoring.
- Liver function.
Patient instructions
- Take without food.
- Dispersible tablets should be dispersed in 10 ml water.
- Avoid alcohol during treatment.
Storage
–
– Below 25 °C