PYRIDOXINE = VITAMIN B6 oral

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Therapeutic action

  • Vitamin

Indications

  • Prevention and treatment of isoniazid-induced peripheral neuropathy

Forms and strengths

  • 25 mg tablet

Also comes in 10 mg and 50 mg tablets.

Dosage

Prevention of isoniazid neuropathy

  • Child under 5 kg: 5 mg once daily
  • Child over 5 kg and adult: 10 mg once daily

 

Treatment of isoniazid neuropathy

  • Child: 50 mg once daily
  • Adult: 50 mg 3 times daily

Duration

  • Prevention: as long as treatment with isoniazid continues.
  • Treatment: according to clinical response (in general, ≤ 3 weeks) then, preventive dose, as long as treatment with isoniazid continues.

Contra-indications, adverse effects, precautions

  • No contra-indication.
  • May cause: peripheral neuropathy in the event of prolonged use with doses ≥ 200 mg daily.
  • Pregnancy: no contra-indication
  • Breast-feeding: no contra-indication

Remarks

  • In children receiving isoniazid prophylaxis or treatment for tuberculosis: concomitant administration of pyridoxine at preventive dosage is recommended for children under 5 years and all children infected with HIV.
  • Pyridoxine is also used for the prevention and treatment of cycloserin-induced neuropathy (150 to 200 mg daily in adults, in divided doses).

Storage

 
–  Below 25 °C