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Anti tubercular drug

Pharmacology
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Drug

name

Mechanism of

action

Bacterio

static/cidal

Side

effects

Isoniazid

(INH)

Inhibits synthesis of

mycolic acid in the

mycobacterial cell wall

Bactericidal

Hepatitis

Peripheral neuropathy

Rifampin

(RIF)

Inhibits DNA-dependent

RNA polymerase

Bactericidal

Hepatotoxicity

Orange-red discoloration of body fluids

Gastrointestinal disturbances

Pyrazinamide

(PZA)

Disrupts mycobacterial cell

membrane metabolism and

transport functions

Bactericidal

Hepatotoxicity

Hyperuricemia (gout)

Arthralgia (joint pain)

Ethambutol

(EMB)

Inhibits arabinosyl transferase,

affecting cell wall synthesis

Bacteriostatic

Optic neuritis (visual disturbances)

Streptomycin

Inhibits protein synthesis by

binding to the 30S ribosomal

subunit

Bactericidal

Ototoxicity (hearing loss)

Vestibular toxicity

Nephrotoxicity