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CYCLOSEN

CYCLOSERINE · by SCHAZOO ZAKA

Composition

Cap/Tab: Cycloserine 250 mg.

Indications & Dosage

Tuberculosis resistant to first-line drugs, in combinationwith other drugs: Adult: Initially 250 mg every 12 hours for 2 weeks, then increased if necessary up to 500 mg every 12 hours, increased according to blood concentration and response, for 18-24 months (max daily dose 1 gm). Children: 10-20 mg/kg/day in 2 divided doses up to 1000 mg/day for 18-24 months.

Contraindications

Acute porphyria, alcohol dependence, depression, epilepsy, psychotic states, severe anxiety

Precautions

Renal insufficiency, hepatic impairment

Interactions

: INH, ethionamide, phenytoin, alcohol.

Pregnancy

Caution advised, use only if potential benefit outweighs risk

Lactation

Caution advised

Side Effects

Allergic dermatitis, changes in liver function tests, confusion, convulsions, depression, dizziness, drowsiness, headache, heart failure at high doses, megaloblastic anaemia, psychosis, rashes, tremor, vertigo cardiac arrhythmias, paresis, coma.