Isoniazid syrup

Pronunciation

Generic Name: isoniazid (EYE-soe-NYE-a-zid)
Brand Name: Generic only. No brands available.

Isoniazid syrup may cause severe and sometimes fatal liver problems (eg, hepatitis). The risk of liver problems is greater in patients older than 35 years old. It may also be increased by daily use of alcohol, long-term liver problems or unsanitary injectable drug use. Women, especially those who are black, are Hispanic, or have just had a baby, may also be at increased risk. Hepatitis can develop at any time during treatment but usually occurs during the first 3 months. Your doctor will monitor your liver function and discuss your progress every month.

Contact your doctor right away if you develop unusual fatigue, weakness or fever that lasts longer than 3 days, general feeling of discomfort, loss of appetite, nausea, vomiting, numbness or tingling of the hands or feet, dark urine, yellowing of the skin or eyes, or stomach pain or tenderness.

Patients with active liver problems should not use isoniazid syrup.


Isoniazid syrup is used for:

Treating or preventing tuberculosis (TB). If you are using isoniazid syrup to treat TB, it should always be used along with another medicine.

Isoniazid syrup is an antibacterial. It works by killing TB bacteria.

Do NOT use isoniazid syrup if:

  • you are allergic to any ingredient in isoniazid syrup or have had severe side effects from isoniazid, such as drug fever, chills, or arthritis
  • you have severe liver damage, active liver disease, or liver damage from previous use of isoniazid syrup
  • you have a history of hepatitis caused by any medicine

Contact your doctor or health care provider right away if any of these apply to you.

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Before using isoniazid syrup:

Some medical conditions may interact with isoniazid syrup. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have diabetes, kidney problems, nerve problems (eg, neuropathy) or risk of nerve problems, HIV, or a history of liver problems
  • if you have a history of alcohol or other substance abuse, have unsanitary injectable drug habits, or drink alcohol daily
  • if you are older than 35 years old, you have recently given birth, or you have previously taken isoniazid syrup

Some MEDICINES MAY INTERACT with isoniazid syrup. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Acetaminophen, anticoagulants (eg, warfarin), carbamazepine, hydantoins (eg, phenytoin), rifampin, theophylline, or valproic acid because the risk of their side effects may be increased by isoniazid syrup
  • Ketoconazole because its effectiveness may be decreased by isoniazid syrup

This may not be a complete list of all interactions that may occur. Ask your health care provider if isoniazid syrup may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use isoniazid syrup:

Use isoniazid syrup as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Take isoniazid syrup by mouth on an empty stomach at least 1 hour before or 2 hours after eating.
  • If you also take an antacid, take isoniazid syrup at least 1 hour before you take the antacid.
  • Use a measuring device marked for medicine dosing. Ask your pharmacist for help if you are unsure of how to measure your dose.
  • Continue to take isoniazid syrup even if you feel well. Do not miss any doses.
  • If you miss a dose of isoniazid syrup, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use isoniazid syrup.

Important safety information:

  • Check with your doctor before drinking alcohol while taking isoniazid syrup. Alcohol may increase the risk of liver problems. If you have a history of alcohol abuse, you may also be at increased risk of developing nerve problems from isoniazid syrup. Notify your doctor if you notice any unusual tingling in your hands or feet.
  • If you have a history of diabetes, alcohol abuse, or poor nutrition, your doctor may recommend that you also take vitamin B6 while you are taking isoniazid syrup. This may help to decrease your risk of nerve problems. Discuss any questions with your doctor.
  • Do not eat foods high in tyramine while you take isoniazid syrup. Eating foods high in tyramine (eg, aged cheeses, red wines, beer, certain meats and sausages, liver, sour cream, soy sauce, raisins, bananas, avocados) while you take isoniazid syrup may cause severe high blood pressure. Seek medical attention at once if symptoms of severe high blood pressure occur. These may include severe headache, fast or irregular heartbeat, sore or stiff neck, nausea, vomiting, sweating, enlarged pupils, or sensitivity to light.
  • Do not eat foods high in histamine while you take isoniazid syrup. Eating foods high in histamine (eg, skipjack, tuna, tropical fish) while you take isoniazid syrup may cause low blood pressure, irregular heartbeat, headache, sweating, or flushing. Contact your doctor at once if any of these symptoms occur.
  • Ask your health care provider for a complete list of foods you should avoid while you are taking isoniazid syrup.
  • Isoniazid syrup only works against TB bacteria; it does not treat viral infections (eg, the common cold).
  • Be sure to take isoniazid syrup for the full course of treatment. If you do not, the medicine may not clear up your infection completely. The bacteria could also become less sensitive to this or other medicines. This could make the infection harder to treat in the future.
  • Diabetes patients - Isoniazid syrup may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before adjusting the dose of your diabetes medicine. You may also be at increased risk of developing nerve problems from isoniazid syrup. Contact your doctor if you notice any unusual tingling in your hands or feet.
  • Lab tests, including liver function and eye exams, may be performed while you take isoniazid syrup. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
  • Use isoniazid syrup with caution in BLACK and HISPANIC WOMEN; they may have a greater risk of severe liver problems from isoniazid syrup.
  • Use isoniazid syrup with caution in patients older than 35 years old; they may have a greater risk of severe liver problems from isoniazid syrup.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of taking isoniazid syrup while you are pregnant. Isoniazid syrup is found in breast milk. If you are or will be breast-feeding while you take isoniazid syrup, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of isoniazid syrup:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Mild stomach upset.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); changes in vision; chills or fever; dark urine; general feeling of discomfort; increased thirst or urination; joint pain or swelling; loss of appetite; memory problems; mental or mood changes; nausea; seizures; stomach pain or tenderness; symptoms of low vitamin B6 levels (eg, confusion, cracks in the corners of the mouth, irritability, mouth redness or soreness, scaly rash); tingling or numbness in the hands or feet; unusual bruising or bleeding; unusual tiredness or weakness; vomiting; yellowing of the skin or eyes.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include blurred vision; dizziness; hallucinations; loss of consciousness; nausea; seizures; slurred speech; symptoms of high blood sugar (eg, confusion, increased thirst or urination, rapid breathing, unusual drowsiness); very slow breathing; vomiting.

Proper storage of isoniazid syrup:

Store isoniazid syrup between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep isoniazid syrup out of the reach of children and away from pets.

General information:

  • If you have any questions about isoniazid syrup, please talk with your doctor, pharmacist, or other health care provider.
  • Isoniazid syrup is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.
  • Check with your pharmacist about how to dispose of unused medicine.

This information should not be used to decide whether or not to take isoniazid syrup or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about isoniazid syrup. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to isoniazid syrup. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using isoniazid syrup.

Issue Date: April 2, 2014
Database Edition 14.2.1.001
Copyright © 2014 Wolters Kluwer Health, Inc.

Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

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