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isoniazid

File:Isoniazid_skeletal.svg · Wikimedia Commons · See Wikimedia Commons

EntityQ423169· pop 43· linked from 1,224 articles

Also known as Rimifon, Stanozide, Laniazid, Pyridine-4-carboxylic acid hydrazide, Isonicotinsaeurehydrazid, Isonicotinohydrazide, 4-pyridinecarbohydrazide, INH

Isoniazid, also known as isonicotinic acid hydrazide (INH), is an antibiotic used for the treatment of tuberculosis. For active tuberculosis, it is often used together with rifampicin, pyrazinamide, and either streptomycin or ethambutol. It may also be used for atypical types of mycobacteria, such as M. avium, M. kansasii, and M. xenopi. It is usually taken by mouth, but may be used by injection into muscle.

Chemical data

Formula
C6H7N3O
Molecular weight
137.14 g/mol
IUPAC name
pyridine-4-carbohydrazide
SMILES
C1=CN=CC=C1C(=O)NN
InChIKey
QRXWMOHMRWLFEY-UHFFFAOYSA-N
XLogP
-0.7
Polar surface area
68 Ų
H-bond donors
2
H-bond acceptors
3
Formal charge
0

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Research

28,800 papers

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Wikidata facts

Mass
137.059
Show 5 more facts
chemical formula
C₆H₇N₃O
canonical SMILES
C1=CN=CC=C1C(=O)NN
melting point
172
Commons category
Isoniazid
MCN code
2933.39.92
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~14 min read

Article

20 sections
Contents
  • Medical uses
  • Tuberculosis
  • Non-tuberculous mycobacteria
  • Special populations
  • History
  • Synthesis
  • Discovery of anti-TB activity
  • Elucidation of mechanism of action
  • Modern usage
  • Adverse effects
  • Side effects
  • Drug interactions
  • Mechanism of action
  • Metabolism
  • Overdose
  • Preparation
  • Brand names
  • Other uses
  • Chromatography
  • References

Isoniazid, also known as isonicotinic acid hydrazide (INH), is an antibiotic used for the treatment of tuberculosis. For active tuberculosis, it is often used together with rifampicin, pyrazinamide, and either streptomycin or ethambutol. It may also be used for atypical types of mycobacteria, such as M. avium, M. kansasii, and M. xenopi. It is usually taken by mouth, but may be used by injection into muscle.

Isoniazid is a prodrug that, when activated by catalase-peroxidase KatG, generates adducts and radicals that inhibits the formation of the mycobacterial cell wall. Side effects in those treated with isoniazid include vitamin B6 deficiency, liver toxicity, peripheral neuropathy, and a reduction in blood cell production. Mutations in the ahpC, inhA, kasA, katG, genes of M. tuberculosis may result in isoniazid resistance.

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