Cycloserine* (Cycloserine*)
Pharmacological group
- Other antibiotics
Indications
Pulmonary tuberculosis (active form), extrapulmonary tuberculosis (including kidney disease) – as part of combination therapy; acute urinary tract infections.
Contraindications
Hypersensitivity, epilepsy, depression, severe agitation, psychosis, severe renal failure, alcoholism.
Use during pregnancy and lactation
Probably if the expected result of therapy outweighs the potential risk to the fetus and child.
Side effects
From the nervous system and sensory organs: headache, tremor, dysarthria, dizziness, convulsions, drowsiness, semi-consciousness, confusion of thoughts, disorientation accompanied by memory loss, psychosis with suicidal attempts, change in character, increased irritability, aggressiveness, paresis, hyperreflexia , paresthesia, attacks of clonic convulsions, coma.
From the side of the cardiovascular system and blood (hematopoiesis, hemostasis): congestive heart failure (at doses of 1000-1500 mg / day), megaloblastic anemia.
Other: an increase in the level of aminotransferases in serum (especially in elderly patients with liver disease), allergic reactions (itching).
Precautionary measures
During the period of treatment, it is necessary to control the level of cycloserine in the blood (at a concentration above 30 mg / ml, manifestations of toxicity are likely), hematological parameters, kidney and liver function. Anticonvulsants or sedatives may be prescribed to prevent symptoms of neurotoxicity (including tremors, seizures, agitation).
Elderly patients on the background of impaired renal function are prescribed lower dosages. During the period of treatment should not drink alcohol.
special instructions
Before starting treatment, it is necessary to determine the sensitivity of strains of microorganisms to cycloserine and other anti-tuberculosis drugs.
Storage conditions of the preparation
In a dry, dark place, at a temperature not exceeding 25 °C.
Keep out of the reach of children.