Substance / Medication

Pyrazinamide

Overview

Active Ingredient
pyrazinamide
RxNorm CUI
8987

Indications

*4 Pyrazinamide is indicated for the initial treatment of active tuberculosis in adults and children when combined with other antituberculous agents. (The current recommendation of the CDC for drug-susceptible disease is to use a six-month regimen for initial treatment of active tuberculosis, consisting of isoniazid, rifampin and pyrazinamide given for 2 months, followed by isoniazid and rifampin for 4 months.) (Patients with drug-resistant disease should be treated with regimens individualized

Labeler: MARLEX PHARMACEUTICALS, INCUpdated: 2025-12-04T00:00:00.000ZFull label on DailyMed

Contraindications

When this intervention should not be used

Pyrazinamide is contraindicated in persons: with severe hepatic damage. who have shown hypersensitivity to it. with acute gout.

Indications & Related Conditions

Conditions associated via SNOMED clinical relationships

Administration & Protocol

Dosing, route, and treatment protocol

Detailed dosage and administration information is available in the full FDA drug label.

View full prescribing information on DailyMed

Monitoring & Follow-Up

Biomarkers relevant to this intervention via related conditions

No monitoring biomarkers have been mapped yet. Biomarker-intervention linkages are derived through related conditions and will expand as the knowledge graph grows.

Clinical Trials

5 trials linked to this intervention

5
Total Trials
1
Recruiting
0
With Results

Research Evidence

Published studies and systematic reviews

Sort:
Is there a need to optimise pyrazinamide doses in patients with tuberculosis? A systematic review.
Chen Ricky Hao, Michael Toni, Kuhlin Johanna et al. · Int J Antimicrob Agents · 2023
PMID: 37419292Meta-Analysis
Global status of phenotypic pyrazinamide resistance inclinical isolates: an updated systematic review and meta-analysis.
Wang Zheming, Tang Zhihua, Heidari Hamid et al. · J Chemother · 2023
PMID: 37211822Meta-Analysis
Diagnostic Accuracy of Pyrazinamide Susceptibility Testing in: A Systematic Review with Meta-Analysis.
Bagheri Mohammad, Pormohammad Ali, Fardsanei Fatemeh et al. · Microb Drug Resist · 2022
PMID: 34582723Meta-Analysis
Systematic review of mutations in pyrazinamidase associated with pyrazinamide resistance in Mycobacterium tuberculosis clinical isolates.
Ramirez-Busby Sarah M, Valafar Faramarz · Antimicrob Agents Chemother · 2015
PMID: 26077261Meta-AnalysisFull text (PMC)
A Global Perspective on Pyrazinamide Resistance: Systematic Review and Meta-Analysis.
Whitfield Michael G, Soeters Heidi M, Warren Robin M et al. · PLoS One · 2015
PMID: 26218737Meta-AnalysisFull text (PMC)
Pyrazinamide susceptibility testing in Mycobacterium tuberculosis: a systematic review with meta-analyses.
Chang Kwok Chiu, Yew Wing Wai, Zhang Ying · Antimicrob Agents Chemother · 2011
PMID: 21768515Meta-AnalysisFull text (PMC)
Clinical and toxicodynamic evidence that high-dose pyrazinamide is not more hepatotoxic than the low doses currently used.
Pasipanodya Jotam G, Gumbo Tawanda · Antimicrob Agents Chemother · 2010
PMID: 20439617Meta-AnalysisFull text (PMC)
Population pharmacokinetics of pyrazinamide and isoniazid in plasma and cerebrospinal fluid from South African adults with tuberculous meningitis.
Calderin Jose M, Wasserman Sean, Resendiz-Galvan Juan Eduardo et al. · Antimicrob Agents Chemother · 2025
PMID: 40590723RCTFull text (PMC)

Research data from MEDLINE/PubMed

Benefits & Expected Outcomes

Benefits, expected outcomes, efficacy data, and NNT (Number Needed to Treat) are pending physician authorship and evidence review.

Risks & Side Effects

Adverse reaction and safety data for this drug is sourced from the FDA-approved label.

View adverse reactions & drug interactions on DailyMed

Related Symptoms

Symptoms associated with conditions this intervention addresses

No related symptoms have been mapped yet. Symptom linkages are derived through associated conditions.

Alternatives & Comparisons

Alternative treatments, comparison data, and clinical decision support are pending physician authorship.

Medical Disclaimer

This information is for educational purposes only and does not constitute medical advice, diagnosis, or treatment. Always consult with a qualified healthcare provider regarding any medical condition or treatment plan.

Do not start, stop, or change any treatment without consulting your healthcare provider.

Quick Facts

Type
Substance / Medication
Fully Specified Name
Pyrazinamide (substance)
SNOMED CT
387076005
UMLS CUI
C0034239
RxNorm CUI
8987
Labeler
MARLEX PHARMACEUTICALS, INC

Clinical Data

This intervention maps to 3 entities in the Healos knowledge graph.

3
Conditions
0
Biomarkers
0
Specialists
0
Symptoms
5
Clinical Trials

Data is sourced from SNOMED CT, UMLS, and the Healos clinical knowledge graph. Content sections marked as pending require physician authorship. Consult a healthcare provider before starting any treatment.