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Medicine Infection b4358440

Which of the following antitubercular drugs is safe in hepatitis ?

A
Isoniazid
B
Rifampicin
C
Pyrazinamide
D
Ethambutol
High-Yield Explanation
Patients with hepatic disease pose a special problem because of the hepatotoxicity of isoniazid, rifampin, and pyrazinamide. Patients with severe hepatic disease may be treated with ethambutol, streptomycin, and possibly another drug (e.g., a fluoroquinolone); if required, isoniazid and rifampin may be administered under close supervision. The use of pyrazinamide by patients with liver failure should be avoided. Silicotuberculosis necessitates the extension of therapy by at least 2 months. (Harrison's Principles of internal medicine, 20 th edition, page 1356)

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