We present a case of a 55–year-old woman requiring prolonged therapy with intravenous isoniazid and rifampin secondary to extensive bowel disease. We believe that this is the first U.S. report of a patient receiving both medications by the iv route. After months of therapy the patient has not experienced side effects secondary to this route of administration. We believe that iv isoniazid and rifampin provides a safe alternative method of delivery when clinical situations dictate this route.
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References
1.
Joint statement of the American Thoracic Society and the Centers for Disease Control.Treatment of tuberculosis and tuberculosis infection in adults and children. Am Rev Respir Dis1986; 134: 355-63.
2.
MCEVOYGK, ed. American Hospital Formulary Service drug information 88.Bethesda, MD: American Society of Hospital Pharmacists, 1988: 364-8.
3.
GELBERR, JACOBSENP, LEVYL. A study of the availability of six commercial formulations of isoniazid. Clin Pharmacol Ther1969; 10: 841-8.
4.
JENNEJ. Studies of human patterns of isoniazid metabolism using an intravenous fall-off technique with a chemical method. Am Rev Respir Dis1960; 81: 1-8.
5.
LEVIA, SHERLOCKS, WALKERD. Phenylbutazone and isoniazid metabolism in patients with liver disease in relation to previous drug therapy. Lancet1968; 1: 1275-9.
6.
BOWERSOXD, WINTERBAUERR, STEWARTG, ORMEB, BARRONE. Isoniazid dosage in patients with renal failure. N Engl J Med1973; 289: 84-7.
7.
MIKHAILOVAE, VILENSKA1AR, KANEVSKAIAS,. Intravenous administration of antitubercular preparations in the complex treatment of patients with pulmonary tuberculosis associated with peptic ulcer. Ter Arkh1974; 46: 129-33.
8.
KOBELEVAGV. Results of complex chemotherapy of pulmonary tuberculosis using rapid intravenous injections of isoniazid. Probl Tuberk1983; 4: 28-31.
9.
URSOVIG, VOLOKITINFN, BOROVINSKAIATA. Intravenous injection of isoniazid and PAS twice weekly to outpatients with tuberculosis in rural areas. Probl Tuberk1983; 11: 42-5.
10.
RADZINSKIAG, LISIKHINVN. Rapid intravenous injections of an isoniazid solution in the combination treatment of pulmonary tuberculosis. Voen Med Zh1981; 3: 34-6.
11.
NIEMIECP, VANDERVEENT. Compatibility considerations in parenteral nutrient solutions. Am J Hosp Pharm1984; 41: 893-911.