Antibiotic Class
Amoxicillin
Brand: Amoxil (US/EU) / Mox (IN) / Moxacillin (BD)
Subclass: Aminopenicillin
PK:
t½ 1 hours | Clearance: renal
Max Dose: 3000 day
Max Dose: 3000 day
moderate
AE: Rash, diarrhea, hypersensitivity
AE: Rash, diarrhea, hypersensitivity
Amoxicillin + Clavulanate
Brand: Augmentin (US/EU/IN) / Amoxyclav (IN) / Clavam (BD)
Subclass: Aminopenicillin + β-lactamase inhibitor
PK:
t½ 1 hours | Clearance: renal
Max Dose: 3000 day
Max Dose: 3000 day
moderate
AE: Diarrhea, rash, elevated LFTs (more likely than amoxicillin alone), cholestatic jaundice
AE: Diarrhea, rash, elevated LFTs (more likely than amoxicillin alone), cholestatic jaundice
Azithromycin
Brand: Zithromax (US/EU) / Azee (IN) / Azithromycin (BD)
Subclass: Macrolide
PK:
t½ 68 hours | Clearance: hepatic
Max Dose: 1500 day
Max Dose: 1500 day
moderate
AE: GI upset, QT prolongation, elevated liver enzymes
AE: GI upset, QT prolongation, elevated liver enzymes
Bedaquiline
Brand: Sirturo (global)
Subclass: Anti-TB (ATP synthase inhibitor)
PK:
t½ 164 days | Clearance: hepatic
Max Dose: 400 day
Max Dose: 400 day
life-threatening
AE: QT prolongation, hepatotoxicity, nausea, arthralgia
AE: QT prolongation, hepatotoxicity, nausea, arthralgia
Cefalexin
Brand: Keflex (US/EU) / Cefakind (IN) / Cefalexin (BD)
Subclass: Cephalosporin 1st generation
PK:
t½ 1 hours | Clearance: renal
Max Dose: 4000 day
Max Dose: 4000 day
mild
AE: GI upset, rash, diarrhea
AE: GI upset, rash, diarrhea
Cefepime
Brand: Maxipime (US/EU) / Cefepime (IN/BD)
Subclass: Cephalosporin 4th generation
PK:
t½ 2 hours | Clearance: renal
Max Dose: 6000 day
Max Dose: 6000 day
severe
AE: Neurotoxicity (encephalopathy, seizures) especially in renal impairment; diarrhea
AE: Neurotoxicity (encephalopathy, seizures) especially in renal impairment; diarrhea
Cefixime
Brand: Suprax (US/EU) / Taxim-O (IN) / Cef-3 (BD)
Subclass: Cephalosporin 3rd generation (oral)
PK:
t½ 3.5 hours | Clearance: renal
Max Dose: 400 day
Max Dose: 400 day
moderate
AE: Diarrhea, dyspepsia, mild hepatic enzyme rise
AE: Diarrhea, dyspepsia, mild hepatic enzyme rise
Ceftaroline
Brand: Teflaro (US/EU)
Subclass: Cephalosporin 5th generation (MRSA active)
PK:
t½ 2.6 hours | Clearance: renal
Max Dose: 1200 day
Max Dose: 1200 day
moderate
AE: GI upset, neutropenia, rash
AE: GI upset, neutropenia, rash
Ceftriaxone
Brand: Rocephin (US/EU) / Ceftrion (IN/BD)
Subclass: Cephalosporin 3rd generation (parenteral)
PK:
t½ 8 hours | Clearance: mixed
Max Dose: 4000 day
Max Dose: 4000 day
severe
AE: Biliary sludging, diarrhea, injection-site pain
AE: Biliary sludging, diarrhea, injection-site pain
Cefuroxime
Brand: Zinacef (IV) / Ceftin (US/EU oral) / Cefurox (IN/BD)
Subclass: Cephalosporin 2nd generation
PK:
t½ 1.5 hours | Clearance: renal
Max Dose: 1500 day
Max Dose: 1500 day
moderate
AE: GI upset, diarrhea, rash
AE: GI upset, diarrhea, rash
Ciprofloxacin
Brand: Cipro (US/EU) / Cifran (IN) / Ciprogen (BD)
Subclass: Fluoroquinolone
PK:
t½ 4 hours | Clearance: renal
Max Dose: 1500 day
Max Dose: 1500 day
severe
AE: Tendonitis, tendon rupture, CNS effects, QT prolongation, dysglycemia
AE: Tendonitis, tendon rupture, CNS effects, QT prolongation, dysglycemia
Clarithromycin
Brand: Biaxin (US/EU) / Claribid (IN) / Claric (BD)
Subclass: Macrolide
PK:
t½ 5 hours | Clearance: hepatic
Max Dose: 1000 day
Max Dose: 1000 day
severe
AE: GI upset, taste disturbance, QT prolongation
AE: GI upset, taste disturbance, QT prolongation
Clofazimine
Brand: Lamprene (global) / Clofaz (IN/BD)
Subclass: Anti-TB (riminophenazine)
PK:
t½ 70 days | Clearance: hepatic
Max Dose: 100 day
Max Dose: 100 day
moderate
AE: Skin discoloration red→brown→black, GI pain, photosensitivity
AE: Skin discoloration red→brown→black, GI pain, photosensitivity
Cloxacillin
Brand: Orbenin (EU) / Cloxacil (IN/BD)
Subclass: Anti-staphylococcal penicillin
PK:
t½ 0.8 hours | Clearance: mixed
Max Dose: 4000 day
Max Dose: 4000 day
moderate
AE: GI upset, rash, cholestatic hepatitis (rare but well-known)
AE: GI upset, rash, cholestatic hepatitis (rare but well-known)
Cotrimoxazole (TMP-SMX)
Brand: Bactrim (US/EU) / Septran (IN) / Cotrim (BD)
Subclass: Folate pathway inhibitor combo (TMP+SMX)
PK:
t½ 10 hours | Clearance: mixed
Max Dose: 640 day
Max Dose: 640 day
severe
AE: Rash (SJS/TEN rare), hyperkalemia, bone marrow suppression, photosensitivity
AE: Rash (SJS/TEN rare), hyperkalemia, bone marrow suppression, photosensitivity
Cycloserine
Brand: Seromycin (global) / Cyslin (IN)
Subclass: Anti-TB (D-alanine analog)
PK:
t½ 10 hours | Clearance: renal
Max Dose: 750 day
Max Dose: 750 day
life-threatening
AE: Depression, psychosis, suicidal ideation, seizures
AE: Depression, psychosis, suicidal ideation, seizures
Delamanid
Brand: Deltyba (global)
Subclass: Anti-TB (nitro-dihydro-imidazooxazole)
PK:
t½ 38 hours | Clearance: hepatic
Max Dose: 200 day
Max Dose: 200 day
severe
AE: QT prolongation, GI upset, hypokalemia
AE: QT prolongation, GI upset, hypokalemia
Doxycycline
Brand: Vibramycin (US/EU) / Doxy-1 (IN) / Doxicap (BD)
Subclass: Tetracycline
PK:
t½ 18 hours | Clearance: mixed
Max Dose: 200 day
Max Dose: 200 day
moderate
AE: GI upset, photosensitivity, esophagitis if taken lying down
AE: GI upset, photosensitivity, esophagitis if taken lying down
Erythromycin
Brand: Erycin (US/EU) / Erythrocin (IN/BD)
Subclass: Macrolide
PK:
t½ 1.5 hours | Clearance: hepatic
Max Dose: 2000 day
Max Dose: 2000 day
severe
AE: Severe GI upset, QT prolongation, hepatotoxicity
AE: Severe GI upset, QT prolongation, hepatotoxicity
Ethambutol
Brand: Myambutol (US/EU) / Combutol (IN) / Ethambut (BD)
Subclass: Anti-TB (cell wall arabinosyl transferase inhibitor)
PK:
t½ 4 hours | Clearance: renal
Max Dose: 1200 day
Max Dose: 1200 day
severe
AE: Optic neuritis (↓visual acuity, red-green dyschromatopsia), rash
AE: Optic neuritis (↓visual acuity, red-green dyschromatopsia), rash
Ethionamide
Brand: Trecator (global) / Ethide (IN/BD)
Subclass: Anti-TB (isonicotinic acid thioamide)
PK:
t½ 2 hours | Clearance: hepatic
Max Dose: 750 day
Max Dose: 750 day
moderate
AE: Nausea, metallic taste, hepatotoxicity, hypothyroidism
AE: Nausea, metallic taste, hepatotoxicity, hypothyroidism
Isoniazid
Brand: INH (global) / Isonex (IN/BD)
Subclass: Anti-TB (Hydrazide)
PK:
t½ 3 hours | Clearance: hepatic
Max Dose: 300 day
Max Dose: 300 day
severe
AE: Peripheral neuropathy, hepatotoxicity
AE: Peripheral neuropathy, hepatotoxicity
Levofloxacin
Brand: Levaquin (US/EU) / Levoday (IN) / Levox (BD)
Subclass: Fluoroquinolone (respiratory)
PK:
t½ 7 hours | Clearance: renal
Max Dose: 750 day
Max Dose: 750 day
severe
AE: Tendonitis, QT prolongation, dysglycemia, CNS effects
AE: Tendonitis, QT prolongation, dysglycemia, CNS effects
Linezolid
Brand: Zyvox (global) / Linox (IN/BD)
Subclass: Oxazolidinone (MDR-TB + MRSA/VRE)
PK:
t½ 5 hours | Clearance: mixed
Max Dose: 600 day
Max Dose: 600 day
severe
AE: Bone marrow suppression, thrombocytopenia, peripheral neuropathy, optic neuropathy, serotonin syndrome
AE: Bone marrow suppression, thrombocytopenia, peripheral neuropathy, optic neuropathy, serotonin syndrome
Metronidazole
Brand: Flagyl (US/EU) / Metrogyl (IN) / Metrix (BD)
Subclass: Nitroimidazole (anaerobes, protozoa)
PK:
t½ 8 hours | Clearance: hepatic
Max Dose: 1500 day
Max Dose: 1500 day
moderate
AE: Metallic taste, GI upset, neuropathy (prolonged), disulfiram-like reaction with alcohol
AE: Metallic taste, GI upset, neuropathy (prolonged), disulfiram-like reaction with alcohol
Moxifloxacin
Brand: Avelox (US/EU) / Moxicip (IN) / Moxet (BD)
Subclass: Fluoroquinolone (respiratory)
PK:
t½ 12 hours | Clearance: hepatic
Max Dose: 400 day
Max Dose: 400 day
severe
AE: QT prolongation, tendonitis, CNS effects, dysglycemia
AE: QT prolongation, tendonitis, CNS effects, dysglycemia
Nitrofurantoin
Brand: Macrobid/Macrodantin (US/EU) / Nitrofur (IN/BD)
Subclass: Nitrofuran (urinary antiseptic)
PK:
t½ 0.5 hours | Clearance: renal
Max Dose: 400 day
Max Dose: 400 day
moderate
AE: GI upset, headache; rare pulmonary/hepatic toxicity with long-term use
AE: GI upset, headache; rare pulmonary/hepatic toxicity with long-term use
Ofloxacin
Brand: Tarivid (US/EU) / Oflin (IN) / Oflax (BD)
Subclass: Fluoroquinolone
PK:
t½ 6 hours | Clearance: renal
Max Dose: 800 day
Max Dose: 800 day
severe
AE: Tendinopathy, dysglycemia, CNS effects
AE: Tendinopathy, dysglycemia, CNS effects
Piperacillin + Tazobactam
Brand: Zosyn (US/EU) / Pipzo (IN) / Piptaz (BD)
Subclass: Extended-spectrum penicillin + β-lactamase inhibitor
PK:
t½ 1 hours | Clearance: renal
Max Dose: 18000 day
Max Dose: 18000 day
severe
AE: Diarrhea, rash, thrombocytopenia, electrolyte imbalance (hypokalemia)
AE: Diarrhea, rash, thrombocytopenia, electrolyte imbalance (hypokalemia)
Pyrazinamide
Brand: PZA (global) / Zinamide (IN) / Pyrazide (BD)
Subclass: Anti-TB (nicotinamide analog)
PK:
t½ 9.5 hours | Clearance: hepatic
Max Dose: 2000 day
Max Dose: 2000 day
severe
AE: Hepatotoxicity, hyperuricemia → gout flares, GI upset
AE: Hepatotoxicity, hyperuricemia → gout flares, GI upset
Rifampicin
Brand: Rimactane (US/EU) / Rcin (IN/BD)
Subclass: Anti-TB (Rifamycin)
PK:
t½ 3 hours | Clearance: hepatic
Max Dose: 600 day
Max Dose: 600 day
severe
AE: Hepatotoxicity, orange urine/tears/sweat, flu-like syndrome
AE: Hepatotoxicity, orange urine/tears/sweat, flu-like syndrome
Roxithromycin
Brand: Roxid (IN) / Roxim (BD)
Subclass: Macrolide
PK:
t½ 12 hours | Clearance: hepatic
Max Dose: 300 day
Max Dose: 300 day
moderate
AE: GI upset, mild QT prolongation
AE: GI upset, mild QT prolongation
Streptomycin
Brand: Streptomycin (global) / Streptopen (IN) / Strepto (BD)
Subclass: Anti-TB (aminoglycoside)
PK:
t½ 2.5 hours | Clearance: renal
Max Dose: 1000 day
Max Dose: 1000 day
severe
AE: Ototoxicity (vestibular > cochlear), nephrotoxicity, neuromuscular blockade
AE: Ototoxicity (vestibular > cochlear), nephrotoxicity, neuromuscular blockade