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TB medicines

Rifampicin + Isoniazid

Also sold as: Rifinah

Prescription neededTB medicines
Comes as:Tablet

Usual adult dose

Dose is set by your doctor. The number of tablets depends on body weight; taken once a day on an empty stomach, usually in the last 4 months of TB treatment. Never stop TB treatment early.

Your doctor may give you a different dose. Children's doses depend on weight.

Side effects

Common

  • orange-red urine and tears (harmless)
  • nausea
  • loss of appetite
  • tingling of hands or feet

Serious — get help

Stop taking it and see a doctor straight away if you notice:

  • yellow eyes or skin
  • dark urine
  • severe vomiting or stomach pain
  • unusual bleeding
  • severe skin rash

Do not take it, or take care, if

  • Jaundice or active liver disease
  • Allergy to rifampicin or isoniazid
  • Hormonal birth control pills and injections work less well — use another method
  • Taking HIV medicines or warfarin (doctor must adjust)

Interactions

Medicines that can react with this one.

Serious2 medicinesDo not take these together unless your doctor says so.
  • Ethinylestradiol + Levonorgestrel

    Rifampicin makes the pill unreliable; use another method of contraception.

  • Warfarin

    Rifampicin strongly lowers the effect of warfarin; INR must be checked closely.

Moderate1 medicineTake together only with care. Ask your doctor or pharmacist.
  • Phenytoin

    Phenytoin levels can change in either direction; levels should be checked.

Pregnancy

  1. A
  2. B
  3. C
  4. D
  5. X

Category C

A risk to the baby cannot be ruled out. Use only if your doctor says the benefit is greater than the risk.

Generic alternatives

Similar medicines your doctor or pharmacist may offer instead.

  • Rifampicin
  • Isoniazid
Check with my other medicines

Always follow your doctor or pharmacistThis page is general information, not a prescription. Do not start, stop or change a medicine on your own.