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Isoniazid
Clinical data
Trade namesHydra, Hyzyd, Isovit, others
Other namesisonicotinic acid hydrazide, isonicotinyl hydrazine, INHA
AHFS/Drugs.comMonograph
MedlinePlusa682401
License data
Pregnancy
category
Routes of
administration		By mouth, intramuscular, intravenous
ATC code
Legal status
Legal status
Pharmacokinetic data
Protein bindingVery low (0–10%)
Metabolismliver; CYP450: 2C19, 3A4 inhibitor
Elimination half-life0.5–1.6h (fast acetylators), 2-5h (slow acetylators)
Excretionurine (primarily), feces
Identifiers
  • Pyridine-4-carbohydrazide
CAS Number
PubChem CID
DrugBank
ChemSpider
UNII
KEGG
ChEBI
ChEMBL
NIAID ChemDB
Chemical and physical data
FormulaC6H7N3O
Molar mass137.139 g/mol g·mol−1
3D model (JSmol)
  • C1=CN=CC=C1C(=O)NN
  • InChI=1S/C6H7N3O/c7-9-6(10)5-1-3-8-4-2-5/h1-4H,7H2,(H,9,10) checkY
  • Key:QRXWMOHMRWLFEY-UHFFFAOYSA-N checkY
  (verify)

Isoniazid, also known as isonicotinic acid hydrazide (INH), is an antibiotic used for the treatment of tuberculosis.[2] For active tuberculosis it is often used together with rifampicin, pyrazinamide, and either streptomycin or ethambutol.[3] For latent tuberculosis it is often used by itself.[2] It may also be used for atypical types of mycobacteria, such as M. avium, M. kansasii, and M. xenopi.[2] It is usually taken by mouth but may be used by injection into muscle.[2]

Common side effect include increased blood levels of liver enzymes and numbness in the hands and feet.[2] Serious side effects may include liver inflammation and acute liver failure.[2] It is unclear if use during pregnancy is safe for the baby.[4] Use during breastfeeding is likely safe.[4] Pyridoxine may be given to reduce the risk of side effects.[5] Isoniazid works in part by disrupting the formation of the bacteria's cell wall which results in cell death.[2]

Isoniazid was first made in 1952.[6] It is on the World Health Organization's List of Essential Medicines, the safest and most effective medicines needed in a health system.[7] Isoniazid is available as a generic medication.[2] The wholesale cost in the developing world is about US$0.60–4.75 per month.[8] In the United States a month of treatment costs less than $25.[5]

Medical uses

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Tuberculosis

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Isoniazid is often used to treat latent and active tuberculosis infections. In persons with isoniazid-sensitive Mycobacterium tuberculosis infection, drug regimens based on isoniazid are usually effective when persons adhere to the prescribed treatment. However, in persons with isoniazid-resistant Mycobacterium tuberculosis infection, drug regimens based on isoniazid have a high rate of failure.[9]

Isoniazid has been approved as prophylatic therapy for the following populations:

  • People with HIV infection and a PPD (purified protein derivative) reaction of at least 5 mm induration
  • Contacts of people with tuberculosis and who have a PPD reaction at least 5 mm induration
  • People whose PPD reactions convert from negative to positive in a two-year period – at least 10 mm induration for those up to 35 years of age, and at least 15 mm induration for those at least 35 years old
  • People with pulmonary damage on their chest X-ray that is likely to be due to healed tuberculosis and also have a PPD reaction at least 5 mm induration
  • Injection drug users whose HIV status is negative who have a PPD reaction at least 10 mm induration
  • People with a PPD of greater than or equal to 10 mm induration who are foreign-born from high prevalence geographical regions, low-income populations, and patients residing in long-term facilities[10][11]

Isoniazid can be used alone or in combination with Rifampin for treatment of latent tuberculosis, or as part of a four-drug regimen for treatment of active tuberculosis.[12] The drug regimen typically requires daily or weekly oral administration for a period of three to nine months, often under Directly Observed Therapy (DOT) supervision.[12]

Non-tuberculous mycobacteria

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Isoniazid was widely used in the treatment of Mycobacterium avium complex as part of a regimen including rifampicin and ethambutol.[13] Evidence suggests that isoniazid prevents mycolic acid synthesis in M. avium complex as in M. tuberculosis[14] and although this is not bactericidal to M. avium complex, it greatly potentiates the effect of rifampicin. The introduction of macrolides led to this use greatly decreasing. However, since rifampicin is broadly underdosed in M. avium complex treatment this effect may be worth re-investigating.[15]

Special populations

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It is recommended that women with active tuberculosis who are pregnant or breastfeeding take isoniazid. Preventive therapy should be delayed until after giving birth.[16] Nursing mothers excrete a relatively low and non-toxic concentration of INH in breast milk, and their babies are at low risk for side effects. Both pregnant women and infants being breastfed by mothers taking INH should take vitamin B6 in its pyridoxine form to minimize the risk of peripheral nerve damage.[17] Vitamin B6 is used to prevent isoniazid-induced B6 deficiency and neuropathy in people with a risk factor, such as pregnancy, lactation, HIV infection, alcoholism, diabetes, kidney failure, or malnutrition.[18]

People with liver dysfunction are at a higher risk for hepatitis caused by INH, and may need a lower dose.[16]

Levels of liver enzymes in the bloodstream should be frequently checked in daily alcohol drinkers, pregnant women, IV drug users, people over 35, and those who have chronic liver disease, severe kidney dysfunction, peripheral neuropathy, or HIV infection since they are more likely to develop hepatitis from INH.[16][19]

Side effects

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Up to 20% of people taking isoniazid experience peripheral neuropathy when taking doses of 6 mg/kg of weight daily or higher.[20] Gastrointestinal reactions include nausea and vomiting.[10] Aplastic anemia, thrombocytopenia, and agranulocytosis due to lack of production of red blood cells, platelets, and white blood cells by the bone marrow respectively, can also occur.[10] Hypersensitivity reactions are also common and can present with a maculopapular rash and fever.[10] Gynecomastia may occur.[12]

Headache, poor concentration, weight gain, poor memory, insomnia, and depression have all been associated with isoniazid use.[21] All patients and healthcare workers should be aware of these serious side effects, especially if suicidal ideation or behavior are suspected.[21][22][23]

Isoniazid is associated with pyridoxine (vitamin B6) deficiency because of its similar structure. Isoniazid is also associated with increased excretion of pyridoxine. Pyridoxal phosphate (a derivative of pyridoxine) is required for δ-aminolevulinic acid synthase, the enzyme responsible for the rate-limiting step in heme synthesis. Therefore, isoniazid-induced pyridoxine deficiency causes insufficient heme formation in early red blood cells, leading to sideroblastic anemia.[18]

Asymptomatic elevation of serum liver enzyme concentrations occurs in 10% to 20% of people taking INH, and liver enzyme concentrations usually return to normal even when treatment is continued.[24] Isoniazid has a boxed warning for severe and sometimes fatal hepatitis, which is age-dependent at a rate of 0.3% in people 21 to 35 years old and over 2% in those over age 50.[10][25] Symptoms suggestive of liver toxicity include nausea, vomiting, abdominal pain, dark urine, right upper quadrant pain, and loss of appetite.[10] Black and Hispanic women are at higher risk for isoniazid-induced hepatotoxicity.[10] When it happens, isoniazid-induced liver toxicity has been shown to occur in 50% of patients within the first 2 months of therapy.[26]

Some recommend that liver function should be monitored carefully in all people receiving it,[16] but others recommend monitoring only in certain populations.[24][27][28]. Isoniazid consumption is associated with hepatotoxicity and is seen with transient elevation of serum alanine aminotransferase (ALT) levels with minimal increases in alkaline phosphatase (ALP) levels.[29] Some patients (<1-3%) may develop severe liver injury and liver failure.[29] Elevation in levels of ALT and aspartate aminotransferase (AST) can vary between 1 week to 9 months following isonizaid treatment.[30] Histological characteristics of hepatotoxicity show liver cell injury with multilobular necrosis and a mononuclear cell infiltrate. [30]

Long term use of isoniazid may lead to a lupus-like autoimmune response in the presence of antinuclear antibodies.[30]

Drug interactions

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People taking isoniazid and acetominophen are at risk of acetaminophen toxicity. Isoniazid is thought to induce a liver enzyme which causes a larger amount of acetaminophen to be metabolized to a toxic form.[31][32]

Isoniazid decreases the metabolism of carbamazepine, thus slowing down its clearance from the body. People taking carbamazepine should have their carbamazepine levels monitored and, if necessary, have their dose adjusted accordingly.[33]

It is possible that isoniazid may decrease the serum levels of ketoconazole after long-term treatment. This is seen with the simultaneous use of rifampin, isoniazid, and ketoconazole.[34]

Isoniazid may increase the amount of phenytoin in the body. The doses of phenytoin may need to be adjusted when given with isoniazid.[35][36]

Isoniazid may increase the plasma levels of theophylline. There are some cases of theophylline slowing down isoniazid elimination. Both theophylline and isoniazid levels should be monitored.[37]

Valproate levels may increase when taken with isoniazid. Valproate levels should be monitored and its dose adjusted if necessary.[35]

Mechanism of action

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Isoniazid is a prodrug that inhibits the formation of the mycobacterial cell wall. Isoniazid must be activated by KatG, a bacterial catalase-peroxidase enzyme in Mycobacterium tuberculosis.[38] KatG catalyzes the formation of the isonicotinic acyl radical, which spontaneously couples with NADH to form the nicotinoyl-NAD adduct. This complex binds tightly to the enoyl-acyl carrier protein reductase InhA, thereby blocking the natural enoyl-AcpM substrate and the action of fatty acid synthase. This process inhibits the synthesis of mycolic acids, which are required components of the mycobacterial cell wall. A range of radicals are produced by KatG activation of isoniazid, including nitric oxide,[39] which has also been shown to be important in the action of another antimycobacterial prodrug pretomanid.[40]

 

Isoniazid is bactericidal to rapidly dividing mycobacteria, but is bacteriostatic if the mycobacteria are slow-growing.[41] It inhibits the cytochrome P450 system and hence acts as a source of free radicals.[42]

Isoniazid is a mild monoamine oxidase inhibitor(MAO-I).[43]

Metabolism

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Isoniazid reaches therapeutic concentrations in serum, cerebrospinal fluid, and within caseous granulomas. It is metabolized in the liver via acetylation into acetylhydrazine. Two forms of the enzyme are responsible for acetylation, so some patients metabolize the drug more quickly than others. Hence, the half-life is bimodal, with "slow acetylators" and "fast acetylators". A graph of number of people versus time shows peaks at one and three hours. The height of the peaks depends on the ethnicities of the people being tested. The metabolites are excreted in the urine. Doses do not usually have to be adjusted in case of renal failure.

 

N-acetyltransferases (NATs) are involved in the acetylation of arylamines from acetyl-CoA, and as such is involved in the acetylation of INH.[29] NAT1 and NAT2 are two of the major N-acetyltransferases; NAT1 is expressed in all tissues while NAT2 expression is limited to the liver and the gastrointestinal tract. NAT2 is the dominant enzyme involved acetylating isoniazid, hydrazine (Hz), and acetylhydrazine (AcHz).[29] NAT2 functions in INH deactivation through the acetylation of isoniazid (AcINH formation).[29] NAT2 acetylation of hydrazine (AcHz formation) leads to INH bioactivation.[29] NAT2 also acetylates AcHz (DiAcHz formation), which leads to INH detoxification in the liver.[29] However, the role of NAT2 in INH induced hepatotoxicity is not well understood and requires further research.[29]

Amidases catalyze the hydrolysis of amides and are directly involved in metabolizing INH to isonicotinic acid (INA) and hydrazine, as well as hydrolysis AcINH and AcHz.[29]. Since Hz and AcHz act as hepatotoxic metabolites of INH, higher amidase activities can result in greater chances of INH induced hepatotoxicity.

Cytochrome P450 (P450) may be involved in hepatotoxicity, as it is involved in the oxidation of Hz and AcHz to reactive metabolites.[29] It is also known to be involved in the direct activation of isoniazid.[29]

Glutathione S-transferases (GSTs) may be involved in prevention of hepatotoxicity, as it may detoxify the reactive metabolites produced by the oxidation of Hz and AcHz. Further studies must be done to identify the detoxified metabolites.[29]

History

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Initial Synthesis

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Isonicotinic acid hydrazide was first synthesized in 1912 with ethyl isonicotinate and hydrazine.[44]

Clinical Use

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Isoniazid's use as a drug for treating tuberculosis was only later discovered upon testing of amithiozone as a potential anti-tuberculosis drug, in 1952[45]. However, clinical tests of amithiozone was found to have complicated side effects in patients[45]. Other drugs such as pyrazinamide were potential drug candidates, but M.tuberculosis could quickly gain resistance to it, making it ineffective for treatment of tuberculosis[46]. Conversely, isoniazid was found to be not only effective as an antitubercular compound, but also selective for mycobacteria[45].

Three pharmaceutical companies unsuccessfully attempted to patent the drug at the same time,[47] the most prominent one being Roche, which launched its version, Rimifon, in 1952.[48] With the introduction of isoniazid, a cure for tuberculosis was first considered possible.

The drug was first tested at Many Farms, a Navajo community in Arizona, due to the Navajo reservation's tuberculosis problem and because the population had not previously been treated with streptomycin, the main tuberculosis treatment at the time.[49] The research was led by Walsh McDermott, an infectious disease researcher with an interest in public health, who had previously taken isoniazid to treat his own tuberculosis.[50]

Isoniazid and a related drug, iproniazid, were among the first drugs to be referred to as antidepressants.[51]

Biochemical Properties

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In 1970, isoniazid was discovered to inhibit mycolic acids in M.tuberculosis[52]. Mycolic acid inhibition was discovered to be correlated to cell death of M.tuberculosis, in 1972[53]. In 1992, mutations in katG, the gene that encodes catalase-peroxidase, in M.tuberculosis resulted in resistance to isoniazid[54]. Isoniazid is a prodrug that is activated by catalase-peroxidase, consistent with mycobacteria conferring resistance to isoniazid following katG mutations [55].

Synthesis

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Isoniazid is an isonicotinic acid derivative. It is manufactured using 4-cyanopyridine and hydrazine hydrate.[56] In the proposed synthesis, 4-cyanopyridine is converted into isonicotinamide through addition of water. Isonicotinamide reacts with hydrazine to form isoniazid.

 


In another method, isoniazid was claimed to have been made from citric acid starting material.[57]

Brand names

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Hydra, Hyzyd, Isovit, Laniazid, Nydrazid, Rimifon, and Stanozide.[58]

Other uses

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Chromatography

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Isonicotinic acid hydrazide is also used in chromatography to differentiate between various degrees of conjugation in organic compounds barring the ketone functional group.[59] The test works by forming a hydrazone which can be detected by its bathochromic shift.

Dogs

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Isoniazid may be used for dogs, but there have been concerns it can cause seizures.[60]

References

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Further reading

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  • "Isoniazid". Drug Information Portal. U.S. National Library of Medicine.

Category:Anti-tuberculosis drugs Category:Antidepressants Category:Disulfiram-like drugs Category:GABA transaminase inhibitors Category:Hepatotoxins Category:Hydrazides Category:Isonicotinamides Category:Prodrugs Category:Vitamin B6 antagonists Category:World Health Organization essential medicines

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