The disposition of antituberculous drugs in plasma of elderly patients. II. Isoniazid, rifampicin and pyrazinamide

Methods Find Exp Clin Pharmacol. 1991 Oct;13(8):551-6.

Abstract

The pharmacokinetics of isoniazid (INH), rifampicin (RIF) and pyrazinamide (PZA) were studied in 18 elderly patients (67-89 years of age) and 19 young adult patients (19-59 years of age) on the first day and at one month of treatment for pulmonary tuberculosis. Elderly patients exhibited more side effects but there were no age-related changes in the pharmacokinetics of any of the three drugs when used in this combination. The clearance for INH and RIF at steady-state were significantly lower than after first-dose, while that of PZA remained unchanged. At steady-state the clearances for INH and RIF were not characteristic of polymorphic metabolism and auto-enzyme induction, respectively. Elderly patients are more sensitive to antituberculous (anti-TB) drugs; therefore, a modification in the dosage for this patient group should be considered.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Aging / metabolism*
  • Female
  • Humans
  • Isoniazid / blood
  • Isoniazid / pharmacokinetics*
  • Isoniazid / therapeutic use
  • Male
  • Metabolic Clearance Rate
  • Middle Aged
  • Pyrazinamide / blood
  • Pyrazinamide / pharmacology*
  • Pyrazinamide / therapeutic use
  • Rifampin / blood
  • Rifampin / pharmacokinetics*
  • Rifampin / therapeutic use
  • Tuberculosis, Pulmonary / drug therapy
  • Tuberculosis, Pulmonary / metabolism*

Substances

  • Pyrazinamide
  • Isoniazid
  • Rifampin