Pharmacology · single question

A characteristic adverse effect of isoniazid (INH) is:

  1. Hepatotoxicity
  2. Gingival hyperplasia
  3. Photosensitivity rash only
  4. Ototoxicity
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Correct answer: A. Hepatotoxicity

  • A. Correct. Isoniazid can cause hepatotoxicity (and peripheral neuropathy from vitamin B6 depletion, prevented with pyridoxine supplementation).
  • B. Gingival hyperplasia is associated with phenytoin, calcium-channel blockers, and cyclosporine.
  • C. Photosensitivity is more associated with tetracyclines/sulfonamides.
  • D. Ototoxicity is associated with aminoglycosides, not isoniazid.

Note: Isoniazid also causes peripheral neuropathy via B6 (pyridoxine) depletion — co-administer pyridoxine.

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