01501nas a2200169 4500000000100000008004100001260001300042653001700055653001000072653001200082100001400094700001700108245004300125300001200168520113700180022001401317 2012 d bElsevier10aTuberculosis10aDrugs10aleprosy1 aJawahar M1 aBanu Rekha V00aDrugs used in tuberculosis and leprosy a479-4863 a

This review of the 2010 publications on drugs used in tuberculosis and leprosy covers dapsone, ethambutol, isoniazid, pyrazinamide, rifampicin, and rifaximin, and there is a special review on hepatotoxicity of antituberculosis drugs. Adverse reactions involving the nervous system and the effects of glucocorticoids on vision and ocular complications in patients with ocular tuberculosis are discussed. Drug-induced hepatotoxicity has been reported in relation to genetic polymorphisms in glutathione S-transferase and NAT2 acetylator status. In a retrospective study of drug-induced liver damage in liver transplant recipients in the USA, antituberculosis drugs were responsible for 8–9% of cases. Methemoglobinemia in patients taking dapsone continues to be reported. The risk of autosomal dominant optic atrophy is related to polymorphisms in the OPA1 gene. Rifaximin appears to be more effective than either placebo or lactulose in reducing the risk of recurrence of hepatic encephalopathy with few adverse reactions.

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