isorifazin s 100 mg/50 mg/300 mg tablet - Isoniazid (100mg) + Pyrazinamide (50mg) medicine

Isorifazin S 100 mg/50 mg/300 mg Tablet: Complete Information

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🏭 PCI Pharmaceuticals 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 26, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established
Reviewed by
SaathiMed Expert Panel | Sep 26, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Yellowing of skin or eyes (jaundice)
  • Dark urine or pale stools
  • Severe abdominal pain
  • Persistent nausea and vomiting
  • Tingling or numbness in hands and feet
  • Vision changes
  • Rash or skin peeling
  • Unusual bleeding or bruising

If experiencing severe symptoms, call emergency services immediately.

What is isorifazin s 100 mg/50 mg/300 mg tablet used for?

This medicine is a combination of isoniazid and pyrazinamide used to treat tuberculosis. It works by killing the bacteria that cause TB. It must be taken exactly as prescribed for the full duration to prevent resistance.

  • Generic Name: Isoniazid (100mg) + Pyrazinamide (50mg)
  • Manufacturer: PCI Pharmaceuticals
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 isorifazin s 100 mg/50 mg/300 mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा तपेदिक (टीबी) के इलाज के लिए इस्तेमाल की जाती है। इसमें आइसोनियाजिड और पायराजिनामाइड दो सक्रिय तत्व होते हैं जो टीबी के बैक्टीरिया को मारते हैं। यह दवा अकेले नहीं ली जाती, बल्कि अन्य टीबी की दवाओं के साथ मिलकर इलाज का हिस्सा होती है। डॉक्टर के बताए अनुसार पूरा कोर्स करना बहुत जरूरी है, वरना बीमारी दोबारा हो सकती है और दवा का असर कम हो सकता है।

साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में जी मिचलाना, उल्टी, पेट दर्द, भूख न लगना और थकान शामिल हैं। कुछ लोगों में हाथ-पैरों में झनझनाहट या सुन्नपन हो सकता है। गंभीर दुष्प्रभावों में लिवर को नुकसान, त्वचा पर गंभीर रैश, और खून की बीमारियां शामिल हैं। अगर आपको पीलिया, गहरे रंग का पेशाब, या त्वचा पर चकत्ते दिखें तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। कोर्स पूरा करें, बीच में न छोड़ें। शराब न पिएं क्योंकि इससे लिवर को नुकसान हो सकता है। नियमित रूप से लिवर की जांच कराएं। अगर आपको मधुमेह, गाउट, या लिवर की बीमारी है तो डॉक्टर को बताएं। बिना डॉक्टर की सलाह के यह दवा न लें।

💡 Did You Know? India has the highest number of USFDA-compliant plants outside the USA.

💊 isorifazin s 100 mg/50 mg/300 mg tablet Uses & Benefits

[{"condition":"Active Tuberculosis","description":"Used as part of a combination regimen for the treatment of active tuberculosis caused by susceptible strains of Mycobacterium tuberculosis.","evidence":"Well-established"},{"condition":"Latent Tuberculosis Infection","description":"Isoniazid alone is used for latent TB, but this combination is not typically used for latent TB.","evidence":"Not established from the available information."}]

Off-label uses: []

Primary treatment for: Tuberculosis

Also treats: Latent tuberculosis infection (isoniazid component)

📋 Drug Information

Generic Name(s)Isoniazid (100mg) + Pyrazinamide (50mg)
Brand Nameisorifazin s 100 mg/50 mg/300 mg tablet
ManufacturerPCI Pharmaceuticals
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI INFECTIVES
Action Class
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight. Keep in the original container.
Shelf Life24 months from the date of manufacture.
WHO GuidelineThe World Health Organization recommends isoniazid and pyrazinamide as part of standard antitubercular regimens for drug-susceptible tuberculosis.
ICMR GuidelineThe Indian Council of Medical Research recommends similar regimens for tuberculosis treatment in India.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Always prescribe this medicine as part of a combination regimen for tuberculosis.
2
Monitor liver function tests at baseline and regularly during treatment.
3
Consider pyridoxine supplementation to prevent peripheral neuropathy.
4
Advise patients to avoid alcohol completely during treatment.
5
Educate patients on the importance of completing the full course.
6
Monitor uric acid levels due to pyrazinamide.
7
Adjust dose in renal and hepatic impairment.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Persistent cough
This medicine is used to treat tuberculosis which often presents with chronic cough.
Likely Use
✅
Fever
Tuberculosis can cause fever, and this medicine helps treat the underlying infection.
Likely Use
❌
Headache
This medicine is not a primary treatment for headache.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionIsoniazid is rapidly absorbed from the gastrointestinal tract after oral administration. Pyrazinamide is also well absorbed. Food may slightly delay absorption but does not significantly affect the extent of absorption.
DistributionIsoniazid distributes widely into body tissues and fluids, including cerebrospinal fluid. Pyrazinamide also distributes widely and penetrates into the cerebrospinal fluid, especially in the presence of inflammation.
Protein BindingIsoniazid is approximately 10-15% bound to plasma proteins. Pyrazinamide is approximately 50% bound to plasma proteins.
MetabolismIsoniazid is metabolized in the liver primarily by N-acetyltransferase 2 (NAT2) to acetylisoniazid, which is further hydrolyzed to isonicotinic acid and monoacetylhydrazine. Pyrazinamide is metabolized in the liver to pyrazinoic acid, the active metabolite, and other metabolites.
Half-LifeThe elimination half-life of isoniazid is approximately 1-4 hours, depending on acetylator status. The half-life of pyrazinamide is approximately 9-10 hours.
ExcretionIsoniazid and its metabolites are excreted primarily in the urine. Pyrazinamide and its metabolites are also excreted in the urine.
BioavailabilityIsoniazid has a bioavailability of approximately 90% or higher. Pyrazinamide bioavailability is approximately 90%.
Onset of ActionNot established from the available information.
Peak Plasma TimeIsoniazid reaches peak plasma concentrations within 1-2 hours after oral administration. Pyrazinamide reaches peak plasma concentrations within 2 hours.
Duration of ActionNot established from the available information.

How It Works

This medicine combines two antitubercular agents with distinct mechanisms. Isoniazid is a prodrug activated by the bacterial catalase-peroxidase enzyme KatG. It inhibits the synthesis of mycolic acid, a vital component of the mycobacterial cell wall, leading to cell death. Pyrazinamide is also a prodrug converted to pyrazinoic acid by the bacterial enzyme pyrazinamidase. It disrupts membrane transport and energy production, particularly in acidic environments. Together, they are bactericidal against Mycobacterium tuberculosis.

Mechanism Steps

1
Activation of Isoniazid: Isoniazid is activated by the bacterial enzyme KatG to form a reactive species that inhibits InhA, an enzyme involved in mycolic acid synthesis.
2
Inhibition of Mycolic Acid Synthesis: The activated isoniazid binds to InhA and blocks the synthesis of mycolic acid, disrupting the bacterial cell wall.
3
Activation of Pyrazinamide: Pyrazinamide is converted to pyrazinoic acid by bacterial pyrazinamidase, which is more active in acidic environments.
4
Disruption of Membrane Transport: Pyrazinoic acid interferes with membrane transport and energy production, leading to bacterial cell death.

💡 How to Take isorifazin s 100 mg/50 mg/300 mg tablet

Strength: Tablet containing isoniazid 100 mg and pyrazinamide 50 mg.

1Take this medicine orally with a glass of water.
2It can be taken with or without food, but taking it with food may reduce stomach upset.
3Take at the same time each day to maintain consistent blood levels.
4Do not crush, chew, or break the tablet unless instructed by your doctor.
5Follow the prescribed duration exactly; do not stop early.

Dosage Information

Adult DosageThe dosage of this medicine is individualized based on the patient's weight, age, renal and hepatic function, and the specific treatment regimen for tuberculosis. It is typically used as part of a combination therapy. The standard adult dose of isoniazid is 5 mg/kg/day (usual range 4-6 mg/kg/day) and pyrazinamide is 15-30 mg/kg/day. However, this fixed-dose combination may not provide the exact required doses for all patients. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may have reduced renal and hepatic function; dose adjustment may be necessary. Monitor closely for side effects.
Renal ImpairmentDose adjustment may be required in patients with severe renal impairment (creatinine clearance <30 mL/min). Monitor renal function and adjust dose as needed.
Hepatic ImpairmentUse with caution in patients with hepatic impairment. Dose reduction may be necessary. Contraindicated in severe liver disease.
Maximum Daily DoseThe maximum daily dose depends on the individual patient's weight and clinical response. For isoniazid, the usual maximum is 300 mg/day; for pyrazinamide, the usual maximum is 2 g/day. However, this fixed-dose combination may not be suitable for all patients. Follow your doctor's prescription.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Tyramine-rich foods (aged cheese, cured meats)
Avoid
May cause hypertensive crisis due to isoniazid's MAO inhibitor effect.
Alcohol
Avoid
Increases risk of liver damage.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of isorifazin s 100 mg/50 mg/300 mg tablet

✅ Common Side Effects

Nausea (Common (5-10%))
Take with food to reduce stomach upset. Consult doctor if persistent.
Vomiting (Common (5-10%))
Stay hydrated. Consult doctor if severe or persistent.
Stomach pain (Common (5-10%))
Take with meals. Consult doctor if severe.
Loss of appetite (Common (5-10%))
Eat small frequent meals. Consult doctor if weight loss occurs.
Fatigue (Common (5-10%))
Rest adequately. Consult doctor if persistent.
Peripheral neuropathy (Uncommon (1-5%))
Report tingling or numbness to doctor. May require pyridoxine supplementation.
Joint pain (Uncommon (1-5%))
Consult doctor. May need uric acid level monitoring.

🚨 Serious Side Effects

Hepatotoxicity (Rare (<0.1%))
Seek immediate medical attention if you notice yellowing of skin or eyes, dark urine, or severe abdominal pain.
Severe skin reactions (e.g., Stevens-Johnson syndrome) (Rare (<0.1%))
Stop medicine and seek immediate medical help if you develop rash, blisters, or peeling skin.
Optic neuritis (Rare (<0.1%))
Report vision changes immediately. May require discontinuation.
Blood disorders (e.g., agranulocytosis, thrombocytopenia) (Rare (<0.1%))
Report unusual bleeding, bruising, or fever. Seek medical attention.

⚠️ Rare Side Effects

Seizures
Seek immediate medical attention.
Psychosis
Report mood changes or hallucinations to doctor immediately.
Lupus-like syndrome
Consult doctor if you develop joint pain, rash, or fever.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Rifampicin Major
Phenytoin Major
Warfarin Major
Carbamazepine Major
Alcohol Major
Ketoconazole Moderate
Cycloserine Moderate
Ethionamide Moderate
Antacids Minor
Tyramine-rich foods Major

🚨 Major Interactions

  • Rifampicin
  • Alcohol
  • Phenytoin
  • Carbamazepine
  • Warfarin

⚡ Moderate Interactions

  • Ketoconazole
  • Cycloserine
  • Ethionamide

🍷 Alcohol Interaction

Avoid alcohol consumption while taking this medicine. Alcohol increases the risk of hepatotoxicity and may reduce the effectiveness of treatment.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to isoniazid or pyrazinamide","Severe liver disease","Acute gout","Previous isoniazid-induced hepatitis"]

⚠️ Warnings & Precautions

["Monitor liver function closely; discontinue if signs of hepatotoxicity occur.","Use with caution in patients with diabetes, as isoniazid may affect blood sugar control.","Pyridoxine (vitamin B6) supplementation may be needed to prevent peripheral neuropathy, especially in malnourished patients, diabetics, and those with HIV.","Avoid alcohol consumption.","Use with caution in patients with renal impairment; dose adjustment may be required.","May interfere with urine glucose tests; use enzymatic methods instead."]

🤱 Lactation Safety

Isoniazid and pyrazinamide are excreted in breast milk in small amounts. They are generally considered compatible with breastfeeding, but monitoring for infant side effects is advised. Consult your doctor.

💊 Overdose Management

Overdose can cause nausea, vomiting, dizziness, slurred speech, hallucinations, and seizures. Seek immediate medical attention. Treatment is supportive and symptomatic. Hemodialysis may be considered in severe cases.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not skip doses or stop treatment early, as this can lead to treatment failure and drug resistance. Regular monitoring of liver function tests, uric acid levels, and complete blood counts is recommended. Avoid alcohol consumption while taking this medicine, as it increases the risk of liver damage. Inform your doctor if you have a history of liver disease, gout, diabetes, or kidney problems. If you experience symptoms of liver injury such as nausea, vomiting, dark urine, or yellowing of the eyes, seek medical attention immediately. Do not take this medicine without a prescription. Keep all appointments with your healthcare provider for monitoring and follow-up.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more susceptible to side effects, especially hepatotoxicity and peripheral neuropathy. Regular monitoring of liver and kidney function is advised. Dose adjustment may be necessary.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor. This medicine is considered safe during pregnancy when used for TB. Untreated TB is more dangerous to both mother and baby.

🏥 Post-Surgery Considerations

Inform your surgeon and anesthesiologist about this medicine before any surgery. It may interact with other medications used during surgery.

🦷 Dental Procedures

Inform your dentist about this medicine before any dental procedure. It may interact with certain antibiotics or anesthetics.

💚 Lifestyle Tips for Better Results

🏃
Maintain a balanced diet rich in proteins and vitamins.
🥗
Avoid alcohol and smoking.
😴
Get plenty of rest.
💧
Take pyridoxine supplements if prescribed.
🧘
Practice good hygiene to prevent spreading TB.
🌞
Attend all follow-up appointments.

🏋️ Exercise Considerations

Moderate exercise is generally safe, but if you experience fatigue or dizziness, avoid strenuous activities. Consult your doctor before starting any exercise program.

🥗 Diet Recommendations

Eat a high-protein diet to support recovery.
Include fruits and vegetables rich in vitamins.
Avoid tyramine-rich foods like aged cheese and cured meats.
Stay well hydrated.
Limit caffeine and alcohol.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or fatigue in some patients. Avoid driving or operating heavy machinery until you know how it affects you. Most people can continue their normal activities, but take precautions.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your doctor. If you experience severe side effects such as jaundice, severe rash, or persistent vomiting, contact your doctor immediately. Your doctor will decide whether to adjust the dose or stop treatment.

📅 Long-Term Use Effects

Long-term use of this medicine is generally well-tolerated when monitored appropriately. However, prolonged use can increase the risk of peripheral neuropathy and hepatotoxicity. Regular monitoring of liver function and clinical assessments are necessary. Most side effects are reversible upon discontinuation.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Directly Observed Therapy (DOT)

A strategy to ensure patients take their TB medicines regularly under supervision.

Evidence: Well-established
Nutritional support

Adequate nutrition helps improve treatment outcomes.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

BCG vaccination is used to prevent severe forms of TB in children. This medicine is used for treatment, not prevention. Inform your doctor about your vaccination status.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

When traveling, carry this medicine in its original packaging along with a copy of your prescription. Ensure you have enough supply for the entire trip. Store at room temperature and protect from direct sunlight. If crossing time zones, consult your doctor about adjusting the timing of doses. Check customs regulations for carrying prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old man diagnosed with pulmonary tuberculosis
He was prescribed this medicine as part of a four-drug regimen. Initially, he experienced nausea and mild stomach pain, which subsided after taking the medicine with food. He completed the intensive phase and continued with the continuation phase. His liver function tests were monitored regularly and remained normal. He recovered fully after 6 months of treatment.
💡 Lesson: Taking the medicine with food reduces stomach upset, and regular monitoring helps catch any liver issues early.
👤 A 50-year-old woman with diabetes and tuberculosis
She was started on this medicine along with other antitubercular drugs. She developed tingling in her feet, which was diagnosed as peripheral neuropathy due to isoniazid. Her doctor added pyridoxine supplements, and the symptoms improved. She was advised to monitor her blood sugar closely as isoniazid can affect glucose control.
💡 Lesson: Patients with diabetes are at higher risk of peripheral neuropathy and should receive pyridoxine supplementation.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine starts working within days, but full treatment for tuberculosis usually takes 6 months or more. You may start feeling better within a few weeks, but it is crucial to complete the full course.

Q: Can I stop taking this medicine when I feel better?

A: No, you must complete the full course as prescribed. Stopping early can lead to relapse and drug-resistant tuberculosis.

Q: What should I do if I miss a dose?

A: Take it as soon as you remember. If it's almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my liver?
  • Can I drive after taking this medicine?
  • Does it interact with my diabetes medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for isorifazin s 100 mg/50 mg/300 mg tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: TB treatment can be stopped once symptoms improve.
    Fact: Treatment must be completed for the full duration to prevent relapse and drug resistance.
  • Myth: This medicine can be taken without monitoring.
    Fact: Regular monitoring of liver function and other parameters is essential.

🔄 Alternative Options

Generic Alternatives

  • Isoniazid and Pyrazinamide combination tablets from other manufacturers

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","composition":"Isoniazid 100 mg + Pyrazinamide 50 mg","use":"Tuberculosis"},{"medicine":"Isoniazid and Rifampicin combination","composition":"Isoniazid + Rifampicin","use":"Tuberculosis"}]

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