Product image of Inh Agepha (Isoniazid) supplied by GNH India

Inh Agepha

Active Ingredient:
Isoniazid
Origin:
EU

Inh Agepha (Isoniazid)

Isoniazid, the active ingredient in Inh Agepha, is an antitubercular agent presented as an oral dosage form (strength not specified) for oral use. It treats active and latent tuberculosis in adults and children as part of standard therapy.

GNH India supplies Inh Agepha as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Agepha Pharma S.R.O

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Indications & Clinical Uses

  • Isoniazid is an antitubercular drug used in the management of Mycobacterium tuberculosis infections.
  • Active tuberculosis: forms part of combination therapy to eradicate the bacteria and achieve cure.
  • Latent tuberculosis infection: used alone or with rifampicin to prevent progression to active disease.
  • TB prophylaxis in high‑risk contacts: administered to individuals with recent exposure to reduce the chance of developing active TB.

How It Works

  • Isoniazid inhibits the enzyme InhA, blocking the synthesis of mycolic acids that are essential components of the mycobacterial cell wall. This disruption compromises cell wall integrity, leading to bacterial death, particularly in actively replicating Mycobacterium tuberculosis organisms.

Side Effects

Isoniazid may cause a range of adverse reactions, from mild to severe.

Common Side Effects

  • Nausea
  • Vomiting
  • Loss of appetite
  • Peripheral neuropathy (mild)
  • Skin rash
  • Fever

Serious or Rare Side Effects

  • Hepatotoxicity (elevated liver enzymes, hepatitis)
  • Severe peripheral neuropathy
  • Stevens‑Johnson syndrome or toxic epidermal necrolysis
  • Drug‑induced lupus erythematosus
  • Hemolytic anemia
  • Seizures (especially in high doses or renal impairment)

Precautions & Warnings

  • When prescribing isoniazid, clinicians should consider several safety measures.
  • Liver function monitoring: obtain baseline hepatic enzymes and repeat periodically.
  • Vitamin B6 supplementation: co‑administer pyridoxine to reduce neuropathy risk.
  • Hypersensitivity avoidance: discontinue if severe allergic reaction occurs.
  • Pre‑existing neuropathy caution: monitor for worsening symptoms.
  • Pregnancy and lactation assessment: evaluate risk‑benefit before use.
  • Store at below 25°C: keep in the original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Isoniazid interacts with several medicines; some require avoidance while others need close monitoring.

Major Interactions (Avoid)

  • Rifampicin: induces hepatic enzymes, reducing isoniazid levels.
  • Carbamazepine: increases hepatotoxic risk.
  • Phenytoin: may exacerbate liver injury.
  • Alcohol: additive hepatotoxic effect.

Moderate Interactions (Monitor Closely)

  • Acetaminophen: combined use may increase liver enzyme elevations.
  • NSAIDs: monitor for additive gastrointestinal irritation.
  • Warfarin: isoniazid can potentiate anticoagulant effect, requiring INR checks.
  • Antiretrovirals (e.g., zidovudine): may enhance hematologic toxicity.

Frequently Asked Questions

Inh Agepha contains isoniazid, an antitubercular medication employed in the treatment of active tuberculosis and in preventive therapy for latent tuberculosis infection. It is typically used as part of multi‑drug regimens to achieve cure or to reduce the risk of disease progression in individuals with recent exposure.

Isoniazid blocks the enzyme InhA, which is essential for the synthesis of mycolic acids—key components of the Mycobacterium tuberculosis cell wall. By preventing mycolic acid formation, the drug weakens the bacterial cell envelope, leading to cell death, especially in rapidly dividing bacilli.

The prescribed dose is determined by the treating clinician based on factors such as patient weight, disease form (active or latent), and renal function. Typical adult regimens range from 5 mg/kg up to 300 mg once daily, but exact dosing must follow local clinical guidelines and the prescriber's judgment.

Safety data for isoniazid during pregnancy and lactation are limited, and the product does not have a definitive pregnancy category. It may be used when the expected benefit outweighs potential risks, and pyridoxine supplementation is recommended to reduce the chance of neuropathy. Breastfeeding mothers should consult their healthcare provider.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements) and necessary import documentation.

Rifampicin is the most common companion drug in TB regimens. While rifampicin has a broader spectrum and induces hepatic enzymes, isoniazid is highly bactericidal against actively replicating mycobacteria but carries a higher risk of hepatotoxicity and peripheral neuropathy. Both are essential components of standard therapy, and their combined use enhances efficacy.

Inh Agepha should be stored at temperatures below 25 °C, in its original packaging, protected from moisture and direct sunlight. Keep the product out of reach of children and avoid storing it in bathrooms or other humid environments to maintain stability.

Inh Agepha is taken orally, usually once daily. The tablet should be swallowed whole with a full glass of water; it may be taken with or without food, although taking it with food can reduce gastrointestinal upset. Patients should follow the dosing schedule prescribed by their healthcare professional.

The most serious adverse events include hepatotoxicity, which can manifest as elevated liver enzymes, hepatitis or, rarely, liver failure; severe peripheral neuropathy, especially in patients with pre‑existing nerve disorders; and rare hypersensitivity reactions such as Stevens‑Johnson syndrome or toxic epidermal necrolysis. Prompt medical evaluation is required if these symptoms appear.

Inh Agepha is contraindicated in individuals with known hypersensitivity to isoniazid or any of its excipients. Patients with severe pre‑existing liver disease, acute hepatic failure, or those who have experienced severe drug‑induced liver injury should avoid its use. Caution is also advised for patients with significant peripheral neuropathy.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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