Product image of Isoniazide Costero (Isoniazid) supplied by GNH India

Isoniazide Costero

Active Ingredient:
Isoniazid
Origin:
EU

Isoniazide Costero (Isoniazid)

Isoniazid, the active ingredient in Isoniazide Costero, is an antitubercular presented as an oral tablet for oral use. It is employed in the treatment of active tuberculosis and in prophylaxis of latent Mycobacterium tuberculosis infection in adults and children through standard multidrug regimens under medical supervision.

GNH India supplies Isoniazide Costero as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides regulatory documentation for import and distribution in multiple regions.

Manufacturer / TM Owner

Costero B.V

1
Pack/s
This product is added to your enquiry list

Request a Quote

Please fill out the form below and our team will get back to you shortly with pricing and further information.

A minimum order value applies. Our team will confirm the exact amount or quantity after reviewing your requirements.

Indications & Clinical Uses

Isoniazide Costero (isoniazid) is used in the antitubercular therapeutic pathway to manage Mycobacterium tuberculosis infection.

  • Active tuberculosis: contributes to bactericidal activity as part of combination therapy to achieve cure.
  • Latent tuberculosis infection: provides prophylaxis to prevent progression to active disease.
  • Tuberculosis exposure prophylaxis: reduces risk of developing active TB in individuals with recent exposure.

How It Works

  • Isoniazid is a pro‑drug that requires activation by the mycobacterial enzyme catalase‑peroxidase (KatG). Once activated, it inhibits the synthesis of mycolic acids, essential components of the mycobacterial cell wall, leading to bactericidal killing of Mycobacterium tuberculosis. The drug’s selective activation within the organism limits toxicity to human cells. The inhibition disrupts cell wall integrity, causing rapid bacterial death, and the drug penetrates intracellular bacilli, contributing to its effectiveness in both pulmonary and extrapulmonary disease.

Side Effects

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

Common Side Effects

  • Peripheral neuropathy: tingling or numbness, especially in extremities.
  • Hepatotoxicity: elevated liver enzymes and possible jaundice.
  • Nausea and vomiting: gastrointestinal discomfort.

Serious or Rare Side Effects

  • Severe hepatitis: jaundice, fatigue, dark urine requiring immediate medical attention.
  • Stevens‑Johnson syndrome: severe skin blistering and mucosal involvement.
  • Seizures: rare neurologic events, particularly in overdose.

Precautions & Warnings

Before initiating therapy, several safety considerations should be observed.

  • Liver monitoring: check baseline and periodic liver function tests during therapy.
  • Vitamin B6 supplementation: co‑administer pyridoxine to reduce risk of neuropathy.
  • Alcohol avoidance: limit alcohol intake to decrease hepatic stress.
  • Renal impairment: adjust dose in patients with severe renal dysfunction.
  • Pregnancy and lactation: evaluate risk‑benefit before use.
  • Store at room temperature: keep in original container, protect from moisture and direct sunlight.

Avoid Interactions

Isoniazide Costero can interact with several medicines, requiring attention to avoid reduced efficacy or increased toxicity.

Major Interactions (Avoid)

  • Rifampicin: induces hepatic enzymes, reducing isoniazid plasma levels and efficacy.
  • Anticonvulsants (phenytoin, carbamazepine): increase hepatotoxic risk and lower drug concentrations.
  • Alcohol: synergistic hepatotoxicity leading to severe liver injury.

Moderate Interactions (Monitor Closely)

  • Macrolide antibiotics (e.g., erythromycin): may raise isoniazid levels, requiring monitoring.
  • Sulfonamide drugs: combined use can enhance hepatic toxicity.
  • Warfarin: isoniazid may potentiate anticoagulant effect, necessitating INR monitoring.

Frequently Asked Questions

Isoniazide Costero contains isoniazid, an antitubercular agent used to treat active tuberculosis as part of a multidrug regimen and to prevent disease in individuals with latent Mycobacterium tuberculosis infection. It is prescribed by qualified healthcare professionals for these specific indications.

Isoniazid is a pro‑drug that is activated inside Mycobacterium tuberculosis by the bacterial enzyme KatG. The activated form blocks the synthesis of mycolic acids, which are essential components of the bacterial cell wall, leading to rapid bactericidal killing of the organism.

The dosage of isoniazid is individualized by the prescribing clinician based on factors such as patient age, weight, renal function, and whether the drug is being used for active disease or prophylaxis. Standard adult regimens typically range from 5 mg/kg to 10 mg/kg per day, but the exact amount must be set by a qualified prescriber.

Safety data for isoniazid in pregnancy and lactation are limited. The drug may be used when the expected benefit outweighs potential risks, and pyridoxine supplementation is recommended to reduce the risk of neuropathy. Breastfeeding mothers should consult their healthcare provider, as isoniazid does pass into breast milk in small amounts.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, and will request verification of trade or institutional credentials. After confirmation, the team provides pricing, availability, shipping details and any necessary import documentation.

The primary alternative in first‑line tuberculosis therapy is rifampicin, which has a different mechanism— inhibition of bacterial RNA synthesis. Isoniazid is bactericidal against actively replicating bacilli, while rifampicin is also bactericidal but works on a broader range of bacterial species. Both are used together to enhance efficacy and prevent resistance.

Store the product at room temperature, preferably below 25 °C, in its original packaging. Protect it from moisture, direct sunlight and excessive heat. Keep the container tightly closed and out of reach of children. No special refrigeration is required for this oral tablet formulation.

Isoniazide Costero is taken orally, usually once daily, with or without food as directed by the prescriber. The tablet should be swallowed whole with a full glass of water. Patients are advised to follow the exact schedule provided by their healthcare professional to maintain consistent drug levels.

The most serious adverse events include severe hepatitis, which may present with jaundice, fatigue, or dark urine, and neurological complications such as peripheral neuropathy or, rarely, seizures. Any signs of liver dysfunction or unusual neurological symptoms should prompt immediate medical evaluation.

Isoniazide Costero should be avoided in individuals with known hypersensitivity to isoniazid or any of its excipients. Caution is also required for patients with pre‑existing liver disease, severe renal impairment, or those taking medications that strongly interact with isoniazid without appropriate monitoring.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

Disclaimer

At GNH India, we aim to provide information that is expert-reviewed, accurate, and reliable. However, all content on this platform is intended for general informational purposes only and does not constitute professional medical advice, diagnosis, or treatment. While efforts are made to maintain accuracy and currency, the information may contain errors, omissions, or may not reflect the latest developments. Always consult a qualified healthcare professional regarding any medical concerns.

All product names, brand names, trademarks and registered trademarks displayed on this website are the property of their respective owners. This website and its operator are not affiliated with, endorsed by, or authorized by any such trade mark owners unless expressly stated. Any reference to product names or trademarks is made solely for descriptive and informational purposes. No commercial relationship, sponsorship, approval, or association with any trademark owner should be inferred. Information provided herein does not constitute promotion, advertising, or an offer for sale of any medicinal product and is intended solely for general informational purposes.

All trademarks and brand names displayed on this website are used strictly in accordance with the provisions of the Trade Marks Act, 1999, specifically Sections 30 and 30(1) governing fair use. Trademark ownership has been accurately attributed under the "Manufacturer/ TM Owner" section in compliance with statutory requirements.

Ordering Process

Simple, Secure, and Seamless

Learn how our streamlined ordering process guarantees fast, compliant, and reliable access to essential medicines worldwide.

Quote request form

01

Submit Quote Request Form

Tell us what medications you need by filling out our simple form and uploading a valid document.

Price estimate review

02

We Review & Send Estimate

Our licensed pharmacists will verify your details and provide you with a detailed cost estimate.

Secure payment

03

Confirm & Make Payment

Discuss any queries, approve the estimate, and complete your payment.

Worldwide delivery

04

Get Delivered

Your medicines, safely packed and delivered to your door or nearest airport — hassle-free.

Quality You Can Trust

Our internationally recognized certifications underscore our commitment to safety, quality, and excellence.