Product image of Isozid N (Isoniazid) supplied by GNH India

Isozid N

Active Ingredient:
Isoniazid
Origin:
EU

Isozid N (Isoniazid)

Isoniazid, the active ingredient in Isozid N, is an antitubercular agent presented as an intravenous formulation for intravenous use. It treats active tuberculosis and is used for prevention of tuberculosis in high‑risk individuals.

GNH India supplies Isozid N as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies, and clinics worldwide, with a focus on quality assurance, regulatory compliance, and reliable global logistics. The company adheres to stringent manufacturing standards and provides comprehensive support for product registration and import documentation.

Manufacturer / TM Owner

Esteve Pharmaceuticals Gmbh

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Indications & Clinical Uses

Isoniazid is an antitubercular agent used in the management of Mycobacterium tuberculosis infection.

  • Active pulmonary tuberculosis: contributes to bacterial eradication as part of combination therapy.
  • Latent tuberculosis infection: reduces risk of progression to active disease.
  • High‑risk exposure prophylaxis: prevents development of active tuberculosis in contacts.

How It Works

  • Isoniazid inhibits the synthesis of mycolic acids, essential components of the mycobacterial cell wall, by targeting the enzyme enoyl‑ACP reductase (InhA). This disruption leads to weakened cell walls and bacterial cell death, particularly in actively replicating Mycobacterium tuberculosis organisms.

Side Effects

Isoniazid may cause a range of adverse reactions.

Common Side Effects

  • Nausea or vomiting
  • Loss of appetite
  • Peripheral neuropathy (tingling or numbness)
  • Skin rash

Serious or Rare Side Effects

  • Hepatotoxicity (elevated liver enzymes, hepatitis)
  • Severe allergic reactions (anaphylaxis, Stevens‑Johnson syndrome)
  • Sideroblastic anemia
  • Drug‑induced lupus‑like syndrome

Precautions & Warnings

When using Isozid N, several safety considerations are recommended.

  • Liver function monitoring: assess baseline and periodic liver enzymes due to risk of hepatotoxicity.
  • Alcohol consumption: avoid or limit alcohol as it increases liver toxicity.
  • Vitamin B6 supplementation: consider pyridoxine to prevent peripheral neuropathy, especially in malnourished or diabetic patients.
  • Pregnancy: use only if benefits outweigh risks; classified as Category C.
  • Age considerations: dose adjustment may be needed in elderly or renal impairment.
  • Store at room temperature: keep in original container, protect from moisture and light.

Avoid Interactions

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

Major Interactions (Avoid)

  • Rifampin: may lower isoniazid plasma levels, reducing effectiveness.
  • Carbamazepine or phenytoin: hepatic enzyme induction can decrease isoniazid concentrations.
  • Alcohol: combined use heightens risk of liver injury.

Moderate Interactions (Monitor Closely)

  • Warfarin: isoniazid may potentiate anticoagulant effect, requiring INR monitoring.
  • Oral contraceptives: efficacy may be reduced, consider alternative contraception.
  • Zidovudine: concurrent use can increase zidovudine toxicity.

Frequently Asked Questions

Isozid N contains isoniazid, which is employed to treat active tuberculosis and to prevent the development of tuberculosis in individuals who are at high risk of exposure, such as close contacts of infected patients.

Isoniazid inhibits the enzyme enoyl‑ACP reductase (InhA), blocking the synthesis of mycolic acids that are vital for the mycobacterial cell wall. This disruption compromises cell integrity and leads to bacterial death, especially in actively replicating Mycobacterium tuberculosis.

The appropriate dose of Isozid N is determined by the prescribing clinician based on the patient’s clinical condition, weight, renal function, and treatment protocol. Specific dosing regimens are not provided here and should follow the prescriber’s instructions.

Isoniazid is classified as Pregnancy Category C, indicating that it should be used only when the potential benefits justify the potential risks to the fetus. Caution is advised during breastfeeding, and a healthcare professional should evaluate the risk‑benefit balance.

To order Isozid N, 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.

Isoniazid is a first‑line antitubercular agent, often used in combination with rifampin, pyrazinamide, and ethambutol. Compared with rifampin, isoniazid has a different mechanism—targeting mycolic acid synthesis— and a distinct side‑effect profile, with a higher incidence of peripheral neuropathy and hepatotoxicity but less drug‑inducing orange bodily fluids.

Isozid N should be stored at room temperature, below 25 °C, in its original packaging. Protect the product from moisture and direct light. Ensure that the container remains sealed until use and that any reconstituted solution is administered promptly according to aseptic technique.

Isozid N is given by intravenous infusion under the supervision of a qualified healthcare professional. The infusion rate and duration are determined by the prescribing clinician, and the medication should be administered using sterile equipment in a clinical setting.

The most serious risks include hepatotoxicity, which may present as jaundice or elevated liver enzymes, and severe peripheral neuropathy that can lead to functional impairment. Rare but critical reactions such as anaphylaxis, Stevens‑Johnson syndrome, and drug‑induced lupus‑like syndrome also require immediate medical attention.

Isozid N is contraindicated in patients with known hypersensitivity to isoniazid or any of its excipients, and in individuals with severe acute liver disease. Caution is also advised for patients with pre‑existing peripheral neuropathy, pregnant women unless clearly indicated, and those taking medications that strongly induce hepatic enzymes without appropriate monitoring.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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