Details
Stereochemistry | ACHIRAL |
Molecular Formula | C5H5N3O |
Molecular Weight | 123.1127 |
Optical Activity | NONE |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
NC(=O)C1=CN=CC=N1
InChI
InChIKey=IPEHBUMCGVEMRF-UHFFFAOYSA-N
InChI=1S/C5H5N3O/c6-5(9)4-3-7-1-2-8-4/h1-3H,(H2,6,9)
Molecular Formula | C5H5N3O |
Molecular Weight | 123.1127 |
Charge | 0 |
Count |
|
Stereochemistry | ACHIRAL |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Optical Activity | NONE |
DescriptionSources: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=257bd8cf-74d7-45db-bf25-354a8d26634eCurator's Comment: description was created based on several sources, including:
http://www.drugbank.ca/drugs/DB00339
https://en.wikipedia.org/wiki/Pyrazinamide
Sources: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=257bd8cf-74d7-45db-bf25-354a8d26634e
Curator's Comment: description was created based on several sources, including:
http://www.drugbank.ca/drugs/DB00339
https://en.wikipedia.org/wiki/Pyrazinamide
Pyrazinamide is indicated for the initial treatment of active tuberculosis in adults and children when combined with other antituberculous agents. (The current recommendation of the CDC for drug-susceptible disease is to use a six-month regimen for initial treatment of active tuberculosis, consisting of isoniazid, rifampin and pyrazinamide given for 2 months, followed by isoniazid and rifampin for 4 months. Pyrazinamide should only be used in conjunction with other effective antituberculous agents. Pyrazinamide diffuses into M. tuberculosis, where the enzyme pyrazinamidase converts pyrazinamide to the active form pyrazinoic acid. Under acidic conditions, the pyrazinoic acid that slowly leaks out converts to the protonated conjugate acid, which is thought to diffuse easily back into the bacilli and accumulate. The net effect is that more pyrazinoic acid accumulates inside the bacillus at acid pH than at neutral pH. Pyrazinoic acid was thought to inhibit the enzyme fatty acid synthase (FAS) I, which is required by the bacterium to synthesise fatty acids. However, this theory was thought to have been discounted. However, further studies reproduced the results of FAS I inhibition as the putative mechanism first in whole cell assay of replicating M. tuberculosis bacilli which have shown that pyrazinoic acid and its ester inhibit the synthesis of fatty acids . This study was followed by in vitro assay of tuberculous FAS I enzyme that tested the activity with pyrazinamide, pyrazinoic acid and several classes of pyrazinamide analogs. Pyrazinamide and its analogs inhibited the activity of purified FAS I. It has also been suggested that the accumulation of pyrazinoic acid disrupts membrane potential and interferes with energy production, necessary for survival of M. tuberculosis at an acidic site of infection. Pyrazinoic acid has also been shown to bind to the ribosomal protein S1 (RpsA) and inhibit trans-translation. This may explain the ability of the drug to kill dormant mycobacteria
CNS Activity
Curator's Comment: Drugs like isoniazid, pyrazinamide and cycloserine cross the blood brain barrier (BBB) freely, but the behavior of rifampicin, ethambutol and streptomycin is less predictable in the presence of inflamed meninges. The CSF concentration of these drugs is at least equal to or higher than those in the noninflamed meninges
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL2011 Sources: http://www.drugbank.ca/drugs/DB00339 |
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Target ID: CHEMBL2363965 Sources: http://www.ncbi.nlm.nih.gov/pubmed/?term=21835980 |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
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Curative | PYRAZINAMIDE Approved UsePyrazinamide Launch Date1971 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
38.2 mg/L EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/23629715 |
27.8 mg/kg bw 3 times / day steady-state, oral dose: 27.8 mg/kg bw route of administration: Oral experiment type: STEADY-STATE co-administered: Isoniazid | Rifampicin | Ethambutol |
PYRAZINAMIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
38.7 mg/L EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/2737233 |
27 mg/kg bw single, oral dose: 27 mg/kg bw route of administration: Oral experiment type: SINGLE co-administered: |
PYRAZINAMIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
344 mg × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/23629715 |
27.8 mg/kg bw 3 times / day steady-state, oral dose: 27.8 mg/kg bw route of administration: Oral experiment type: STEADY-STATE co-administered: Isoniazid | Rifampicin | Ethambutol |
PYRAZINAMIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
520 mg × h/L EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/2737233 |
27 mg/kg bw single, oral dose: 27 mg/kg bw route of administration: Oral experiment type: SINGLE co-administered: |
PYRAZINAMIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
5.5 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/23629715 |
27.8 mg/kg bw 3 times / day steady-state, oral dose: 27.8 mg/kg bw route of administration: Oral experiment type: STEADY-STATE co-administered: Isoniazid | Rifampicin | Ethambutol |
PYRAZINAMIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
1500 mg 1 times / day multiple, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: multiple Dose: 1500 mg, 1 times / day Co-administed with:: ofloxacin, p.o(800 mg/day; 6 months) Sources: |
healthy n = 16 |
Disc. AE: Arthralgia, Distress gastrointestinal... AEs leading to discontinuation/dose reduction: Arthralgia (43.75%) Sources: Distress gastrointestinal (37.5%) Pruritus (25%) Fatigue (25%) Generalized maculopapular rash (18.8%) Insomnia (18.8%) Vertigo (12.5%) |
20 mg/kg 1 times / day multiple, oral Recommended Dose: 20 mg/kg, 1 times / day Route: oral Route: multiple Dose: 20 mg/kg, 1 times / day Co-administed with:: rifampin, p.o(600 mg/d; 2 months) Sources: Page: p.643 |
unhealthy n = 207 Health Status: unhealthy Condition: Tuberculosis Sex: M+F Population Size: 207 Sources: Page: p.643 |
Disc. AE: Hepatotoxicity... AEs leading to discontinuation/dose reduction: Hepatotoxicity (5.8%) Sources: Page: p.643 |
30 mg/kg 1 times / day multiple, oral (max) Recommended Dose: 30 mg/kg, 1 times / day Route: oral Route: multiple Dose: 30 mg/kg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Condition: Tuberculosis Sources: |
Disc. AE: Hepatotoxicity... AEs leading to discontinuation/dose reduction: Hepatotoxicity Sources: |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Vertigo | 12.5% Disc. AE |
1500 mg 1 times / day multiple, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: multiple Dose: 1500 mg, 1 times / day Co-administed with:: ofloxacin, p.o(800 mg/day; 6 months) Sources: |
healthy n = 16 |
Generalized maculopapular rash | 18.8% Disc. AE |
1500 mg 1 times / day multiple, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: multiple Dose: 1500 mg, 1 times / day Co-administed with:: ofloxacin, p.o(800 mg/day; 6 months) Sources: |
healthy n = 16 |
Insomnia | 18.8% Disc. AE |
1500 mg 1 times / day multiple, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: multiple Dose: 1500 mg, 1 times / day Co-administed with:: ofloxacin, p.o(800 mg/day; 6 months) Sources: |
healthy n = 16 |
Fatigue | 25% Disc. AE |
1500 mg 1 times / day multiple, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: multiple Dose: 1500 mg, 1 times / day Co-administed with:: ofloxacin, p.o(800 mg/day; 6 months) Sources: |
healthy n = 16 |
Pruritus | 25% Disc. AE |
1500 mg 1 times / day multiple, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: multiple Dose: 1500 mg, 1 times / day Co-administed with:: ofloxacin, p.o(800 mg/day; 6 months) Sources: |
healthy n = 16 |
Distress gastrointestinal | 37.5% Disc. AE |
1500 mg 1 times / day multiple, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: multiple Dose: 1500 mg, 1 times / day Co-administed with:: ofloxacin, p.o(800 mg/day; 6 months) Sources: |
healthy n = 16 |
Arthralgia | 43.75% Disc. AE |
1500 mg 1 times / day multiple, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: multiple Dose: 1500 mg, 1 times / day Co-administed with:: ofloxacin, p.o(800 mg/day; 6 months) Sources: |
healthy n = 16 |
Hepatotoxicity | 5.8% Disc. AE |
20 mg/kg 1 times / day multiple, oral Recommended Dose: 20 mg/kg, 1 times / day Route: oral Route: multiple Dose: 20 mg/kg, 1 times / day Co-administed with:: rifampin, p.o(600 mg/d; 2 months) Sources: Page: p.643 |
unhealthy n = 207 Health Status: unhealthy Condition: Tuberculosis Sex: M+F Population Size: 207 Sources: Page: p.643 |
Hepatotoxicity | Disc. AE | 30 mg/kg 1 times / day multiple, oral (max) Recommended Dose: 30 mg/kg, 1 times / day Route: oral Route: multiple Dose: 30 mg/kg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Condition: Tuberculosis Sources: |
PubMed
Title | Date | PubMed |
---|---|---|
Serial counts of Mycobacterium tuberculosis in sputum as surrogate markers of the sterilising activity of rifampicin and pyrazinamide in treating pulmonary tuberculosis. | 2001 |
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The molecular basis of resistance to isoniazid, rifampin, and pyrazinamide in Mycobacterium tuberculosis. | 2001 |
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[Effectiveness of chemotherapy of intrathoracic tuberculosis in children: late follow-up data]. | 2001 |
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Drug treatment for tuberculosis during pregnancy: safety considerations. | 2001 |
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pncA mutations in clinical Mycobacterium tuberculosis isolates from Korea. | 2001 |
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Pancreatic mass caused by Mycobacterium tuberculosis with reduced drug sensitivity. | 2001 Apr |
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[A case of intracranial tuberculoma early diagnosed by open brain biopsy]. | 2001 Apr |
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Pulmonary tuberculosis in Kumasi, Ghana: presentation, drug resistance, molecular epidemiology and outcome of treatment. | 2001 Apr-Jun |
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[Functional role of the red nucleus in the cerebral cortex-cerebellum-spinal cord communication system]. | 2001 Apr-Jun |
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Rifampicin allergy confirmed by an intradermal test, but with a negative patch test. | 2001 Aug |
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Tubercular laryngeal abscess. | 2001 Aug |
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Childhood and adolescent tuberculosis in northern Taiwan: an institutional experience during 1994-1999. | 2001 Aug |
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The role of passive immunization in hiv-positive patients : a case report. | 2001 Aug |
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The potential use of urinary excretion data for assessing the relative bioavailability of rifampicin in fixed dose combination anti-tuberculosis formulations. | 2001 Aug |
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Tuberculous otitis media -- a diagnostic dilemma. | 2001 Aug |
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Drug-induced acute interstitial nephritis. | 2001 Aug |
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Update: Fatal and severe liver injuries associated with rifampin and pyrazinamide for latent tuberculosis infection, and revisions in American Thoracic Society/CDC recommendations--United States, 2001. | 2001 Aug 31 |
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Pyrazinamide use as a method of estimating under-reporting of tuberculosis. | 2001 Dec |
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Side effects of antituberculosis treatment. | 2001 Dec |
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New mutations in pncA of in vitro selected pyrazinamide-resistant strains of Mycobacterium tuberculosis. | 2001 Fall |
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Reintroducing antituberculosis therapy after Stevens-Johnson syndrome in human immunodeficiency virus-infected patients with tuberculosis: role of desensitization. | 2001 Jul |
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Fatal and severe hepatitis associated with rifampin and pyrazinamide for the treatment of latent tuberculosis infection--New York and Georgia, 2000. | 2001 Jul 1 |
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[Multiple intracranial tuberculomas in infancy]. | 2001 Jul 1-15 |
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Effects of dietary pyrazinamide, an antituberculosis agent, on the metabolism of tryptophan to niacin and of tryptophan to serotonin in rats. | 2001 Jun |
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Treatment of isoniazid-resistant tuberculosis in southeastern Texas. | 2001 Jun |
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Treatment of tuberculosis in HIV-infected patients: safety and antiretroviral efficacy of the concomitant use of ritonavir and rifampin. | 2001 Jun 15 |
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[Two cases of exercise-induced acute renal failure with idiopathic renal hypouricemia]. | 2001 May |
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Diagnosis and treatment of isolated tuberculous mediastinal lymphadenopathy in adults. | 2001 May |
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Tuberculous peritonitis--reports of 26 cases, detailing diagnostic and therapeutic problems. | 2001 May |
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From the Centers for Disease Control and Prevention. Fatal and severe hepatitis associated with rifampin and pyrazinamide for the treatment of latent tuberculosis infection--New York and Georgia, 2000. | 2001 May 23-30 |
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[Ileocecal tuberculosis during hemodialysis simulating carcinoma of the colon]. | 2001 May-Jun |
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Antimycobacterial plant terpenoids. | 2001 Nov |
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Pyrazinamide induced photoallergy. | 2001 Nov |
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Tuberculous meningitis: is a 6-month treatment regimen sufficient? | 2001 Nov |
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Crystal structure and mechanism of catalysis of a pyrazinamidase from Pyrococcus horikoshii. | 2001 Nov 27 |
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Duration of efficacy of treatment of latent tuberculosis infection in HIV-infected adults. | 2001 Nov 9 |
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[Orchiectomy for tuberculous epididymitis: a report of two cases with intractable to antituberculosis treatment]. | 2001 Oct |
|
Treatment of tuberculosis in Haiti. | 2001 Oct |
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Hepatotoxicity from rifampin plus pyrazinamide: lessons for policymakers and messages for care providers. | 2001 Oct 1 |
|
[Vesical uric acid lithiasis in a child with renal hypouricemia]. | 2001 Sep |
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Safety of an ofloxacin-based antitubercular regimen for the treatment of tuberculosis in patients with underlying chronic liver disease: a preliminary report. | 2001 Sep |
|
Modulating effect of Liv.100, an ayurvedic formulation on antituberculosis drug-induced alterations in rat liver microsomes. | 2001 Sep |
|
From the Centers for Disease Control and Prevention. Update: Fatal and severe liver injuries associated with Rifampin and Pyrazinamide for latent tuberculosis infection, and revisions in American Thoracic Society/CDC recommendations--United States, 2001. | 2001 Sep 26 |
|
US guidelines for treatment of latent tuberculosis revised. | 2001 Sep 8 |
|
Conditions that may affect the results of susceptibility testing of Mycobacterium tuberculosis to pyrazinamide. | 2002 Jan |
|
High rates of tuberculosis in end-stage renal failure: the impact of international migration. | 2002 Jan |
|
Surveillance for antimicrobial resistance in Croatia. | 2002 Jan |
|
Rapidly progressive glomerulonephritis due to rifampicin therapy. | 2002 Jan |
|
Liquid chromatographic determination of isoniazid, pyrazinamide and rifampicin from pharmaceutical preparations and blood. | 2002 Jan 25 |
|
Therapeutic isoniazid monitoring using a simple high-performance liquid chromatographic method with ultraviolet detection. | 2002 Jan 5 |
Patents
Sample Use Guides
In Vivo Use Guide
Sources: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=257bd8cf-74d7-45db-bf25-354a8d26634e
Curator's Comment: Three grams per day should not be exceeded. The CDC (Center for Disease Control ) recommendations do not exceed 2 g per day when given as a daily regimen
15 to 30 mg/kg once daily
Route of Administration:
Oral
Substance Class |
Chemical
Created
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Record UNII |
2KNI5N06TI
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Record Status |
Validated (UNII)
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Classification Tree | Code System | Code | ||
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NCI_THESAURUS |
C280
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WHO-VATC |
QJ04AM05
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WHO-ESSENTIAL MEDICINES LIST |
6.2.4 (ISO/PYR/RIF)
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WHO-ATC |
J04AM06
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WHO-ATC |
J04AK01
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WHO-ATC |
J04AM05
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WHO-ESSENTIAL MEDICINES LIST |
6.2.4 (ETH/ISO/PYR/RIF)
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WHO-ESSENTIAL MEDICINES LIST |
6.2.4
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WHO-VATC |
QJ04AM06
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LIVERTOX |
NBK547856
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NDF-RT |
N0000175483
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WHO-VATC |
QJ04AK01
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FDA ORPHAN DRUG |
6585
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DTXSID9021215
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CHEMBL614
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2328
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Pyrazinamide
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PYRAZINAMIDE
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PYRAZINAMIDE
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PRIMARY | Description: A white or almost white, crystalline powder; odourless. Solubility: Sparingly soluble in water; slightly soluble in ethanol (~750 g/l) TS. Category: Antituberculosis drug. Storage: Pyrazinamide should be kept in a well-closed container. Definition: Pyrazinamide contains not less than 98.5% and not more than 101.0% of C5H5N3O, calculated with reference to the anhydrous substance. | ||
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202-717-6
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1046
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SUB10163MIG
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786
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7287
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D011718
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3576
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2KNI5N06TI
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14911
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45285
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100000080846
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DB00339
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98-96-4
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8987
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m9337
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PRIMARY | Merck Index | ||
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1585006
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2KNI5N06TI
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C29395
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PARENT -> CONSTITUENT ALWAYS PRESENT |
MIC value of the in vitro growth of Mycobacterium Tuberculosis (H37RV strain) of the new anti-tuberculosis terpenoid derived agent tested was 20 ug/ml.
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METABOLITE -> PARENT | |||
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METABOLITE -> PARENT |
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IMPURITY -> PARENT |
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ACTIVE MOIETY |
Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
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Biological Half-life | PHARMACOKINETIC |
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Elimination PHARMACOKINETIC |
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