These guidelines are given according to the National TB and Leprosy programme (NTLP) which are:
Standard regimen: |
Streptomycin: give 1 g (IM) every 24 hours for 8 weeks (for those weighing 50 kg or more and aged 40 years or less) |
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OR |
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give 750 mg every 24 hours for 8 weeks for those weighing less than 50 kg and aged 40 years or less. |
Children: |
Streptomycin: give 15 mg/kg body weight IM every 24 hours for 8 weeks. |
For smear negative pulmonary and extra pulmonary tuberculosis, use the standard regimen. If streptomycin cannot be given (e.g. because of severe side effects), substitute
Ethambutol: 25 mg/kg body weight every 24 hours for 8 weeks.
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NOTE
• If Ethambutol is to be given for more than 8 weeks reduce to 15 mg/kg body weight. • Ethambutol should not be given to children.
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Children see following table.
Table: Standard regimen for children
Pre-treatment weight |
Number of (Thiazina tablets of 100 mg Isoniazid and 50 mg Thiacetazone) in one dose only |
Number of (Thiazina tablets of 300 mg Isoniazid and 150 mg Thiacetazone) in one dose daily |
Streptomycin (g) in one dose daily |
< 10 kg |
1/2 |
1/2 |
0.25 |
11-20 kg |
1 |
1 |
0.50 |
21-30 kg |
2 |
1 |
0.75 |
31-50 kg |
3 |
1 |
0.75 |
> 51 kg |
3 |
1 |
1.00 |
For newly diagnosed (previously untreated) smear positive patients use the short-course regimen as follows:
Table: Short-course regimen: dosages for adults
Daily during week 1-8 |
Daily during weeks 9-32 |
S |
HR |
z |
TH |
Pre-treatment weight |
Streptomycin intramuscular injection |
Isoniazid 100 mg Rifampicin 150 mg (combined tablets) |
Pyrazinamide 0.5 tablets |
Isoniazid 300 mg and Thiacetazone 150 mg OR Isoniazid 100 mg and Thiacetazone 150 mg |
> 50 kg |
1 gm |
4 |
4 |
1 or 3 |
31-49 kg |
0.75 gm |
3 |
3 |
1 or 3 |
<30 kg |
0.75 gm |
2 |
2 |
1 or 2 |
Dosages in children:
Streptomycin: give 15 mg/kg body weight (not more than 1 g) every 24 hours.
Rifampicin: give 10 mg/kg body weight (not more than 600 mg) every 24 hours.
Pyrazinamide: give 30 mg/kg body weight (not more than 2 g) every 24 hours.
Thiazina: see table above.
NOTE • Streptomycin will be replaced by Ethambutol step wise in the country (starting 1992). In case of side effects with Thiazina, Ethambutol plus Isoniazid must be used. |