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Table 5 Second-line drugs used for TB treatment in children [8, 12, 13, 25, 27, 30, 31]

From: Tuberculosis in childhood: a systematic review of national and international guidelines

 

Daily dosage (maximum dosage)

Adverse Reactions

Streptomycin

20-40 mg/kg

(1 g)

Auditory, vestibular and renal toxicity, rash

Amikacin

Kanamycin

Capreomycin

15-30 mg/kg

(1 g)

Auditory, vestibular and renal toxicity

Ethionamide

15-20 mg/kg/die, given in 2-3 divided doses

(1 g)

Hepatotoxic effects, gastrointestinal tract disturbances, neurotoxicity, hypersensitivity and hypothyroid

Para-amino salicylic acid

200-300 mg/kg/die, given in 2-4 divided doses

(10 g)

Hepatotoxic effects, gastrointestinal tract disturbances, hypersensitivity

Cycloserine

10-20 mg/kg, given in 2-divided doses

(1 g)

Psychosis, personality changes, seizure, rash

Moxifloxacin

10 mg/kg

(400 mg)

Theoretical effect on growing cartilage, gastrointestinal tract disturbances, rash, headache, restlessness

Levofloxacin

10 mg/kg

(1 g)

 

Linezolid

10 mg/kg

(1,2 g)

gastrointestinal tract disturbances, peripheral neuropathy, thrombocytopenia