Rifampin - Treatment of Tuberculosis

Jul 23, 2024

Rifampin - Key Points

Overview

  • Drug: Rifampin
  • Use: Treatment of tuberculosis (anti-tubercular agent)
    • Action: Interferes with RNA synthesis of tubercular bacterial cells
  • Mnemonic: Rifle (sounds like Rifampin)

Administration

  • Combination Therapy: Used with at least one other anti-tubercular agent

Side Effects

Red-Orange Bodily Fluids

  • Symbol: Orange soda (boy filling water rifle with orange soda)
  • Details: Turns urine, tears, saliva, and sweat reddish-orange
  • Advice: Harmless but may discolor contact lenses; suggest using glasses

Hepatotoxicity

  • Symbol: Liver lever (lever used to shoot water rifle)
  • Signs and Symptoms: Jaundice, weakness and fatigue, elevated ALT and AST
  • Advice: Avoid other hepatotoxic substances (e.g., acetaminophen, alcohol)

Decreased Effectiveness of Oral Contraceptives

  • Symbol: Ducklings (many ducklings swimming away)
  • Advice: Use additional contraception to avoid unintended pregnancies

Summary

  • Rifampin: Anti-tubercular medication
    • Side Effects: Reddish-orange bodily fluids; monitor for hepatotoxicity
    • Oral Contraceptives: Reduces effectiveness; use additional contraception

Important Points to Remember:

  • Use mnemonic aids (water rifle, orange soda, liver lever, ducklings) to recall key facts
  • Teach patients proper precautions to manage side effects and reduce risks