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Ethambutol

Ethambutol
Ethambutol.svg
Ethambutol substance photo.jpg
Stereo, skeletal formula of ethambutol
Clinical data
Trade names Myambutol, Etibi, Servambutol, others
AHFS/Drugs.com Monograph
Pregnancy
category
  • US: C
Routes of
administration
by mouth
ATC code J04AK02 (WHO)
Pharmacokinetic data
Protein binding 20–30%
Metabolism liver
Biological half-life 3–4 hours
Identifiers
Synonyms (2S,2’S)-2,2’-(Ethane-1,2-diyldiimino)dibutan-1-ol
CAS Number 74-55-5  YesY
PubChem (CID) 14052
DrugBank DB00330
ChemSpider 13433
UNII 8G167061QZ
KEGG D07925
ChEBI CHEBI:4877
ChEMBL CHEMBL44884
ECHA InfoCard 100.000.737
Chemical and physical data
3D model (Jmol) Interactive image

Ethambutol (EMB, E) is a medication primarily used to treat tuberculosis. It is usually given in combination with other tuberculosis medications, such as isoniazid, rifampicin and pyrazinamide. It may also be used to treat Mycobacterium avium complex, and Mycobacterium kansasii. It is taken by mouth.

Common side effect include problems with vision, joint pain, nausea, headaches, and feeling tired. Other side effects include liver problems and allergic reactions. It is not recommended in people with optic neuritis, significant kidney problems, or under the age of five. Use during pregnancy or breastfeeding has not been found to cause harm. In the United States the FDA has raised concerns about eye issues in the baby if used during pregnancy. Ethambutol is believed to work by interfering with the bacteria's metabolism.

Ethambutol was discovered in 1961. It is on the World Health Organization's List of Essential Medicines, the most effective and safe medicines needed in a health system. Ethambutol is available as a generic medication. The wholesale cost in the developing world is about 2.58 to 4.73 USD per month. In the United States it costs 100 to 200 USD per month.

Ethambutol is used along with other medications to treat a number of infections including: tuberculosis, Mycobacterium avium complex, and Mycobacterium kansasii.


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