The use of capreomycin in the treatment of tuberculosis

Authors

  • O.O. Kuryan National Aviation University
  • A.V. Poshtarenko National Aviation University
  • L.R. Reshetnyak National Aviation University

DOI:

https://doi.org/10.18372/2306-6407.1.18054

Keywords:

capreomycin, tuberculosis, inhalation form, multidrugresistant tuberculosis, side effects

Abstract

In 2021, tuberculosis remains an urgent problem in Ukraine and the world, in particular multidrug-resistant tuberculosis (MDR-TB), which poses an extreme threat to public health. Capreomycin, as the main drug for the treatment of MDR-TB, is known for its high toxicity and long course of administration. The use of the inhalation form of delivery of capreomycin allows to achieve high concentrations of the drug in the lungs, while reducing its systemic effect. Studies in healthy adults indicate that capreomycin inhalation dry powder is well tolerated, with only mild to moderate shortterm cough in some patients as the main adverse reaction. This approach can significantly improve the effectiveness of MDR-TB treatment and reduce the risk of side effects for patients, providing a safer and more effective way to fight this dangerous disease.

References

World Health Organization. Global Tuberculosis Report 2022. World Health Organization; Geneva, Switzerland: 27 October 2022. 68.

Shao Z., Tai W., Qiu Y., Man R. C. H., Liao Q., Chow M. Y. T, Kwok P. C. L., Lam J. K. W. Spray-dried powder formulation of capreomycin designed for inhaled tuberculosis therapy // Pharmaceutics. – 2021. – Vol. 13, 2044. https://doi.org/10.3390/pharmaceutics13122044

Dharmadhikari A. S., Kabadi M., Gerety B., Hickey A. J., Fourie P. B., Nardell E. Phase I, single-dose, dose-escalating study of inhaled dry powder capreomycin: a new approach to therapy of drug-resistant tuberculosis // Antimicrob Agents Chemother. – 2013. – Vol. 57(6), 2613-9. https://doi.org/10.1128/aac.02346-12

Published

2023-12-12

Issue

Section

Reviews