An update on repurposed medications for the treatment of drug-resistant tuberculosis.

Abstract:

INTRODUCTION:Drug-resistant forms of tuberculosis are a major public health problem with a serious global impact. Although there have recently been two new drugs introduced for the treatment of drug-resistant TB (bedaquiline and delamanid), the current therapeutic armamentarium is limited. Because treatment of drug-resistant TB requires the use of a multidrug-regimen, there has been growing interest in the use of antibiotics developed for other infectious pathogens but that have shown efficacy in the treatment of TB. Areas covered: This paper will review these 're-purposed' agents - including the beta-lactams, clarithromycin, clofazimine, the fluoroquinolones, and linezolid - with a focus on their efficacy, safety, and pharmacokinetic properties. Expert commentary: There is growing evidence on the efficacy and safety of repurposed drugs for the treatment of drug-resistant TB, supporting their program-wide inclusion in treatment regimens as recommended in revised WHO guidelines. However, additional work is needed to define optimum dosing as well as describe their role in regimen optimization.

authors

Mafukidze A,Harausz E,Furin J

doi

10.1080/17512433.2016.1208562

subject

Has Abstract

pub_date

2016-10-01 00:00:00

pages

1331-1340

issue

10

eissn

1751-2433

issn

1751-2441

journal_volume

9

pub_type

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