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Pyrazinamide Prescription Medicines in the Philippines

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Basahin sa Tagalog | Want to buy in person? Find a MedsGo Pharmacy near you 

Pyrazinamide is a powerful TB fighter—an essential antibiotic that works with other medicines to eliminate tuberculosis bacteria from your body. Think of it as part of your "TB elimination team," specifically targeting stubborn bacteria hiding in your lungs during the critical first 2 months of treatment.

  • 500mg tablets available (PNF standard)
  • PNF Listed - Philippine National Formulary essential anti-TB medicine
  • VAT-Exempt when combined with Rifampicin + Isoniazid (Save 12% on FDC combos!)
  • No Prescription? Get a FREE teleconsultation with our licensed doctor during checkout

Understanding Pyrazinamide: Your TB Elimination Specialist
Pyrazinamide is a critical antimycobacterial antibiotic and essential component of tuberculosis (TB) treatment. As an essential medicine listed in the Philippine National Formulary 8th Edition under Anti-Tuberculosis Medicines, it is recognized by the Department of Health as a first-line treatment for active TB infection. Pyrazinamide is NEVER used alone—it always works as part of a combination therapy to ensure complete eradication of TB bacteria and prevent drug resistance.

How Pyrazinamide Works (Simple Explanation)
Imagine TB bacteria are like stubborn criminals hiding in different corners of your lungs. Pyrazinamide acts like a "special forces agent" with unique abilities:

  • Targets semi-dormant TB bacteria that other drugs can't reach
  • Works inside macrophages (your immune cells) where bacteria hide
  • Reduces treatment duration from 9-12 months to just 6 months when combined with other drugs
  • Prevents TB bacteria from developing resistance to treatment
Without Pyrazinamide, TB treatment would take much longer and have higher failure rates. It's the secret weapon that makes short-course TB therapy possible.


Pyrazinamide Quick Guide: What You Need to Know

Available Strengths 500mg tablets; 250mg/5mL and 500mg/5mL suspension (PNF standard)
Standard Dosage 15-30 mg per kg body weight once daily (typically 1-2 tablets daily for adults); or 50-70 mg/kg 2-3 times weekly under Directly Observed Therapy (DOTS) program
Duration of Use First 2 months of TB treatment only (intensive phase), combined with Isoniazid, Rifampicin, and Ethambutol
Best Time to Take Once daily, preferably at the same time. Can take with food to reduce stomach upset⏰
Key Benefits Shortens TB treatment duration, kills dormant bacteria, prevents relapse, reduces transmission

Why Choose Pyrazinamide from MedsGo?

  • ✅ PNF Quality Assurance: Our Pyrazinamide complies with Philippine National Formulary standards (500mg tablets), ensuring you receive essential anti-TB medicine that meets DOH requirements for the National Tuberculosis Control Program.
  • VAT Savings on Combinations: Pyrazinamide + Rifampicin + Isoniazid fixed-dose combinations (75mg/50mg/150mg dispersible tablets) are VAT-exempt under FDA Advisory No. 2025-0498 (April 2025). This FDC saves you 12% automatically!
  • Temperature-Controlled Storage: Unlike generic warehouses, our FDA-registered pharmacies store anti-TB medicines properly to maintain potency and prevent degradation.
  • Doctor Care Included: No prescription? No problem. Add to cart and get a FREE teleconsultation with our licensed physician—no hidden fees.
  • Fast & Safe Delivery: Or pick up at any MedsGo pharmacy nationwide for same-day availability.
  • DOTS Program Support: We support the Philippine National Tuberculosis Control Program's Directly Observed Therapy Short-course (DOTS) strategy.

Conditions Pyrazinamide Treats

  • Active Pulmonary Tuberculosis: TB infection in the lungs (most common form)
  • Extra-pulmonary Tuberculosis: TB affecting lymph nodes, bones, joints, or other organs
  • TB Meningitis: Pyrazinamide crosses the blood-brain barrier to treat TB in the brain
  • Multi-drug Resistant TB (MDR-TB): Used in combination with second-line drugs for resistant strains

Critical Safety Information: What to Watch For ⚠︎
Pyrazinamide is generally safe but requires careful monitoring. Be a smart medicine user:

  • Common: Nausea, vomiting, loss of appetite, joint pain (arthralgia), flushing—usually manageable with food or pain relievers
  • Watch For (Uric Acid/Gout): Sudden joint pain, redness, swelling (especially big toe), stiffness—Pyrazinamide raises uric acid levels. Contact our doctor if you have gout symptoms
  • Watch For (Liver): Yellowing skin/eyes, dark urine, severe stomach pain, persistent nausea/vomiting, unusual tiredness—these may signal liver problems. Seek immediate medical attention
  • Important: NEVER stop taking Pyrazinamide without consulting your doctor, even if you feel better. Stopping early can cause TB to return and become drug-resistant
  • Diabetes Note: May cause false urine ketone test results. Inform our doctor if you have diabetes during teleconsultation
  • Contraindications: Not for patients with severe liver disease or active gout. Your doctor will check liver enzymes and uric acid before starting treatment

Pro Tip: TB treatment requires taking ALL four medications (Isoniazid, Rifampicin, Pyrazinamide, Ethambutol) exactly as prescribed for the full 6 months. Pyrazinamide is only taken for the first 2 months (intensive phase), but completing the entire course is crucial to prevent relapse and drug-resistant TB. Set daily alarms and never skip doses! ⏰
Remember: Pyrazinamide must ALWAYS be taken with other TB medicines—never alone. Taking it alone will not cure TB and will cause the bacteria to become resistant. If you experience severe allergic reactions (difficulty breathing, swelling of face/lips), severe joint pain, or signs of liver problems, seek emergency care immediately.

Mahalagang Impormasyon sa Tagalog

Pyrazinamide: Ang Espesyalista sa Pagpuksa ng TB
Ang Pyrazinamide ay isang mahalagang antimycobacterial antibiotic at kailangang bahagi ng panggagamot sa tuberculosis (TB). Ayon sa Philippine National Formulary 8th Edition, ito ay kinikilalang essential medicine ng Department of Health para sa first-line treatment ng active TB infection. Ang Pyrazinamide ay HINDI KAILANMAN ginagamit mag-isa—laging kasama ito sa combination therapy para matiyak ang pagpuksa ng TB bacteria at maiwasan ang drug resistance.

Paano Gumagana ang Pyrazinamide?
Isipin na ang TB bacteria ay parang mga pasaway na kriminal na nagtatago sa iba't ibang sulok ng iyong baga. Ang Pyrazinamide ay parang "special forces agent" na may natatanging kakayahan: tinatarget nito ang semi-dormant TB bacteria na hindi maabot ng ibang gamot, gumagana sa loob ng macrophages (immune cells) kung saan nagtatago ang bacteria, at pinapapaikli ang treatment duration mula 9-12 buwan hanggang 6 na buwan lamang.

Ang Mahusay na Benepisyo ng Pagbili sa MedsGo

  • ✅ PNF Quality: Sumusunod sa pamantayan ng Philippine National Formulary para sa anti-TB medicines
  • VAT Discount sa Combos: Libre sa 12% VAT ang Pyrazinamide + Rifampicin + Isoniazid fixed-dose combinations (FDA Advisory No. 2025-0498)
  • Libre Konsulta: Walang reseta? Libre ang teleconsultation sa aming doktor
  • Pambansang Botika: Maaari ring bumili sa kahit anong MedsGo pharmacy sa buong bansa
  • Suporta sa DOTS Program: Sumusuporta kami sa Philippine National Tuberculosis Control Program

Mga Kondisyon na Ginagamot ng Pyrazinamide

  • Active Pulmonary Tuberculosis: TB infection sa baga (pinakakaraniwang form)
  • Extra-pulmonary Tuberculosis: TB na nakakaapekto sa lymph nodes, buto, joints, o iba pang organs
  • TB Meningitis: Ang Pyrazinamide ay tumatawid sa blood-brain barrier para gamutin ang TB sa utak
  • Multi-drug Resistant TB (MDR-TB): Ginagamit kasama ang second-line drugs para sa resistant strains

Kritikal na Impormasyon sa Kaligtasan ⚠︎

  • Karaniwan: Nausea, vomiting, loss of appetite, joint pain, flushing—kadalasang naiibsan sa pagkain o pain relievers
  • Bantayan (Uric Acid/Gout): Biglaang pananakit ng joints, pamumula, pamamaga (lalo na sa big toe)—ang Pyrazinamide ay nagpataas ng uric acid. Tawagin ang doktor kung may gout symptoms
  • Bantayan (Liver): Paninilaw ng balat/mata, madilim na ihi, severe stomach pain, persistent na nausea/vomiting—mga senyales ng liver problems. Maghanap agad ng medical attention
  • IMPORTANTE: HUWAG TUMIGIL sa pag-inom ng Pyrazinamide nang hindi kinokonsulta ang doktor, kahit na magaling na ang pakiramdam. Ang pagtigil nang maaga ay maaaring magdulot ng pagbabalik ng TB at maging drug-resistant
  • Paalala sa Diabetes: Maaaring magdulot ng false urine ketone test results. Sabihin sa doktor kung may diabete
Tip sa mga Kustomer: Ang panggagamot sa TB ay nangangailangan ng pag-inom ng LAHAT ng apat na gamot (Isoniazid, Rifampicin, Pyrazinamide, Ethambutol) nang eksakto sa prescription sa loob ng 6 na buwan. Ang Pyrazinamide ay iniinom lamang sa unang 2 buwan (intensive phase), ngunit mahalaga ang pagkumpleto ng buong course para maiwasan ang relapse at drug-resistant TB. Mag-set ng daily alarm at huwag mag-skip ng doses!
Paalala: Ang Pyrazinamide ay DAPAT LAGING kasama ng ibang TB medicines—hindi kailanman mag-isa. Ang pag-inom nang mag-isa ay hindi gagalingin ang TB at magdudulot ng drug resistance. Kung may severe allergic reactions (hirap huminga, pamamaga ng mukha/labi), severe joint pain, o signs ng liver problems, maghanap agad ng emergency care.
PYRAMIN Pyrazinamide Syrup is used for the initial phase treatment of active tuberculosis in both pulmonary and extrapulmonary forms of the disease. It is a necessary component of combination therapy that aims to effectively eliminate the mycobacterium and prevent the rapid development of bacterial resistance. This antituberculosis agent acts within the acidic environment of inflammatory sites and macrophages, contributing to the overall sterilizing action of the regimen.
BrandPYRAMIN Dosage250 mg / 5 ml
QUADMAX Rifampicin / Isoniazid / Pyrazinamide / Ethambutol is used for the treatment of both pulmonary and extra-pulmonary tuberculosis caused by susceptible strains of Mycobacterium tuberculosis. This fixed-dose combination therapy is specifically indicated for the intensive phase of short-course chemotherapy. It helps simplify treatment regimens and improves patient compliance by reducing the number of individual tablets required during the initial phase of TB therapy.
BrandQuadmax Dosage150 mg / 75 mg / 400 mg / 275 mg
PYRAMIN Pyrazinamide Syrup is used for the initial phase treatment of active tuberculosis in both pulmonary and extrapulmonary forms of the disease. It is a necessary component of combination therapy that aims to effectively eliminate the mycobacterium and prevent the rapid development of bacterial resistance. This antituberculosis agent acts within the acidic environment of inflammatory sites and macrophages, contributing to the overall sterilizing action of the regimen.
BrandPYRAMIN Dosage250 mg / 5 ml
IFAMSO PE Rifampicin / Isoniazid / Pyrazinamide / Ethambutol is used for the treatment of both pulmonary and extra-pulmonary tuberculosis caused by susceptible strains of Mycobacterium tuberculosis. This fixed-dose combination therapy is specifically indicated for the intensive phase of short-course chemotherapy. It helps simplify treatment regimens and improves patient compliance by reducing the number of individual tablets required during the initial phase of TB therapy.
BrandIfamso PE Dosage150 mg / 75 mg / 400 mg / 275 mg
ZYNAPHAR Pyrazinamide Syrup is used for the initial phase treatment of active tuberculosis in both pulmonary and extrapulmonary forms of the disease. It is a necessary component of combination therapy that aims to effectively eliminate the mycobacterium and prevent the rapid development of bacterial resistance. This antituberculosis agent acts within the acidic environment of inflammatory sites and macrophages, contributing to the overall sterilizing action of the regimen.
BrandZynaphar Dosage250 mg / 5 ml
ZYNAPHAR Pyrazinamide Syrup is used for the initial phase treatment of active tuberculosis in both pulmonary and extrapulmonary forms of the disease. It is a necessary component of combination therapy that aims to effectively eliminate the mycobacterium and prevent the rapid development of bacterial resistance. This antituberculosis agent acts within the acidic environment of inflammatory sites and macrophages, contributing to the overall sterilizing action of the regimen.
BrandZynaphar Dosage250 mg / 5 ml
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