In the 3HP latent TB regimen, which drug is used weekly with isoniazid?

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Multiple Choice

In the 3HP latent TB regimen, which drug is used weekly with isoniazid?

Explanation:
In the 3HP approach for latent TB infection, you complete therapy in three months by taking isoniazid with a rifamycin once a week. The reason rifapentine fits this weekly schedule is its longer half-life, which allows a single weekly dose to maintain sufficient drug exposure when paired with isoniazid. This makes the regimen effective while improving adherence compared to daily therapy. The other drugs listed don’t fit this latent-TB weekly strategy: pyrazinamide and ethambutol are used in active TB regimens (or in different phases), whereas rifapentine’s pharmacokinetics specifically enable the convenient once-weekly combination with isoniazid.

In the 3HP approach for latent TB infection, you complete therapy in three months by taking isoniazid with a rifamycin once a week. The reason rifapentine fits this weekly schedule is its longer half-life, which allows a single weekly dose to maintain sufficient drug exposure when paired with isoniazid. This makes the regimen effective while improving adherence compared to daily therapy. The other drugs listed don’t fit this latent-TB weekly strategy: pyrazinamide and ethambutol are used in active TB regimens (or in different phases), whereas rifapentine’s pharmacokinetics specifically enable the convenient once-weekly combination with isoniazid.

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