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Home > Drugs > Nicotinic acid derivatives > Ethionamide > Ethionamide Side Effects
Nicotinic acid derivatives

Ethionamide Side Effects

Applies to ethionamide: oral tablet.

Serious side effects of Ethionamide

Along with its needed effects, ethionamide may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur while taking ethionamide:

Less common

  • Clumsiness or unsteadiness
  • confusion
  • mental depression
  • numbness, tingling, burning, or pain in the hands and feet
  • yellow eyes or skin

Rare

  • Blindness or vision changes
  • blue-yellow color blindness
  • blurred vision or loss of vision, with or without eye pain
  • burning, crawling, itching, numbness, painful, prickling, "pins and needles", or tingling feelings
  • changes in menstrual periods
  • coldness
  • decreased sexual ability (in males)
  • decreased vision
  • difficulty in concentrating
  • dry, puffy skin
  • fast heartbeat
  • fever
  • hives, itching, or rash
  • hoarseness
  • increased hunger
  • increased sensitivity of the skin to sunlight
  • irritation
  • joint pain, stiffness, or swelling
  • redness or other discoloration of the skin
  • severe sunburn
  • shakiness
  • swelling of the eyelids, face, lips, hands, or feet
  • swelling of the front part of the neck
  • tightness in the chest
  • troubled breathing or swallowing
  • weakness in the hands or feet
  • weight gain

Incidence not known

  • Chills
  • cold sweats
  • coma
  • cool, pale skin
  • dark urine
  • dizziness
  • general tiredness and weakness
  • headache
  • light-colored stools
  • nausea and vomiting
  • nightmares
  • seizures
  • slurred speech
  • unusual tiredness or weakness
  • upper right abdominal or stomach pain
  • yellow eyes and skin

Other side effects of Ethionamide

Some side effects of ethionamide may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.

Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

  • Abdominal or stomach pain
  • diarrhea
  • increased watering of the mouth
  • loss of appetite
  • metallic taste
  • swelling or inflammation of the mouth
  • weight loss

Incidence not known

  • Blemishes on the skin
  • decreased interest in sexual intercourse
  • enlargement of the breasts (in males)
  • inability to have or keep an erection
  • loss in sexual ability, desire, drive, or performance
  • pimples

For Healthcare Professionals

Applies to ethionamide: oral tablet.

General

The most commonly reported side effects included abdominal pain, diarrhea, nausea, and vomiting.[Ref]

Gastrointestinal

Approximately 50% of patients are unable to tolerate 1 gram (as a single dose).[Ref]

Very common (10% or more): Adverse gastrointestinal effects (up to 50%)

Common (1% to 10%): Abdominal pain, diarrhea, excessive salivation, gastrointestinal disturbances, nausea, stomatitis, vomiting[Ref]

Metabolic

Common (1% to 10%): Anorexia, weight loss

Rare (0.01% to 0.1%): Pellagra-like syndrome

Frequency not reported: Hypoglycemia[Ref]

Nervous system

Common (1% to 10%): Metallic taste

Rare (0.01% to 0.1%): Neurotoxic effects, peripheral neuritis

Frequency not reported: Dizziness, drowsiness, headache[Ref]

Ocular

Rare (0.01% to 0.1%): Blurred vision, diplopia, optic neuritis[Ref]

Dermatologic

Rare (0.01% to 0.1%): Photosensitivity, rash

Frequency not reported: Acne[Ref]

Hematologic

Rare (0.01% to 0.1%): Purpura, thrombocytopenia[Ref]

Hypersensitivity

Rare (0.01% to 0.1%): Hypersensitivity reactions[Ref]

Hepatic

Frequency not reported: Hepatitis with/without jaundice, transient ALT increases, transient AST increases, transient serum bilirubin increases[Ref]

Psychiatric

Frequency not reported: Mental depression, psychotic disturbances, restlessness[Ref]

Endocrine

Frequency not reported: Gynecomastia, hypothyroidism[Ref]

Cardiovascular

Frequency not reported: Postural hypotension[Ref]

Genitourinary

Frequency not reported: Impotence[Ref]

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