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About 4D Tablet
4D Tablet is used to treat tuberculosis. Tuberculosis is an infectious disease that mainly affects the lungs, but it can also spread to other body parts such as kidneys, brain, spine and bone marrow. 4D Tablet does not work against infections caused by the virus, including cold and flu.
4D Tablet is a combination of four anti-tuberculosis drugs: Rifampicin, isoniazid, pyrazinamide and ethambutol. Isoniazid prevents the formation of the bacterial cell wall. At the same time, rifampicin inactivates a bacterial enzyme (RNA-polymerase), which is required by TB bacteria (Mycobacterium tuberculosis) to make essential proteins and to reproduce. Ethambutol and pyrazinamide work by slowing the growth of bacteria. Altogether, they kill the bacteria and treat the infection.
The dose and duration of 4D Tablet can vary depending on your condition and the severity of the infection. In some cases, you may experience certain common side effects such as weakness, nausea, vomiting, malaise (feeling of discomfort), fatigue and vision problems. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.
Avoid foods and drinks containing histamine or tyramine, such as cured meat, matured cheese, soya, tuna, salmon, mackerel, wine and beer, while taking 4D Tablet as they might cause interaction. Maintain a gap of one hour between 4D Tablet and antacid medicines. Consult your doctor before taking 4D Tablet if you are pregnant. Avoid breastfeeding while taking 4D Tablet as it passes into breast milk. 4D Tablet is not recommended for use in children. 4D Tablet may cause dizziness and vision problems, so drive only if you are alert. Avoid consuming alcohol along with 4D Tablet as it might lead to liver problems and increased dizziness.
Uses of 4D Tablet
4D Tablet is used in the treatment of Tuberculosis (TB). The detailed uses of 4D Tablet are as follows:

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Directions for Use
Key Benefits
4D Tablet belongs to the group of medicines called anti-tuberculosis drugs primarily used to treat and prevent tuberculosis. 4D Tablet is a combination of four anti-tuberculosis drugs: Rifampicin, isoniazid, pyrazinamide and ethambutol. Isoniazid prevents the formation of the bacterial cell wall. At the same time, rifampicin inactivates a bacterial enzyme (RNA-polymerase), which is required by TB bacteria (Mycobacterium tuberculosis) to make essential proteins and reproduce. Ethambutol and pyrazinamide work by slowing the growth of bacteria. Altogether, they kill the bacteria and treat the infection.
How 4D Tablet Works
Storage
What if I have taken an overdose of 4D Tablet
Drug Warnings
Do not take 4D Tablet if you are allergic to any of its contents, if you have jaundice or if you are taking HIV medicines (saquinavir or ritonavir). Before starting 4D Tablet, please inform your doctor if you have diabetes, epilepsy, gout, mental health problems, HIV infection, malnutrition, peripheral neuropathy, porphyria, bleeding problems, kidney or liver problems. Consult your doctor before taking 4D Tablet if you are pregnant. Avoid breastfeeding while taking 4D Tablet as it passes into breast milk. 4D Tablet is not recommended for use in children. 4D Tablet may cause dizziness and vision problems, so drive with caution. Avoid consuming alcohol along with 4D Tablet as it might lead to liver problems and increased dizziness.
Diet & Lifestyle Advise
Habit Forming
Therapeutic Class
Alcohol
Safe if prescribed
Avoid alcohol consumption while taking 4D Tablet as it could lead to increased dizziness and liver damage.
Pregnancy
Consult your doctor
Please consult your doctor if you are pregnant, your doctor will prescribe 4D Tablet only if the benefits outweigh the risks.
Breast Feeding
Consult your doctor
4D Tablet passes into breast milk. Do not breastfeed while taking 4D Tablet. Consult your doctor for further advice.
Driving
Safe if prescribed
4D Tablet may cause dizziness, vision problems, numbness and tingling sensation in hands and feet. Do not drive or operate machinery if you experience these symptoms.
Liver
Consult your doctor
Dose adjustment may be needed. Please consult your doctor before taking 4D Tablet if you have liver impairment/liver disease.
Kidney
Consult your doctor
Dose adjustment may be needed. Please consult your doctor if you have any concerns regarding this or if you have kidney impairment/kidney disease.
Children
Safe if prescribed
4D Tablet is not recommended for use in children.
Heart
4D Tablet can be used in heart patients if prescribed by the physician. Please consult your physician if you have any concerns.
Geriatrics
Consult your doctor
4D Tablet should be given to elderly patients only if recommended by a doctor. Please consult your doctor before using 4D Tablet.
4D Tablet belongs to the group of medicines called anti-tuberculosis drugs primarily used to treat tuberculosis. Tuberculosis is an infectious disease that mainly affects the lungs but can also spread to other body parts such as kidneys, brain, spine and bone marrow.
4D Tablet is a combination of four anti-tuberculosis drugs, namely: Rifampicin, isoniazid, pyrazinamide, and ethambutol. 4D Tablet works by killing the bacteria named Mycobacterium tuberculosis which causes TB (tuberculosis).
Do not stop taking 4D Tablet despite symptomatic relief. To treat your condition effectually, continue taking 4D Tablet for as long as it has been prescribed for you.
Do not take 4D Tablet along with antacids as it might decrease the effectiveness of 4D Tablet. Maintain a minimum gap of 1 hour between both. However, please consult your doctor before taking other medicines with 4D Tablet.
Consult your doctor before taking 4D Tablet with other medicines. Your doctor would suggest the right time, dose and precautions before taking 4D Tablet with other drugs.
4D Tablet contains isoniazid which might interact with foods and drinks containing histamine or tyramine such as cured meat, matured cheese, soya, tuna, salmon, mackerel, wine and beer. Avoid these foods while taking 4D Tablet.
4D Tablet might decrease the effectiveness of oral contraceptives (birth control pills). This could lead to an unplanned pregnancy. Instead, use a reliable barrier method of contraception such as condoms or the coil while taking 4D Tablet. Consult your doctor if you have any concerns regarding this, your doctor may suggest an alternate method of contraception.
4D Tablet may cause discolouration of teeth, sweat, urine, sputum (phlegm), saliva or tears. The colour in tears may last for some time even after you stop taking 4D Tablet. Do not worry as it is a common side-effect of 4D Tablet.
Yes, 4D Tablet might permanently stain soft contact lenses. Use spectacles and avoid wearing contact lens while taking 4D Tablet.
4D Tablet may affect test results of some blood tests such as tests for folate, vitamin B12 and liver function. Inform the person doing the tests that you are taking 4D Tablet.
Yes, 4D Tablet may cause liver problems, especially in people who are 35 and older. Consult your doctor if you notice symptoms such as yellowing of eyes or skin, dark urine, pale stools, weakness, loss of appetite, nausea or vomiting. Your doctor may advise you to get regular liver tests while taking 4D Tablet to check how your liver is functioning.
Take 4D Tablet as directed by your doctor. Take 4D Tablet on an empty stomach, either one hour before eating or two hours after a meal. Swallow it as whole with a glass of water; do not crush, chew, or break it.
You are recommended to avoid alcohol while taking 4D Tablet, as it may cause headache, sweating, dizziness, and feeling lightheaded or faint. Please, consult the doctor if you have any concerns.
Yes, 4D Tablet may cause visual impairment (blurred vision, loss of vision). This condition may affect the patient's ability to drive or operate machinery safely. However, if you notice any changes in your vision, stop taking 4D Tablet and inform your doctor immediately.
Store 4D Tablet at a temperature below 30°C in a cool and dry place as advised on the label. Protect from light and moisture. Keep it out of reach of children. 4D Tablet should be disposed, by following local guidelines or asking your pharmacist how to properly dispose of any unused medicine.
4D Tablet causes side effects such as weakness, nausea, vomiting, malaise (feeling of discomfort), and fatigue. However, please contact a doctor if these side effects persist longer.
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