Ethionamide

Ethionamide is an antibiotic used to treat tuberculosis. Specifically it is used, along with other antituberculosis medications, to treat active multidrug-resistant tuberculosis. It is no longer recommended for leprosy. It is taken by mouth.

Ethionamide
Clinical data
Trade namesTrecator, others
AHFS/Drugs.comMonograph
MedlinePlusa682402
Routes of
administration
by mouth
ATC code
Legal status
Legal status
Pharmacokinetic data
Protein binding~30%
Elimination half-life2 to 3 hours
Identifiers
  • 2-ethylpyridine-4-carbothioamide
CAS Number
PubChem CID
DrugBank
ChemSpider
UNII
KEGG
ChEBI
ChEMBL
CompTox Dashboard (EPA)
ECHA InfoCard100.007.846
Chemical and physical data
FormulaC8H10N2S
Molar mass166.24 g·mol−1
3D model (JSmol)
Melting point164 to 166 °C (327 to 331 °F) (dec.)
  • S=C(c1ccnc(c1)CC)N
  • InChI=1S/C8H10N2S/c1-2-7-5-6(8(9)11)3-4-10-7/h3-5H,2H2,1H3,(H2,9,11) Y
  • Key:AEOCXXJPGCBFJA-UHFFFAOYSA-N Y
  (verify)

Ethionamide has a high rate of side effects. Common side effects include nausea, diarrhea, abdominal pain, and loss of appetite. Serious side effects may include liver inflammation and depression. It should not be used in people with significant liver problems. Use in pregnancy is not recommended as safety is unclear. Ethionamide is in the thioamides family of medications. It is believed to work by interfering with the use of mycolic acid.

Ethionamide was discovered in 1956 and approved for medical use in the United States in 1965. It is on the World Health Organization's List of Essential Medicines.

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