Sirturo
(bedaquiline)
Used to treat active tuberculosis when other medications cannot be used.
Our bottom line
Sirturo (bedaquiline) is a great addition to tuberculosis regimens but only if your tuberculosis can't be treated with all of the typical tuberculosis drugs.
- Drug class: Infection
- Rx status: Prescription only
- Generic status: No lower cost generic available
Upsides
- Sirturo (bedaquiline) is the first drug with a new method of treating multi-drug resistant tuberculosis to be developed in over 40 years.
- After two weeks of taking Sirturo (bedaquiline) each day, you will only need to take it three times a week for the rest of your therapy.
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What to expect from Sirturo, on one page
Downsides
- Sirturo (bedaquiline) should not be taken alone to treat your tuberculosis. You must take it with at least 3 other medications.
- It is recommended you take Sirturo (bedaquiline) by directly observed therapy or in front of a health worker.
- Like other tuberculosis drugs, Sirturo (bedaquiline) has to be given for several months in order for it work properly (usually 6 months).
- A study found an increased risk of death with Sirturo (bedaquiline). You can only take it when the standard tuberculosis treament is not enough to treat you of tuberculosis.
- Sirturo (bedaquiline) cannot be used for latent (or non-active) tuberculosis or for tuberculosis that has spread outside the lungs.
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What to expect from Sirturo, on one page
Sirturo (bedaquiline) works by blocking how the tuberculosis bacteria gets its energy. Without energy, the tuberculosis bacteria eventually dies.
- Drug class: Infection
- Rx status: Prescription only
- Generic status: No lower cost generic available
Used for
- Pulmonary tuberculosis
Dosage forms
- Pill
Prices and coupons
Skip prices section. Skip to what to expect section.- Medicine ShoppeGet free coupon$3903.99
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What to expect when you take Sirturo (bedaquiline) for Active tuberculosis
Skip what to expect section. Skip to side effects section.- First few daysDaysFirst few weeksWeeksFirst few monthsMonthsLong term
- Effectiveness
- Starts to kick inFull effects
- First few daysDaysFirst few weeksWeeksFirst few monthsMonthsLong term
- Possible side effects
- Nausea
- Joint pain
- Headache
- Coughing up blood
- Chest pain
- Loss of appetite
Side effect rates for Sirturo (bedaquiline)
- Nausea38%38%32%32%
- Joint pain33%33%22%22%
- Headache28%28%12%12%
- Coughing up blood18%18%11%11%
- Chest pain11%11%7%7%
- Loss of appetite9%9%4%4%
- Abnormal liver labs9%9%1%1%
- Rash8%8%4%4%
- Pancreatitis3%3%1%1%
The placebo bar shows how common a side effect was for people taking a sugar pill instead of Sirturo.
People taking Sirturo felt side effect more
People taking Sirturo felt side effect less
Risks and Warnings for Sirturo (bedaquiline)
Skip risks section. Skip to common concerns section.A study found an increased risk of death with Sirturo (bedaquiline). Only take it when the standard tuberculosis treament cannot be used.
This is a black box warning. The FDA requires this warning when there is a significant risk of serious or life-threatening effects that anyone taking the drug should consider.
Common concerns from people taking Sirturo (bedaquiline)
Final section. Do you want to return to drug navigation?- Avoid alcohol and other other drugs that can harm your liver while taking Sirturo (bedaquiline).
- Sirturo (bedaquiline) should be swallowed whole with water and taken with food.
- Liver damage has been reported in people who use Sirturo (bedaquiline). Your doctor might do regular blood tests to check your liver.. If you notice yellowing of the eyes or the skin, or dark urine, talk to your doctor right away.