Intentional overdosage with isoniazid : Case report and review of literature

Isoniazid (INH) is widely used in most prophylactic and therapeutic anti-tuberculosis regimens because of its effectiveness and low cost. Yet, INH poisoning appears to be rare. We report the first case of intentional INH overdosage in Singapore. A 26-year-old Filipino male presented with mental obtundation, recurrent seizures, metabolic acidosis and hepatic dysfunction. He was successfully treated with large doses of pyridoxine (vitamin B 6 ). Recommendations for the management of acute INH toxicity are highlighted.