Antitubercular Drugs · Pharmacology

What is the primary reason for using multi-drug therapy in the treatment of Tuberculosis?

  1. To reduce the total cost of treatment
  2. To allow treatment to be completed within two weeks
  3. To reduce the risk of hepatotoxicity
  4. To prevent the emergence of drug-resistant strains
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Correct answer: To prevent the emergence of drug-resistant strains

Mycobacterium tuberculosis acquires resistance through spontaneous chromosomal mutations, and a large bacillary population will already contain mutants resistant to any single agent. Combining drugs with different mechanisms ensures those mutants are killed by the companion drugs, which prevents multidrug-resistant disease.

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