The 18-Month MDR-TB Regimen Has a Successor - Summary - MDSpire
Commentary & Perspectives

The 18-Month MDR-TB Regimen Has a Successor

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A fivefold increase in pretomanid prescriptions within NHS England, from 9 patients per month in early 2024 to 45 in early 2025, highlights the UK's shift towards shorter all-oral regimens for multidrug-resistant tuberculosis (MDR-TB). This review by clinicians and pharmacists from Imperial College and Leeds Teaching Hospitals discusses overcoming challenges such as unlicensed drugs and safety monitoring. Key factors include expert oversight, funding pathways, and tailored protocols to promote safe and equitable access, alongside reduced treatment burden and improved outcomes for vulnerable populations.

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