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Generic Name: ethambutol (eth AM bue tol)
Brand Name:Myambutol
Dosage Forms: oral tablet (100 mg; 400 mg)
What is ethambutol?
Ethambutol is an antibiotic that prevents growth of the tuberculous bacteria in the body.
Ethambutol is used to treat tuberculosis (TB), and is usually given together with at least one other tuberculosis medicine.
Ethambutol may also be used for purposes not listed in this medication guide.
Warnings
Ethambutol can cause serious vision problems or irreversible vision loss. You may not be able to take ethambutol if you have an eye problem or vision disorder.
Before taking this medicine
You should not use ethambutol if you are allergic to it. You may not be able to take ethambutol if you have an eye condition called optic neuritis (inflammation of nerve fibers behind your eyes). Your doctor will decide if this treatment is right for if you have an eye disorder.
Ethambutol can cause vision problems that may be a sign that you should stop taking the medicine. You may not be able to take ethambutol if you cannot recognize or report any changes in your vision. Young children or debilitated patients may not be able to tell someone about vision problems.
To make sure ethambutol is safe for you, tell your doctor if you have:
inflammatory eye disorders such as uveitis or iritis;
eye problems caused by diabetes;
cataracts;
liver disease;
kidney disease; or
gout.
FDA pregnancy category C. It is not known whether ethambutol will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medicine.
Ethambutol can pass into breast milk and may harm a nursing baby. Tell your doctor if you are breast-feeding a baby.
Ethambutol should not be given to a child younger than 13 years old.
How should I take ethambutol?
Follow all directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results. Do not take ethambutol in larger or smaller amounts or for longer than recommended.
Tell your doctor if you have ever used tuberculosis medicine before. Your dose may be different if you have been treated for tuberculosis in the past.
You may take ethambutol with or without food.
Ethambutol may be taken with food if it upsets your stomach.
Tell your doctor if you have any changes in weight. Ethambutol doses are based on weight and your dose may also need to be changed.
Your vision will need to be checked often while you are taking ethambutol. If you wear glasses, take them with you to your vision examination.
Your blood cells, kidney function, and liver function may also need to be checked.
Use this medicine for the full prescribed length of time. Your symptoms may improve before the infection is completely cleared. Skipping doses may also increase your risk of further infection that is resistant to antibiotics. Ethambutol will not treat a viral infection such as the flu or a common cold.
Tuberculosis is sometimes treated with a combination of drugs. Use all medications as directed by your doctor. Read the medication guide or patient instructions provided with each medication. Do not change your doses or medication schedule without your doctor's advice.
Store at room temperature away from moisture and heat.
What happens if I miss a dose?
Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.
What happens if I overdose?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
What should I avoid while taking ethambutol?
Avoid taking an antacid containing aluminum hydroxide (Alternagel, Maalox, Mi-Acid, Mylanta, Rulox) within 4 hours after you take ethambutol. Some antacids can make it harder for your body to absorb ethambutol.
Ethambutol side effects
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.
Ethambutol can cause serious vision problems, including vision loss that may be permanent. Stop using ethambutol and call your doctor at once if you have any problems with one or both of your eyes, such as:
blurred vision or trouble focusing;
loss of vision in one eye that lasts an hour or longer;
increased sensitivity of your eyes to light;
loss of color vision; or
pain with eye movement, pain behind your eyes.
Call your doctor at once if you have:
new or worsening cough with fever, trouble breathing;
numbness of tingling in your hands or feet;
confusion, hallucinations;
fever, swollen glands, painful mouth sores, skin sores, cold or flu symptoms, general ill feeling;
easy bruising or bleeding (nosebleeds, bleeding gums);
chest pain or shortness of breath with mild exertion;
little or no urinating;
liver problems--upper stomach pain, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes); or
severe skin reaction--fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain, followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling.
Common side effects may include:
itching or rash;
joint pain;
headache, dizziness; or
nausea, vomiting, stomach pain, indigestion, loss of appetite.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
What other drugs will affect ethambutol?
Other drugs may interact with ethambutol, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using.
More about ethambutol
- During Pregnancy or Breastfeeding
Vip Rise Of The Resistance
Consumer resources
- Other brands
- Myambutol
Professional resources
Related treatment guides
Vipriser For Mac
Further information
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
Copyright 1996-2021 Cerner Multum, Inc. Version: 3.01.
Context:
I’m currently putting together a grant application. This means I need to get together documentation and press for what I’ve done. I need to submit this all on printed physical paper. URLs or pdf files by themselves are not enough.
I’m on macOS. Normally, you can just print a webpage to pdf from the browser. However, for some crazily-made websites, this doesn’t work and creates broken formatting. I had to use a plugin (which I now forget, because I’ve since switched computers and it was a few months ago) to print these broken webpages. The plugin outputs the page as a single page large pdf, like so:
Unfortunately, this is not “ready to print” yet.
The Problem:
I have several single-page pdfs with page sizes that are much larger than 8.5″ x 11″. I want to split these into pages so that they’re ready to print on a 8.5″ x 11″ paper. Fortunately, the layout of the big pdf is such that we can split it into a single column; we don’t have to have split the page left-to-right, only vertically.
Trying to find a solution:
Nothing seems to do this out of the box. In fact, most of the current pdf management tools seem unprepared for non-standard pdf page size.
This is a hard-to-Google problem, in that all the ways to specify it are ambiguous for the purposes of a search engine. Is there a general term for these kinds of problems? When you search for “splitting pdf” or “crop pdf” or “separate pdf pages” the results assume you want to take a pdf document with several pages in it, and remove some of the pages, without affecting individual pages themselves.
macOS’s Preview app’s print dialogue won’t let me print a single page pdf onto multiple pages. When I try to adjust scale of a single pdf page, it crops the page rather than lets it overflow:
I thought I could maybe use lovely command-line tool image magick convert to take each single-page pdf and crop it into a series of 8.5″x11″ pages. Unfortunately, looks like my source pdfs all have varying widths. While it may be possible, there’s no immediately convenient way to measure the width of a source pdf and split it into semi-overlapping tiles of a given ratio.
Solution:
I heard that Adobe Acrobat would let me crop pdfs. I installed it via homebrew cask, which is how I install any application whenever possible. After installing it, I that the cropping pdf feature was only available in Acrobat Pro. Cropping a pro feature!? Seems crazy, but given how arduous my search had been so far, maybe that’s not actually that crazy.
Fortunately, I’m already paying for Adobe Creative Cloud at $50 USD/month.
I found the pdf splitting interface in the print dialogue (more on that later). However, Adobe Acrobat won’t print to pdf. And, Adobe won’t print to macOS’s print dialogue – trying to do this crashes Adobe Acrobat. Adobe Acrobat would only print to real printers that were connected to my computer, which I couldn’t do because I’m sending pdfs to a print shop via email.
Wat.
Vipriser Review
So, I needed to make a virtual printer that showed up in my print dialogue, but actually printed to pdf. I found one called VipRiser. Here’s the virtual printer:
With VipRiser, you can choose where the pdf goes. I tried setting it to Desktop, and then Downloads, which VipRiser accepted, yet when I tried to print, it would hang for a bit then told me it “couldn’t find the folder”. So, I selected the “Open in Preview” option instead. Then, after the resulting pdf opened, I could save it to the desired location. This yak is a Matryoshka doll.
VipRiser worked fine after that, but it froze if my Mac ever slept. It also hanged for a shockingly long time while printing documents of only a few pages, like 30 seconds.
Vipriser For Mac
Now that actually outputting a document is solved, lets go back to the Adobe Acrobat print interface. Under the “Page Size & Handling” Tab, select “Poster” to choose your tiling options.
On the right side, you can see the dotted lines cut the big single page into 3 pages. However, the top of the first page isn’t aligned with the top of the original page. I couldn’t see how to fix this. I just decided to accept this and hoped it wouldn’t make my application look too weird.
You can see I set the “Tile Scale” to 60%; I found this out manually. Note in the page visualization on the right, it tells you the document size is “8.5 x 33 inches”. If you make the Tile Scale one bigger, to 61%, it changes the page layout so it’s 11 inches wide, ignoring the Orientation setting:
But then it worked. Holy shit.
Yak-Shaving
I come across these sorts of “I just want to do a simple thing” deep dives more often than I’d like, so I’ve started a new category: yak-shaving posts. If you aren’t familiar with the definition of yak shaving:
[MIT AI Lab, after 2000: orig. probably from a Ren & Stimpy episode.] Any seemingly pointless activity which is actually necessary to solve a problem which solves a problem which, several levels of recursion later, solves the real problem you’re working on.