| 
                       Clarithromycin
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Macrolides | 
                  
                
              
                
                
                
                
                
                
                  
                    23S rRNA on the 50s ribosomal subunit | 
                  
                
              
                
                
                
                
                
                
                  
                    Bactericidal or bacteriostatic activity (It reversibly binds to the 23S rRNA on the 50s ribosomal subunit and subsequently prevents polypeptide synthesis) | 
                  
                
              
                
                
                
                
                
                
                  
                    Oral | 
                  
                
              
              
          
            
              
                
                
                
                
                
                
                
                
                
                  
                    | 
                       Rifampicin
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Rifamycin | 
                  
                
              
                
                
                
                
                
                
                  
                    RNA synthesis through interfering with bacterial RNA-polymerase | 
                  
                
              
                
                
                
                
                
                
                  
                    Bactericidal activity (act on mycobacteria by inhibiting RNA synthesis through interfering with bacterial RNA-polymerase) | 
                  
                
              
                
                
                
                
                
                
                  
                    Oral | 
                  
                
              
              
          
            
              
                
                
                
                
                
                
                
                
                
                  
                    | 
                       Streptomycin
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Aminoglycoside | 
                  
                
              
                
                
                
                
                
                
                  
                    hinders formyl-methionyl-tRNA to bind with bacterial ribosomal 30S subunit | 
                  
                
              
                
                
                
                
                
                
                  
                    Bactericidal effect or Bacteriostatic (It is a protein synthesis inhibitor that hinders binding of formyl-methionyl-tRNA to the bacterial ribosomal 30S subunit) | 
                  
                
              
                
                
                
                
                
                
                  
                    Injectable | 
                  
                
              
              
          
            
              
                
                
                
                
                
                
                
                
                
                  
                    | 
                       Rifabutin
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Rifamycin | 
                  
                
              
                
                
                
                
                
                
                  
                    RNA synthesis through interfering with bacterial RNA-polymerase | 
                  
                
              
                
                
                
                
                
                
                  
                    Bactericidal (act on mycobacteria by inhibiting RNA synthesis through interfering with bacterial RNA-polymerase) | 
                  
                
              
                
                
                
                
                
                
                  
                    Oral | 
                  
                
              
              
          
            
              
                
                
                
                
                
                
                
                
                
                  
                    | 
                       Amikacin
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Aminoglycoside | 
                  
                
              
                
                
                
                
                
                
                  
                    formyl-methionyl-tRNA | 
                  
                
              
                
                
                
                
                
                
                  
                    Bactericidal activity (It is a protein synthesis inhibitor that hinders binding of formyl-methionyl-tRNA to the bacterial ribosomal 30S subunit) | 
                  
                
              
                
                
                
                
                
                
                  
                    Injectable | 
                  
                
              
              
          
            
              
                
                
                
                
                
                
                
                
                
                  
                    | 
                       Azithromycin
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Macrolide | 
                  
                
              
                
                
                
                
                
                
                  
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Bacteriostatic activity | 
                  
                
              
                
                
                
                
                
                
                  
                    Oral | 
                  
                
              
              
          
            
              
                
                
                
                
                
                
                
                
                
                  
                    | 
                       Ethambutol
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Antimycobacterial antibiotics | 
                  
                
              
                
                
                
                
                
                
                  
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Bacteriostatic | 
                  
                
              
                
                
                
                
                
                
                  
                    Oral | 
                  
                
              
              
          
            
              
                
                
                
                
                
                
                
                
                
                  
                    | 
                       Isoniazid (isonicotinic acid hydrazide [INH])
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Hydrazide derivatives | 
                  
                
              
                
                
                
                
                
                
                  
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Bactericidal activity | 
                  
                
              
                
                
                
                
                
                
                  
                    Oral | 
                  
                
              
              
          
            
              
                
                
                
                
                
                
                
                
                
                  
                    | 
                       Kanamycin
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Aminoglycoside | 
                  
                
              
                
                
                
                
                
                
                  
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Bactericidal effect | 
                  
                
              
                
                
                
                
                
                
                  
                    Injectable | 
                  
                
              
              
          
            
              
                
                
                
                
                
                
                
                
                
                  
                    | 
                       Erythromycin
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Macrolides | 
                  
                
              
                
                
                
                
                
                
                  
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Bacteriostatic | 
                  
                
              
                
                
                
                
                
                
                  
                    Oral | 
                  
                
              
              
          
            
              
                
                
                
                
                
                
                
                
                
                  
                    | 
                       Roxithromycin
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Macrolides | 
                  
                
              
                
                
                
                
                
                
                  
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Bacteriostatic | 
                  
                
              
                
                
                
                
                
                
                  
                    Oral | 
                  
                
              
              
          
            
              
                
                
                
                
                
                
                
                
                
                  
                    | 
                       Linezolid
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Oxazolidinone | 
                  
                
              
                
                
                
                
                
                
                  
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Bactericidal action | 
                  
                
              
                
                
                
                
                
                
                  
                    Orally or by IV infusion | 
                  
                
              
              
          
            
              
                
                
                
                
                
                
                
                
                
                  
                    | 
                       Posizolid
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Oxazolidinone | 
                  
                
              
                
                
                
                
                
                
                  
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Bactericidal action | 
                  
                
              
                
                
                
                
                
                
                  
                     | 
                  
                
              
              
          
            
              
                
                
                
                
                
                
                
                
                
                  
                    | 
                       Sutezolid
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Oxazolidinone | 
                  
                
              
                
                
                
                
                
                
                  
                     | 
                  
                
              
                
                
                
                
                
                
                  
                     | 
                  
                
              
                
                
                
                
                
                
                  
                     | 
                  
                
              
              
          
            
              
                
                
                
                
                
                
                
                
                
                  
                    | 
                       TB47 (pyrazolo[1,5-a]pyridine-3-carboxamides)
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Imidazopyridine amide | 
                  
                
              
                
                
                
                
                
                
                  
                    QcrB Cytochrome bc1:aa3 | 
                  
                
              
                
                
                
                
                
                
                  
                    Bactericidal ctivity (can block the cytochrome bc1 complex, thereby causing a reduction of intracellular ATP and eventually inhibiting the growth of M. ulcerans) | 
                  
                
              
                
                
                
                
                
                
                  
                    Oral | 
                  
                
              
              
          
            
              
                
                
                
                
                
                
                
                
                
                  
                    | 
                       P218
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Synthetic organic | 
                  
                
              
                
                
                
                
                
                
                  
                    The enzyme dihydrofolate reductase (DHFR) | 
                  
                
              
                
                
                
                
                
                
                  
                    Bactericidal ctivity | 
                  
                
              
                
                
                
                
                
                
                  
                     | 
                  
                
              
              
          
            
              
                
                
                
                
                
                
                
                
                
                  
                    | 
                       Ciprofloxacin
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Fluoroquinolones | 
                  
                
              
                
                
                
                
                
                
                  
                    DNA gyrase-catalyzed super-coiling of double-stranded DNA | 
                  
                
              
                
                
                
                
                
                
                  
                    Bactericidal activity (They impede DNA replication and transcription by hindering the DNA gyrase-catalyzed super-coiling of double-stranded DNA) | 
                  
                
              
                
                
                
                
                
                
                  
                    Oral | 
                  
                
              
              
          
            
              
                
                
                
                
                
                
                
                
                
                  
                    | 
                       Sitafloxacin
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Fluoroquinolones | 
                  
                
              
                
                
                
                
                
                
                  
                    Bacterial DNA gyrase (topoisomerase II) | 
                  
                
              
                
                
                
                
                
                
                  
                    Bacteriostatic (They impede DNA replication and transcription by hindering the DNA gyrase-catalyzed super-coiling of double-stranded DNA) | 
                  
                
              
                
                
                
                
                
                
                  
                    Oral | 
                  
                
              
              
          
            
              
                
                
                
                
                
                
                
                
                
                  
                    | 
                       Moxifloxacin
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Fluoroquinolones | 
                  
                
              
                
                
                
                
                
                
                  
                    DNA gyrase | 
                  
                
              
                
                
                
                
                
                
                  
                    Bactericidal activity (They impede DNA replication and transcription by hindering the DNA gyrase-catalyzed super-coiling of double-stranded DNA) | 
                  
                
              
                
                
                
                
                
                
                  
                    Oral | 
                  
                
              
              
          
            
              
                
                
                
                
                
                
                
                
                
                  
                    | 
                       Ofloxacin
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Quinolone | 
                  
                
              
                
                
                
                
                
                
                  
                    DNA gyrase | 
                  
                
              
                
                
                
                
                
                
                  
                    Bactericidal activity (They impede DNA replication and transcription by hindering the DNA gyrase-catalyzed super-coiling of double-stranded DNA) | 
                  
                
              
                
                
                
                
                
                
                  
                    Oral | 
                  
                
              
              
          
            
              
                
                
                
                
                
                
                
                
                
                  
                    | 
                       Prulifloxacin
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Quinolone | 
                  
                
              
                
                
                
                
                
                
                  
                    DNA gyrase | 
                  
                
              
                
                
                
                
                
                
                  
                    Bactericidal activity (They impede DNA replication and transcription by hindering the DNA gyrase-catalyzed super-coiling of double-stranded DNA) | 
                  
                
              
                
                
                
                
                
                
                  
                    Oral | 
                  
                
              
              
          
            
              
                
                
                
                
                
                
                
                
                
                  
                    | 
                       Sparfloxacin
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Quinolone | 
                  
                
              
                
                
                
                
                
                
                  
                    DNA gyrase | 
                  
                
              
                
                
                
                
                
                
                  
                    Bactericidal activity | 
                  
                
              
                
                
                
                
                
                
                  
                     | 
                  
                
              
              
          
            
              
                
                
                
                
                
                
                
                
                
                  
                    | 
                       Dapsone
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Sulfone | 
                  
                
              
                
                
                
                
                
                
                  
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Bactericidal activity (An imidazopyridine amide drug that targets the mycobacterial cytochrome bcc-aa3 terminal oxidase) | 
                  
                
              
                
                
                
                
                
                
                  
                     | 
                  
                
              
              
          
            
              
                
                
                
                
                
                
                
                
                
                  
                    | 
                       Rifalazil
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Benzoxazinorifamycin | 
                  
                
              
                
                
                
                
                
                
                  
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Bactericidal activity | 
                  
                
              
                
                
                
                
                
                
                  
                    Oral | 
                  
                
              
              
          
            
              
                
                
                
                
                
                
                
                
                
                  
                    | 
                       Epiroprim
                     | 
                  
                
              
                
                
                
                
                
                
                  
                     | 
                  
                
              
                
                
                
                
                
                
                  
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Bactericidal activity (inhibits dihydrofolate reductase) | 
                  
                
              
                
                
                
                
                
                
                  
                    Injectable | 
                  
                
              
              
          
            
              
                
                
                
                
                
                
                
                
                
                  
                    | 
                       Ivermectins
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Avermectins | 
                  
                
              
                
                
                
                
                
                
                  
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Bactericidal activity ( Inhibits the growth and also kill Mycobacterium ulcerans strains) | 
                  
                
              
                
                
                
                
                
                
                  
                    Oral | 
                  
                
              
              
          
            
              
                
                
                
                
                
                
                
                
                
                  
                    | 
                       Milbemycin oxime and selamectin
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Avermectins and milbemycins | 
                  
                
              
                
                
                
                
                
                
                  
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Bactericidal activity (in vitro pharmacodynamic studies demonstrates exposure-dependent activity of selamectin) | 
                  
                
              
                
                
                
                
                
                
                  
                    Oral | 
                  
                
              
              
          
            
              
                
                
                
                
                
                
                
                
                
                  
                    | 
                       Imidazopyridine amine telacebec (Q203)
                     | 
                  
                
              
                
                
                
                
                
                
                  
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    respiratory terminal oxidase cytochrome bc1:aa3 | 
                  
                
              
                
                
                
                
                
                
                  
                    Bactericidal activity | 
                  
                
              
                
                
                
                
                
                
                  
                    Oral | 
                  
                
              
              
          
            
              
                
                
                
                
                
                
                
                
                
                  
                    | 
                       Moxifloxacin, R207910 and linezolid
                     | 
                  
                
              
                
                
                
                
                
                
                  
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    topoisomerase II (DNA gyrase) and topoisomerase IV | 
                  
                
              
                
                
                
                
                
                
                  
                    Bactericidal activity | 
                  
                
              
                
                
                
                
                
                
                  
                    Oral | 
                  
                
              
              
          
            
              
                
                
                
                
                
                
                
                
                
                  
                    | 
                       Q203 (Telacebec)
                     | 
                  
                
              
                
                
                
                
                
                
                  
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    cytochrome bcc-aa3 terminal oxidase | 
                  
                
              
                
                
                
                
                
                
                  
                    Bactericidal activity | 
                  
                
              
                
                
                
                
                
                
                  
                    Oral | 
                  
                
              
              
          
            
              
                
                
                
                
                
                
                
                
                
                  
                    | 
                       Clofazimine
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Riminophenazine | 
                  
                
              
                
                
                
                
                
                
                  
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Bactericidal activity | 
                  
                
              
                
                
                
                
                
                
                  
                    Oral | 
                  
                
              
              
          
            
              
                
                
                
                
                
                
                
                
                
                  
                    | 
                       Bedaquiline
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Diarylquinoline | 
                  
                
              
                
                
                
                
                
                
                  
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Bactericidal activity | 
                  
                
              
                
                
                
                
                
                
                  
                    Oral | 
                  
                
              
              
          
            
              
                
                
                
                
                
                
                
                
                
                  
                    | 
                       Rifapentine
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Rifamycin | 
                  
                
              
                
                
                
                
                
                
                  
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Bactericidal activity | 
                  
                
              
                
                
                
                
                
                
                  
                    Oral | 
                  
                
              
              
          
            
              
                
                
                
                
                
                
                
                
                
                  
                    | 
                       Pretomanid (PA-824)
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Nitroimidazopyran | 
                  
                
              
                
                
                
                
                
                
                  
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Bactericidal activity | 
                  
                
              
                
                
                
                
                
                
                  
                     | 
                  
                
              
              
          
            
              
                
                
                
                
                
                
                
                
                
                  
                    | 
                       Mathesia
                     | 
                  
                
              
                
                
                
                
                
                
                  
                    Phytomedicine | 
                  
                
              
                
                
                
                
                
                
                  
                     | 
                  
                
              
                
                
                
                
                
                
                  
                     | 
                  
                
              
                
                
                
                
                
                
                  
                     |