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Akt-4 Kit Health Feed

Asked for female, 45 years old from Bangalore
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I am taking treatment for tuberculosis. I am taking medications from the past 3 months. In the beginning doctor gave the following medication (for 8 days) 1. Rifampicin - 450 mg 2. Ethambutol - 600 mg 3. Isoniazid - 200 mg 5. Benadon - 20 mg 6. Pyrazinamide - 1000 mg then liver got affected so he put me on this for a week (7 days) (i got drug induced hepatitis) 1. Ethambutol - 600 mg 2. Levoflox 750 mg 3. Injection amikacin 500m mg (iv) then again for one week (7 days) he gave, 1. Ethambutol - 600 mg 2. Levoflox 750 mg 3. Injection amikacin 500m mg (iv) 4. Isoniazid - 100 mg taking isoniazid again affected the liver, so he stopped isoniazid and he gave this for 5 weeks, 1. Ethambutol - 600 mg 2. Levoflox 750 mg 3. Injection amikacin 500m mg (iv) then when the liver condition became ok, doctor has given the following medication 1. Rifampicin - 450 mg 2. Ethambutol - 600 mg 3. Isoniazid - 200 mg 4. Benadon - 20 mg 5. Levoflox 750 mg this is what is going on now. I am not sure if the treatment being given is right or not. I had consulted another pulmonologist who says this is not the right treatment as drugs should not be changed so often. Also he says amikacin and levoflox are given for mdr tb and not for normal tb. Now that it is already given I cannot change that. The other pulmonologist says that if it is these drugs then one needs to give it for 9 months as pyrazinamide is not given. He also says if sputum is negative then we can stop levofloxin and give the drugs for 4 months. However I am not getting sputum for testing also. I have two questions now. 1. Other than sputum testing is there any other way of finding out if tb bacteria is still there in the body. If that is the only way is there any way of generating sputum. 2. Should att-4 with the four standard medications be started again. What is the best alternative. Kindly suggest.

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M.D - Respiratory Medicine

Pulmonologist•Hyderabad
Pulmonologist altered regimen and added levofloxacin because you had liver side effects with pyrazinamide which was stopped
the standard regimen of rifampicin isoniazid ethambutol pyrazinamide is a guideline with exception when necessary
it is not an inviolable dictate
still in doubt consult pulmonologist at nationaltb institute bangalore malleswaram.
Asked for male, 22 years old from Vadodara
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DNB PULMONOLOGY, FELLOWSHIP IN CLINICAL ...read more

Pulmonologist•Hyderabad
You have to take proper doses of tablets.
Akurit 4 you have to take 4 tabs at a time.
First are you sure you have testical tuberculosis.
How it was diagnosed is important.
Just nodule in testis are other clinico radiological diagnosis.
But take proper dose n duration else resistance is very high.
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MBBS, MD Tuberculosis And Chest Diseases...read more

Pulmonologist•Kolkata
Each of these 4 drugs can cause
various imp side -effects.
so ,ideally these drugs. Are to be prescribed when& only when TB is diagnosed beyond doubt.
636 people found this helpful
Asked for male, 41 years old from Jamshedpur
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BPTh/BPT

Physiotherapist•Agra
Hi as per your infromation ,akt4 have 4 salt rifampicin ,isoniazid ,ethambutol, pyrazinamide, many times seen that pyrazinamid have side effects of joint pain, then it must be better for confirm blood test for better examination of osterarthrits and rehumatoid like cbc, esr, anti ccp test ,rf factor.
713 people found this helpful
Asked for male, 22 years old from Patna
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DM (Pulmonary & Critical care medicine),...read more

Pulmonologist•Delhi
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Hi. Seems to have involvement of lung and spine both due to tb… need to consult orthopedics/ neurologist… mri spine or whole body pet ct to look for other sites of involvement… could be drug resistant or paradoxical phenomenon or rule out any other alternative diagnosis…in my opinion att to be continued for 9-12 months atleast. Rule out collection in spine. Consult doctor nearby. Thanks.
62 people found this helpful
Asked for male, 25 years old from Meerut
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DM (Pulmonary & Critical care medicine),...read more

Pulmonologist•Noida
Hi… 3 tablets of ripe fd kit should be taken together in fasting state as per your body weight … otherwise you can switch to akurit 4 4 tablets all before breakfast… look for paradoxical phenomenon or drug resistance…if it is paradoxical phenomenon need to add oral steroids in tapering doses along with anti tuberculosis medications… better consult chest physician nearby. Get genexpert from lymph node aspirate. Get complete pus drainage.
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