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Health Query

My aunt is of weight 73 kg. She has dry cough and enlarged lymph nodes in neck. On doing fnac of neck lymph nodes, tuberculous lymphadenitis was suggested. She was started tb treatment on rcinex 600 combutol 1000 pyniza (750 mg×2). Today she has completed 2 months with above medicines. Now the doctor suggested to take akt4 for next 4 months. They have heard that after completing 2 months, one tablet (pyrazinamide) has to be stopped. Please suggest what to do and which medicines to be taken as 2 months have been completed.

Dr. Gaurav Kumar Roy92%(147 ratings)

MBBS

General Physician•Jamshedpur

Yeah that is how the treatment for tb is done. For the next 4 months she has to continue rifampicin and isoniazid.

27 people found this helpful

Asked for male, 28 years old from Yamunanagar

My age is 28, height is 5'9" & weight is 85 kgs. Mujhe backache rhta hai. Tests me spinal TB show hua. Mera treatment 3rd aug se start hua. Jisme maine Rifampicin (R)=450 mg/day & Isoniazid (I)=300 mg/day & Pyrazinamide (P)=1500 mg/day & Ethambutol hydrochloride (E)= 800 mg/day liya. After consulting another doctor on 17th aug 2018 maine dose increase krdi. So from 18th aug 2018, I am taking R=600 mg & I=300 mg & P=2000 mg & E=1200 mg. But still my pain has not gone. I want to you ask about this. Mjhe back pain me improvement bhut kam h.kaafi pain h abhi bhi. Mjhe painkillers lene pdte hn regularly. Ye pain kab tak jayegi? Ya aur kuch h jo mujhe improve karna chahiye. Any tests or something jo mujhe krwane chahiye?

Dr. Shriganesh Diliprao Deshmukh88%(5509 ratings)

International Academy of Classical Homeo...read more

Homeopath•Pune

2. Rhus tox 0/2 once a day for 4days

Ruta 200 as above

Sympht 200 as above

Hyper200 once day for 5days

Bell3 c liquid 4tims day

Ask me in private so dat we can discuss in better manner and also u wil improve
Also we can change d medicine

Asked for male, 31 years old from Howrah

Hi Dr, my younger brother suffering from abdominal Koch's. He is advised to take forecox for first 2 month then Dr. change the medicine including ethambutol (450 mg) rifampicin (800 mg) and solonex (100 mg 100 mg) After 45 days of taking these three medicine. One dose of solonex is missed then what should do? We are very confused and worried about these. Please Dr. guide. Our physician is not available at this time to guide us.

Dr. Mool Chand Gupta95%(37146 ratings)

MD - Pulmonary, DTCD

Pulmonologist•Faridabad

If ony one dose of solonex is missed thennothing to worry.But you have not mentioned proper quantity as there is no rifampicin having 800mg or ethambotol having 450 mg

Asked for male, 28 years old from Ghaziabad

Hi I am 28 male suffering form bone tb from last 10 days I am taking rifampicin 600, ethambutol 1000 and pyrazinamide 1400 mg as suggested by doctor. My doctor advise me 2 month complete bed rest please suggest me ho much rest I should taken. And I am also addicted to smoking is there any side effect of smoking while taking these tabs as I was unable to quit smoking please advise.

Dr. Rajesh Jain93%(15958 ratings)

MBBS

General Physician•Jalgaon

Please Reduce smoking Continue your current medicine Add Tab geriforte by Himalaya 2 2 regularly Avoid oily spicy and fast, non veg food, fish, brinjals.

Asked for female, 24 years old from Mumbai

I'm a tb patient and I was initially asked to take the regular att medication. Soon, it led to extreme nausea and vomiting and caused a spike in my sgpt and sgot. I couldn't continue with the same medication and hence the medication was changed to solonex 300, moxifloxacin 400 and ethambutol 1000. Can I avoid rifampicin and pyrazinamide which were present in the previous medication as they were causing an adverse effect on me? And can I continue with the new medication as my permanent medication?

Vandana Prabhu

MBBS, Diploma in Tuberculosis & Chest Di...read more

Pulmonologist•Bangalore

There is a way to treat drug- induced hepatitis. We should stop all att, then introduce the first- line drugs in small doses, one by one, repeating sgot/sgpt ay regular intervals. There is no need to add a second-line drug like moxifloxacin.

133 people found this helpful

Asked for female, 25 years old from Thane

I am a 26 years old female, I am on tb medications: rifampicin, levofloxacin, ethambutol and pyrazinamide since past few days, as the medications are high doses they are causing side effects like severe vomiting, the doctor has advised to stop medication for 3 days, will skipping the dose cause my situation to convert to mdr tb? Kindly advise on the same.

Dr. Mool Chand Gupta95%(37146 ratings)

MD - Pulmonary, DTCD

Pulmonologist•Faridabad

Need lft to rule out hepatitis also your medicine are not as per protocol.

93 people found this helpful

Asked for male, 57 years old from Bhopal

My mother is suffering from renal tb, she is consuming medicine from DOTS, (rifampicin 600 mg & izoniad 300 mg) because kidney patient are not given ethambutol. The problem is DOTS provider says there is shortage of medicine. So can I switch to R-cinex 600? Is r-cinex 600 mg good medicine in comparison to DOTS?

Dr. Mool Chand Gupta95%(37146 ratings)

MD - Pulmonary, DTCD

Pulmonologist•Faridabad

can switch as one the same medicine.TB treatment need 4 drugs for first 2 months and if KFT is normal these drugs can be used.

Asked for male, 36 years old from Bareilly

From one and half year (Since Aug-16) I'm taking TB medicine. 1.mycobutol 750 2.pyrazinamide 750 3.Rifampin 600. Now I having join pain due to uric acid (aug-17 blood checkup uric acid is 7.2),so please suggest now what I do.

Dr. Gaurav Ghatawat91%(122 ratings)

DNB(Respiratory diseases), MNAMS

Pulmonologist•Mumbai

There is no reason for you to continue Pyrazinamide so long. And why is there no isoniazid in the prescribed drugs. The regimen you using for to cure tb is not correct. It should contain rifampicin, isoniazid, Pyrazinamide and ethambutol for 2-3 months and later the drugs should be continued without Pyrazinamide only for 9 months at the most in total.
I don't understand the reason for 1.5 yrs of treatment. Even if it's bone tb the drugs should be for 1 year and without Pyrazinamide.

Asked for female, 28 years old from Delhi

I am going through the Potts spine treatment. The doctor prescribed level one medicines for the treatment. However after a month and complete blood tests the liver test showed high SGOT AND SGPT. So the doctors have stopped Rifampicin. Pyrazinamide. Both of these medicines and says will resume it once the liver levels get normal! I am worried as I am bed ridden for almost a month now.

Dr. Mool Chand Gupta95%(37146 ratings)

MD - Pulmonary, DTCD

Pulmonologist•Faridabad

doctor has taken a right decision. Isoniazid should also be stopped till liver function return to norm

Asked for male, 32 years old from Hyderabad

My father, aged 68, some 6 months back was diagnosed for Spine TB and he started on AKT4 for 2 months, AKT3 for the next month but had to stop due to vision loss and following 3 months was taking Rifampicin and Isoniazid. His vision is almost back with some eye power complaint but since last month he is complaining about arm pain near the shoulder joint. There is a slight muscular swelling possibly which we feel there. I read that Isoniazid can cause these side effects. What could be the reason and if it needs any urgent attention to treatment? FYI. He is taking 40 mg of pyridoxine, his blood work shows mild thrombocytopenia, haemoglobin = 11.4, platelet count=106, ESR has come down to 60, CRP has come down from 67 to 8.4. His back is almost gone.

Dr. Julie Mercy J David91%(41326 ratings)

Erasmus Mundus Master in Adapted Physica...read more

Physiotherapist•Chennai

Shoulder pain & armIt is called as peri arthritis shoulder and for that you can do hot water fermentation and ice therapy at home. If you have shoulder pain then the stiffness will develop more that might make the arm to have less improvement which might make you to feel more pain the arm. And also cervical pillow can be used which might make you to have better posture of the shoulder neck and arm.

129 people found this helpful

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