Get the App

For Doctors

Book Appointment

Treatment

Ask a Question

Plan my Surgery

Health Feed

About

Health Feed

AllQ&AsTips

Home > Akurit-4 Tablet > Health Feed

Akurit-4 Tablet Health Feed

Asked for male, 23 years old from Indore

Can we take levofloxacin tablets ip 500 mg' for tb in addition to government prescribed tablets- rifampicin 150 mg, isoniazid 75 mg, pyrazinamide 400 mg & ethambutol hydrochloride 275 mg tablets ip?(current intake of govt prescribed medicine - 5 tablets)

Dr. C. E Prasad91%(1131 ratings)

M.D - Respiratory Medicine

Pulmonologist•Hyderabad

Yes
the policy is to add 2 new drugs if required
consult a specialist in tb since you intend to add only levofloxacin to already effective medication.

Asked for female, 46 years old from Chennai

I am 46, currently on medications for mtb (low level) medicine :rifampicin 600 mg ethambutol 1000 mg pyrazinamide 1500 mg isoniazid 300 mg benadon 40 mg I am taking the medication daily since 45 days, and daily at same time. I just want to know how many months does it take for the tb to heal.

Dr. Mool Chand Gupta95%(37146 ratings)

MD - Pulmonary, DTCD

Pulmonologist•Faridabad

Two months intensive phase and 4 months maintenance phase.

44 people found this helpful

Asked for male, 25 years old from Meerut

Hello my name is kajal sharma, one month back I was diagnosed with tuberculosis which is outside lungs. I have a big lymph node with pus in this in my neck area. Doctor recommended me tablet ripe fd for tb treatment. This tablet includes all the 4 main salts in addition with vit b6. Dosage are isoniazid (150), pyrazinamide (750), ethambutol (400), rifampicin (225) pyridoxine 10 mg. Please tell me is it the right dose and treatment i'm getting right now. My size of lymph node and it's pain is increasing. Please help.

Dr. Abhijeet Singh89%(65 ratings)

DM (Pulmonary & Critical care medicine),...read more

Pulmonologist•Noida

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

Asked for female, 25 years old from Thane

I am a 26 year old female on anti tb medicines which shall complete 2 months of the course, being isoniazid resistant the doctor prescribed me with rifampicin, levofloxacin, ethambutol and pyrazinamide. The medications were fine for the past month but from few days I am suffering from nausea again. I would like to know how long will these side effects last? Is the treatment working or no? Also after taking rifampicin in the morning I feel as if there is mucus generated coz when I cough I can feel it, what is the reason behind the same?

Dr. Mool Chand Gupta95%(37146 ratings)

MD - Pulmonary, DTCD

Pulmonologist•Faridabad

Need all tests again. Get lft to rule out drug induced hepatitis if tests favours then medicine can be reduced and will need minimum of 6 months.

141 people found this helpful

Health Query

I just got into maintenance phase in tb treatment because I finished my 2 months medication. Before im taking 3 tablets of quadmax, contents of quadmax is Rifampicin 150 mg, INH 75 mg, pyrazinamide 400 mg, ethambutol HCl 275 mg. Now my doctor said that she will transfer me to maintenance phase and she gave me 1 tablet of Rifampicin isoniazid 450 mg/400 mg a day. I forgot to ask my doctor if I need to continue drinking 3 tablets of quadmax. Do I need to take also 3 tablets of quadmax or the 1 tablet of rifampicin isoniazid only?

Dr. Mool Chand Gupta95%(37146 ratings)

MD - Pulmonary, DTCD

Pulmonologist•Faridabad

Medicine in quadmax is insufficient as per ypour weight. Need to take rifampicin/ isoniazid 450/300 and ethambutol 800 daily in continuation phase.

114 people found this helpful

Asked for male, 24 years old from Mumbai

Hi I'm 24 year old TB patient (lymph node tb) .I was taking akt4. My liver reacted to pyrazinamide so my doctor stopped it after taking it for 2 -3 days. So My doctor suggested 9 months isoniazid and rifampicin .Is it ok?

Dr. Vaibhav Krishna92%(56 ratings)

MD - Respiratory Medicine

Pulmonologist•Allahabad

No. Kindly wait for few days. And start again. Isoniazid Nd rifampin regime is outdated. At present isoniazid Nd rifampin and ethambutol is considered. Nd infact pyrazinamide has less liver toxicity as compared to rifampin.

109 people found this helpful

Asked for male, 30 years old from Delhi

My age 31, weight 53, taking tb medicine from last 24 days daily for knee - rifampin 450 mg, isoniazid 300 mg, pyrazinamide 750 & 500 mg, ethambutol 600 mg, is this right combination of medicine.

Dr. Parthiv Atul Kumar Shah86%(29 ratings)

MBBS, M.D Pulmonary Medicine, DNB - Resp...read more

Pulmonologist•Mumbai

Increase dose of ethambutol to 1000 mg if no side effects to it.
Can also increase dose of rifampicin to 500 mg (50 mg in form of syp).
If tolerated pza can also be increased to 1500 mg .kindly confirm with your doctor as side effects are common with att.

Asked for female, 45 years old from Bangalore

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.

Dr. C. E Prasad91%(1131 ratings)

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.

Health Query

What if one consume these medicines without having tb disease? Isoniazid (inh) rifampin (rif) ethambutol (emb) pyrazinamide (pza)

Dr. Amit Kumar Poddar92%(932 ratings)

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 female, 25 years old from Thane

I am a 26 year old female on anti tb medications shall complete 3 months now. Basically being isoniazid resistant so been prescribed rifampicin, levofloxacin, ethambutol and pyrazinamide, the doctor has advised to stop pyrazinamide by this month end yet I have not overcome the side effects due to these medicines. I suffer severe vomiting and nausea at least once a month, I am also taking pan d. The doctor suggest me to stop the medicines for few days after that and restart again. After vomiting I am suffering from pain in the lower abdomen for at least 4-5 days which decreases my appetite as well. There is also swelling and pain near my ankle as well. Kindly advise if the treatment is working or not?

Dr. Anusha C M93%(51 ratings)

MBBS Bachelor of Medicine and Bachelor o...read more

Pulmonologist•Bangalore

Hello lybrate-user, the regimen given to you seems to be proper. Nausea and vomiting is common with anti tb meds. U can take a better antacid than just pan d. Your response to the meds is decided by your chest xray. If improvements are there on that, then it means you r respomdimg to the treatment.

Ask a free question

Get FREE multiple opinions from Doctors

posted anonymously