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Home > Akurit-4 Tablet > Health Feed

Akurit-4 Tablet Health Feed

Asked for female, 80 years old from Thane

My mother 80 years old is on tb treatment since 8 months for 1st three months she was given rifampicin 300 inh 300 pyzina 750 combutol800 then in 4th month pyzina was stopped and rifampicin 450 along with inh 300 and combutol800 was continued after 20 days due to jaundice all medicines were discontinued n ethide 250 roxid 150 levoflox 750 was started n comb 800 was added after 15 days after 1 month pyzina750 also added know in 8th month inh 300 also added so which earlier medicines should be stopped her wt is 47 kg know losing 1 kg per month after jaundice.

Dr. C. E Prasad91%(1131 ratings)

M.D - Respiratory Medicine

Pulmonologist•Hyderabad

Post hepatitis the treating doctor is the best judge particularly for 80 year old citizen
ethambutol and levofloxacin or moxifloxacin stretomycin safe for liver
but other side effects to be watched while giving a regimen.

63 people found this helpful

Asked for male, 32 years old from Hyderabad

My father aged 68, some 8 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 5 months was taking Rifampicin and Isoniazid. His vision is almost back with some eye power complaint but he is complaining about arm pain midway from shoulder joint and elbow. I read that Isoniazid can cause these side effects. Also recent blood report shows hemoglobin at 10.9. I read this could be due to Rifampicin. 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 platelet count=130, ESR 94, CRP has come down from 67 to 8.4, LFT results are normal, His back pain is almost gone. Other symptoms at this moment are slight numbness around feet, constipation and dizziness upon movement. Remarks of Hemogram: RBCs: Mild anisopoikilocytosis. Predominantly macrocytic normochromic with macroovalocytes. WBCs: Mild Leukopenia is present. Platelets: Appear mildly reduced in smear. Macroplatelets are seen. Sugar levels are normal 93/142 Blood pressure is bit low 75/115.

Dr. Mool Chand Gupta95%(37146 ratings)

MD - Pulmonary, DTCD

Pulmonologist•Faridabad

Arm pain is nothing to do with TB drugs. Haematological abnormality can be due to rifampicin, but not alrming to stop drug rifampicin.

60 people found this helpful

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

Asked for male, 25 years old from Bhopal

Hello sir I am. Taking MDR tb medicine from. Last 3 months my TB back. Again.after 1 year I am taking cycloserine 500 mg ethambutol 800 mg pyrazinamide 1500 mg levofloxacin 500 mg ethionamide 500 ml cycloserine 500 mg kanamycin 750 ml daily I am both refamcin and isonazide resistance I want to know is this conventional 24 month course or new 12 month short regimen treatment I consult another doctor who. Is saying this is long time course.

Dr. C. E Prasad91%(1131 ratings)

M.D - Respiratory Medicine

Pulmonologist•Hyderabad

You may continue
The doctors in the capital will note specialist centre by Govt Consult MDR TB centre in Bhopal.

27 people found this helpful

Asked for female, 69 years old from Bilaspur

Hi, My mom 67 years age had a lump in side neck, some test was done, one doctor said it is TB but another doctor said it is not TB though he started TB treatment but she has sever side effects of rifampicin and pyrazinamide in liver, sgpt and sgot values goes very high and she was hospitalized couple of the time. So now doctor prescribed combunex 800 mg and moxigood 400 mg tab. After few days that lump disappeared and before few days a very little lump appeared some far from first lump. So please tell me is this drugs are enough to treat TB bacteria. And should I get diagnosed her TB again to make it confirm that she realy has TB or not?

Dr. Mool Chand Gupta95%(37146 ratings)

MD - Pulmonary, DTCD

Pulmonologist•Faridabad

Need to confirm diagnosis by histopathology, geneexpert MTB/RIF, and culture for TB. combunex and moxigold are not enough to treat TB

Asked for male, 32 years old from Hyderabad

My father aged 68, some 8 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 5 months was taking Rifampicin and Isoniazid. His vision is almost back with some eye power complaint. Recent blood report shows hemoglobin at 11.5. He has recently started to complaint about burning sensation while peeing and frequent urination. His Blood urea, BUN is high and so is creatinine = 1.77. I read that Rifampicin could induce such problems. I consulted general medicine doctor and he was concerned and asked to remove azulix (sugar medicine) and include nefrolex for 5 days and then redo the KFT. however he thing rifampicin could rarely cause this kind of toxicity. FYI. He is taking 40 mg of pyridoxine, his blood work shows platelet count=130, ESR 70, CRP has come down from 67 to 8.4, LFT results are normal, His back pain is almost gone. Remarks of Hemogram: RBCs: Mild anisopoikilocytosis. Predominantly macrocytic normochromic with macroovalocytes. WBCs: Mild Leukopenia is present. Platelets: Appear mildly reduced in smear. Macroplatelets are seen. Urine has pus cells loaded.

Dr. Arunesh Kumar91%(203 ratings)

MBBS, MRCP - General Medicine, MRCP-SCE,...read more

Pulmonologist•Gurgaon

The ATT regimen in Acute kidney injury is slightly different to normal. Please see a pulmonologist.

7 people found this helpful

Asked for Male, 18 years old from Patna

I am suffering from tuberculosis from 1 year. After 6 months of treatment of tb I developed koch's lymphadenitis in neck. Then after I taken high dose of first line drug along with streptomycin for 2 month. But lymphadenitis got worsen (increase in size). Then we go for mdr tb test my Gene xpert shows low MTB, not resistance to rifampicin. And afb culture shows normal (no acid fast bacilli seen after 42 days. I am 2nd time tb patient first in 2008 (abdomen tb ). Now what should I do .i still have low grade fever and lymphadenitis. I am currently on r comes and ethambutol from 1 month and I discontinued this medicine for 1 month. Is this okay.

Dr. Trupti Gilada94%(205 ratings)

MBBS, MD - Internal Medicine, Fellowship...read more

Internal Medicine Specialist•Mumbai

1. Although not entirely clear from the details provided, it seems that you still have TB lymphadenitis. 2. The resolution of the disease will mainly depend on the drug sensitivity, the type, dose and duration of anti-TB drugs and how compliant you are with the medications. 3. If you still aren't cured, something went wrong in one or more if the above mentioned factors. Please get yourself reviewed as soon as possible.

278 people found this helpful

Asked for male, 23 years old from Kolkata

I am a 21 years male and I am suffering from Tuberculosis, my eight months medication is over and last month drugs are ongoing. I take rifampicin, isoniazid 600 and combutol 1000 daily and regularly . Since last 3 months I have lost interest in alcohol and whenever I am with my friends and I take 1 or 2 peg of alcohol after half an hour later I start vomiting . My Liver function tests are normal everything is fine with my body but I cannot understand that before taking this medication I often drank 5-6 peg of alcohol but never vomited and now vomiting problem creates a huge embarrassment for me, well since last 3 months I had alcohol for only 3 times and all the three times I have vomited.

Dr. Prasad Honap89%(25 ratings)

MBBS, MD - General Medicine

General Physician•Pune

Well, it's good that you have limited your alcohol consumption to the minimum. Alcohol and isoniazid do not react well when taken together. Alcohol may increase the risk of liver damage with isoniazid. Those who are on isoniazid are advised to abstain from alcohol as they may have unpleasant side effects. Once the drug is stopped you will not have these symptoms after alcohol consumption.

176 people found this helpful

Asked for Male, 21 years old from Delhi

I was suffering from tuberculosis in lefts lungs and started medicine on 19 December. After 6 months of treatment my problem is fully cured.In x-ray they mentioned ,My left lungs is clear now ,No recent recrudescence of the disease is seen. Now I take only rifampicin and isoniazid 600 daily and regularly in the morning. My eight months meditation is over and last month drugs are ongoing. Since last 8 months I have not taken alcohol, So basically I want to ask can I consume alcohol occasionally now?

Dr. C. E Prasad91%(1131 ratings)

M.D - Respiratory Medicine

Pulmonologist•Hyderabad

Alcohol never good for health to the best of my knowledge Alcohol can be metabolised by healthy liver
Healthy liver is declared after blood tests and ultrasound etc by a physician Alcohol may cause irritation to stomach even in small quantities in some individuals.

Health Query

Hi doctor says get r cinex 600/300 tablets only r cinex 600 is available. What to do? Please suggest me.

Dr. Sajeev Kumar91%(40820 ratings)

C.S.C, D.C.H, M.B.B.S

General Physician•Alappuzha

Rcinex contain drugs isoniazid and r cinex 600/300 is combination isoniazid and rifampicin you can select r cinex and rifampicin separately.

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