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CAVICIN E KIT Health Feed

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

Health Query

In case of Spinal TB, Is forecox tablets (2 per day I am taking) 100% successful in curing TB?

Dr. Sajeev Kumar91%(40820 ratings)

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

General Physician•Alappuzha

Forecox Tablet is used in spinal B successfully if you take the full course of 9 months (or more if needed) and it is a combination of four medicines: Isoniazid, rifampicin, ethambutol and pyrazinamide which treat tuberculosis. Isoniazid works by preventing the TB bacteria from forming their own protective covering, while rifampicin inactivates a bacterial enzyme (RNA-polymerase) which is required by TB bacteria to make essential proteins and to reproduce. Together, they kill the bacteria and er...more

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

Can someone tell me what is the treatment schedule for tuberculosis in india as per who, please don't give me diplomatic answer, like talk to nearest tb hospital or pulmonologist and all. As I had it all .no body is clear regarding this treatment every doctor telling same thing. If one have been diagnosed with tb (test results- sputum for afb negative, hb-10, esr -99, rest all cbc normal, tb gold test - positive) physical symptoms cough lasts for 20 days, fever for 5 days no weight loss, no continues fever, doctor asked to start tb treatment it's been 4 months on treatment, but my question is should we continue with all the drugs as we are on (rifampicin 450, isoniazid 300, pyrazinamide 750, and ethambutol 600,) for six month or there is any change in treatment schedule. please clarify.

Dr. Mool Chand Gupta95%(37146 ratings)

MD - Pulmonary, DTCD

Pulmonologist•Faridabad

In fresh tb case rehz for first 2 months and then maintenance dose reh for n3xt 4 months in most cases if response to drugs good. Pt need review every 2 months.

61 people found this helpful

Asked for male, 36 years old from Lucknow

This 33 years old female presented with c/o fever 1 week, breathless weakness, loss of appetite 1 week, bp 110/70mmhg, p/r 1116/min, temp normal, cvs s1+s2 normal, chest right low air entry, cns cons & oriented. Patient investigated & diagnosed as above managed conservatively by iv antibiotics (cefobran, ppi and other symptomatic treatment. Pleural tapping done on 25/02/2020 under la with aseptic precautions from pleural cavity & 1500 ml straw fluid aspirated. Post procedure uneventful. My att started on 29th feb 2020. I am taking same dose since 29th feb 2020. Kindly guide me about dosage whether I have to reduce or take same dosage. Medicine details: rifampicin isoniazid pyrazinamide and ethambutol hydrochloride tablets ip forecox each film coated tablet contains: rifampicin ip 225 mg isoniazid ip 150 mg pyrazinamide ip 750 mg ethambutol hydrochloride ip 400 mg dosage: 2 tablets per day omez d omeprazole pyridoxine hydrochloride tablets ip 40 mg benadon.

Dr. Rishav Bansal94%(237 ratings)

MBBS, MD - Geriatrics, MRCP-1 (UK), MRCP...read more

General Physician•Jaipur

ATT is usually taken for 6 months. After 2 months, pyrazinamide is stopped and other medications should be continued.
In your case case, i suggest you to repeat a CXR to look for the response and amount of remaining fluid. Also continue rifampicin, isoniazid and ethambutol for atleast 3 more months. You can stop pyrazimamide.

36 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 male, 23 years old from Pune

Hey I am 22 male and suffering from intestinal TB. I've been prescribed Akurit-4 (Rifampicin 150 mg, isoniazid 75 mg, pyrazinamide 400 mg, ethambutol hydrochloride 275 mg) 4 tablets at a time in addition to benadon and silybon. Its been 2 months since I am taking these medicines. I am experiencing joint pain, hairloss, and also feel pukish sometimes. I want to know if this is the correct treatment and the side effects that I am facing is normal or not. Please advise. I am a little worried.

Dr. Mool Chand Gupta95%(37146 ratings)

MD - Pulmonary, DTCD

Pulmonologist•Faridabad

Few patient can have drug side effect. Get LFT and serum uric acid test done and consult your doctor as TB medicine needs reduction of dose at 2 months.

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.

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