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Koxymide 500 MG Tablet Health Feed

Asked for male, 33 years old from Chandigarh
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I started treatment on 5 Dec 2017 with TB (I have infection in my colon, I used to have stomach pains) 1. Combutol 8002. Pyrazinamide 10003. Ricnex 300/450.4. Sompraz D.Then after 1 month, when I did LFT the ALT level were 129.0, so my doctor switched me to below medication for 1 month 1. Combutol 800 2. levoflox 750 3. Uricure 300 (2 Tablets) 4. Streptomycin 0.75 mg for 31 day (one injection daily) Then after 31 days when we did LFT (We did multiple LFTs in between to keep track to see my ALT levels are lowering) everything was good and we switched back to 1. Combutol 8002. Pyrazinamide 15003. Ricnex 300/450.4. Sompraz D.After taking above medication for 3 weeks, Then I fall sick due to some cold and had fever for 3-4 days and my ALT levels again at 150.0 and then now my doctor has again switched to Streptomycin injections 1. Combutol 8002. levoflox 7503. Uricure 300 (2 Tablets) 4. Streptomycin 0.75 mg for 31 day (one injection daily) So now after almost 3 months, from 27/02/2018 I am on injections and combutol again. Don’t I need Rcinex? Is it ok to switch like this and wait for alt levels to lower again and again start with rcinex and pyrazinamide. I did not have any other problem during this 3 months period, its just my alt levels go up. Please advise, do I need to consult some other doctor?

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MD - Homeopathy, BHMS

Homeopath•Vadodara
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No your doctor is doing it right...
Better follow the instructions...
You cannot compromise liver...so it is better to be cautious..
103 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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