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Koxymide 500 MG Tablet Health Feed

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I had written to you on 11.03.2015. I have been detected for TB of the lower spine on 24th Jan 2015. Undergoing Anti Tuberculer Treatment since 28.01.2015. 24.02.2015 INH was stopped as I had failed Liver Function Test. On 04.03.2015 ATT was stoped as LFT failed miserably, Billirubin Total-1.32, Direct-0.70, Indirect-0.62 SGOT-868, SGPT-582 LFT on 09.03.2014 bilirubin total- 0.4, direct- 0.24, indirect - 0.16 SGOT (AST)-288.5, SGPT(ALT) - 669.3, GGPT-70.3, Still ATT discontinued. Following medicines were prescribed by doctor for one week. S-AdenosylMethionine 400mg 1 tab 2 times a day Ursodeoxycholic acid ip-450mg 1 tab 2 times a day Zevit- vitamin B complex and C with Zinc Sulphate - once a day Now the latest up-date is given below. 16.03.2015 the test reports are slightly better. Total ? 0.89 max 1.2 Direct-0.26 max 0.20 Indirect- 0.63 max 1.0 SGOT ? 91.3 MAX 35 SGPT ?- 225.5 MAX 46 following medicines were priscribed by doctor for one more week. S-AdenosylMethionine 400mg 1 tab 2 times a day Ursodeoxycholic acid ip-450mg 1 tab 2 times a day Zevit- vitamin B complex and C with Zinc Sulphate - once a day Also prescribed the following Ethambutol Hydrochloride-1200 mg-once a day Levofloxacin - 750mg once a day Refampicin - 450 mg - once a day Report dated 23.03.2015 This week again the test reports are much better. Bilirubin Total ? 0.96 max 1.2 Direct-0.42 max 0.20 Indirect- 0.54 max 1.0 SGOT ? 40.6 MAX 35 SGPT ?- 78.1 MAX 46 To continue with all the above mentioned medicines and he added Pyrazinamide 750mg 2 tablets in a day Further he also informed to take all the ATT medicines together after dinner. LFT dated 30.03.2015 Total ? 1.06 max 1.2 Direct- 0.33 max 0.20 Indirect- 0.73 max 1.0 SGOT ? 441.9 MAX 35 SGPT ?- 727.2 MAX 46 I do not know what the Doctor will say tomorrow as I have failed LFT again. Will ATT be stopped again partially or completely.

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MD - Pulmonary, DTCD

Pulmonologist•Faridabad
Your doctor is treating you very nicely.A very close monitoring required.Your doctor will again stop pyrazinamide.Ask him can he put you on streptomycin
Asked for female, 30 years old from Dehradun
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MBBS, MD TUBERCULOSIS AND CHEST DISEASES...read more

Pulmonologist•Kolkata
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you should take akurit in the night at bedtime. only akurit will not suffice, you should add combutol and pyrazinamide to it. Consult online for detailed discussion.
Asked for male, 41 years old from Mumbai
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MD - Pulmonology, MBBS

Pulmonologist•Hyderabad
Your dosage depends on age and weight. If you had started akt according to appropriate dosage according to your weight and age, and now your hepatitis resolved completely, you can restart your earlier dosage.
472 people found this helpful
Asked for male, 35 years old from Shahjahanpur
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Asked for male, 38 years old from Jaipur
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MBBS, MD TUBERCULOSIS AND CHEST DISEASES...read more

Pulmonologist•Kolkata
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TB can never be treated with pyzina and prednisolone alone. The diagnosis should be established by histopathological examination (biopsy). If it is determined as TB, then full-fledged antitubercular drugs should be prescribed. If it is diagnosed as sarcoidosis, the first treatment is prednisolone and if the response is not adequate, then various chemotherapeutic drugs should be added.
Asked for male, 31 years old from Surat
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MD - Pulmonary, DTCD

Pulmonologist•Faridabad
TB medciine are as per weight. At 2 months pyzine can be stopped. But addition of levofloxin by treating doc is not as per reccomendations.
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MD - Homeopathy, BHMS

Homeopath•Vadodara
Hello lybrate-user. You should trust the doctor. The articles on the internet are not always authentic.
Pyzina is a medicine for tuberculosis. And it is a humble suggestion that don't change it without the prescription of the doctor.
Asked for female, 47 years old from Hyderabad
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DM (Pulmonary & Critical care medicine),...read more

Pulmonologist•Delhi
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Hi, Whether it has been investigated that tracheal nodule is due to tuberculosis. Any bronchoscopy guided biopsy performed? Causes can be many important ones TB, malignancy, vasculitis. Just consult once .thanks.
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Asked for male, 31 years old from Howrah
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MBBS, DNB(PULMONARY MEDICINE)

Pulmonologist•Indore
Taking 3 drugs only? Not on ethambutol?
Taking all the drugs together has better efficacy than as individual. Take all of them empty stomach.
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