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R-Cin 300Mg Capsule Health Feed

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, 24 years old from Patiala
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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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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.
Asked for male, 28 years old from Thane
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9 months back, my mother was having 2 swelling seen in neck. We gone to doctor. Ent specialist. After several test like sonography, fnac it was detected as neck tb. There were total 5 in right neck with largest measuring 22 mm the doctor said to go with government medicines for tb. After 6 months course ,again sonography was done. All 5 were there size reduced with largest measuring 11 mm. Then again we were told to continue medicines for 3 months. In end of 8th month, my mother was not able to see properly. Blur vision. So we went to eye specialist, there 2 tests were done. One was for cornea and other for optic nerve damage .doctor said reports are normal and said it is due to tb medicine ethambutol. So he gave in writing to stop ethambutol. So we gone to government hospital to take medicines for for 9th month and told about blur vision. They gave 2 medicines. 1 was rifampicin and other was isoniazid. After taking for 1 month we did sonography again but now it showed lymph nodes swelling in left side also 3 to 4. And in right side largest measuring 10 mm. We told them government hospital. They told course is over. Now automatically it will go. Also vision will be clear. But it pains sometimes in neck. So they gave 1 month medicine rifampicin and isoniazid 1-1 tablet each day. They said treatment course is over but still swelling are there as in sonography. I am worried. Vision has improved slightly but not fully. Also do not know whom to ask ent or pulmonologist? please help.

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MBBS, Diploma in Tuberculosis & Chest Di...read more

Pulmonologist•Bangalore
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If 9 months of treatment is over, att should be stopped. In cervical tb lymphadenitis, the nodes in the neck may shrink/ enlarge or new nodes can appear on the other side, all happens during the course of treatment. This doesn't mean that att didn't work or tb wasn't cured. The nodes will eventually disappear, or tiny nodes may remain in the neck permanently.
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Asked for female, 45 years old from Bangalore
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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.

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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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