Get the App

For Doctors

Book Appointment

Treatment

Ask a Question

Plan my Surgery

Health Feed

About

Health Feed

AllQ&AsTips

Home > R-Cin 600Mg Capsule > Health Feed

R-Cin 600Mg Capsule Health Feed

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.

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

Asked for female, 25 years old from Chennai

Hi, My mom 50 years old, undergoing treatment of Tb lungs, 4 months completed, now she developed fever on and off for 15 days, joint swelling, puffiness of eyes and face. Stiffness over hand joints, swelling over knees, fever mainly at night time. LFT in blood reveals SGOT 132, SGPT 32, gamma gt 55, protein in urine increased as 41. Now in xray vascular markings in lungs, RA factor is normal, ESR rate is 143, in blood test typhoid shown. Cefixime injection given 2 times a day, for 3 days, along with she taken Rifampicin, INH, in ECG, incomplete RBBB due to low voltage, MI may due to low voltage shown. Is there any serious, can you help to rule out the disease.

Dr. Amit Kumar Poddar92%(932 ratings)

MBBS, MD TUBERCULOSIS AND CHEST DISEASES...read more

Pulmonologist•Kolkata

Sputum for AFB Chest RAY PA view to assess the effect of treatment .see the outcome of treatment of typhoid TB treatment failure should be kept in mind.

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, 18 years old from Patna

I am suffering from tuberculosis. After taking 6 month of medicine I developed tuberculosis lymphadenitis. Then I took on 5 drug of 1st line with streptomycin for 2 month since I had tb in 2008 in abdominal. I am taking medicine from 1 year but lymphadenitis still exist or even get bigger. My afb culture (specimen- lymph node) shows no growth, Gene x (specimen- lymph node) shows low MTB not resistant to rifampicin, my esr level is 40 mm/hr. I gained around 7 kgs between treatment 56 kgs to 63 kgs. But my weight is constant from 6 month not gaining. I am still suffering from low grade fever 98 to 98.6 in armpit. I am currently taking r cinex 600 and combutol 600 (2 tabs) per day. What should I do? My doctor said lymph node surgery?

Dr. Gaurav Ghatawat91%(122 ratings)

DNB

Pulmonologist•Mumbai

You can stop all the medicines and get a lymph node biopsy. If positive restart akt and if negative then no need of treatment. Sometimes lymph node don't reduce in size beyond a certain size in tb lymphadenitis and they persist.

265 people found this helpful

Asked for male, 24 years old from Indore

It was 6 months before there was severe chest pain, Ct scan revealed Tuberculosis of lungs with pleural effusion in Right lower lobe. After 3 month of continuous treatment again there was pain in my chest and doctor said no need to Worry but after days there was swelling on left side of lung upper portion. Another ct scan showed. Necrosis and collection of cloudy white pus. As pus was removed and certain test were done. No Rifampicin resistance by gene expert. No afb isolated after 6 weeks. Doctor said no need to Worry take tb medicines it will be alright. But again after few days there was swelling in Right breast. Doctor says it is due to tb. Please help me out sir I am suffering from again again pus collection. Is it due to tb although I am taking my medicine. Everyday.Rcinex450. Combutol800,Pyrazinamide 1200. My rif resistance report is normal, afb culture says no afb isolated, is it CANCER or any other disease than tb? please help me out should I go any other test to confirm any other disease?

Dr. Satish Gupta90%(377 ratings)

General Surgeon•Panipat

Mr. Yash.
As I have gone through your problem I have to tell you that
With lung tuberculosis you had cold abscess in chest wall
Which occurs due to involvement of chest bones like mid chest bone sternum ribs joints of sternum and ribs this can
be single or multiple this happens due to low immunity of the patient,as for treatment is concerned you are taking proper treatment some times surgical evacuation of the pus or underlying bone is to be taken out to get rid of repeated pro...more

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 female, 30 years old from Trichy

My son is 3 and a half years old diagnosed with spinal tb. He had recurring fever and localized lower back pain. There was pain in his legs behind the knees and stiffness. He had difficulty walking. His gait was antalgic. His mri showed l5 s1 affected with epidural abscess. Mis bilateral decompression was done. They started him on att 3fdc (pyrazinamide 450 mg, rifampicin 225 mg, isoniazid 150 mg based on his weight 15.6 kg) and wysolone 25 mg (steroid prescribed for 1 month and gradually tapered and stopped at the end of 2 and a half months). After 3 months there was a recurrence in tb which spread to l4 and l3. To make the spine stable we have done instrumentation. Is this recurrence due to wysolone?

Dr. Amit Kumar Poddar92%(932 ratings)

MBBS, MD Tuberculosis And Chest Diseases...read more

Pulmonologist•Kolkata

this recurrence is not due to corticosteroid. total duration
should.be1 to*y 11/2yearst

Asked for male, 21 years old from Jaipur

Mujhe intestine bdi aant me tb h gastro ne att start kia forecox benadon tablet se. 70 days mene treatment lia doctor ka behave achha na hone se mene doctor change kia md physician jinhone meri forecox stoped kr di or mujhe rifampicin 600 isoniazid 300 ethambutol 800 di hai to kya ye treatment sahi hai. Or kitne din ye medicine leni pdegi me medicine daily same time le rha hu ek din bhi miss nhi kia.

Dr. Amit Singh88%(19 ratings)

MD - Pulmonary Medicine

Pulmonologist•Alwar

Att to be given according to your weight. Drugs are correct just check for dose. And do continue as advised and complete the course. Do consult your pulmonologist timely.

Health Query