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Home > R-Cinex Z Tablet > Health Feed

R-Cinex Z Tablet Health Feed

Asked for male, 32 years old from Hyderabad

My father aged 68, some 8 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 5 months was taking Rifampicin and Isoniazid. His vision is almost back with some eye power complaint. Recent blood report shows hemoglobin at 11.5. He has recently started to complaint about burning sensation while peeing and frequent urination. His Blood urea, BUN is high and so is creatinine = 1.77. I read that Rifampicin could induce such problems. I consulted general medicine doctor and he was concerned and asked to remove azulix (sugar medicine) and include nefrolex for 5 days and then redo the KFT. however he thing rifampicin could rarely cause this kind of toxicity. FYI. He is taking 40 mg of pyridoxine, his blood work shows platelet count=130, ESR 70, CRP has come down from 67 to 8.4, LFT results are normal, His back pain is almost gone. Remarks of Hemogram: RBCs: Mild anisopoikilocytosis. Predominantly macrocytic normochromic with macroovalocytes. WBCs: Mild Leukopenia is present. Platelets: Appear mildly reduced in smear. Macroplatelets are seen. Urine has pus cells loaded.

Dr. Arunesh Kumar91%(203 ratings)

MBBS, MRCP - General Medicine, MRCP-SCE,...read more

Pulmonologist•Gurgaon

The ATT regimen in Acute kidney injury is slightly different to normal. Please see a pulmonologist.

7 people found this helpful

Asked for male, 33 years old from Chandigarh

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?

Dr. Jayvirsinh Chauhan93%(35817 ratings)

MD - Homeopathy, BHMS

Homeopath•Vadodara

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, 23 years old from Kolkata

I am a 21 years male and I am suffering from Tuberculosis, my eight months medication is over and last month drugs are ongoing. I take rifampicin, isoniazid 600 and combutol 1000 daily and regularly . Since last 3 months I have lost interest in alcohol and whenever I am with my friends and I take 1 or 2 peg of alcohol after half an hour later I start vomiting . My Liver function tests are normal everything is fine with my body but I cannot understand that before taking this medication I often drank 5-6 peg of alcohol but never vomited and now vomiting problem creates a huge embarrassment for me, well since last 3 months I had alcohol for only 3 times and all the three times I have vomited.

Dr. Prasad Honap89%(25 ratings)

MBBS, MD - General Medicine

General Physician•Pune

Well, it's good that you have limited your alcohol consumption to the minimum. Alcohol and isoniazid do not react well when taken together. Alcohol may increase the risk of liver damage with isoniazid. Those who are on isoniazid are advised to abstain from alcohol as they may have unpleasant side effects. Once the drug is stopped you will not have these symptoms after alcohol consumption.

176 people found this helpful

Asked for male, 32 years old from Hyderabad

My father, aged 68, was recently in complete bed rest for the last 3 months and was taking akt 4 ofr first 2 months and then 1 month of akt3 after being diagnosed with Pott's spine. Spine surgeon told us that he is clinically doing really well and his CRP has improved from 67 to 11.2 Recently he is started to have blurred vision so we checked with Eye specialists and they suggested it to be EMB induced optical neuropathy. Its been some 4 weeks now that we have stopped Ethambutol and he has partially regained vision though there is acuity problems still. Now that he is on Rifampicin and Isoniazid, does he need to take some other medicine in place of ethambutol for his TB treatment? Hope stopping Ethambutol will not effect his spinal TB.

Dr. Jayvirsinh Chauhan93%(35817 ratings)

MD - Homeopathy, BHMS

Homeopath•Vadodara

There are other optional medicines also with less side effects but for that you will need to consult your physician.
Or you can consult me through Lybrate for homoeopathic treatment. Which is safer and can help a lot in vision ans spine.

105 people found this helpful

Asked for Male, 21 years old from Delhi

I was suffering from tuberculosis in lefts lungs and started medicine on 19 December. After 6 months of treatment my problem is fully cured.In x-ray they mentioned ,My left lungs is clear now ,No recent recrudescence of the disease is seen. Now I take only rifampicin and isoniazid 600 daily and regularly in the morning. My eight months meditation is over and last month drugs are ongoing. Since last 8 months I have not taken alcohol, So basically I want to ask can I consume alcohol occasionally now?

Dr. C. E Prasad91%(1131 ratings)

M.D - Respiratory Medicine

Pulmonologist•Hyderabad

Alcohol never good for health to the best of my knowledge Alcohol can be metabolised by healthy liver
Healthy liver is declared after blood tests and ultrasound etc by a physician Alcohol may cause irritation to stomach even in small quantities in some individuals.

Asked for male, 30 years old from Ghaziabad

My wife have water in right lung. Doctor declared tb. But tb medicine rifampicin 150 mg is not suit her. Lever enzyme is increasing, vomiting & full appetite loss. Kindly give solution.

Dr. C. E Prasad91%(1131 ratings)

M.D - Respiratory Medicine

Pulmonologist•Hyderabad

Usually alternatives are ethambutol and levofloxacin and streptomycin sometimes only isoniazid without rifampicin is tolerated.

222 people found this helpful

Asked for female, 53 years old from Chennai

What is the procedure to treat spine tb? Due to spine tb, scoliosis problem how to treat scoliosis for 15 years old boy.

Dr. Sajeev Kumar91%(40820 ratings)

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

Cardiologist•Alappuzha

Combination of rifampicin, isoniazid, ethambutol, and pyrazinamide for two months followed by combination of rifampicin and isoniazid for a total period of 6, 9, 12 or 18 months is the most frequent protocol used for treatment of spinal tb
treatments for scoliosis in children.
Painkillers. Painkilling tablets may help relieve the pain that can be associated with scoliosis. Exercise. Activities that strengthen and stretch your back may help reduce your pain. Spinal injections. Back braces...more

Asked for male, 68 years old from Bangalore

After CABG I had pleural effusion on the left side of my chest. All tests including Quanty feron gold test and biopsy on the left inside of the chest showed negative results for TB. Now I am having ankylosing Spondylitis for which biologic injection Scapho is being given. Since my Mantoux test was positive, on the suspicion that I may be having latent TB, I was asked to take R Cinex 300/600 tablets for 4 months. I have taken RCinex for 2 months and thereafter because of stomach trouble I switched over to Isoniazid 300 tablets and took them for 4 months. Is this medication sufficient for the latent TB and can I stop the medication now. In 2002 because of eridocyclitis in the eye on suspicion of having TB I had taken full course of TB medicine ie. AKT4 for 9 months. Please advise. Thanks.

Dr. Jatin Soni

MBBS

General Physician•Mumbai

Firstly we should confirm the current status with a fresh Xray chest and Get your blood checked for CBC Esr HLAB27 and follow up with reports for further guidance.

34 people found this helpful

Asked for male, 23 years old from Unnao

Hi, I got burning and pain in urination in sep 2014. I went to hospital sgpgi lko. They told me that j hv renal tuberculosis. And they started att from 14 june and my medicines are rcinex-600, combutol -750, pyrazinamide 1500, benadon 20. I hv completed 7 months using the att. Stent is also situated in my right kidney till now and it has been changed twice. They told me to hv att for two months more and they suggested me a test gfr test. Its result are 12 for right kidney and 77 for left kidney. They told me that my right kidney hv stopped working. Although my all other result lyk serum creatine is 1, glucose is 103, bun is 9. please suggest me what should I do.

Dr. Sushant Nagarekar93%(8190 ratings)

Bachelor of Ayurveda, Medicine and Surge...read more

Ayurveda•Navi Mumbai

Hi lybrate-user do not worry your creatine is one then no problem I want to know about your blood pressure how much is this and for kidney disoreder you should consult a good and well known ayurvedic doctor in ayurvedic there is good result for kidney disorder.

235 people found this helpful

Asked for male, 28 years old from Thane

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.

Vandana Prabhu

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

Pulmonologist•Bangalore

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.

108 people found this helpful

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