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Rhe-Fd Tablet Health Feed

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.
Asked for male, 30 years old from Delhi
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MBBS, M.D Pulmonary Medicine, DNB - Resp...read more

Pulmonologist•Mumbai
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Increase dose of ethambutol to 1000 mg if no side effects to it.
Can also increase dose of rifampicin to 500 mg (50 mg in form of syp).
If tolerated pza can also be increased to 1500 mg .kindly confirm with your doctor as side effects are common with att.
Asked for male, 24 years old from Mumbai
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MD - Respiratory Medicine

Pulmonologist•Allahabad
No. Kindly wait for few days. And start again. Isoniazid Nd rifampin regime is outdated. At present isoniazid Nd rifampin and ethambutol is considered. Nd infact pyrazinamide has less liver toxicity as compared to rifampin.
109 people found this helpful
Asked for female, 19 years old from Guna
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Pulmonologist•Bhopal
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No, they are different medicines. As you perhaps had completed your 2 months of intensive phase, your physician has switched to rhefd for the rest of your period of treatment. Have a speedy recovery.
Asked for Male, 18 years old from Patna
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MBBS, MD - Internal Medicine, Fellowship...read more

Internal Medicine Specialist•Mumbai
1. Although not entirely clear from the details provided, it seems that you still have TB lymphadenitis. 2. The resolution of the disease will mainly depend on the drug sensitivity, the type, dose and duration of anti-TB drugs and how compliant you are with the medications. 3. If you still aren't cured, something went wrong in one or more if the above mentioned factors. Please get yourself reviewed as soon as possible.
278 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
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