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What Causes Orange Colored Urine While Undergoing TB Therapy?

Posted on Mon, 9 Jan 2017

Question: sir I am going anti TB therapy taking akurit 4 for starting two months course.is it compulsory that the urine color will come orange.sometimes when purchased new medicine of same brand akurit 4 the urine comes in light orange colored So is it ok or as it is side effect we have to ignore that please advice.

Answered by Dr. Pavan Kumar Gupta (1 hour later)

Brief answer....it is normal and hence nothing to worry
Detailed answer....
Hello,
Thanks for the query.
I have read your query and understand your concern.
Red or orange colour imparted in urine on consumption of anti TB drug is due to RIFAMIPCIN present in the combination.
Colour appears red if urine is concentrated due to less consumption of water while it becomes light read or orange if urine is diluted due to excessive consumption of water.
Nothing to worry as it is normal.
Keep taking your medicines regularly as advised by your doctor.
I hope it helps,however you are most welcome to revert to me for any further query.
Best of luck
Thanks

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar

Follow up: Dr. Pavan Kumar Gupta (19 minutes later)

sir so it has nothing to take with the medicine as I was getting doubt that the medicine may be fake ,hence raised the Query, I continuously taking medicine empty stomach with little water four tablets of akurit 4.second thing my how much time it will take for lymph node to regress as I am going anti tubular Lymphadenitis treatment for six months,already one and half month completed

Answered by Dr. Pavan Kumar Gupta (21 minutes later)

Hello,
Best way to remove the doubt of fake medicines is to take the XXXXXXX of medicines also along with the purchase of medicines. No chemist would give you fake medicine,once you ask for the XXXXXXX
Lymph nodes do regress in 6-8 weeks but you may still be left with some lymph node swelling after the end of treatment. It doesn't mean that TB is persisting.
Healed lymph nodes may remain there for many years.
Main thing is to complete the treatment as advised by your doctor.
Thanks

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar

Follow up: Dr. Pavan Kumar Gupta (24 hours later)

sir as iam suffering from tubular Lymphadenitis I am attaching the chest PA report during first week of treatment please explain. is it dangerous.can I go for chest PA as of know as nearly two months is going to complete for my treatment

Answered by Dr. Pavan Kumar Gupta (7 hours later)

Hello,
Although it is not dangerous to go for repeat X ray but frankly speaking there is no need for it.
Relax and carry on with your anti tubercular treatment.
Thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Pavan Kumar Gupta (17 hours later)

sir how to know my treatment is going on well as I have no symptoms of fever cough or weight loss starting from my treatment. the diagnosis came to know after the FNAC test of swallow lymph node in my neck that I am suffering from tubular Lymphadenitis so how can I know that the medicine s taken by me every day early in the morning empty stomach is working or not

Answered by Dr. Pavan Kumar Gupta (4 hours later)

Hello,
There is no way to know by yourself whether treatment is working or not,since you never had any symptoms before start of treatment.
Generally treatment is completed for 6 months and almost everybody gets cured of it,once complete treatment is taken regularly.
Nothing is to be done at the moment.
Just follow your doctor and complete the treatment.
Thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Pavan Kumar Gupta (1 hour later)

sir I am also taking pro biotics entergermino for last one and half month regularly before lunch and dinner. as early I was hospitalized due to loose motions because of antibiotics of TB is it ok

Answered by Dr. Pavan Kumar Gupta (1 minute later)

Hello,
You can stop it as you have taken it for sufficiently long time.
Thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Pavan Kumar Gupta (12 minutes later)

can be entergermino be continued upto six months end of my treatment as I always get loose motions due to antibiotics

Answered by Dr. Pavan Kumar Gupta (10 minutes later)

Hello,
You may take it. taking once a day would be enough.
Thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar