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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Coughing, Mantoux Negative, X-ray Shows TB, Taking AKT4. Should We Stop Medication As It Has No Effect?

sir my name is sakthi my mother is having cough for the last 22 days! doctros has completed somany tests like tb gold, Sputum for afb, Mantoux test and xray . In all tests we got negative. But before doing all these tests doctor saw only xray and confirmed as tb and adviced to take akt4 tabs. she is taking akt4 tabs everyday but there is no change. Can we stop using akt4 now? please advice....
Tue, 16 Oct 2012
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Pulmonologist,  's  Response
Hi
Thanks for your query
Look TB is not always detected by the tests your mom has gone through. Even then Anti-tubercular drugs (ATD) should be started if there is strong clinical suspicion or strong radiological suspicion. Your doctor probably did the right thing though chest x-ray is not available here. But as your doctor took this decision after viewing that x-ray, i think your doctor has done right thing. As ATDs are already started it is no way to stop it until a 2nd diagnosis is established. Because stoppage of these drugs may cause drug resistance which will be problematic if ATD is to be started again in near future. So please do continue the drugs and obviously you may take a second opinion from another TB specialist in this regard.
Thank you.
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Coughing, Mantoux Negative, X-ray Shows TB, Taking AKT4. Should We Stop Medication As It Has No Effect?

Hi Thanks for your query Look TB is not always detected by the tests your mom has gone through. Even then Anti-tubercular drugs (ATD) should be started if there is strong clinical suspicion or strong radiological suspicion. Your doctor probably did the right thing though chest x-ray is not available here. But as your doctor took this decision after viewing that x-ray, i think your doctor has done right thing. As ATDs are already started it is no way to stop it until a 2nd diagnosis is established. Because stoppage of these drugs may cause drug resistance which will be problematic if ATD is to be started again in near future. So please do continue the drugs and obviously you may take a second opinion from another TB specialist in this regard. Thank you.