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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For TB

last year i was diagnose of having hyperthyroidism and TB of the liver CT scan was done and Mantoux test was positive my doctor started to prescribe a TB medication FIXCOM4 on the first month then stopped for 3 days coz i cnt tolerate i was having body malaise, nausea and vomitting and lost of appetite, then he continued my medicine giving FIXCOM3 but still i felt same together with this im taking omeprazole 40mg and vit B complex....did all my symptoms connected with the drugs or on my disease itself...



thanks you very much your answer is well appreciated
Mon, 19 Jan 2015
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General & Family Physician,  's  Response
Hello
You are advised to take fixcom-4 , not tolerated , then advised fixcom-3 , same problem , even after the use of omeprazole and B complex.
When such patient visit my clinic I advise as follow.
Take rifampicin +isoniazide ,combination 2-3 hours after meal .
Also take 16-20 mg / kg body weight , ethambutol tablet ( 800 mg usually ) , immediately after meal , once in a day .
Pyrazinamide 750 mg twice in day after meal .
While you are also having nausea with combination drugs , so take pantoprazole -d twice in a day on empty stomach ( however , dose is once in day but I advise two in day ) .
The most important question is compliance of patient .
Please keep one thing in your brain that you are a patient of tuberculosis and these drugs are most important for your healthy life , so you have to take these drugs.
It is not necessary that all the time we like to prescribe in combination pack .
Sometimes drugs are advised according to condition of patient and circumstances .
This treatment is according to WHO , so consult your chest specialist and get his opinion.
Good luck.
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Suggest Treatment For TB

Hello You are advised to take fixcom-4 , not tolerated , then advised fixcom-3 , same problem , even after the use of omeprazole and B complex. When such patient visit my clinic I advise as follow. Take rifampicin +isoniazide ,combination 2-3 hours after meal . Also take 16-20 mg / kg body weight , ethambutol tablet ( 800 mg usually ) , immediately after meal , once in a day . Pyrazinamide 750 mg twice in day after meal . While you are also having nausea with combination drugs , so take pantoprazole -d twice in a day on empty stomach ( however , dose is once in day but I advise two in day ) . The most important question is compliance of patient . Please keep one thing in your brain that you are a patient of tuberculosis and these drugs are most important for your healthy life , so you have to take these drugs. It is not necessary that all the time we like to prescribe in combination pack . Sometimes drugs are advised according to condition of patient and circumstances . This treatment is according to WHO , so consult your chest specialist and get his opinion. Good luck.