Thanks for writing in.
I think your sister can go ahead and take the AKT-4 with steroids
. If the ophthalmologist wants to prescribe topical steroids ( that is in the form of drops or ointment), I think its safe to use. However, if oral steroids are being used then we need to be slightly cautious. this is because steroids reduce the immunity of a person and may flare up the tuberculosis
. These drugs also have significant interactions with anti-tubercular therapy.
So if your sister is taking oral steroids, they should be used for the minimum time in the lowest dose possible. Also, she must take her AKT-4 regularly and not miss any doses at all. A high protein diet ( including chicken, fish, dal, soya, ) also needs to be given. Also, please speak with her ophthalmologist and ask him to evaluate the possibility of her having tubercular uveitis
Hope this helps