Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Does Difference In Medication Dosage For Tuberculous Lymphadenitis Cause Adverse Effects?
Question: sir from last two and half months I am going for anti tubular lymphadenitis treatment . taking medicine correctly but during end of my completion of second month of treatment one day after taking medicine seeing the medicine strip I got confused that I may not have taken the required dose for that day base on that confusion it started haunting me that I may not be taken the right dose for last one week but after doing calculations with total medicine purchased my calculations come right , with my total consumption of medicine.is there any test where it can be tested whether medicine are on regular basis.
second thing if a tablet is little bit open in the medicine stripâ can it be taken .or will it be effective as it is
little bit open it may get moisture as I have already taken the medicine will it be effective
second thing if a tablet is little bit open in the medicine stripâ can it be taken .or will it be effective as it is
little bit open it may get moisture as I have already taken the medicine will it be effective
Brief Answer:
You need to keep taking the medicine and need not to worry about
Detailed Answer:
Hi! Welcome to health care magic! Thanks for sharing your concerns with us. We will try to help you in best way possible.
First of all, it is sad to know what you had gone through. It's good that treatment is in the right verge and hopefully the issue will resolve by some time. Relating to your concerns, even if you had missed few doses only resort is to resume treatment and complete it.
It's also encouraging that your calculations turn put to be right so you don't need to worry about that and keep focusing on treatment as their are other aspects of this therapy you need to look into more critically than this one.
One is that potential side effects of this treatment needs weekly liver and renal functions and after a month, monthly review of these parameters as well as carefully monitoring any changes in vision or numbness in hands or feet. Also keep taking supplements for vitamin B6 and B12 alongwith it.
Regarding other doubts and queries regarding dampness or exposure of tablets to moisture or remaining opened might decrease their efficacy if left such for days still skipping the dose isn't a good option so in the case such tablets can be used instead of missing the dose completely.
Hope this has answered your query, if you have any more questions, feel free to ask. Regards.
You need to keep taking the medicine and need not to worry about
Detailed Answer:
Hi! Welcome to health care magic! Thanks for sharing your concerns with us. We will try to help you in best way possible.
First of all, it is sad to know what you had gone through. It's good that treatment is in the right verge and hopefully the issue will resolve by some time. Relating to your concerns, even if you had missed few doses only resort is to resume treatment and complete it.
It's also encouraging that your calculations turn put to be right so you don't need to worry about that and keep focusing on treatment as their are other aspects of this therapy you need to look into more critically than this one.
One is that potential side effects of this treatment needs weekly liver and renal functions and after a month, monthly review of these parameters as well as carefully monitoring any changes in vision or numbness in hands or feet. Also keep taking supplements for vitamin B6 and B12 alongwith it.
Regarding other doubts and queries regarding dampness or exposure of tablets to moisture or remaining opened might decrease their efficacy if left such for days still skipping the dose isn't a good option so in the case such tablets can be used instead of missing the dose completely.
Hope this has answered your query, if you have any more questions, feel free to ask. Regards.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
sir I have gone LFT test during my first week of treatment as everything was alright my doctor didn't proceed for further LFT test during second month of my treatment.my lymph node was also regressed during the second month of my treatment.I am attaching the x ray and ESR report during the initial of my treatment. please give suggestions
Brief Answer:
It's better to have close follow up and liver functions repeated
Detailed Answer:
Hi! Thanks for sharing the feedback. It's better to get a repeat liver and kidney functions as well as close liason with your doctor should be kept as treatment needs slight tweaks and changes after two month and a detailed examination on follow up is better to look for any signs or complications to pick them early. I have gone though your attached reports and it's good that you were put on the treatment in time. Though the response is good, you still need to complete the treatment as per doctors advise. Regards.
It's better to have close follow up and liver functions repeated
Detailed Answer:
Hi! Thanks for sharing the feedback. It's better to get a repeat liver and kidney functions as well as close liason with your doctor should be kept as treatment needs slight tweaks and changes after two month and a detailed examination on follow up is better to look for any signs or complications to pick them early. I have gone though your attached reports and it's good that you were put on the treatment in time. Though the response is good, you still need to complete the treatment as per doctors advise. Regards.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
sir as per my earlier question on tablet ,it was just little bit tear in the strip on the side of tablet I didn't considered it earlier and took it as it was last dose for the day after that I got doubt that whether that tablet is effective or not so please explain whether that tablet will be effective.
Brief Answer:
Hopefully it will be effective
Detailed Answer:
Hi!
Thanks for sharing further concerns.
You need not to worry as you are well on course to the recovery and treatment seems to be working. with small cuts or such defects in strip may not tend to lose its efficacy but even if it happened now it's solution is to continue the treatment and it may not have affected the efficacy of the therapy overall as therapeutic levels of drug in the blood remain and effects are being achieved.
Regards.
Hopefully it will be effective
Detailed Answer:
Hi!
Thanks for sharing further concerns.
You need not to worry as you are well on course to the recovery and treatment seems to be working. with small cuts or such defects in strip may not tend to lose its efficacy but even if it happened now it's solution is to continue the treatment and it may not have affected the efficacy of the therapy overall as therapeutic levels of drug in the blood remain and effects are being achieved.
Regards.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
sir now as per my doctor prescription I have to take Akurit 3 ,4 tablets early morning empty stomach is it right .
another query as per four tablets I am taking two tablets at a time and in another Sweep next two tablets is it OK, or it is the wrong way which will effect my treatment
another query as per four tablets I am taking two tablets at a time and in another Sweep next two tablets is it OK, or it is the wrong way which will effect my treatment
Brief Answer:
It's better to take all 4 tablets simultaneously
Detailed Answer:
Hi! Thanks for the feedback. It's better to use these simultaneously early morning empty stomach but if gastric side effects like vomiting or nausea are so intense that it leads to oral intolerance to foods and medications, it can. be taken the way you are using it. In cases of gastric side effects using motility agents like domperidone or anti emetics like dimenhydrinate can be considered. As far as efficacy is concerned, in order to develop adequate drug levels to penetrate into the TB granuloma it's at once intake is superior than taking separately however if you have taken it the other way around, stay relaxed as your TB is very much responsive to the treatment as are evident by improving trends that you have mentioned. Also the tolerance profile seems very good. You can start using all at once from today onwards. Regards.
It's better to take all 4 tablets simultaneously
Detailed Answer:
Hi! Thanks for the feedback. It's better to use these simultaneously early morning empty stomach but if gastric side effects like vomiting or nausea are so intense that it leads to oral intolerance to foods and medications, it can. be taken the way you are using it. In cases of gastric side effects using motility agents like domperidone or anti emetics like dimenhydrinate can be considered. As far as efficacy is concerned, in order to develop adequate drug levels to penetrate into the TB granuloma it's at once intake is superior than taking separately however if you have taken it the other way around, stay relaxed as your TB is very much responsive to the treatment as are evident by improving trends that you have mentioned. Also the tolerance profile seems very good. You can start using all at once from today onwards. Regards.
Above answer was peer-reviewed by :
Dr. Yogesh D
sir. I am taking four tablets at a time only,my query is instead of taking four tablets one by one I am taking two tablets at a time followed by another two tablets at the same time is it OK or it will have any adverse effect
Brief Answer:
It is perfectly ok the way you are taking these
Detailed Answer:
Hi!
Thanks for elaborating the details.
Your intake procedure is perfectly fine. You need not to worry about it anymore. Just keep following the suggestions and close follow up with the primary physician. You can approach us anytime in case of any query.
Regards.
It is perfectly ok the way you are taking these
Detailed Answer:
Hi!
Thanks for elaborating the details.
Your intake procedure is perfectly fine. You need not to worry about it anymore. Just keep following the suggestions and close follow up with the primary physician. You can approach us anytime in case of any query.
Regards.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
sir how can we check authentication of medicine from chemist shop
Brief Answer:
You can check it by batch number
Detailed Answer:
Hi! Thanks for sharing your concerns. You can confirm it by checking the batch number or lot number aloted to medicine, it's expiry date being writing on the strip and does it Match with the box of that lot as well as confirming it from the invoice that whether this batch lot was purchased at the date mentioned and from authentic distributor or from random store. Some international companies offer confirming the medicine online by reconfirming the lot number with companies data that whether it was produced by the same company or not. Regards.
You can check it by batch number
Detailed Answer:
Hi! Thanks for sharing your concerns. You can confirm it by checking the batch number or lot number aloted to medicine, it's expiry date being writing on the strip and does it Match with the box of that lot as well as confirming it from the invoice that whether this batch lot was purchased at the date mentioned and from authentic distributor or from random store. Some international companies offer confirming the medicine online by reconfirming the lot number with companies data that whether it was produced by the same company or not. Regards.
Above answer was peer-reviewed by :
Dr. Remy Koshy
Sir if at all there is a miss of daily dose for a week will there be any adverse effects
Brief Answer:
It can lead to antibiotics resistance
Detailed Answer:
Hi! Thanks for staying in the loop.
Yes, it has side effects not directly relating to drug toxicity or any such implications but it can lead to drop in therapeutic levels and treatment failure if continued like that. It can also lead to development of super bugs which are resistant to antibiotics so it's never recommended to leave the dose in between.
However best approach still would be to restart the dose as soon as the person realizes or gets the medicines in hand and resume the therapy without any further delay.
Regards.
It can lead to antibiotics resistance
Detailed Answer:
Hi! Thanks for staying in the loop.
Yes, it has side effects not directly relating to drug toxicity or any such implications but it can lead to drop in therapeutic levels and treatment failure if continued like that. It can also lead to development of super bugs which are resistant to antibiotics so it's never recommended to leave the dose in between.
However best approach still would be to restart the dose as soon as the person realizes or gets the medicines in hand and resume the therapy without any further delay.
Regards.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
