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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Hi my mother is having supraclavicular lymph node swelling on

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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 16645 Questions

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Posted on Sat, 5 Jan 2019 in Lump
Question: Hi my mother is having supraclavicular lymph node swelling on right and found they are due to tb from biopsy. Went to pulmonologist and he suggested forecox tablet -3 tablets at a time. I am bit concerned about the dosage. Please help. Her age is 46 and weight 64.
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Answered by Dr. T Chandrakant 1 hour later
Brief Answer:
Fixed dose combination. Better separate medications.

Detailed Answer:
Hi.
Thanks for your query about your Mother.
Noted the history, dosages and her weight.
As per the weight the dosages are adequate as this is extra-pulmonary tuberculosis.
Please post the composition of each tablet forecox along with its strength.
I would advise you the following in such a situation:
Request your Doctor to
Best way is to give all the medications as a separate medications. That is not in combination and hence to avoid fixed-drug-combination.
Since all these medicines are prescription based you need a valid prescription

Also get regular blood reports particularly for Liver function tests.
I hope this answer helps you.
Please feel free to ask for further relevant queries if you feel that there is a gap of communication; give feedback.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. T Chandrakant 25 minutes later
Hi thanks for your reply.
Below is the composition of forecox.
Isoniazid (150mg) + Rifampicin (225mg) + Ethambutol (400mg) + Pyrazinamide (750mg)

Doctor suggested 3 tablets in one go daily. Is that ok. I feel it is overdosed. Kindly suggest
doctor
Answered by Dr. T Chandrakant 7 hours later
Brief Answer:
As detailed below.

Detailed Answer:
Fixed drug dosage combination packs have a small problem of under or over-dose.
Hence I would advise you the following in such a situation:
Take a Second opinion and request for all 4 medicines to be taken as separate capsule/tablet and the dosages to be as per the weight of patient as per the present-day standard regimen.
This will allow the exact dose delivery as per the weight.
Regular follow-up.
Required blood tests and additional supportive and symptomatic medications.
High protein diet.
Not to miss the medications even for a single day.
To watch for improvement of health parameters like weight, any side-effects and so on

I hope this clears your doubt as I can tell you the best possible ways of successful management of such a disease.
Feel free to ask for further relevant queries if you feel that there is a gap of communication.

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