Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

147 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Is complete course of medication necessary to cure MDR TB?

Answered by
Dr.
Dr. Kaushal Bhavsar

Pulmonologist

Practicing since :2008

Answered : 14306 Questions

default
Posted on Thu, 29 Oct 2015 in Lung and Chest disorders
Question: http://www.healthcaremagic.com/AskDoctorInboxServlet?page=viewQuery&queryId=101878
i am following from last18 months. as i previously discuss about my wife,s MDR TB case to you. it is now 22 months finished with two months left of treatment. AFB cullture reoprt for 3rd, 4th, 5th, 6th, 7th, 9th, 12th, 15th, 18th, 21s was negative no any bacteria was seen.
now i need your help again to know what is the procedure to stop the treatment?
her weight is gain up to 53 kgs from the previous 35 kgs.. please suggest me how is her progress?
if i need to go for any test before stopping this treatment?
my doctors are hear suggesting me to stop the treatment shall i continue with tablets (COXERIN 250mg x 2, ETHINOMIDE 250mg x 2, LEVOFLOX 750mg, ecox 800mg. , pyeradoxin 100mg,) for more than 24 months ? if yes than upto how long?
also her blodd test and other LFT test were showing good result there no any abnormality there a latest soft copy of blood report i am attaching here.
please suggest me any test or treatment in this regards.
doctor
Answered by Dr. Kaushal Bhavsar 50 minutes later
Brief Answer:
No need to worry much for this. You can stop the treatment.

Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your concern.
I have gone through the reports.
Treatment of MDR tb should last for atleast 24 months.
So give her tablets for total 24 months.
No need to further extend the course beyond 24 months.
Complete the total course of 24 months.
In future if she develops cough, fever, weight loss than get done chest x ray and sputum AFB culture.
Maintain good immunity by multivitamin tablet and high protein diet.
No need to worry at present. Just finish the 24 months treatment.
Hope I have solved your query.
I will be happy to help you further.
Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Prasad
doctor
default
Follow up: Dr. Kaushal Bhavsar 26 minutes later
Thanks for your advise sir,a bit of doubt stands in my mind is there persist chances of being some live bacteria in body , even though sputom culture negative up to 24 months. Or likely to occur tb again after completion of MDR full 24 month course. It will be great if you suggest some multivitamin tablets and their dosage.
doctor
Answered by Dr. Kaushal Bhavsar 47 minutes later
Brief Answer:
With good immunity and hygiene, recurrence rates are low.

Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
Honestly speaking, chances of recurrence and relapse are always high in any tb patient (drug sensitive as well as drug resistant cases).
But with maintainace of good immunity and hygiene, chances of recurrence can be decreased.
Multivitamin tablets like supradyn, becosule z, pulmofit etc are easily available in the market.
Hope I have solved your query.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on XXXX
Wishing good health to your wife . Thanks.
Above answer was peer-reviewed by : Dr. Prasad
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Drug/Medication ,  

Recent questions on  Supradyn

doctor1 MD

Hi I am a 29 year old female. I developed symptoms of the hand foot & mouth disease on 11/17 (mouth sores, rash on my hands and feet and knees on 11/19. I was officially diagnosed by a doctor on 11/20. I wanted to know if I am still contagious via...

doctor1 MD

Hello Doctor, I was diagnosed with low Vitamin D in September (10.1). I was put on 2 medications: 1. SUPRADYN (1 tablet daily after dinner) 2. D-RISE 60000 IU ( once a week for 4 weeks) I got my levels retested yesterday and the count of Vit D has...

doctor1 MD

Hello, I believe, I have less calcium intake. Can you please suggest me some good ayurvedic tablets which can be consumed daily basis to cover my all vitamin deficiencies. Thanks

doctor1 MD

i am looking for a prenatal table that is small and easy to swallow . i have always had blackmores coz they are a good brand but their prenatal is HUGE! can you reccomend another brand that has all the recommended ingrediants including Folic acid — 400 to 800 micrograms Calcium — 250 milligrams Iron — 30 milligrams Vitamin C — 50 milligrams Zinc — 15 milligrams Copper — 2 milligrams Vitamin B-6 — 2 milligrams Vitamin D — 400 international units Thanks heaps Crystal.