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Is It Safe To Continue TB Medication When Pregnant?

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Posted on Mon, 19 Jan 2015
Question: My wife aged 34 years and have a 5 years Baby Boy. We were trying for second baby but not successes so HSG and MT test (Result - 14) of my wife was done and found that her left fallopian tube was blocked & TB infection in Uterus. TB infection not shown in Chest as per chest xray. So Doctor advised for AKT4 & 3 for 9 months. Accordingly she had taken AKT4 from 18th April to 18th October (6 Months) and from 19th October to till date (2 months) she had taken Rcinex 600mg & combutol 1000mg. Means 8 months of medications has been already completed.
Doctor also advised that up to 6 month not to take chance for second baby. So in last month only we have taken chance and now we came to know that she had pregnancy of 6 weeks (1.5 month). Now as per TVS scanning, the baby is in Uterus. Now ESR is 22 as per test report of 24.12.2014. ANC profile test done and every thing is ok.Now we want to know that:-
(1)     Whether pregnancy can be continued?
(2)     Whether Medicines (Rcinex 600mg & combutol 1000mg) can be continued?
(3) If yes, whether it affects the Baby
(4) If No, whether 8 months medication of TB is sufficient or chance to not completely cure TB infection and it affect baby.
Recent reports of Scanning, ANC profile and ESR test enclosed for your reference. From last week she started folic acid and multi vitamin tablet. No other health problem issue.
It is highly appreciable if you reply in detail and point wise.
Thanks & regards.
doctor
Answered by Dr. Chetna Jain (13 hours later)
Brief Answer:
Considered safe

Detailed Answer:
both the medications need to be continued for another month. these medications are considered safe and the current scientific evidence suggests that pregnancy be continued . an anomaly scan at 12 , 20, 24 wks need to be done . best wisjes
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chetna Jain (34 hours later)
Thanks for your reply. As you told after one month TB medicines can be stopped. Whether it is presumed that TB infection is cured or any test is required after one month.
doctor
Answered by Dr. Chetna Jain (26 hours later)
Brief Answer:
No further tests

Detailed Answer:
the medications improved and cured the disease that's how conceived.
all the best
pl do 12 weeks scan at a good centre
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chetna Jain (34 hours later)
Thank you very much for your clear reply. Today we have met Physician who has undertaken whole treatment of my wife. He suggests that TB drugs can be stopped and no need to continue another one month since already 8 month 10 days completed and conceived.

So please advice whether continue for balance 20 days or stopped since whatever side effect may be arise can be ignored?
doctor
Answered by Dr. Chetna Jain (1 hour later)
Brief Answer:
Great news

Detailed Answer:
if physician is ok with stopping the medications pl stop . pl do a scan at 7 wks and then at 12 wks best wishes. I am flying out and won't be available now happy new year till XXXXXXX 5
thanks
best wishes
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Chetna Jain

OBGYN

Practicing since :1990

Answered : 236 Questions

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Is It Safe To Continue TB Medication When Pregnant?

Brief Answer: Considered safe Detailed Answer: both the medications need to be continued for another month. these medications are considered safe and the current scientific evidence suggests that pregnancy be continued . an anomaly scan at 12 , 20, 24 wks need to be done . best wisjes