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What Causes Vision Problems When Taking AKT4 For TB Stone In Neck?
Question: hi I have tb stone in Neck. I am taking AKT4? May i continue or take another medicine ?i am having vision problem while taking akt4
Brief Answer:
no need to take it further.
Detailed Answer:
Hello dear, thanks for your question on HCM.
Treatment of tuberculosis (any organ) should not given more than 6-8 months.
So you should stop the treatment.
And ideally , four drugs are needed for only first 2-3 months of illness (intensive phase). No need to take four drugs for entire treatment duration.
AKT 4 is having four anti TB drugs. Rifampicin, ethambutol, isoniazide and ethambutol.
These four drugs should be given in first 2-3 months of treatment. And then two drugs (rifampicin and isoniazide) should be continued for remaining 6-7 months.
It seems you have taken improper treatment.
So no need to take further treatment, if your neck swelling is reduced or disappeared.
Ethambutol can cause visual impairment due to optic nerve damage. So you may have ethambutol toxicity as a cause for your vision problem.
So consult ophthalmologist and rule out ethambutol toxicity.
Hope I have solved your query.
I will be happy to help you further.
Wish you good health.
Thanks.
no need to take it further.
Detailed Answer:
Hello dear, thanks for your question on HCM.
Treatment of tuberculosis (any organ) should not given more than 6-8 months.
So you should stop the treatment.
And ideally , four drugs are needed for only first 2-3 months of illness (intensive phase). No need to take four drugs for entire treatment duration.
AKT 4 is having four anti TB drugs. Rifampicin, ethambutol, isoniazide and ethambutol.
These four drugs should be given in first 2-3 months of treatment. And then two drugs (rifampicin and isoniazide) should be continued for remaining 6-7 months.
It seems you have taken improper treatment.
So no need to take further treatment, if your neck swelling is reduced or disappeared.
Ethambutol can cause visual impairment due to optic nerve damage. So you may have ethambutol toxicity as a cause for your vision problem.
So consult ophthalmologist and rule out ethambutol toxicity.
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. Bhagyalaxmi Nalaparaju
Thank u sir ,
neck swelling is reduced from previous but everyday i need face cough problem.What i ll do ?
if i face cough problem may i take (rifampicin and isoniazide ).
neck swelling is reduced from previous but everyday i need face cough problem.What i ll do ?
if i face cough problem may i take (rifampicin and isoniazide ).
Brief Answer:
get done chest x ray first.
Detailed Answer:
Hello dear, thanks for your follow up question.
No need to take TB treatment further as your swelling is reduced in size.
And don't take rifampicin and isoniazide for cough. First get done chest x ray to rule out tuberculosis in lungs. Don't take it empirically.
Hope I have solved your query.
I will be happy to help you further.
Wish you good health.
Thanks.
get done chest x ray first.
Detailed Answer:
Hello dear, thanks for your follow up question.
No need to take TB treatment further as your swelling is reduced in size.
And don't take rifampicin and isoniazide for cough. First get done chest x ray to rule out tuberculosis in lungs. Don't take it empirically.
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. Vinay Bhardwaj
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