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Have pleural effusion in chest, red spots, itchiness. On akurit, inacid. Suggestion?

HI I am 27 years old female, my weight is 40kgi have been detected with pleural effusion on right side of my chest. i have been taking Akurit 4 from past 3 weeks doctor has asked to take it 3 times after meals, is it correct because most of the doctors ask to take this medicine before meals..also past 2 days i have sever itiching n small red spots on my face, hands and doctore asked me to take INACID MD for the i taking the right medinines kindly help
Asked On : Sat, 13 Apr 2013
Answers:  2 Views:  42
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Internal Medicine Specialist 's  Response
As you are aware that you are taking anti-tubercular medication for the chest tuberculosis with the right sided pleural effusion.

I am a not sure you are taking the medication in the right way , these medication has to be taken ONLY ONCE A DAY, EMPTY STOMACH in the morning for proper effect, it is quite scary that you are taking it three times a day and after meals.

You must have misunderstood the instruction or there can be some other problem

Consult your doctor, and correct the schedule as soon as possible,as too much of these tablets can lead to liver damage.

As far as concerned, you can take some antihistamic tablets like cetrizine and see if you get relief.
But I think streamlining your TB medications is far more important.

Answered: Fri, 19 Apr 2013
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General & Family Physician Dr. Het Ram Bishnoi 's  Response
Sep 2013
Hi, thanks for posting the "Q".
I am very sorry that an internet user have pleural effusion?
Any how your's weight is 40 kg pretty low weight.
Akurit 4 have Rifampicin 150 mg.
INH 75 mg
ethambutol 275 mg
Pyrazinamide 400mg
According to your body weight the doses of these drugs are not fit for you.
Rifa 8-10 mg /kg
INH 6 mg /kg
Ethambutol 15-16 mg/kg
Pyrazinamide 30mg /kg
Either take these medicines in single dose ( the best way) .
If not tolerable than in two divided doses as (Rifa one dose, INH ONE, Ethambutol one , Pyrazinamide two bis in a day ( twice in a day).
This is the drug schedule.
If you have hives or redness or itch than have anti-allergic drugs.
Antacids are added because nausea, gastritis would not occurs.
Here please note that in any condition don't stop the medicine of pleural effusion as this might produces M D R T later on.
Still doses not adjusted than take these drugs separately as above mentioned.
Have a good luck and speedy recovery. Dr. HET

Answered: Fri, 19 Apr 2013
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