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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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I Am Having Infective Spondylitis D11/D12 Discitis. Is My Medication OK ?

hello doctor , I am having infective spondylitis D11/D12 discitis. I am taking medicine R-cinex 600 mg, pyrazinamide 750 mg, ethambutol 1000 mg and pyridoxine 10 mg since last three months. I have stopped Ethambutol and Pyrazinamide after 2 and 3 months respectively, and continuing rest medicine. The pus was removed by operation and some pus is still coming after 1 n half month of operation. I am continuing the dressing regularly. I would like to know how much time i will have to continue my medicine ?
Tue, 23 Apr 2013
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Pulmonologist 's  Response
Hi mnzel,
Thanks for visiting HCM.
You must have told me your weight, because I have strong doubt that for pyrazinamide it was underdosing of the drug.
Tuberculosis of bones and joints need 6-9 months of anti-tubercular treatment which must be adequately dosed and scheduled. It can be further prolonged if needed.
Don't worry it's a curable disease. But if symptoms recur even after 4th or 5th month of therapy, it will be better to go for culture and sensitivity of pus for acid fast bacilli to discover the drug resistance.
Also there may be superadded bacterial infection needing antibiotic therapy....so consult your doctor if it is needed.

Best wishes
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General & Family Physician Dr. Ramesh M.Vachharajani's  Response
Hi,
Thanks for query,
For tuberculosis you have to take treatment for 6-9 months continuously and regularly.
After evaluation should be made.
Take anti koche medicines strictly as per your specialist advice.
Ok and bye.
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Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
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I Am Having Infective Spondylitis D11/D12 Discitis. Is My Medication OK ?

Hi mnzel, Thanks for visiting HCM. You must have told me your weight, because I have strong doubt that for pyrazinamide it was underdosing of the drug. Tuberculosis of bones and joints need 6-9 months of anti-tubercular treatment which must be adequately dosed and scheduled. It can be further prolonged if needed. Don t worry it s a curable disease. But if symptoms recur even after 4th or 5th month of therapy, it will be better to go for culture and sensitivity of pus for acid fast bacilli to discover the drug resistance. Also there may be superadded bacterial infection needing antibiotic therapy....so consult your doctor if it is needed. Best wishes