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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pleural Effusion From Chest, Prescribed Akurit, Itching, Swelling In Hands And Lips

hello doctor. I am suffering from pleural effusion in right side of my chest . Doctor prescribed me 4 Akurit 4 tab before breakfast. its almost been 20 days that I am taking this medicine. However from last 2 days I am feeling some kind of skin allergy . I started getting itching. also some swelling in my hands and lips . and point size red spots on my hand and thighs. Is this drug good for me ? What do you suggest.
Fri, 5 Oct 2012
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Pulmonologist,  's  Response
Hi,
Thanks for your query.
Your doctor has diagnosed you as a case of tubercular pleural effusion and therefore put you on anti-tubercular drugs. And you are facing the problems of severe drug rash now with those drugs. Therefore the following things you have to do now under consultation of a pulmonologist -
1. Stop akurit4 for some days
2. Getting treated with hydroxyzine 25 mg tablets thrice daily for 7 days and wait for the rashes to go away
3. after that you have to take the tb drugs one-by-one
like first isoniazid and look for any reaction...then isoniazid and rifampicin and sameway look for reactions and thus all four drugs have to be reinstituted and find ou the culprit drug. If found then make a modified regime excluding that culprit drug. Your pulmonologist will guide you properly in this regards.
Thank you.
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Pleural Effusion From Chest, Prescribed Akurit, Itching, Swelling In Hands And Lips

Hi, Thanks for your query. Your doctor has diagnosed you as a case of tubercular pleural effusion and therefore put you on anti-tubercular drugs. And you are facing the problems of severe drug rash now with those drugs. Therefore the following things you have to do now under consultation of a pulmonologist - 1. Stop akurit4 for some days 2. Getting treated with hydroxyzine 25 mg tablets thrice daily for 7 days and wait for the rashes to go away 3. after that you have to take the tb drugs one-by-one like first isoniazid and look for any reaction...then isoniazid and rifampicin and sameway look for reactions and thus all four drugs have to be reinstituted and find ou the culprit drug. If found then make a modified regime excluding that culprit drug. Your pulmonologist will guide you properly in this regards. Thank you.