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Rcinex for treating ankle TB, to be taken before or after food? Diabetes getting out of control

doctor im suffering from ankle tb and under treatment for past 5 months.Im taking rcinex and have a doubt is it to take before or after food.?? ortho doctor advised to take after food and diabetic was extremely out of control after every medicinal trials.for a trial i tried at empty stomach and abrupt control in diabetic suggest
Asked On : Mon, 14 May 2012
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Orthopaedic Surgeon 's  Response
1. Rcinex (Rifampicin) has to be taken atleast say 30 mins before food.
2. Anti-tuberculous medicine particularly Rifampicin alters blood sugar levels leading to poor control of diabetes.
3. It is mainly due to drug interactions of Rifampicin with anti-diabetic medications & vice-versa. Sometimes even the blood concentration of anti-TB medicines is lower in diabetics.
4. Switching over to Insulin during the treatment of TB, not only prevents drug interactions but also gives good diabetic control and faster recovery from TB.
Answered: Mon, 14 May 2012
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