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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest correct medication for enlarged lymph nodes

RCINEX contains 600 mg of Rifampcin while forecox contains only 225 mg . my father is having enlarged lymph nodes so doctor has suggested forecox 2 tablets daily . however other doctor was saying composition of rifampcin should be 600 mg .can you guide .
Tue, 21 Apr 2020
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General & Family Physician 's  Response
Hi,

Based on the details given your father seems to be suffering from tuberculosis of lymph nodes for which his doctor advised the medications. Table forecox contains 4 antibiotics rifampicin (225 mg) + isoniazid (150 mg) + ethambutol (400 mg) + pyrazinamide (750 mg).

As per WHO the recommended doses of each of the above mentioned antibiotics is as follows:
* Rrifampicin: 15 mg/kg/d (10 to 20 mg/kg/day)
* Isoniazid: 10 mg/kg/d (10 to 15 mg/kg/day)
* Pyrazinamide: 35 mg/kg/d (30 to 40 mg/kg/day)
* Ethambutol: 20 mg/kg/d (15 mg to 25 mg/kg/day)

The tablet forecox is more effective as compared to R-Cinex hence take forecox tablet as prescribed by your doctor.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Mohammed Taher Ali, General & Family Physician
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Suggest correct medication for enlarged lymph nodes

Hi, Based on the details given your father seems to be suffering from tuberculosis of lymph nodes for which his doctor advised the medications. Table forecox contains 4 antibiotics rifampicin (225 mg) + isoniazid (150 mg) + ethambutol (400 mg) + pyrazinamide (750 mg). As per WHO the recommended doses of each of the above mentioned antibiotics is as follows: * Rrifampicin: 15 mg/kg/d (10 to 20 mg/kg/day) * Isoniazid: 10 mg/kg/d (10 to 15 mg/kg/day) * Pyrazinamide: 35 mg/kg/d (30 to 40 mg/kg/day) * Ethambutol: 20 mg/kg/d (15 mg to 25 mg/kg/day) The tablet forecox is more effective as compared to R-Cinex hence take forecox tablet as prescribed by your doctor. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician