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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for cervical Lymph node TB

Hi , My Wife is detected with cervical Lymph node TB. She has been put on R-Cinex 600 1 tab daily, Pyzina 750 mg 2 tabs daily, mycobutol 1000 1.5 tabs daily and benadon 40 1 tab daily..she is having violent shivering with fever (~ 103 degree centrigrade), joint pains etc after 1 hour of taking Pyzina 750 mg 2 tabs daily, mycobutol 1000 1.5 tabs daily and benadon 40 1 tab daily..any suggestions ?
Thu, 21 Jul 2016
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Pulmonologist 's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
Pyzina is having pyrazinamide.
Mycobutol is having ethambutol.
Both of them can cause rise in uric acid level (hyperuricemia).
This high uric acid can accumulate in joints and cause joint pain.
It can also cause fever with chills.
So in my opinion, she should get done uric acid level and if it is raised then she needs to take febuxostat tablet.
Febuxostat is having property of reduced uric acid production.
So consult her doctor and discuss all these.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your wife. Thanks.
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Suggest treatment for cervical Lymph node TB

Thanks for your question on Healthcare Magic. I can understand your concern. Pyzina is having pyrazinamide. Mycobutol is having ethambutol. Both of them can cause rise in uric acid level (hyperuricemia). This high uric acid can accumulate in joints and cause joint pain. It can also cause fever with chills. So in my opinion, she should get done uric acid level and if it is raised then she needs to take febuxostat tablet. Febuxostat is having property of reduced uric acid production. So consult her doctor and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your wife. Thanks.