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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Swelled Lymphatic Nodes At Neck, TB, Jaundice Cured. Headache, Vomit. Taking Cap. Treatment?

Hi, I had a swelling at the right side of my neck at the lymphatic nodes. It was due to TB. Then I was treated with AKT 4 tablets for more than 2 months. After 15 days of taking AKT4 my swelling was gone. But I was having vomiting and headache regularly. Then they did LFT. In that my bilurubin was high. So, again I was treated for Jaundice . My INR was also getting high. I took tablets like Heptral and Udiliv . After almost 1 month my liver was improved. My Doctor is advising now to take cambutal tablets for TB. But I fear that it might cause reactions. As last time also it reacted, causing vomiting and loss of apetite. Could you please advise me about my treatment? Thanks, Binita
Mon, 26 Aug 2013
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Internal Medicine Specialist,  's  Response
Hello

Anti TB drugs that is rifampicin , isoniazid , pyrazinamide , ethambutol are famous for causing hepatitis , with high inr and loss of appetitie

When this occurs we stop AKT kit

And start with the least hepatotoxic drug that is ethambutol then rifampicin then isoniazid and finally pyrazinamide.and also checking your lft after adding every one of these drugs

Your doctor is on right tract that is restarting ATT with cambutol as it is least hepatotoxic.

Hope this helps
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Swelled Lymphatic Nodes At Neck, TB, Jaundice Cured. Headache, Vomit. Taking Cap. Treatment?

Hello Anti TB drugs that is rifampicin , isoniazid , pyrazinamide , ethambutol are famous for causing hepatitis , with high inr and loss of appetitie When this occurs we stop AKT kit And start with the least hepatotoxic drug that is ethambutol then rifampicin then isoniazid and finally pyrazinamide.and also checking your lft after adding every one of these drugs Your doctor is on right tract that is restarting ATT with cambutol as it is least hepatotoxic. Hope this helps