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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Taking R-cinex For A Positive Sputum Test, Have Continuous Vomiting. How Can I Control It And Improve Appetite?

I have started taking R- cinex as prescibed after +ve sputum test. The bacterium was sensitive to refampicin in culture test. First day the entire capsule was vomitted twice. After that i have taken it for four days. repeated the dose if vomitted. I am also taking Pyzina 750, Combutol 800, Benadone 40. I had stroke 3 months ago. I am also taking Avas and Deplatt or that Glizid M for diabetes . I am unable to eat anything orally. I am taking milk, juice, curd in very small quantity which is vomitted out. Sometimes even Dome DT does not help. I am feeling better as the temperature is not as high as before. My energy level is very low. How can I control vomitting and improve my appetite? Asha Arora Delhi India YYYY@YYYY Mobile 0000
Tue, 12 Feb 2013
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General & Family Physician 's  Response
Hello,
Anti tubercular drugs like Isonex,rifampicin and pyrizinamide are hepatotoxic and can cause nausea and vomiting.you must get liver function tests done and if transaminases like SGOT and SGPT are more three times the normal limit ,then they are stopped and rechallenged again after the liver enzymes become normal.If liver enzymes are normal or raised slightly,then you may add a proton pump inhibitor like PANTOPROZOLE 40 mg empty stomach in the morning.This should settle he vomiting.Gradually body gets used to anti tubercular medicines and person becomes all right.
You should keep getting liver function tests done on regular basis to see for hepatotoxicity.
Thanks
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Taking R-cinex For A Positive Sputum Test, Have Continuous Vomiting. How Can I Control It And Improve Appetite?

Hello, Anti tubercular drugs like Isonex,rifampicin and pyrizinamide are hepatotoxic and can cause nausea and vomiting.you must get liver function tests done and if transaminases like SGOT and SGPT are more three times the normal limit ,then they are stopped and rechallenged again after the liver enzymes become normal.If liver enzymes are normal or raised slightly,then you may add a proton pump inhibitor like PANTOPROZOLE 40 mg empty stomach in the morning.This should settle he vomiting.Gradually body gets used to anti tubercular medicines and person becomes all right. You should keep getting liver function tests done on regular basis to see for hepatotoxicity. Thanks