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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Precautions To Be Taken For Pulmonary Tuberculosis?

Good day Doc, just wanna know what are the do's and don'ts if you have PTB right apex class C. My sputum result is negative but that was 3months ago and now I am experiencing cough and colds, am I infectious now? I am taking this medicine -Rifampicin Isoniazid Rimactazid- is it effective? I'll wait for your response, thank you and God bless Doc
Age: 20yrs old
Height: 5'5'' ft.
weight: 53kg
Mon, 28 Jul 2014
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General & Family Physician 's  Response
Hello
The diagnosis is established , so please take care that in any condition don't stop the anti tubercular treatment till your doctor advise .When a patient visit my clinic I advise them to take these drugs ( > 50 kg weight ) .
Forecox ( rifampicin 225 mg + isoniazide 150 mg + ethambutol 400 mg + pyrazinamide 750 mg in one tablet ) take 2 tablet on empty stomach but if patient feel nausea and vomiting then take these tablets 3 hours after meal and also take some antacid .
In the evening I prescribe levofloxacin 750 mg + pantaloc-D , these two after dinner .
I usually advise this treatment for 3 months .
After this I advise my patient to take Rifampicin 450 mg + isoniazide 300 mg in the morning .
Levofloxacin 750 with pantaloc-D in the night after dinner . till another 3 months .
After this rifampicin 450 + isoniazide 300 mg for another 6 month .
One tear treatment completed in this way .
Observe any symptoms like cough , hemoptysis , fever , weakness , if any , report at once to treating doctor .
Regular x RAY after every 3 months with sputum for A F B if present .
Blood after every 3 months for c b c & e s r .
Since you are not producing sputum so it is presumed that no sputum or sputum for A F B negative patient can't spread tuberculosis because droplet ( sneezing , coughing spitting spreads tuberculosis ) from mouth or nose is the way with which PTB spread.
So deal as mentioned above.
Hope this will help you.
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What Are The Precautions To Be Taken For Pulmonary Tuberculosis?

Hello The diagnosis is established , so please take care that in any condition don t stop the anti tubercular treatment till your doctor advise .When a patient visit my clinic I advise them to take these drugs ( 50 kg weight ) . Forecox ( rifampicin 225 mg + isoniazide 150 mg + ethambutol 400 mg + pyrazinamide 750 mg in one tablet ) take 2 tablet on empty stomach but if patient feel nausea and vomiting then take these tablets 3 hours after meal and also take some antacid . In the evening I prescribe levofloxacin 750 mg + pantaloc-D , these two after dinner . I usually advise this treatment for 3 months . After this I advise my patient to take Rifampicin 450 mg + isoniazide 300 mg in the morning . Levofloxacin 750 with pantaloc-D in the night after dinner . till another 3 months . After this rifampicin 450 + isoniazide 300 mg for another 6 month . One tear treatment completed in this way . Observe any symptoms like cough , hemoptysis , fever , weakness , if any , report at once to treating doctor . Regular x RAY after every 3 months with sputum for A F B if present . Blood after every 3 months for c b c & e s r . Since you are not producing sputum so it is presumed that no sputum or sputum for A F B negative patient can t spread tuberculosis because droplet ( sneezing , coughing spitting spreads tuberculosis ) from mouth or nose is the way with which PTB spread. So deal as mentioned above. Hope this will help you.