Anti Tubercular Drugs

A multidrug regimen is followed to treat tuberculosis, which can be either first-line drugs or second-line drugs. First line drugs are given for new patients of TB, and the drugs include Isoniazid, Rifampin, Pyrazinamide, and Ethambutol. Second line drugs are used in case of drug-resistant TB, the drugs like Fluoroquinolones, Amikacin, Kanamycin, Linezolid, etc. are used.

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I coughed blood and am being treated for TB. I need expert advise.

Query: Hello doctor, I was positive for hepatitis B four years ago, and recently I was rushed to the hospital for coughing up blood from my lungs. The CT chest shows that there are some bleeding areas in my lungs. The Gene expert test shows that I have very low tuberculosis. My kidneys are normal and my li...  Read Full »


Dr. Pawar Satyajit Jalinder

Answer: Hello, Welcome to icliniq.com. As your gene Xpert report (attachment removed to protect patient identity) shows you have been tested positive for MTB which is sensitive to Rifampicin. Means you have pulmonary tuberculosis and it is sensitive to first-line drugs. The standard treatment in this case...  Read Full »

What is the recommended course of action for high CRP level?

Query: Hello doctor, I have Potts disease, and after two months, my C-reactive protein has gone from 48 to 96. What further course of action should I take?  Read Full »


Dr. Palanikumar Chellamuthu

Answer: Hello, Welcome to icliniq.com. Your Pott's disease, I assume, is being treated with an anti-tuberculosis drug cocktail (dosage accurately adjusted according to your body weight). The spine surgeon can decide on healing and response to treatment based on your clinical response like a decrease in...  Read Full »

My mother is becoming very tired after taking anti-TB tablets. Please help.

Query: Hello doctor, I have started anti-TB schedule 13 tablets for my mother of age 70 years, as she was detected right pleural effusion and certain pleural fluid was sent to the lab for analysis and gene Xpert test came negative. Still, the problem is now I have started the TB tablets, which make her fee...  Read Full »


Dr. Kaushal Bhavsar

Answer: Hi, Welcome to icliniq.com. I can understand your concern. In my opinion, I suggest her taking start antacid with an anti-emetic combination like Pan D (Domperidone 30 mg and Pantoprazole 40 mg) or Nexpro RD (Domperidone 30 mg and Esomeprazole 40 mg) twice daily before breakfast and dinner. Take ade...  Read Full »

Should I continue medicines for bone tuberculosis even if I do not have any symptoms?

Query: Hi doctor, This question is about medicine duration for bone TB treatment. I was having left hip pain, and MRI showed mild synovitis in the left hip one year ago. The medication was initially started suspecting bone TB. There was a repeat MRI after four months of completion of medicine and everythin...  Read Full »


Dr. Atul Prakash

Answer: Hello, Welcome to icliniq.com. The answers to your questions are as follows: 1) Duration of treatment is nine months and you have exceeded that, the only need to extend treatment is if the symptoms or if blood parameters are raised. In your case, symptoms, CRP, and ESR are normal. 2) No if th...  Read Full »

What does tubercular cervical lymph nodes mean?

Query: Hi, I need to consult a pulmonologist regarding the attached reports. USG and HRCT reports are attached. Kindly help. Thank you.  Read Full »


Dr. Kaushal Bhavsar

Answer: Hi, Welcome to icliniq.com. Thank you for your question on icliniq, and I understand your concern. I have gone through the reports you have attached (attachments removed to protect the patient's identity). I noticed tubercular cervical lymph nodes. Do you experience any respiratory symptoms? Kindly ...  Read Full »

I am diagnosed with latent TB without any symptoms. Are the prescribed TB medications safe?

Query: Hello doctor, I have been diagnosed with latent TB and was prescribed medications for it. I have attached a copy of the reports below. I want to consult a specialist before I start my prophylactic course.  Read Full »


Dr. Sugreev Singh

Answer: Hello, Welcome to icliniq.com. Thank you for writing, and I understand your concern. I have gone through your reports (attachments removed to protect the patient's identity). It is suggestive of TB (tuberculosis), but before starting the treatment, you should get a chest x-ray, LFT (liver fun...  Read Full »

What happens to a person taking ATT medicines when not having tuberculosis?

Query: Hi, What happens to a person taking ATT medicines, when not having tuberculosis?  Read Full »


Dr. Vinod Kumar Atreya

Answer: Hi, Welcome to icliniq.com The ATT medicines are multiple drugs given in combination to treat tuberculosis. Some drugs are bacteriostatic and some are bactericidal to the causative organism of tuberculosis i.e,Mycobacterium tuberculosis. The person on ATT and not having tuberculosis may or may not ...  Read Full »

What is the possible link between Koch's disease and irregular periods?

Query: Hello doctor, My wife is suffering from irregular and painful periods from more than a year. We went to the doctor, and he told us to perform several tests like serum vitamin, serum prolactin, thyroid function, hemogram, calcium level, and Mantoux test. The reports, which I have attached, showed th...  Read Full »


Dr. Sanjay Kumar Bhattacharyya

Answer: Hello, Welcome to icliniq.com. This is a case of irregular, painful periods, which is not uncommon among the woman who has not become a mother yet. I have gone through the report (attachment removed to protect patient identity), but I could not find anything suggestive of tuberculosis (Koch's diseas...  Read Full »

How treat duodenal stricture and colon obstruction caused by abdominal tuberculosis?

Query: Hello doctor, My mother has abdominal tuberculosis, duodenum stricture, and obstruction in rectosigmoid and distal sigmoid colon. She does not take any food, not even liquid food. And she does not pass urine and stools from the past four months. Please help.  Read Full »


Dr. Happykumar Kagathara

Answer: Hello, Welcome to icliniq.com. Abdominal tuberculosis requires antituberculosis drugs for sure, but if a stricture is present even after taking medications for 3 to 4 months, then surgery is recommended to relieve obstruction due to stricture. Presently, she is neither able to eat nor able to pass...  Read Full »

Is it fine to take Unwanted 72 while taking TB treatment?

Query: Hi doctor,My wife is under treatment for TB. She is fine with good weight and doing her normal routine. Can she take Unwanted 72?  Read Full »


Dr. Rahul Rathee

Answer: Hi, Welcome to icliniq.com. I can understand your concern. Your wife can definitely take Unwanted 72 (emergency contraceptive pill) while on treatment for TB (tuberculosis). There is absolutely no problem at all in taking it. For further doubts consult a general medicine physician online --> http...  Read Full »

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