HomeAnswersInternal Medicineanti tubercular drugsI am on antitubercular drugs Akurit 4. Can I take Silymarin syrup for liver protection?

Can liver-protective syrup be taken along with antitubercular drugs?

Share

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At October 11, 2022
Reviewed AtOctober 11, 2022

Patient's Query

Hello doctor.

I am 31 years old. Recently I have been diagnosed with tubercular lymphadenitis and I have been taking the anti-tubercular medicine Akurit 4 for one week. I have done Hb electrophoresis by HPLC method test where along with other values HbA1c % was shown 4.8 %. Is it the same HbA1c that people test for diabetes or that HbA1c is different? Since I am on Akurit 4 and will be on antibiotics for a minimum period of 6 months, can I add Silymarin syrup for liver protection? Many suggest no need to take but if I take will there be any harm? Is there any tonic for the liver? My prostate size in ultrasonography is 28 x 28 x 26 mm and weighs around 11 gm and in another ultrasonography, it weighs around 13 gm. Are the prostate size and weight normal? What is the normal weight? Please help me out. The only issue I have is one or sometimes twice, I get up at night to urinate. I do not have diabetes.

Hello,

Welcome to icliniq.com

I understand your concern.

1. It is the same which is used in diabetics and it is normal. In the attached report, (the report has been removed to maintain the privacy of the patient) HbA2 is elevated and it is an indicator of beta thalassemia carrier.

2. There are no convincing studies available or proven benefits in patients having ATT (Anti-tubercular therapy). However, it is found beneficial for the liver in other conditions. Side effects are not serious including diarrhea, indigestion, etc so I do not think there is any harm in having it, but yes it is not routinely recommended. If you insist to have, so you can have it. But keep a gap of at least 2 hours between ATT medicine and this syrup in order to prevent any hindrance in the absorption of the medicine. Taken 140 mg twice a day. Strictly avoid alcohol consumption if any.

3. Prostate size and weight are normal. Weight ranges from 7 to 15 grams. So no need to worry about it. You should avoid drinking too much water at bedtime, as there is very little water loss through the skin, all is excreted through urine leading to excessive urination.

All the best.

Patient's Query

Hello Doctor.

In addition to ATT, I am also taking Cresar AM for blood pressure. Will there be any drug interactions? I take Protera and Cresar AM in the morning and after 1 hour take Akurit 4. How much gap is needed betwen these medicines or are there any interactions between blood pressure medicine and Akurit 4? Is Silymarin better than other liver syrups? Can Ornithine Aspartate or Lecithin be added to Silymarin or not needed? How does ARBs (angiotensin receptor blockers) help in microalbuminuria of kidney? 4) What is the normal weight of prostate in an elderly person of 50 years old?

Hello,

Welcome back to icliniq.com.

There are no significant interactions between ATT and Cresar.

You should keep the gap of two hours between the medicines.

Silymarin has got some evidence of benefit in case of liver disease. No need to add Ornithine or Aspartate in addition to Silymarin. ARBs act via antagonising the effect of angiotensin, which acts on renal efferent arteries to cause their constriction. It basically relieves pressure within the kidneys. As one grows, there is progressive enlargement of prostate due to hypertrophy and hyperplasia. There is no age wise normal value. Whatever is above the normal range is abnormal, roughly more than 25 grams is considered as abnormal.

Your prostate gland is well within the normal range and is not responsible for your symptoms. All the best.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sagar Ramesh Makode
Dr. Sagar Ramesh Makode

Cardiology

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Ask your health query to a doctor online

Internal Medicine

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy