Q. Kindly advise the medicines for patient with TB, mood swings, and low BP.
Hello doctor,
My mother is 67 years old. She has the following health issues:
Type 2 diabetes mellitus without complications, high blood pressure disorder, aneurysm, fluid in the lungs, (HFpEF) heart failure with preserved ejection fraction, atrial fibrillation (irregular heartbeat), collection of fluid in sac covering heart, chest pain, chronic left-sided low back pain with left-sided sciatica, temporary loss of blood supply to brain, low blood pressure from this year, bladder infection.
Currently, her most upsetting symptoms are as follows:
Doctors think that she might have TB and so she is on TB medicine as an empirical treatment. Severe shortness of breath (even when lying on the bed), temporary loss of vision. Currently, she sees but not like before. Low blood pressure (she is currently on Sodium chloride serum), very moody and frustrated and angry most of the time. She used to be a very calm person before. Hallucinations, not able to sleep.
Her medications are shown in the attached picture along with the number of tablets per day and the total dosage. Could you please advise us about the medicines she is being given since she is very upset about it and we think she might not be able to complete the TB treatment. Are there any medicines that have bad interactions or unnecessary?
Hi,
Welcome to icliniq.com.
First of all, stay calm and support her fully. I understand it is tough to stay calm and there are too many medicines to take but she can do this. All drugs are correct for the treatment. TB drugs are very important and one must complete the treatment. Rifampicin is the drug that might decrease the effect of other group of drugs for which we can increase the dose of other drugs (attachment removed to protect patient identity). Do not take all the drugs altogether, go slow. Keep a gap and keep record of all the blood tests and get them monthly checked to check their side-effect on the body. By keeping a check you can reach your goal and free of TB.
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