 
                            Suggest Treatment For Infective Granulomas And Tuberculomas In Brain
 
 
                                    
                                    
                                          
                                               Posted on
                                          
                                            
                                         
                                           Mon, 26 May 2014
                                           
                                        
                                        
                                        
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                                             Mon, 26 May 2014
                                                
                                            
                                                Answered on
                                                
                                                Mon, 26 May 2014
                                                
                                            
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                                             Mon, 16 Jun 2014
                                                
                                                
                                                Last reviewed on
                                                
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                                            Question : Dear Sir,
I am your patient, XXXX of age 16 years. I have been undergoing treatment from Dec'2013 for infective granulomas and tuberculomas in Brain and the medicines you have prescribed were Levitil, ATK-4 and Benadon.
In March'2014, you have confirmed that the diagnosis as Brain Tuberculosis by viewing the MRI scan report and you have continued the same treatment. Recently, again on 24 May'2014, you have done physical examination in Apollo Hospitals, Jubilee Hills.
My compliant: On 25 May'2014, my right hand has shivered from elbow to the palm region and today, i.e. on 26 May'2014, I had numbness and pain from shoulder to the elbow region. Can you please advice or prescribe any medicine regarding this matter.
I am ready to pay you the prescribed fee... either by Bank deposit / or by cash.
With Regards
XXXX
Ph - 0000
0000
                            I am your patient, XXXX of age 16 years. I have been undergoing treatment from Dec'2013 for infective granulomas and tuberculomas in Brain and the medicines you have prescribed were Levitil, ATK-4 and Benadon.
In March'2014, you have confirmed that the diagnosis as Brain Tuberculosis by viewing the MRI scan report and you have continued the same treatment. Recently, again on 24 May'2014, you have done physical examination in Apollo Hospitals, Jubilee Hills.
My compliant: On 25 May'2014, my right hand has shivered from elbow to the palm region and today, i.e. on 26 May'2014, I had numbness and pain from shoulder to the elbow region. Can you please advice or prescribe any medicine regarding this matter.
I am ready to pay you the prescribed fee... either by Bank deposit / or by cash.
With Regards
XXXX
Ph - 0000
0000
                                    Brief Answer:
Levipil and AKT 3 should be continued.
Detailed Answer:
Thank you for getting back.
I have noted your symptoms.
As I remember, you were getting better. Most likely, this pain and numbness are not of concern.
However, if it repeats, the dose of levipil may have to be increased by 500 mg per day.
How much levipil are you taking at present?
Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant neurologist
                                    
                            Levipil and AKT 3 should be continued.
Detailed Answer:
Thank you for getting back.
I have noted your symptoms.
As I remember, you were getting better. Most likely, this pain and numbness are not of concern.
However, if it repeats, the dose of levipil may have to be increased by 500 mg per day.
How much levipil are you taking at present?
Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant neurologist
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr.  Chakravarthy Mazumdar
                                  
                              
                                          
 
                                    
                                    
                                 
  
 
                                    Sir, I am consuming 2 Levipil tablets of 500 mg per day (1 at 9 am and 1 at 9 pm). However, my problem of shivering and pain to my right hand is subsided. Kindly advise... 
Thank you very much.
XXXX
                            Thank you very much.
XXXX
                                    Brief Answer:
Continue same.
Detailed Answer:
Thank you for getting back.
If the numbness, pain or shivering repeats, you can increase the dose of LEVIPIL to 750 mg twice daily. As of now, please continue 500 mg two times daily.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
                                    
                            Continue same.
Detailed Answer:
Thank you for getting back.
If the numbness, pain or shivering repeats, you can increase the dose of LEVIPIL to 750 mg twice daily. As of now, please continue 500 mg two times daily.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr.  Chakravarthy Mazumdar
                                  
                              
                                          
 
                                    
                                    
                                 
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