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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are The Multidrug-resistant Bone TB Treatment Medications Correct?

Sir I am suffering form Multi Drug Resistance boan TB .. At first doctor prescribed me AKT-4 and AKT-3 But after 1 Year when the tablets stoped, again same problem occors. And again biopsy hade done and again TB problem seen, and doctors started Monitor-4 and Ing-ambistryn . After 20 days I am not able to walk properly, Then again i report to my doctor, After some checkups He prescribes me Akurit-4 Tablet And Ecosprin-av. This treatment doesn t satisfies me then i change my doctor and the new Doctor sopped all medicine except Ecosprin-av and started new dose Of (R-Cinex-600, Combutol-1000, Fourrts-B, Suprameal) So please guide me which medicine is right ..
Tue, 20 Jan 2015
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Orthopaedic Surgeon,  's  Response
Dear patient
Multi drug resistant tuberculosis is serious problem and should be dealt by expert. You have shifted from one regimen to other that also increases chances of drug resistance. I would advise biopsy from infective tuberculosis site and get it checked for AFB staining and culture and sensitivity of organism isolated. By doing culture and sensitivity sensitive antibiotics can be identified and correct regimen can be chosen. At least two injectable sensitive drugs and three oral sensitive drugs (total of five) should be taken for at least one year duration. Also check for bone site healing by doing radiograph every 3 months. Blood parameters like hb cbc esr should be checked every 2 monthly. Take immediate visit to tb and chest physician and take advise as I mentioned.
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Are The Multidrug-resistant Bone TB Treatment Medications Correct?

Dear patient Multi drug resistant tuberculosis is serious problem and should be dealt by expert. You have shifted from one regimen to other that also increases chances of drug resistance. I would advise biopsy from infective tuberculosis site and get it checked for AFB staining and culture and sensitivity of organism isolated. By doing culture and sensitivity sensitive antibiotics can be identified and correct regimen can be chosen. At least two injectable sensitive drugs and three oral sensitive drugs (total of five) should be taken for at least one year duration. Also check for bone site healing by doing radiograph every 3 months. Blood parameters like hb cbc esr should be checked every 2 monthly. Take immediate visit to tb and chest physician and take advise as I mentioned.