HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest Treatment For Pulmonary Tuberculosis

i am RMO in a reputed hospital. AKT (combutol,r-cinex,pyzina regimen) started for a 78 yrs male patient who was found to have extensive PT.Chest physician advised combutol-400, r-cinex 300+450, mgs at night and pyzina in after noon. Is this regimen correct?
Tue, 24 Oct 2017
Report Abuse
Pulmonologist,  's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
No, this is not appropriate regimen.
This patient is receiving under dosage of ethambutol.
Also the timing of drugs are not proper.
Ideally, all anti tubercular drugs should be taken together in the morning on empty stomach.
If patient is feeling nausea and vomiting then he can take drugs after breakfast. But all drugs should be taken together.
Dose of ethambutol should be 600-800mg.
Dose of pyrazinamide should be 750-1000 mgs.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your patient. Thanks.
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
Suggest Treatment For Pulmonary Tuberculosis

Thanks for your question on Healthcare Magic. I can understand your concern. No, this is not appropriate regimen. This patient is receiving under dosage of ethambutol. Also the timing of drugs are not proper. Ideally, all anti tubercular drugs should be taken together in the morning on empty stomach. If patient is feeling nausea and vomiting then he can take drugs after breakfast. But all drugs should be taken together. Dose of ethambutol should be 600-800mg. Dose of pyrazinamide should be 750-1000 mgs. Hope I have solved your query. I will be happy to help you further. Wishing good health to your patient. Thanks.