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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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TB, Non-healing Scar, No Improvement With Medicines, Pimple Of Left Arm That Turned Into Yellow Patch, Extreme Fatigue. How Long Will It Take?

Hi I was diagnoised with TB I have a non healing ulcer since February 2012 and i have been taking the following medicine Rimactazid 600 mg, PZA 750,1000,1750, Leon 750. Its been almost 10 to 15 days but i dont see any difference on the healing of the ulcer infact it is getting bigger. Also yesterday i notice a small pimple on my left arm and today it had turned into a yellow patch. I also feel very tired these days. I want to know if all this is normal and how long would it take for the tongue ulcer to heal and the yellow patches are normal or not. Looking forward to an advise.
Tue, 28 Aug 2012
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Pulmonologist,  's  Response
It`s quite apparent that the nonhealing ulcer(you have`nt mentioned the site) has been diagnosed of tubercular etiology hence anti tb treatment has been started.
The four drugs used in tb treatment in initial phase are:

Rimactazid 6oo which has 2 drugs-INH and Rifampicin.
PZA dose is 1500 to 2000 mgm depending on your body weight
4th drug is Etambutol 1000 to 1200 mgm.
I do not know why leon 750 has been started instead of ethambutol as it is normally reserved for drug resistant tb. Your doctor must surely be having a reason for it.

In tb 10 to 15 days is too early to expect any appreciable improvement. You have to give it time. However possibility of drug resistant tb has to always kept in mind.

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TB, Non-healing Scar, No Improvement With Medicines, Pimple Of Left Arm That Turned Into Yellow Patch, Extreme Fatigue. How Long Will It Take?

It`s quite apparent that the nonhealing ulcer(you have`nt mentioned the site) has been diagnosed of tubercular etiology hence anti tb treatment has been started. The four drugs used in tb treatment in initial phase are: Rimactazid 6oo which has 2 drugs-INH and Rifampicin. PZA dose is 1500 to 2000 mgm depending on your body weight 4th drug is Etambutol 1000 to 1200 mgm. I do not know why leon 750 has been started instead of ethambutol as it is normally reserved for drug resistant tb. Your doctor must surely be having a reason for it. In tb 10 to 15 days is too early to expect any appreciable improvement. You have to give it time. However possibility of drug resistant tb has to always kept in mind.