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Tb medicine sideffect
Father has diagnosed with Tuberculous lymphadenitis. He is not able to tolerate the medicines used for it. His liver becomes hepatic with jaundice. He also had gone through cardiac surgery with stinting. Please suggest how we can handle the medicines side effects.
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Withhold anti tubercular therapy first
Add carbohydrate rich diet like potatoto etc and tab hepamerz and follow-up after 4 days
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Your father has TB lymphadenopathy and is now suffering ATT-induced hepatitis. In such cases, the anti-TB treatment (ATT) regimen needs to be tailored carefully, as the standard medicines are affecting liver.
Weekly monitoring of liver function tests (LFTs) is important until the values normalize.
Since he has a history of cardiac stenting, it’s very important to know about his other comorbid conditions and current medications before modifying the TB regimen.
He may consult me for an appropriate tailored ATT regimen and close monitoring plan.
Next Steps
Stop all TB medicines for now (under doctor’s supervision and depending on LFT REPORT), monitor LFTs weekly, and once the liver stabilizes, we can gradually reintroduce or substitute medicines based on tolerance and cardiac profile.
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Need much more details
Can contact if required for further evaluation and treatment
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Dr. A Raja Prasanna Kumar
Pulmonologist
46 yrs exp
Hyderabad
There are other drug’s which have to be customised.. Pl consult near by Tb centre.
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Dr. Sivaraj Karri
Pulmonologist
10 yrs exp
Kakinada
Consult with detailed history and reports
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Dr. Fatima Mamnoon
Pulmonologist
13 yrs exp
New Delhi
Need to adjust the tb medication depending on his liver reports, u will need to consult pulmonologist for it.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.