My mother has been diagnosed with Spinal Tuberclosis
Patient :My mother has been diagnosed with Spin Tb and it is effecting her D11-D12 & L1 vertibra. On Doctor's advice we started following medicines
1. RCINEX 600 mg BBF
2. PZIDE 2000 mg OD
3. MYCOBUTOL 1000mg OD
4. BENEDON 20mg OD
The above medicines were taken for 1 month starting from 28th Jan 2015.
After that, mother got tested for LFT report on 25th Feb 2015 and found that three values – SGOT, SGPT and GAMMA GT were deranged.
Doctor immediately discontinued RCINEX and PZIDE medicines and advised the following as per prescription dated 25 Feb 2015.
1. Levoflox 750mg OD
2. MYCOBUTOL 1000mg OD
3. LIV 52 Twice daily
So we got her tested for LFT again after 10 days and found that these values SGOT, SGPT are back in range so RCINEX 450 mg (BBF) was again started by the doctor .
Since 16th March 2015, Patient is taking all the four medicines (RCINEX 450 mg, Levoflox 750mg, MYCOBUTOL 1000mg, LIV 52 )
Symptoms: My mother is unable to move and has severe back pain. Pain has also extended to legs.
It is very difficult for the patient to remain without taking painkillers.
She also has fever from the last 15 days ranging from 99 F to 100.4 F.
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Since she was started on Anti Tubercular Treatment ( ATT ) for Pott's Spine, she developed ATT induced Hepatitis.
Your doctor has done absolutely right. In such scenario, R-Cinex and Pyrazinamide are withheld and Ethambutol and Levofloxacin are used in such cases. Low dose rifampicin can also be added.
Once his liver functions normalize, then all the drugs will be introduced back one by one at low doses.
So, the same has been done by your doctor. You just need to keep a watch on her Liver Functions.
As far as fever is concerned, the response would be evident after 2-3 weeks of complete Antitubercular therapy. Gradually her fever will get back to normal.
I hope it helps.
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