After two months of tuberculosis treatment with normal blood test results and improved symptoms, my doctor wants me to stop PZA and ethambutol and only take Rcinex 600 for the second phase of treatment, but government guidelines recommend continuing ethambutol as well?which of these two treatment plans should I follow? | Apollo Pharmacy

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After two months of tuberculosis treatment with normal blood test results and improved symptoms, my doctor wants me to stop PZA and ethambutol and only take Rcinex 600 for the second phase of treatment, but government guidelines recommend continuing ethambutol as well?which of these two treatment plans should I follow?

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After two months of tuberculosis treatment with normal blood test results and improved symptoms, my doctor wants me to stop PZA and ethambutol and only take Rcinex 600 for the second phase of treatment, but government guidelines recommend continuing ethambutol as well?which of these two treatment plans should I follow?

Asked by Male, 0 · 6 days ago

Y. Lakshmi Thulasi

Pharm-D (Post baccalaureate)

6 days ago

It is wonderful to hear that your symptoms are improving and your blood tests are normal! For the second phase of tuberculosis treatment, standard international guidelines often recommend transitioning to just two drugs?rifampicin and isoniazid (the components of Rcinex 600)?and stopping pyrazinamide and ethambutol. While some regional guidelines suggest continuing ethambutol due to local drug-resistance patterns, your doctor has customized this plan based on your excellent clinical response. I gently encourage you to discuss this with your doctor to understand their specific reasoning, but please do not stop your current prescribed treatment, as finishing the full course is vital for your recovery.

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After two months of tuberculosis treatment with normal blood test results and improved symptoms, my doctor wants me to stop PZA and ethambutol and only take Rcinex 600 for the second phase of treatment, but government guidelines recommend continuing ethambutol as well?which of these two treatment plans should I follow?

Answered 6 days ago

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I understand how exhausting this must be for you. While medications like Rcinex (rifampicin and isoniazid) can harmlessly color your urine, urinating 18 to 20 times a day is not a normal side effect, despite your previous normal kidney tests. This frequent urge could be due to a urinary tract infection, high fluid intake, or other manageable issues. Please consult your doctor soon for a simple urine test and evaluation. It is very important that you do not stop taking your TB medications, including Pyzina and Rcinex, without medical advice. We will help you get this resolved safely.

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