Suggest treatment for pulmonary tuberculosis
Patient: 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? Doctor: 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.