Suggest treatment for lymph node TB in a child
Patient: my 5 years daughter has got lymphnode tb and she is taking macox zh 150 and combutol 200 regularly since last 50 days but suddenly after 50 days she started vomiting and eating any thing . dr. suggested blood test for sgpt and her sgpt result is very high 714.2 . her dr. has discontinued both the previous tablets and suggested new set of medicines 1. sorbiline syrup 2. udiliv 150 tablet 3.neogadine sg syrup 4.serpep 10 tablet 5.livofloxacin tablet .Please suggest should we continue with these medicines , is it safe after a very high sgpt result of 714.2 Doctor: Hi, I'am Dr Suresh K Yadav MD (paediatrics), I had gone through your question and understand your concerns,It is unfortunate that your daughter has adverse reaction to anti tubercular drugs . Although very uncommon but severe adverse reactions due occur after some anti tubercular drugs . In that case some drugs are stopped and other drugs are given for some time before again starting previous drugs . As it is not recommended to stop therapy , it is essential to continue treatment with other drugs for some time before previous medicines are started  again. As these medicines are not hepatotoxic , they can be given safely.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questionsTake care.