How Can I Manage Tuberculosis?
Tuberculosis can be cured, but this can only happen when a patient is compliant with his or her antitubercular therapy.
There is an initial intensive phase of therapy, followed by a continuation phase. As the first sortie of attack, a 4-drug regimen of antitubercular agents is used, synchronized for optimal antitubercular effect:
- Pyrazinamide This can be eliminated in pregnancy and liver disease
These are used for two months, followed by a 2-drug regimen for at least another 4 months:
If there are complications such as cavitation or continued positive sputum cultures, the continuation phase can be extended to seven months instead of two (total time 9 months).
Drug intolerance, side effects, lack of compliance, and unavoidable interruptions require an individualized approach based on the time of therapy and the severity of the disease.