Tuberculosis: Management & Treatment Menu

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.

Antitubercular Drugs

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:

  • Isoniazid
  • Rifampin
  • Pyrazinamide This can be eliminated in pregnancy and liver disease
  • Ethambutol

These are used for two months, followed by a 2-drug regimen for at least another 4 months:

  • Isoniazid
  • Rifampin

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.

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This information is provided by Vascular Health Clinics and is not intended to replace the medical advice of your doctor or healthcare provider. Please consult your healthcare provider for advice about a specific medical condition.

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