(Important instructions for patients)
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🕖 WHEN TO TAKE
✔ Once daily, early morning
✔ Empty stomach
✔ Take medicines with plain water
⏰ Best method
• Take tablets
• Wait 1 hour
• Then eat breakfast
❗ If morning is not possible:
Take medicines 2 hours after food
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💊 WHICH MEDICINES (WITH DOSES)
Your TB medicines are prescribed based on your body weight:
• Isoniazid (H)
(5 mg/kg/day; usual adult dose 300 mg; max 300 mg)
• Rifampicin (R)
(10 mg/kg/day; usual adult dose 450–600 mg; max 600 mg)
• Pyrazinamide (Z)
(20–25 mg/kg/day; usual adult dose 1000–2000 mg; max 2000 mg)
• Ethambutol (E)
(15–20 mg/kg/day; usual adult dose 800–1200 mg; max 1600 mg)
• Benadon / Vitamin B6 (Pyridoxine)
(10–20 mg/day; up to 40–50 mg/day in high-risk patients)
👉 All TB tablets should be taken together at the same time every day
👉 Usually 4 TB tablets will be started and then decreased over a period of time to 2or 3 tablets.
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🍽️ FOOD & DRINK RULES
❌ Avoid
• Alcohol (very important – damages liver)
• Taking medicines immediately after food
• Excess painkillers without doctor advice
⚠️ Maintain gap
• Antacids, calcium, iron tablets → keep 2 hours gap
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🔴 IMPORTANT MEDICINE ADVICE
Rifampicin
• Urine, sweat, tears may turn orange-red
✔ This is normal
• Oral contraceptive pills may not work → use alternate contraception
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Isoniazid
• Can cause tingling or numbness in hands or feet
✔ Prevented by Benadon (Vitamin B6)
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Pyrazinamide
• May increase uric acid levels
• Can cause joint pains (toes, ankles, knees)
✔ Usually temporary and not true gout
❗ Inform your doctor if pain is severe or persistent
❌ Do not stop medicines on your own
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Ethambutol
• Rarely affects vision
❗ Report immediately if you have:
• Blurred vision
• Difficulty seeing red or green colors
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🧠 BENADON (Vitamin B6)
✔ Prevents nerve damage
✔ Safe
✔ Take daily along with TB medicines
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🚨 REPORT TO DOCTOR IMMEDIATELY IF YOU HAVE
• Yellow eyes or skin
• Severe vomiting or loss of appetite
• Extreme weakness
• Severe joint pain or swelling
• Blurred vision or color vision problems
• Severe tingling or numbness in hands or feet
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❗ DO NOT
❌ Skip doses
❌ Stop medicines on your own
❌ Drink alcohol during treatment
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✅ REMEMBER
✔ Same time every day
✔ Empty stomach
✔ Complete the full course even if you feel better
TB is completely curable when medicines are taken correctly.
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Dr. Sudheer Kumar Pothu
MBBS, D Ortho, DNB (Ortho), FNB (Spine Surgery)
Consultant – Orthopaedic Spine Surgeon
Cygnet Super Speciality Clinics
📍 2nd Floor, Fairmount Fortune One,
Beside Erragadda Metro Station, Hyderabad – 500018
📞 93818 71989 | ✉️ drsudheer.orthospine@gmail.com
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