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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child With Moderate Lung Infection, X-ray Showed Primary Complex, Prescribed R-cin For Long Term. Will It Cause Any Side Effects?

sir/madam,my daughter was 3.1years old she was suffering from moderate lung infection we are taking the x-ray at march 2012 the doctor told she was affected by primary complex,and he was prescribed R-Cin suspension and isokin300mg tab(dosage R-Cin 5ml daily night and isokin 3/4) , she will continue this medicines at least for 9 months .How long she will take the medicines ,there is any side effects for taking this medicines for 9 months?please answer me.
Tue, 26 Jun 2012
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Internal Medicine Specialist 's  Response
I would like to know if there is any family h/o T.B.'

if answer is no then stop the T.B. medicines and review Xray because diagnosing Pulm.T.B. only by a single x-ray is not justified.
Get sputum exam, morning Gastric aspirate sample exam for ZN Staining, Mantoux, Quantiferon TB Gold. I mean do extensive work up to make sure before you give ATT to a child of 3.1 years. And apprently she is receiving overdose ATT.

And yes ATT has high incidence of side- effects but surely has to be taken if sure of diagnosis because in that case risk/reward ratio favours taking ATT.
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Child With Moderate Lung Infection, X-ray Showed Primary Complex, Prescribed R-cin For Long Term. Will It Cause Any Side Effects?

I would like to know if there is any family h/o T.B. if answer is no then stop the T.B. medicines and review Xray because diagnosing Pulm.T.B. only by a single x-ray is not justified. Get sputum exam, morning Gastric aspirate sample exam for ZN Staining, Mantoux, Quantiferon TB Gold. I mean do extensive work up to make sure before you give ATT to a child of 3.1 years. And apprently she is receiving overdose ATT. And yes ATT has high incidence of side- effects but surely has to be taken if sure of diagnosis because in that case risk/reward ratio favours taking ATT.