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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Nephrotic Syndrome, Pulmonary Phlogistic, Elevated Liver Enzymes, Fever. Taken Prednisolone. Does That Cause Side Effect?

My father has a serious condition. He got nephrotic syndrome 3 years ago and he has been using Frednisolon since then. That medicine has caused some side effects, his body resistance has been going down and down. Then he got pulmonary phlogistic. He used Streptomycine and Turbezid for treatment. But as I know Frednisolon is against Streptomycine, and one of serious side effect caused by Streptomycine is elevated liver enzymes. He gets fever daily. He is now in a complicated status. The doctor just forcuses on his liver. After the liver gets better, they will treat for his lung. My point is to find another medicine which can replace Streptomycine, can treat for pulmonary phlogistic but not against Frednisolon. Could you give me some advice for this sistuation please?
Thank you initially
Mon, 30 Sep 2013
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General & Family Physician,  's  Response
Hi and thanks for the query,

Prescription of drugs, especially under such circumstances need special considerations. Your doctor certainly measures all these before prescription. I do understand that Streptomycine could have side effects at the level of the kidneys and the ears, and might not be the best option in this case.

I would recommend third generation cephalosporines, which cover a broad spectrum of possible infections and have minimal side effects. you might have to discuss options with your doctor before switching treatment. Thanks and kind regards.

Bain LE, MD.
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Nephrotic Syndrome, Pulmonary Phlogistic, Elevated Liver Enzymes, Fever. Taken Prednisolone. Does That Cause Side Effect?

Hi and thanks for the query, Prescription of drugs, especially under such circumstances need special considerations. Your doctor certainly measures all these before prescription. I do understand that Streptomycine could have side effects at the level of the kidneys and the ears, and might not be the best option in this case. I would recommend third generation cephalosporines, which cover a broad spectrum of possible infections and have minimal side effects. you might have to discuss options with your doctor before switching treatment. Thanks and kind regards. Bain LE, MD.