Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
161 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest Treatment For Breathing Difficulty

I have a severely compromised respiratory system, have been diagnosed with Myobacterium Avium Intracellular complex, but have had no follow up since my appointment 5 weeks ago. Feeling unwell, I have almost finished 7 days of Moxyfloxasin, and am still feeling really crappy, breathing laboured, appitite not that good.I'm getting worried I should be being treated more assertively.....can you help me
posted on Thu, 13 Nov 2014
Twitter Tue, 9 Dec 2014 Answered on
Twitter Tue, 9 Dec 2014 Last reviewed on
Report Abuse
General & Family Physician,  's  Response
Hello
As you mentioned that you are having Mycobacterium Avium intracellular complex ( also known as myco avium complex or MAC or M.intracellulare).
Since this evolves over a long period , it is rarely necessary to begin treatment on emergency basis before identifying the infecting species but in your case it is identified , so treatment is simple .
MAC infection requires MULTIDRUG therapy with a macrolide ( clarithromycin or azithromycin ) , ethambutol and a rifampicin .
Thearapy is prolonged , generally for 12 months after culture conversion;typically a course lasts for at least 18 months .
In my opinion consult another physician(2nd one ) and get his opinion as the drugs of choice I MENTIONED.
Hope this will help you.
Moxifloxacin is not effective in this strain.
Good luck.
I find this answer helpful

1 Doctor agrees with this answer

Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
Suggest Treatment For Breathing Difficulty

Hello As you mentioned that you are having Mycobacterium Avium intracellular complex ( also known as myco avium complex or MAC or M.intracellulare). Since this evolves over a long period , it is rarely necessary to begin treatment on emergency basis before identifying the infecting species but in your case it is identified , so treatment is simple . MAC infection requires MULTIDRUG therapy with a macrolide ( clarithromycin or azithromycin ) , ethambutol and a rifampicin . Thearapy is prolonged , generally for 12 months after culture conversion;typically a course lasts for at least 18 months . In my opinion consult another physician(2nd one ) and get his opinion as the drugs of choice I MENTIONED. Hope this will help you. Moxifloxacin is not effective in this strain. Good luck.