请教一下INH medication after positive TB test-第1页

jumpjump

0操作1 ^#

请教一下INH medication after positive TB test

My newphew, my cousin's son, recently did a positive TB test. He is almost 5 years old.

the doctor want him to take this INH medication for 9 months. Although the current information about this medication is Positive, it seems it also has a lot of side effects. Is there anybody who can provide some information on whether my newphew should take this medicine or not. Will there be any bad effect on him if he takes it?

Thanks a lot.

xiaopengyou

0操作2 ^#

以下是引用jumpjump在2005-4-4 21:18:00的发言：

My newphew, my cousin's son, recently did a positive TB test. He is almost 5 years old.

the doctor want him to take this INH medication for 9 months. Although the current information about this medication is Positive, it seems it also has a lot of side effects. Is there anybody who can provide some information on whether my newphew should take this medicine or not. Will there be any bad effect on him if he takes it?

Thanks a lot.

Was your newphew born here? If he was born in China, he could get positive result, cause all chinese infants get BCG vaccine in China.

jumpjump

0操作3 ^#

he was born in usa.

[此贴子已经被作者于2005-4-4 21:50:26编辑过]

xiaopengyou

0操作4 ^#

以下是引用jumpjump在2005-4-4 21:50:00的发言：

he was born in usa.

如果这样，大多数美国医生都会建议吃NIH。如果不吃，真生病了怎么办？

还有，我听说NIH对肝不好。你们可以去问问中国医生。

不好意思，帮不了什么忙。good luck!

jumpjump

0操作5 ^#

btw, my newphew got the BCG vaccine when he traveled back to China.

xiaopengyou

0操作6 ^#

以下是引用jumpjump在2005-4-4 22:22:00的发言：
btw, my newphew got the BCG vaccine when he traveled back to China.

那你怎么不早说啊! 千万别吃那个药，没用的！告诉医生他有BCG vaccine,最好能提供record.

以后再也别做TB screen 了。那个对免疫过的身体也不好。

superduddette

0操作7 ^#

yep, if he's already received BCG vaccine, he'll show up positive for the PPD test, so tell him to tell admissions for schools in the future to not do the PPD test anymore. as for the INH, the doctor should do a chest x-ray, if its normal, then he shouldn't take any medications. also, if in the future he's to attend colleges or grad schools, he should take chest x-ray routinely instead of the PPD test (i'm very redundent). INH has some toxicities such as neuropathy and hepatotoxicity, so usually vitamine B6 is given along with INH to prevent the side-effects, most patients from the TB clinic report no significant problems most of the time, but routine lab tests such as CBC should be done.