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A 19-year-old male asked about a 24-year-old female:

What would be your best prescription for tuberculosis meningitis. friend is already on treatment, need second opinion only. she's on tb meds only.

2 doctor answers5 doctors weighed in
Dr. Martin Raff
Infectious Disease 57 years experience
Tuberculous meningit: Tb meningitis can be managed with isoniazid, rifampicin, Pyrazinamide and Ethambutol for two months, followed by Isoniazid and rifampicin alone for a further ten months. Steroids are often used in the first six weeks of treatment, although efficacy is questionable. Few patients may require immunomodulatory agents such as thalidomide.
Dr. Joel Gallant
Infectious Disease 37 years experience
4 drugs: The initial treatment in the us would be isoniazid, rifampin, pyrazinamide, and rifampin. Steroids might also be used in some cases.
Dr. Robert Isaacs
undefined 40 years experience
Ethambutol would be the fourth drug.
Mar 27, 2014

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