Dear all,
It is to update you all, that my wife has done another MRI brain with contrast at 13th month of ATT, and it reported to Clear MRI Brain, there was no tuberculoma in brain and it resulted clear however doctor further suggested to continue taking anti TB pills at least 18 months in order to complete the treatment course.
Nevertheless patient was complaining of dizziness, weakness and low blood pressure, then doctor advised to test serum Cortisol and serum ACTH, then we check these levels the cortisol resulted in 6.7 where the normal range was 6-23 and ACTH resulted in 34 where the normal was 6-46, the blood is tested for both tests in the morning 8:15 AM.
After cortisol test results doctor planned to start steroids but when saw ACTH result then he told there is no need for steroids, but further advice us to keep control of cortisol levels.
So could you please let us know that Does anti-TB pills affect cortisol levels??
and what should we do to increase the cortisol level to its normal range?
the patient takes Rifampicin 600mg and isoniazid 300mg =once daily Levetiracetam 250mg twice daily, along with vita 6 and multivitamin tablets once in a day.
patient loss her weight by 5 kilo, total weight is 53 but takes TB pills by 150mg more than her weight, what is your suggestion for it, should we again talk with the doctor to decrease it?
we are very worried about her cortisol level, and afraid of the level to not decrease because the doctor told to takes TB pills 5 months more to complete the course, and we afraid that in these 5 months the cortisol level might decrease more, so what should we do what is your advice?
With Respect and waiting for your kind feedback.
Samim Hameedi
