Treatment FAQ

what is a treatment for tb

by Karolann O'Conner Published 2 years ago Updated 2 years ago
image

The usual treatment is: 2 antibiotics (isoniazid and rifampicin) for 6 months. 2 additional antibiotics (pyrazinamide and ethambutol) for the first 2 months of the 6-month treatment period.

Symptoms

The most common medications used to treat tuberculosis include:

  • Isoniazid
  • Rifampin (Rifadin, Rimactane)
  • Ethambutol (Myambutol)
  • Pyrazinamide

Causes

With latent TB:

  • You cannot spread TB to other people.
  • In some people, the bacteria can become active. If this happens, you may become sick, and you can pass the TB germs to someone else.
  • Even though you do not feel sick, you need to take medicines to treat latent TB for 6 to 9 months. ...

Prevention

Treatment

  • Most common TB drugs. If you have latent tuberculosis, you might need to take only one or two types of TB drugs. ...
  • Medication side effects. Serious side effects of TB drugs aren't common but can be dangerous when they do occur. ...
  • Completing treatment is essential. After a few weeks, you won't be contagious and you might start to feel better. ...

Complications

Treatment. TB is a treatable and curable disease. Active, drug-susceptible TB disease is treated with a standard 6-month course of 4 antimicrobial drugs that are provided with information and support to the patient by a health worker or trained volunteer. Without such support, treatment adherence is more difficult.

What drug is used to treat TB?

Why should I take antibiotics for TB?

What are the side effects of TB treatment?

What is TB and how it is treated?

image

Can TB be treated or cured?

People with TB disease need to take several medicines when they start treatment. After taking TB medicine for several weeks, a doctor will be able to tell TB patients when they are no longer able to spread TB germs to others. Most people with TB disease will need to take TB medicine for at least 6 months to be cured.

What is TB and how is it cured?

Tuberculosis (TB) is caused by bacteria (Mycobacterium tuberculosis) that most often affect the lungs. Tuberculosis is curable and preventable. TB is spread from person to person through the air. When people with lung TB cough, sneeze or spit, they propel the TB germs into the air.

What are the 3 stages of TB?

There are 3 stages of TB—exposure, latent, and active disease. A TB skin test or a TB blood test can diagnose the disease. Treatment exactly as recommended is necessary to cure the disease and prevent its spread to other people.

How do TB symptoms start?

Signs and symptoms of active TB include: Coughing for three or more weeks. Coughing up blood or mucus. Chest pain, or pain with breathing or coughing.

How long does it take to treat TB?

TB disease can be treated by taking several drugs for 6 to 9 months. There are 10 drugs currently approved by the U.S. Food and Drug Administration (FDA) for treating TB. Of the approved drugs, the first-line anti-TB agents that form the core of treatment regimens are: isoniazid (INH) rifampin (RIF)

What is drug resistant TB?

Drug-resistant TB is caused by TB bacteria that are resistant to at least one first-line anti-TB drug. Multidrug-resistant TB (MDR TB) is resistant to more than one anti-TB drug and at least isoniazid (INH) and rifampin (RIF).

What is XDR TB?

Extensively drug-resistant TB (XDR TB) is a rare type of MDR TB that is resistant to isoniazid and rifampin, plus any fluoroquinolone and at least one of three injectable second-line drugs (i.e., amikacin, kanamycin, or capreomycin). Treating and curing drug-resistant TB is complicated.

How is treatment completion determined?

Treatment completion is determined by the number of doses ingested over a given period of time.

What is it called when TB bacteria multiply?

When TB bacteria become active (multiplying in the body) and the immune system can’t stop the bacteria from growing, this is called TB disease. TB disease will make a person sick. People with TB disease may spread the bacteria to people with whom they spend many hours.

Can TB be treated?

It is very important that people who have TB disease are treated, finish the medicine, and take the drugs exactly as prescribed. If they stop taking the drugs too soon, they can become sick again; if they do not take the drugs correctly, the TB bacteria that are still alive may become resistant to those drugs.

Is TB a serious disease?

TB is a serious disease, and can be fatal if not treated properly. It is important to remember that all medications have risks and benefits. Learn more from CDC’s Dear Colleague letter. Not everyone infected with TB bacteria becomes sick. As a result, two TB-related conditions exist: latent TB infection and TB disease.

Can latent TB be fatal?

Without treatment latent TB infection can progress to TB disease. If not treated properly, TB disease can be fatal.

Can rifampin be used for TB?

Treatment. impurities in rifampin and rifapentine, two important anti-tuberculosis (TB) medications. People with TB disease or latent TB infection taking rifampin or rifapentine should continue taking their current medication, and should talk with their healthcare provider about any concerns.

What is the treatment for drug resistant TB?

This means that you will be treated with a combination of second-line drugs, which may be less effective.

How long does it take to cure TB?

Doctors prescribe antibiotics to kill the bacteria that cause it. You’ll need to take them for 6 to 9 months. What medications you take and how long you’ll have to take them depends on which works to eradicate your TB. Sometimes, antibiotics used to treat the disease ...

What are the best antibiotics for TB?

If several types of medications don't do the job, you have what doctors call “multidrug-resistant TB.” You’ll need to take a combination of medications for 20 to 30 months. They include: 1 Antibiotics called fluoroquinolones 2 An injectable antibiotic, such as amikacin ( Amikin ), capreomycin ( Capastat ), and kanamycin 3 Newer antibiotic treatments, such as bedaquiline ( Sirturo ), ethionamide ( Trecator ), and para-amino salicylic acid. These are given in addition to other medications. The new drug Pretomanid is used in conjunction with bedaquiline and linezolid.Scientists are still studying these medicines.

What is the new drug used in conjunction with bedaquiline?

These are given in addition to other medications. The new drug Pretomanid is used in conjunction with bedaquiline and linezolid.Scientists are still studying these medicines.

What is the drug used for TB?

The new drug Pretomanid is used in conjunction with bedaquiline and linezolid.Scientists are still studying these medicines. A rare and serious type of the disease is called "extensively drug-resistant TB.". This means that many of the common medications -- including isoniazid, rifampin, fluoroquinolones, and at least one ...

How long does it take to take isoniazid for TB?

Isoniazid (INH): This is the most common therapy for latent TB. You typically take an isoniazid antibiotic pill daily for 9 months.

How long do you need to take antibiotics for a syphilis?

If you have this form of the disease, you’ll need to take a number of antibiotics for 6 to 9 months. These four medications are most commonly used to treat it:

What is the best treatment for TB?

The most common treatment for active TB is isoniazid INH in combination with three other drugs—rifampin, pyrazinamide and ethambutol. You may begin to feel better only a few weeks after starting to take the drugs but treating TB takes much longer than other bacterial infections.

How long does it take to treat TB?

The treatment for this type of TB takes much longer, 20 to 30 months to complete, and you may experience more side effects.

What is DOT therapy?

This means a healthcare worker will come to you to administer your medication and eliminate the concern of forgetting to take the treatment.

What are the side effects of TB?

While you are in treatment for active TB disease, you will need regular checkups to make sure your treatment is working. Everyone is different, but there are side effects associated with taking the medications, including: 1 Upset stomach, nausea and vomiting or loss of appetite 2 Tingling or numbness in the hands or feet 3 Itchy skin, rashes or bruising 4 Changes in your eyesight or blurred visions 5 Yellowish skin or eyes 6 Dark-colored urine 7 Weakness, fatigue or fever that for three or more days

What are the symptoms of TB?

Yellowish skin or eyes. Dark-colored urine. Weakness, fatigue or fever that for three or more days. It is important to tell your doctor or TB nurse immediately if you begin having any unusual symptoms while taking medicine for either preventive therapy or for active TB disease.

What to take for TB tingling?

If you are having trouble with tingling and numbness, your doctor may prescribe a vitamin B6 supplement while you are in treatment. It may also be possible to change TB medications if your side effects are serious.

Can you get TB from taking too much medicine?

You must finish your medicine and take the drugs exactly as prescribed. If you stop taking the drugs too soon you can become sick again and potentially spread the disease to others. Additionally, by taking the drugs incorrectly, TB germs that are still alive may become drug-resistant, making it harder for you to get better next time.

How effective is TB treatment?

TB treatment is effective. Worldwide, nearly 90% of cases of TB and 48% of cases of drug-resistant TB are cured.

How long does it take for TB to get better?

Patients may begin to feel better within two weeks of beginning treatment, and people with pulmonary TB normally become non-infectious during this time. However, it’s vital that patients complete their treatment, so that the TB bacteria are completely killed off in the body. This prevents symptoms from returning and the risk of bacteria becoming drug resistant.

What is a dot in TB?

Directly Observed Treatment, or DOT for short, is a highly successful way of supporting people to complete their treatment. DOT involves TB nurses, outreach volunteers or trained volunteers meeting regularly with patients to watch them take their medication. This may take place at the patient’s home, in a clinic or pharmacy, or even a local shop. DOT ensures that the right medication is taken in the right doses, at the right time, for as long as it’s required.

What is drug resistant TB?

Drug-resistant TB requires a longer course of treatment, with different combinations of drugs that can have more side effects. A patient will be tested to find out the exact course of treatment that should work for them.

Can you change TB medication?

Patients should always discuss any side effects with their doctor, as it may be possible to change TB medication. If you would like to find out more about the side effects of specific drugs, please download our leaflet About your TB drugs.

Can TB go away?

With any medication, it is possible to experience side effects. Most are nothing to worry about and will go away. The TB nurse or doctor should advise patients of these before they start treatment.

Can latent TB be treated?

Most cases of latent TB are not considered for treatment, as 90% of people with latent TB do not go on to become ill with active TB. Treatment is recommended for people whose immune systems are weaker as they are more likely to go on to develop an active infection. This includes children and people living with HIV.

What should a clinic decide on TB treatment?

Clinicians should choose the appropriate treatment regimen based on drug susceptibility results of the presumed source case (if known), coexisting medical conditions (e.g., HIV. ), and potential for drug-drug interactions. Consultation with a TB expert is advised if the known source of TB infection has drug-resistant TB.

What is the name of the drug that is used to treat TB?

Isoniazid (INH) Rifapentine (RPT) Rifampin (RIF) These medications are used on their own or in combination, as shown in the table below. CDC and the National Tuberculosis Controllers Association (NTCA) preferentially recommend short-course, rifamycin-based, 3- or 4-month latent TB infection treatment regimens over 6- or 9-month isoniazid ...

Is 6H a good treatment for TB?

If short-course treatment regimens are not a feasible or an available option, 6H and 9H are alternative, effective latent TB infection treatment regimens. Although effective, 6H and 9H have higher toxicity risk and lower treatment completion rates than most short-term treatment regimens.

When should latent TB be treated?

Treatment of latent TB infection should start after excluding the possibility of TB disease.

Which countries have TB?

From countries where TB is common, including Mexico, the Philippines, Vietnam, India, China, Haiti, and Guatemala, or other countries with high rates of TB. (Of note, people born in Canada, Australia, New Zealand, or Western and Northern European countries are not considered at high risk for TB infection, unless they spent time in a country with a high rate of TB.)

Why is latent TB important?

Treatment of latent TB infection is essential to controlling TB in the United States because it substantially reduces the risk that latent TB infection will progress to TB disease.

How many people have latent TB?

In the United States, up to 13 million people may have latent TB infection. Without treatment, on average 1 in 10 people with latent TB infection will get sick with TB disease in the future. The risk is higher for people with HIV, diabetes, or other conditions that affect the immune system.

What is a TST reaction?

People with a tuberculin skin test (TST) reaction of 5 or more millimeters who are: HIV-infected persons. Recent contacts to a patient with active TB disease. Persons with fibrotic changes on chest radiograph consistent with old TB. Organ transplant recipients.

Can TB be treated with LTBI?

Persons with no known risk factors for TB may be considered for treatment of LTBI if they have either a positive IGRA result or if their reaction to the TST is 15 mm or larger. However, targeted TB testing programs should only be conducted among high-risk groups.

Can TB spread to others?

People with latent TB infection do not have symptoms, and they cannot spread TB bacteria to others. However, if latent TB bacteria become active in the body and multiply, the person will go from having latent TB infection to being sick with TB disease.

How to get rid of tuberculosis in the first week?

Don't go to work or school or sleep in a room with other people during the first few weeks of treatment. Ventilate the room. Tuberculosis germs spread more easily in small closed spaces where air doesn't move. If it's not too cold outdoors, open the windows and use a fan to blow indoor air outside.

Why is TB a killer?

Tuberculosis also remains a major killer because of the increase in drug-resistant strains. Over time, some TB germs have developed the ability to survive despite medications. This is partly because people don't take their drugs as directed or don't complete the course of treatment.

How is tuberculosis spread?

The bacteria that cause tuberculosis are spread from person to person through tiny droplets released into the air via coughs and sneezes.

What is the drug that is resistant to tuberculosis?

Drug-resistant strains of tuberculosis emerge when an antibiotic fails to kill all of the bacteria it targets. The surviving bacteria become resistant to that drug and often other antibiotics as well. Some TB bacteria have developed resistance to the most commonly used treatments, such as isoniazid and rifampin (Rifadin, Rimactane).

What is the cause of tuberculosis?

Tuberculosis is caused by bacteria that spread from person to person through microscopic droplets released into the air. This can happen when someone with the untreated, active form of tuberculosis coughs, speaks, sneezes, spits, laughs or sings.

Why did tuberculosis increase in the 1980s?

HIV and TB. Since the 1980s, tuberculosis cases have increased dramatically because of the spread of HIV, the virus that causes AIDS. HIV suppresses the immune system, making it difficult for the body to control TB bacteria.

Why did tuberculosis start increasing in the US?

Once rare in developed countries, tuberculosis infections began increasing in 1985, partly because of the emergence of HIV, the virus that causes AIDS . HIV weakens a person's immune system, so it can't fight the TB germs. In the United States, because of stronger control programs, tuberculosis began to decrease again in 1993. But it remains a concern.

image
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9