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Pulmonary tuberculosis - Treatment

Alternative Names

TB; Tuberculosis - pulmonary

Treatment:

The goal of treatment is to cure the infection with drugs that fight the TB bacteria. Treatment of active pulmonary TB will always involve a combination of many drugs (usually four drugs). It is continued until lab tests show which medicines work best.

You may need to take many different pills at different times of the day. This may be difficult for some people. However, it is very important that you take the pills the way your health care provider instructed.

When people do not take their tuberculosis medications as recommended, the infection becomes much more difficult to treat. Sometimes, the drugs no longer help treat the infection.

Treatment usually lasts for 6 months, but longer courses may be needed for people with AIDS or who get better slowly.

You may need to be admitted to a hospital to avoid spreading the disease to others until you are no longer contagious.

Your doctor or nurse is required by law to report your TB illness to the local health department. Your health care team will be sure that you receive the best care for your TB.

Support Groups:

You can ease the stress of illness by joining a support group where members share common experiences and problems.

See: Lung disease - support group

Expectations (prognosis):

Symptoms may improve in 2 - 3 weeks. A chest x-ray will not show this improvement until later. The outlook is excellent if pulmonary TB is diagnosed early and treatment is begun quickly.

Complications:

Pulmonary TB can cause permanent lung damage if not treated early.

Medicines used to treat TB may cause side effects, including liver problems. Other side effects include:

  • Changes in vision
  • Orange- or brown-colored tears and urine
  • Rash

Calling your health care provider:

Call your health care provider if:

  • You have been exposed to TB
  • You develop symptoms of TB
  • Your symptoms continue despite treatment
  • New symptoms develop
  • Reviewed last on: 9/17/2008
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and Jatin M. Vyas, PhD, MD, Instructor in Medicine, Harvard Medical School, Assistant in Medicine, Division of Infectious Disease, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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