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Jason, thanks for reply. But I will require/consider to do pH testing
when I shall know that pH of water or our digestive system can effect
effectiveness of TB durgs. Frankly, it looks that durgs are not working
properly in patient, as she is not feeling any side/adverse effects,
acidity etc. even after 2 months of durgs taking. Doctors just say it
is normal but I just suspect & want to clear because it can be an
unattended aspect as yet in view of my above considerations. So pls
think deeply & dynamically & comment(without commitment).
bae@cs.toronto.no-uce.edu - 29 May 2005 14:30 GMT
>Jason, thanks for reply. But I will require/consider to do pH testing
>when I shall know that pH of water or our digestive system can effect
[quoted text clipped - 4 lines]
>unattended aspect as yet in view of my above considerations. So pls
>think deeply & dynamically & comment(without commitment).
Please don't take Jason's advice on anything. He has repeatedly shown
his basic ignorance about most medical issues, and is impervious to
requests that he not speak with the illusion of authority on topics on
which he is ill-informed.
Lately he's gotten into some pseudoscience about pH, and efforts to
correct him have been futile.
I hope that someone knowledgable about the treatment of infectious
disease, e.g. Dr. Rind, will answer your questions. Your friend's
doctors certainly know more about her case, and about treating people
with your local strains of TB than anyone who is likely to reply to you
here.
I'm not a doctor, but I would think that a lack of side effects or
adverse effects in your friend is a good thing, and not a sign of
ineffectiveness. Also, AFAIK, drug treatment for TB can take a long
time, so two months may be too soon for benefit to become clearly
apparent. No doubt it depends on the drug, the patient and the strain
of TB. Again, I'm speaking from ignorance, but at least I admit it.
Jason - 29 May 2005 17:47 GMT
> Jason, thanks for reply. But I will require/consider to do pH testing
> when I shall know that pH of water or our digestive system can effect
[quoted text clipped - 4 lines]
> unattended aspect as yet in view of my above considerations. So pls
> think deeply & dynamically & comment(without commitment).
You may want to re-read the printouts that came with the medications. In
many cases, there are instuctions as to when to take the medications. It
may state that you should take the medications with food or on an empty
stomach. If so, make sure that those instuctions are followed. I should
state that I am NOT a doctor. Thanks for a professional response.

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kumar - 29 May 2005 19:15 GMT
Thanks, It is indicated as durg interaction that many antacids can
reduce the effect of one out of four TB drug- INH. I couldn't find this
against other 3 drugs so not sure about it. Does it not tells that low
gastric acid due to some other reasons as hard/alkaline water can lower
the effectiveness of INH?
Jason - 30 May 2005 15:30 GMT
> Thanks, It is indicated as durg interaction that many antacids can
> reduce the effect of one out of four TB drug- INH. I couldn't find this
> against other 3 drugs so not sure about it. Does it not tells that low
> gastric acid due to some other reasons as hard/alkaline water can lower
> the effectiveness of INH?
That's an interesting question. You should ask a doctor or nurse about
this issue.

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Jason - 30 May 2005 17:42 GMT
> > Thanks, It is indicated as durg interaction that many antacids can
> > reduce the effect of one out of four TB drug- INH. I couldn't find this
[quoted text clipped - 4 lines]
> That's an interesting question. You should ask a doctor or nurse about
> this issue.
I was able to find a newsgroup that you may be able use to find an answer
to your question:
sci.med.pharmacy
also: try this one:
sci.med.pathology

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kumar - 31 May 2005 05:35 GMT
Jason. thanks for suggestions. Btw whether all prescribers shouldn't
know this type of conepts? Should we be prescribed only after a
prescriber has complete knowledge of durg just equal to the research
scientist who made that durg have?
"M. tuberculosis was the most restricted in growth at pH 6.0, and all
of this growth required elevated levels of Mg2+...These results
demonstrate that M. tuberculosis is unique among the mycobacteria in
its extreme sensitivity to acid and indicate that M. tuberculosis must
acquire sufficient Mg2+ in order to grow in a mildly acidic environment
such as within the phagosome of macrophages.
http://iai.asm.org/cgi/content/abst...pe2=tf_ipsecsha "
Does it indicate awnser to my sceond question?
Jason - 31 May 2005 16:48 GMT
> Jason. thanks for suggestions. Btw whether all prescribers shouldn't
> know this type of conepts? Should we be prescribed only after a
[quoted text clipped - 9 lines]
> http://iai.asm.org/cgi/content/abst...pe2=tf_ipsecsha "
> Does it indicate awnser to my sceond question?
That's an interesting question. Please copy and paste the above
information and post it in this newsgroup:
sci.med.pharmacy

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