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The rationale for recommending fixed-dose …

The rationale for recommending fixed-dosecombination tablets for treatment of tuberculosisBj rn Blomberg,1 Sergio Spinaci,2 Bernard Fourie,3& Richard Laing4 There is considerable exigency to take all necessary steps to cure tuberculosis cases and prevent further emergenceof drug-resistant tuberculosis. The most important of these steps is to ensure that the treatment, particularly ofsputum smear-positive cases, is adequate and that patients adhere to their treatment by supervised, directobservation of drug-taking according to the standardized of fixed-dose combinations (FDCs) of tablets against tuberculosis is now being recommended by WHOand the International Union Against Tuberculosis and Lung Disease (IUATLD) as an additional step to ensuringproper treatment.

patientwouldreceive,forexample,fourtablets,and from50kgupwards,fivetablets.Thisisdoneto ensuresufficientamountsofthedrugtosatisfythe mg/kgdoserequirementinheavierpatients;inother

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