Drug-Resistant Tuberculosis - Frequently Asked Questions

1. Which doctor should I consult for medications and diagnosis of DR TB?

A General Practitioner (GP) would clinically evaluate the symptoms and recommend the diagnostic tests based on symptoms. Based on the severity of symptoms and the diagnostic test results, the GP may then refer to a respiratory physician or a TB expert who can advise further on the medications to cure the drug-resistant tuberculosis.

2. What is the duration of the treatment regime for MDR-TB and XDR-TB?

MDR-TB and XDR-TB patients do not respond to the standard six months of TB treatment. Treatment can take more than two years and may include other more effective medications.

3. What are the second line drugs for TB?

Fluoroquinolones are the second-line drugs for treatment of MDR TB. These include Ofloxacin, Ciprofloxacin and newer drugs like Moxifloxacin and Gemifloxacin.

In addition to fluoroquinolones, injectable antibiotics are also second-line drugs. Examples include Kanamycin, Amikacin and Capreomycin.

4. Is drug resistant TB contagious?

Yes, drug resistant TB is contagious. It can spread in the same way as drug-susceptible TB, i.e. by sneezing, coughing, or singing.

5. Can MDR TB and XDR TB be cured?

Yes, MDR TB and XDR TB can be cured. However, it depends on the severity of the disease and extent of drug resistance.

6. Does TB spread by shaking someone’s hand?

TB or MDR TB does not spread by shaking someone’s hand, sharing food or sharing toothbrushes.