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Hi Laura. I started the Big 3 three times a week in February, had a rocky couple of months, but am feeling much better now and coughing so much less. I take 500 mg Azithromycin and 1500 mg Ethambutol with breakfast and 600 mg Rifampin on an empty stomach (although with a full glass of water) before bed, a dosing schedule I learned on this site. And every single day I eat a 5.3 ounce container of Greek yogurt, which has kept my digestive system comfortable.

Those first couple of months, while your body is adjusting, can be tough. I too experienced some nausea and loss of appetite from the Azithromycin and Ethambutol and often felt crummy the day after taking the Rifampin. My pulmonologist said it was okay to take ibuprofen for the fever and discomfort.
My heart goes out to those taking these drugs seven days a week; that must be so much more difficult.

I hope you are able to give your body time to adjust to these powerful drugs. They are effective precisely because they are so powerful! Do you have monthly sputum testing done? My April samples just came back negative for AFB, which makes me glad I persisted through those first months of discomfort and feeling sick. Wishing you strength!

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Replies to "Hi Laura. I started the Big 3 three times a week in February, had a rocky..."

Thank you for sharing your experience and what’s been working best for you! This first week has been rough with the fever, chills and headache the day after taking the medication. It is encouraging to hear it did get better for you after a period of time. I’m checking with my doctor to see if I can hold off on taking the Rifabutin for another month or so since I’m having difficulty tolerating it. We have an upcoming trip and I’m hoping to feel the best I can.

Did you struggle with anxiety? I’m on my third week of taking the medication and still struggling to feel well. So fatigued and difficult to eat. Just wondering when I might get past this feeling of being anxious, depressed and unwell?