Doctor on duty Treatment Guide

Doctor on duty Treatment Guide Diagnosis is not the end, but the beginning of practice. Martin H. Fischer

One Injection. Long-Term BP Control.💉 Zilebesiran Injection – A New Era in Hypertension Treatment🧬 Zilebesiran is an inn...
15/02/2026

One Injection. Long-Term BP Control.

💉 Zilebesiran Injection – A New Era in Hypertension Treatment

🧬 Zilebesiran is an innovative RNA interference (siRNA)–based injection designed for long-term blood pressure control.

💉 How it works:
It targets angiotensinogen in the liver, leading to sustained suppression of the renin–angiotensin system → powerful and long-lasting BP reduction.

⏳ Key highlights:
✔️ Given as infrequent subcutaneous injections (every few months)
✔️ Provides consistent BP control
✔️ Useful for patients with poor adherence to daily tablets
✔️ Potential future option for resistant hypertension

🌍 Current status: Still under clinical trials — not yet widely available, but very promising.

📌 A glimpse into the future of hypertension management: fewer pills, better control.

Reference
1. Zilebesiran – Wikipedia (overview and mechanism)
https://en.wikipedia.org/wiki/Zilebesiran
2. Roche & Alnylam press release on Zilebesiran development
https://www.roche.com/media/releases/med-cor-2023-07-24




💊 Pulmonary Tuberculosis (PTB) Treatment – Quick Guide1️⃣ Standard 6-Month TB (Old/Classic RIPE)• Intensive Phase (2 mon...
29/01/2026

💊 Pulmonary Tuberculosis (PTB) Treatment – Quick Guide

1️⃣ Standard 6-Month TB (Old/Classic RIPE)
• Intensive Phase (2 months):
Rifampin + Isoniazid + Pyrazinamide + Ethambutol
• Continuation Phase (4 months):
Rifampin + Isoniazid
• Add: Pyridoxine (B6)

2️⃣ New 4-Month Regimen (selected patients ≥12 yrs, ≥40 kg)
• Intensive Phase (8 weeks):
Rifapentine + Isoniazid + Pyrazinamide + Moxifloxacin
• Continuation Phase (9 weeks):
Rifapentine + Isoniazid + Moxifloxacin
• Add: Pyridoxine (B6)

3️⃣ MDR/XDR-TB (Specialist Only)
• Oral regimen: Bedaquiline + Pretomanid + Linezolid ± Moxifloxacin
• Other options: Later-generation fluoroquinolones, Clofazimine, Cycloserine

✅ DOT recommended for all regimens
✅ Consult specialist for extrapulmonary or drug-resistant TB

Doctor on Duty Treatment Guide
3rd Edition 2024-25

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