Product Description:

4LW Sachet Plus is a prescription anti-tuberculosis medicine manufactured by Maneesh Pharmaceuticals Ltd. It is designed for the intensive phase of TB treatment and contains a fixed-dose combination of four essential anti-TB drugs: Rifampicin, Isoniazid, Pyrazinamide, and Ethambutol. This combination works synergistically to kill the TB bacteria, reduce bacterial load, and prevent drug resistance.

This sachet format simplifies treatment by reducing pill burden and ensuring correct dosing. 4LW Sachet Plus is taken once daily on an empty stomach, strictly under the supervision of a healthcare professional. It is vital to complete the prescribed course to prevent relapse or development of drug-resistant TB.

This formulation is part of the initial 2-month phase of TB treatment, where rapid bacterial clearance is critical.

Uses of 4LW Sachet Plus:

• Used in the intensive (initial) phase of pulmonary tuberculosis treatment

• Helps eliminate Mycobacterium tuberculosis from the body

• Supports bacterial clearance and prevents resistance

Key Benefits:

• Contains all four essential anti-TB drugs in a single sachet

• Improves compliance and ensures accurate dosing

• Accelerates bacterial killing during the early phase of treatment

• Reduces chances of drug resistance and relapse

How to Use:

• Take one sachet daily or as prescribed by your doctor

• Mix the sachet powder in a glass of water and consume on an empty stomach

• Do not skip doses or stop treatment early

• Always follow your doctor’s instructions and complete the full treatment

How 4LW Sachet Plus Works:

Each sachet delivers a powerful four-drug combination:

• Rifampicin: Inhibits bacterial RNA synthesis

• Isoniazid: Prevents cell wall formation in TB bacteria

• Pyrazinamide: Active in acidic environments to kill dormant bacteria

• Ethambutol: Prevents resistance and enhances drug effectiveness
  This combination targets both active and dormant TB bacteria during the critical initial phase of treatment.

Possible Side Effects:

• Nausea, vomiting, or stomach upset

• Loss of appetite or weight

• Joint pain (due to pyrazinamide)

• Jaundice or yellowing of skin/eyes

• Vision changes (blurred vision, color blindness)

• Numbness or tingling sensation (neuropathy)

• Dark-colored urine or fatigue

Precautions & Warnings:

• Take only under medical supervision

• Avoid alcohol to reduce liver damage risk

• Inform your doctor if pregnant, breastfeeding, or diabetic

• Caution in patients with liver or kidney conditions

• May interfere with oral contraceptives – use alternate birth control

• Regular liver function and vision tests may be required during treatment

Storage Instructions:

• Store below 25°C in a dry place

• Protect from direct sunlight and moisture

• Keep out of reach of children

Frequently Asked Questions (FAQs):

Q. What is 4LW Sachet Plus used for?

It is used in the intensive (first) phase of tuberculosis treatment to rapidly kill TB bacteria.

Q. Can I stop using 4LW Sachet Plus after feeling better?

No, it is important to complete the full course to avoid relapse or resistance.

Q. How should I take this medicine?

Take the full sachet once daily on an empty stomach, mixed with water, as advised by your doctor.

Q. Are there any serious side effects?

Yes, some patients may experience liver issues, vision changes, or joint pain. Regular monitoring is essential.

Q. Can diabetic patients take 4LW Sachet Plus?

Yes, but only under strict medical supervision as it may affect blood sugar levels.