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If a patient cant tolerate allopurinol and meets the criteria (see above) for probenecid, that can be tried

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The use of Dexamethasone Sodium Phosphate Injection in active tuberculosis should be restricted to those cases of fulminating or disseminated tuberculosis in which the corticosteroid is used for the management of the disease in conjunction with an appropriate anti-tuberculosis regimen

The most common symptom of a vocal cord lesion is hoarseness or a raspy voice