<s>[INST] My wife age 28 detected caecal koch. She started akt 4 and benadon 40 half tablet. After 10 days of medicine she faced unbearable abdominal pain and vommitting and admitted in the hospital. She is taking all the 4 tablets of akt 4 in empty stomach. Her period isalso deladelayed 20 days. How to face this pain. Is it any substitute of akt 4 is available? [/INST] Hello Welcome to HCM,Please contact with details for a better and proper  advice.Mean while give her Tablet pantoprazole empty stomach, before any other medicine.Give The bigger tablet that is rifampicin combination with Pantoprazole.Rest all she can have afterwards.Waiting for details.Good luck. </s>