Common Specialities
{{speciality.keyWord}}
Common Issues
{{issue.keyWord}}
Common Treatments
{{treatment.keyWord}}
Book
Call

Dr. Nirmala

Dentist, Bangalore

300 at clinic
Book Appointment
Call Doctor
Dr. Nirmala Dentist, Bangalore
300 at clinic
Book Appointment
Call Doctor
Submit Feedback
Report Issue
Get Help
Feed
Services

Personal Statement

I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Nirmala
Dr. Nirmala is an experienced Dentist in Sahakara Nagar, Bangalore. You can consult Dr. Nirmala at Sri Sai Northside Hospital in Sahakara Nagar, Bangalore. Book an appointment online with Dr. Nirmala on Lybrate.com.

Find numerous Dentists in India from the comfort of your home on Lybrate.com. You will find Dentists with more than 34 years of experience on Lybrate.com. You can find Dentists online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Specialty
Languages spoken
English

Location

Book Clinic Appointment with Dr. Nirmala

Sri Sai Northside Hospital

#8, 'G' Block, 60 Feet Road, Sahakaranagar. Landmark: Near ICICI Bank and Shanti Sagar HotelBangalore Get Directions
300 at clinic
...more
View All

Services

View All Services

Submit Feedback

Submit a review for Dr. Nirmala

Your feedback matters!
Write a Review

Feed

Nothing posted by this doctor yet. Here are some posts by similar doctors.

I have developed a cavity in my upper wisdom tooth. Doctor has suggested extraction? Should I all for root canal or extraction of better.

BDS,MIDA
Dentist, Rewa
I have developed a cavity in my upper wisdom tooth. Doctor has suggested extraction? Should I all for root canal or e...
See wisdom tooth is of no use and RCT of wisdom tooth will cost more than 20000 bucks and nowadays no one will attempt because of visibility problem so its better to extract.
1 person found this helpful
Submit FeedbackFeedback

My mouth has been shrunk due to eating of gutka only three fingers can be inserted. Does the mouth starts opening after leaving the habit of eating gutkha I used to eat before sleeping!

Bachelor of Dental Surgery
Dentist, Allahabad
My mouth has been shrunk due to eating of gutka only three fingers can be inserted. Does the mouth starts opening aft...
Dear Lybrate user, due to long time use of tobacco osmf is occur in your mouth. Please qiute tobacco immediadtaly. Maintain your oral hygiene. Avoid spicy foods. And consult to dentist for treatment of osmf. Without clinical treatment it can not be treated by yourself.
1 person found this helpful
Submit FeedbackFeedback

Sir my front 2 teeth are little big so which type of braces are best and how much does it cost Sir I am 15 years old My teeth are big and it is little front.

BDS (Gold Medalist)
Dentist, Gurgaon
Sir my front 2 teeth are little big so which type of braces are best and how much does it cost Sir I am 15 years old
...
Big teeth need not always qualify for Orthodontic treatment (braces). The teeth can be reduced in shape and if need be, supplemented with artificial caps (crowns). The cost of a single crown ranges from 4000-15,000 depending on the material and quality whereas traditional braces start somewhere from 35,000. Do not fall prey for anyone who's offering braces for as less as 15-18,000.
1 person found this helpful
Submit FeedbackFeedback

Dengue Vaxia

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician, Gorakhpur
Dengue Vaxia

Dengvaxia - first vaccine against dengue

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Read more:

Dengue symptoms and what to do if you think you have denguedengue fever - remedies using papaya leaf juice

Full prescribing info - dengvaxia

Contents

Dengue tetravalent vaccine (live, attenuated).

Indications / uses

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Dosage / direction for use

The patient will receive 3 injections of 0.5 ml each at 6-month intervals.

The first injection will occur at the chosen or scheduled date; the second injection, 6 months after the first injection; and the third injection, 6 months after the second injection. Dengvaxia should be used according to the local vaccination schedule.

If the patient forgot an injection of dengvaxia: if the patient missed a scheduled injection, the physician will decide when to give the missed injection.

It is important that the patient follows the instructions of the physician, pharmacist or nurse regarding return visits for the follow-up injection. If the patient forgets or is not able to go back to the physician, pharmacist or nurse at the scheduled time, ask the physician, pharmacist or nurse for advice.

Administration: dengvaxia is given by the physician or nurse as an injection underneath the skin (subcutaneous route) in the upper arm.

Contraindications

Do not use dengvaxia if the patient is allergic (hypertensive) to the active substances or any of the other ingredients of dengvaxia listed in description (see description); has developed an allergic reaction after prior administration of dengvaxia. Signs of an allergic reaction may include an itchy rash, shortness of breath and swelling of the face and tongue; is suffering from a disease with mild to high fever or acute disease. In this case, the physician will postpone the administration of dengvaxia until the patient has recovered; has a weakened immune system, for example due to a genetic defect, hiv infection or therapies that affect the immune system (for example, high-dose corticosteroids or chemotherapy); is pregnant; is breastfeeding.

Use in pregnancy lactation: dengvaxia must not be given to pregnant or breastfeeding women.

If the patient is of child-bearing stage, the patient should take the necessary precautions to avoid pregnancy for 1 month following administration of dengvaxia; is pregnant or breastfeeding, the patient thinks may be pregnant or is planning to have a baby, ask the physician, pharmacist or nurse for advice before receiving dengvaxia.

Special precautions

Inform the physician, pharmacist or nurse before receiving dengvaxia if the patient is taking an immunosuppressive treatment (prednisone or equivalent to 20 mg or 2 mg/kg for 2 weeks or more). The physician will postpone administration of dengvaxia until 4 weeks after the treatment is discontinued; has experienced any health problems after prior administration of any vaccines. The physician will carefully consider the risks and benefits of vaccination.

As with all vaccines, dengvaxia may not protect 100% of persons who have been vaccinated. Vaccination with dengvaxia is not a substitute for protection against mosquito bites. The patient should take appropriate precautions to prevent mosquito bites, including the use of repellents, adequate clothing, and mosquito nets.

Fainting, sometimes accompanied by falling, can occur (mostly in adolescents) following, or even before, any injection with a needle. Therefore inform the physician, pharmacist or nurse if the patient fainted with a prior injection.

Adults above 45 years of age: adults above 45 years of age should not receive the vaccine.

Driving and using machines: no data are available on the effects of dengvaxia on the ability to drive or use machines.

Use in children: children less than 9 years of age should not receive the vaccine.

Side effects

Like all medicines, dengvaxia can cause side effects, although not all patients get them.

Serious allergic reactions: if any of these symptoms occur after leaving the place where the patient received an injection, consult a physician immediately: difficulty in breathing, blueness of the tongue or lips, a rash, swelling of the face or throat, low blood pressure causing dizziness or collapse.

When these signs and symptoms occur they usually develop quickly after the injection is given and while the patient is still in clinic or physician's surgery.

Serious allergic reactions are very rare (may affect up to 1 in 10, 000 people), after receiving any vaccine.

Other side effects: the following side effects were reported during clinical studies in children, adolescents and adults (from 9 to and including 60 years of age). Most of the reported side effects occurred within 3 days after the injection of the vaccine: very common (may affect more than 1 user in 10): headache, muscle pain (myalgia), generally feeling unwell (malaise), feeling of weakness (asthenia), injection site pain, fever.

Common (may affect up to 1 user in 10): injection site reactions: redness (erythema), bruising (hematoma), swelling, and itching (pruritus).

Uncommon (may affect up to 1 user in 100): infections of the upper respiratory tract, dizziness, sore throat (oropharyngeal pain), cough, runny nose (rhinorrhea), nausea, skin eruption (rash), neck pain, hardening of skin at the injection site (injection site induration).

Additional side effects in adults (from 18 to and including 60 years of age): uncommon (may affect up to 1 user in 100): swollen glands (lymphadenopathy), migraine, joint pain (arthralgia), flu-like symptoms (influenza-like illness).

Additional side effects in children and adolescents (from 9 to and including 17 years of age: uncommon (may affect up to 1 user in 100): itchy rash (urticaria).

Reporting of side effects or any suspected adverse event: if the patient experiences any side effects after vaccination, advised to seek immediate medical attention.

By reporting side effects, it can help provide more information on the safety of the vaccine.

Click to view adr monitoring form

Interactions

Using other medicines and dengvaxia: dengvaxia may not have an optimal effect if it used at the same time as medicines that suppress the immune system such as corticosteroids or chemotherapy.

Inform the physician, pharmacist or nurse if the patient is taking or has recently taken any other vaccines or any other medicines, including medicines obtained without a prescription.

Caution for usage

Before administering any biological, the person responsible for administration must take all precautions to prevent allergic or other reactions. As with all injectable vaccines, appropriate medical treatment and supervision must always be readily available in the event of an anaphylactic reaction following the administration of dengvaxia.

Epinephrine (1: 1000) and other appropriate agents used to control immediate allergic reactions must be available to treat unexpected events such as anaphylaxis.

Dengvaxia must not be mixed with other medicinal products in the same syringe.

Dengvaxia must not be administered by intravascular injection under any circumstances.

Syncope (fainting) can occur following, or even before, any vaccination as a psychogenic response to injection with a needle. Procedures should be in place to prevent injury from falling and to manage syncopal reactions.

Separate syringes and needles, separate injection sites and preferably separate limbs must be used if any other vaccine (s) or medicinal product (s) is/are concomitantly administered.

Dengvaxia is reconstituted by transferring all the solvent (0.4% sodium chloride solution) provided in the blue-labeled pre-filled syringe into the vial of freeze dried powder with a yellowish green flip off cap. The pre-filled syringe is fitted with a sterile needle for this transfer. The vial is then gently swirled. After complete dissolution, a 0.5 ml dose of reconstituted suspension is withdrawn into the same syringe. For injection, the syringe should be fitted with the new sterile needle.

The suspension should be visually inspected prior to administration. After reconstitution, dengvaxia is clear, colorless liquid with the possible presence of white to translucent particles (of endogenous nature).

After reconstitution with the solvent provided, dengvaxia must be used immediately.

Any unused dengvaxia or waste material should be disposed of, preferably by heat inactivation or incineration, in accordance with local regulations.

Do not throw away any medicines via wastewater or household waste. Ask a pharmacist on how to throw away medicines that no longer use. These measures will help to protect the environment.

Storage

Store in a refrigerator. Do not freeze. Keep the vaccine in the outer carton in order to protect it from light.

Description

After reconstitution, one dose (0.5 ml) contains 4.5-6.0 log10 ccid50* of each serotype of the cyd dengue virus** (1, 2, 3 and 4).

* ccid50: 50% cell culture infectious dose.

** produced in serum-free vero cells by recombinant dna technology.

The powder is a white, homogenous, freeze-dried powder with possible retraction at the base, and may form a ring-shaped cake.

The solvent (0.4% sodium chloride solution) is a clear, colorless liquid.

After reconstitution with the solvent provided, dengvaxia is a clear, colorless liquid with the possible presence of white to translucent particles.

Excipients/inactive ingredients: essential amino acids including l-phenylalanine, non-essential amino acids, l-arginine hydrochloride, sucrose, d-trehalose dihydrate, d-sorbitol, trometamol, urea, sodium chloride, water for injections.

Mechanism of action

Dengvaxia contains dengue virus serotypes 1, 2, 3 and 4 that have been weakened. Dengvaxia works by stimulating the body's natural defenses (immune system), which produces its own protection (antibodies) against the viruses that cause dengue disease.

Dengue is a viral infection transmitted to humans through the bite of an infected aedes mosquito. Dengue is not transmitted directly from person-to-person. Nevertheless the virus which replicates in an infected individual can be transmitted to other humans through mosquito bites for 4-5 days (maximum 12 days) after the first symptoms appear.

Dengue disease results in a wide range of symptoms including fever, headache, pain behind the eyes, muscle and joint pain, nausea, vomiting, swollen glands or skin rash. Symptoms usually last for 2-7 days. Dengue disease can also be asymptomatic.

However, occasionally dengue can be severe and potentially lead to hospitalization and in rare cases to death. Severe dengue is characterized by high fever and any of the following symptoms: severe abdominal pain, persistent vomiting, rapid breathing, severe bleeding, bleeding in stomach, bleeding gums, fatigue, restlessness, coma, seizure and organ failure.

Source:- http://www.mims.com/philippines/drug/info/dengvaxia

More information about dengvaxia - first vaccine against dengue

Sanofi awaits govt approval to launch dengue vaccine in india

Sanofi pasteur - dengue vaccine frequently asked questions

14 people found this helpful

What is the cost of lumineer of two front teeth to close the gap between the teeth and how long does it lasts.

BDS
Dentist, Mumbai
What is the cost of lumineer of two front teeth to close the gap between the teeth and how long does it lasts.
Hello lybrate-user. Lumineers for 2 teeth cost around 25-30k. But lumiuneers is not the only option to close the gap between two teeth it can also be done by diastema clisure treatment option which costs around 12-14 k and is equally good. Regards.
Submit FeedbackFeedback

I'm chewing food's from one side I can't chew from another side what should I do for that?

BDS
Dentist, Delhi
I'm chewing food's from one side I can't chew from another side what should I do for that?
Hi, reason fr not able to chew can be becuse ofdecay on that side or gum inflammtion, you need to go to a dentist ti knw th reasn and than only treatmnt can be suggested fr nw an antibiotic andpainkiller fr 3days is advisble.
2 people found this helpful
Submit FeedbackFeedback

Suffer this teeth to to pain sir so please help me 2 cure or change tht teeth now sir plzzzzzzz if the teeth broken two pieces but still it have a root.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Suffer this teeth to to pain sir so please help me 2 cure or change tht teeth now sir plzzzzzzz if the teeth broken t...
You may require root canal treatment with capping or extraction of the tooth depending upon the extent of damage.If extraction is the option,you may replace the missing tooth with artificial tooth.Kindly consult a dentist in person for further suggestion. We need more investigations with clinical examination to decide upon treatment.
Submit FeedbackFeedback

I have teeth cavity problem whenever I eat meat its stuck on my teeth could you please advise me to which toothpaste I have to use. Thanks and regards essa.

BDS
Dentist, Raipur
Kindly get your cavities filled and also get scaling done if needed. Use a gum paint twice daily for 15 days. Brush your teeth twice daily using correct brushing technique. More than the toothpaste it is the correct brushing technique that helps.
Submit FeedbackFeedback

He doesn't use tobacco or cigarettes, even then his teeth looks yellow. What to do for glowing white teeth? Any medicine or something? Please help me.

BDS (GOLD MEDALIST)
Dentist, Jamshedpur
He doesn't use tobacco or cigarettes, even then his teeth looks yellow.
What to do for glowing white teeth?
Any medic...
Get bleaching or teeth whitening once and if needed scaling also. Staining can also because of excess of tea, coffee and chocolate. Brush teeth regularly two times daily with soft bristle toothbrush. Rinse mouth after eating anything.
5 people found this helpful
Submit FeedbackFeedback

Oral Health

BDS, Certificate course in Oral Implantology
Dentist, Aligarh
Oral Health

Brush twice a day, keep tooth problems away: brushing twice a day removes the tiny left out food particles from the mouth and keeps it fresher and cleaner.

View All Feed

Near By Doctors

90%
(118 ratings)

Dr. Rashmi Raghavan

BDS, MDS - Periodontics
Dentist
Family Dental Care, 
100 at clinic
Book Appointment

Dr. Sudhakar Reddy

BDS, MDS - Oral & Maxillofacial Surgery, FICOI
Dentist
Dr.Sudhakara Reddy's Dental Implant Center, 
300 at clinic
Book Appointment

Dr. Mallesh S A

BDS, PGMHA
Dentist
The Dental Zone, 
100 at clinic
Book Appointment
87%
(94 ratings)

Dr. Manjunath.S.B

BDS, MDS Prosthodontics
Dentist
Ramitha Dental Clinic Prosthodontic & Implantalogy Center, 
300 at clinic
Book Appointment

Dr. Hemalatha Sanjay

MDS - Orthodontics & Dentofacial Orthopaedics, BDS
Dentist
Ashirwad Dental Centre, 
300 at clinic
Book Appointment

Dr. Javad

BDS, MDS Prosthodontics
Dentist
Smile Square Multispeciality Dental Clinic, 
100 at clinic
Book Appointment