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

Dr. Gupta

Orthopedist, Chennai

150 at clinic
Book Appointment
Call Doctor
Dr. Gupta Orthopedist, Chennai
150 at clinic
Book Appointment
Call Doctor
Submit Feedback
Report Issue
Get Help
Services
Feed

Personal Statement

I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Gupta
Dr. Gupta is a popular Orthopedist in Ambattur, Chennai. You can visit him/her at B M Orthopaedic Hospital in Ambattur, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Gupta on Lybrate.com.

Lybrate.com has an excellent community of Orthopedists in India. You will find Orthopedists with more than 44 years of experience on Lybrate.com. You can find Orthopedists online in Chennai 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. Gupta

B M Orthopaedic Hospital

3/157, M T H Road, Ambattur, Landmark: Near petrol pump, ChennaiChennai Get Directions
150 at clinic
...more
View All

Services

View All Services

Submit Feedback

Submit a review for Dr. Gupta

Your feedback matters!
Write a Review

Feed

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

My father is 75 years old. He has heart disease. Now he is struggling with swelling in legs. Please help.

BHMS
Homeopath, Solan
My father is 75 years old. He has heart disease. Now he is struggling with swelling in legs. Please help.
Apis mellifica 1m three doses, graphites 30, digitalis 30 for 7 days and revert back after 7 days with feedback.
Submit FeedbackFeedback

My mother is 70 years old. As per MRI report, her spinal canal dimensions at intervertebral disc level for L4-5 is 0.14 (cross sectional area). Is surgery needed. Please let me know what further information is needed.

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Hello dear Lybrate user, Warm welcome to Lybrate.com I have evaluated your query thoroughly. Any report evaluation has to be done in concern with symptoms suffered by the patient, so kindly provide details of her symptoms to guide precisely. Hope this clears your query. Wishing her fine recovery. Welcome for any further assistance. Regards take care.
Submit FeedbackFeedback

Dengue Vaxia

MBBS,CCA,DCA,AASECT,FPA,AAD,F.H.R.SM.I.M.S
General Physician, Bangalore
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

19 people found this helpful

I get caught by Cold and Cough every now and then. And mostly the Sneezes. Back to Back Sneezes are pain for me. What might be the Cause? Can you help me out here?

MD, MBBS
Pulmonologist, Delhi
I get caught by Cold and Cough every now and then. And mostly the Sneezes. Back to Back Sneezes are pain for me. What...
your symptoms suggest you suffer from allergy especially involving nose. this is easily controllable just get yourself tested
1 person found this helpful
Submit FeedbackFeedback

Back bone is getting pain I having test also nice test and all for need to be back bone causes. Some bone are broken and some are wasting what I did plzz answer me.

MPT, BPT
Physiotherapist, Noida
Back bone is getting pain I having test also nice test and all for need to be back bone causes. Some bone are broken ...
Apply hot fomentation twice daily. Avoid bending in front. Postural correction- sit tall, walk tall. Extension exercises x 15 times x twice daily. Bhujang asana. Core strengthening exercises. Back stretching. Do the cat/cow stretch.
Submit FeedbackFeedback

I am 26 year old and I have backpain from 1 month and I have used some medicines bt I do not get relief tell me what should I do?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am 26 year old and I have backpain from 1 month and I have used some medicines bt I do not get relief tell me what ...
Homoeopathic medicine---------------- spondyaid (bakson) drink 10 drops in 20 ml fresh water 3 times daily------------- magnesia phos 6x (dr reckeweg) chew 4 tab every 2-3 hrly depending on pain daily------------- drink 2 glass milk and an egg daily----------------- report after 15 days---------------------------
Submit FeedbackFeedback

My husband got operated in left knee on 19.08. 15. He had injury in accident his left knee was depressed. Bone grafting has been done but even today he could not walk properly. How many days will it take to come back to normal position.

MS - Orthopaedics, MBBS
Orthopedist, Delhi
My husband got operated in left knee on 19.08. 15. He had injury in accident his left knee was depressed. Bone grafti...
It seems by the history that your husband had a fracture upper end tibia normally after 4 months the bone does unite but sometimes (depending on the fracture configuration) it may even take 6 months it is advisable to get a fresh x ray done and that may be compared to the one done immediate post surgery to see the progress.
3 people found this helpful
Submit FeedbackFeedback

I am 23 years old and have back pain from approximately last 1 year. Have consulted many doctors but there is no improvement. According to doctors it is muscle pain what should I do? please guide me asap.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Don't worry do consult neuro physiotherapist or musculoskeletal physiotherapist and take ift and laser therapy for 12 days of 15 minutes duration each followed by spinal extension exercise once pain subsides at home give hot water and cold water fomentation thrice a day for 12 days of 15 minutes duration each time use firm even and hard mattress for sleep for further assistance do consult me privately.
1 person found this helpful
Submit FeedbackFeedback

I am 45 years of age, there are ligament disorder in my left side knee & slip disc problem too in both side feel heavy pain you are requested to advice me for better treatment & earlier relief in the same.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Kindly show me a photograph of the affected part. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, contact me again. Do not ignore. It could be beginning of a serious problem. Once you are better with back, then send details of knee problem.
Submit FeedbackFeedback
View All Feed

Near By Doctors

89%
(10 ratings)

Dr. Saravanan Manoharan

MS - Orthopaedics, MBBS
Orthopedist
Dr. Saravana's Ortho Clinic, 
250 at clinic
Book Appointment
87%
(150 ratings)

Dr. Bharani Kumar Dayanandam

MBBS, AFRCSI, FRCS - Trauma & Orthopedic
Orthopedist
Apollo Specialty Hospitals, Vanagaram, 
300 at clinic
Book Appointment
89%
(10 ratings)

Dr. Phani Kiran S

MBBS, MS - Orthopaedics, DNB - Orthopedics
Orthopedist
Ojas Ortho Clinic, 
300 at clinic
Book Appointment
89%
(43 ratings)

Dr. Madu Sridhar

MS - Orthopaedics, M.Ch Trauma & Ortho, Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist
Kedar Hospital, 
300 at clinic
Book Appointment
87%
(10 ratings)

Dr. Anantharaman

MBBS, MS - Orthopaedics, Diploma in Orthopaedics
Orthopedist
CSI Rainy Hospital, 
300 at clinic
Book Appointment
90%
(233 ratings)

Dr. Vivek A N

MS - Orthopaedics
Orthopedist
Fortis Malar Hospital, 
1000 at clinic
Book Appointment