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Dr. Roma Sharma

MBBS, MD - Anaesthesiology

Anesthesiologist, Delhi

24 Years Experience  ·  400 at clinic
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Dr. Roma Sharma MBBS, MD - Anaesthesiology Anesthesiologist, Delhi
24 Years Experience  ·  400 at clinic
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Roma Sharma
Dr. Roma Sharma is one of the best Anesthesiologists in Janakpuri, Delhi. She has had many happy patients in her 24 years of journey as a Anesthesiologist. She has done MBBS, MD - Anaesthesiology . You can meet Dr. Roma Sharma personally at Dr. Roma Sharma@Mata Chanan Devi Hospital in Janakpuri, Delhi. Book an appointment online with Dr. Roma Sharma and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Anesthesiologists in India. You will find Anesthesiologists with more than 36 years of experience on Lybrate.com. You can find Anesthesiologists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
MBBS - Meerut University. - 1995
MD - Anaesthesiology - Punjab University - 1999
Professional Memberships
Indian Society of Anaesthesiology (L-957)
Indian College of Anaesthesiology
Delhi Medical Association(DNZ 2441)

Location

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Mata Chanan Devi Hospital

Lal Sai Mandir Marg, Block C1 Landmark : Opposite BikanerwalaDelhi Get Directions
  4.3  (22 ratings)
400 at clinic
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

1am 30 years lady n you have backache after my delivery since last 6 years. Suggest me exercise.

M.P.T. (Neuro), BPTh/BPT
Physiotherapist, Lucknow
1am 30 years lady n you have backache after my delivery since last 6 years. Suggest me exercise.
Avoid forward bending. Use hard bed to lie. Improve your posture. Start hot saline fomentation followed by volini gel and back exercises. For detailed information about exercises please refer my health tips.
1 person found this helpful

weakness in my leg basically knee pain when am walk. What suggest me daily food, medicine or exercise to relief my problem? My age 29+

MPT, BPT
Physiotherapist, Noida
weakness in my leg basically knee pain when am walk. What suggest me daily food, medicine or exercise to relief my pr...
Contrast Fomentation (Hot and Cold). Avoid Squatting- Avoid sitting Cross legged

I am having problem in my right knee cap. It start paining whenever I run for a long distance and started swelling. Please help me to get rid with this problem. Thank you you.

BPTh/BPT
Physiotherapist, Kota
I am having problem in my right knee cap. It start paining whenever I run for a long distance and started swelling. P...
Knee m pain hone k kai karen h ap regular excercisr kijiye or leg ko hanggging kr k na bhaithe regggular knee presss kre 20 time holding rergularly thnx.

I am 50 years old, I have pain in my hands below thumbs, please Suggest some medicine ?

Hand Surgery SR Ship, MS - Orthopaedics, Thesis Work, M.B;B.S
Orthopedist, Jaipur
Sir you may be suffering form thumb base joint arthritis, and will need an x ray done to see if its there or the cause is something else, if you can send the x ray we can discuss further.
1 person found this helpful

Continues leg pain, specially in knee and ankle joints. Feeling Very low energy. Feels completely drained. What can be the reason.

MPT, BPT
Physiotherapist, Noida
Continues leg pain, specially in knee and ankle joints. Feeling Very low energy.
Feels completely drained.
What can b...
Avoid sitting Cross legged. Contrast Fomentation (Hot and Cold). Quadriceps strengthening exercises-

I am suffering from low back pain and left side pain radiating from shoulder to the left leg. From past many years if feel I am lonely though I have my family and sometimes depressed also. I and my husband have no jobs we are 53 ans 55 years and having lots of loans and financial problem also. So kindly suggest remedies to our problems.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am suffering from low back pain and left side pain radiating from shoulder to the left leg. From past many years if...
Hot fermentation. Posture correction must do yoga ya stretching exercises. Do meditation. Tk muscle relaxant medicine after food. Avoid long sitting toward bending. Start any short businesses to come out your problem.

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 have a low back pain from many years. Taken every needed medicines and also consulted different doctors for this. Please advice me what to do for my pain.

MD Ayurveda (Kayachikitsa)
Ayurveda, Puri
I have a low back pain from many years. Taken every needed medicines and also consulted different doctors for this. P...
Low back pain is mostly due to degenerative condition of intervertebral discs. First evaluation of IVDS and nerve root should be done with MRI. Once diagnosis is done then treatment is very easy. For pain you have to take regular analgesics.

I have been back pain since a year, I tried multiple home remedies, but didn't work, what to do? Please help me!

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I have been back pain since a year, I tried multiple home remedies, but didn't work, what to do? Please help me!
Do take ift and laser therapy for pain relief for 12 days followed by strengthening exercise from neuro physiotherapist best wishes.
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