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Dr. Sonia Malik

Gynaecologist, Delhi

1200 - 1500 at clinic
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Dr. Sonia Malik Gynaecologist, Delhi
1200 - 1500 at clinic
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Personal Statement

I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Sonia Malik
Dr. Sonia Malik is a popular Gynaecologist in NH8, Gurgaon, Delhi. You can consult Dr. Sonia Malik at Max Hospital-Gurgaon in NH8, Gurgaon, Delhi. Don’t wait in a queue, book an instant appointment online with Dr. Sonia Malik on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 37 years of experience on Lybrate.com. You can find Gynaecologists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Max Hospital-Gurgaon

B-Block, Phase-1, Sushanth Lok 1. Landmark:Near Huda Metro station & metro pillar no 190, GurgaonDelhi Get Directions
1200 at clinic
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Holy Angels Hospital

P No-B, Behind Priya Cinema, Basant Lok, Vasant Vihar, Landmark:-Lok Commercial Central, DelhiDelhi Get Directions
1500 at clinic
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Sir I am 24 year old and my girlfriend is also 25. Last week we shared bed. After the fore play I try yo insert my penis into her vagina. But it is very and and I can not insert it. I try this attempt for servral time but result was negative (i can not insert my penis). After all I ejaculate into her stomach. She say that she touch the clothe wiped sperm into her vagina. Sir is any chance for pregnancy. I am sure I didt ejaculated on her vagina. She is very tensed. Her last period start from 8th june. Please help.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Sir
I am 24 year old and my girlfriend is also 25. Last week we shared bed. After the fore play I try yo insert my pe...
Can't say at this stage, though the chances of pregnancy are minimal as it seems she is a virgin, but however you need to wait for her periods due date and in case she misses her periods you may do a Urine pregnancy test to see for pregnancy if any ,for any further information or assistance you may get back to us.
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White discharge like water since last 5 months not regular but coming back every 10 days interval. Now feeling little abdomen pain. No taste less sleep. Blood test and PAP smear test is normal. What to do. Have breast feeding baby of 2 year.

MBBS, DIiploma in Yoga and Ayurveda, Diploma In Dermatology And Venerology And Leprosy (DDVL), PGDPC
Sexologist, Pune
White discharge like water since last 5 months not regular but coming back every 10 days interval. Now feeling little...
Need to visit doctor for the actual medicine to be taken or it can be given on private chat on Lybrate with detail info.
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Hi I get some white discharge sometimes is it normal or I am having some problem. It's not everyday.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear Lybrate user. The transparent clear liquid which comes out of your penis while having foreplay, speaking to a girl, watching porn etc is called pre-cum. This is a natural procedure and you don't have to stop it. Pre-cum is used as a lubricant on the penis glans, when the penis enters the vagina. Please understand. This is never a health problem. Don't worry. Take care.
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Shirodhara

M.Sc - Psychology, PGDEMS, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
Shirodhara
Shirodhara is an amazingly relaxing therapy which gently releases stress and tension from the mind and body. A steady stream of warm, herbal oils flows rhythmically across the forehead calming the mind and soothing the nervous system. It induces feelings of profound peace and happiness. Four massage experts are involved using two litres of herbal oil.

Shirodhara rejuvenates and revitalizes the body and mind, relieves stress and strain related problems, slows the aging process, improves memory and is known to cure paralysis, insomnia, depression, anxiety, hypertension and other neurological disorders. It also bestows better vision, better hearing, clears nasal problems and ultimately strengthens your physical constitution.

The shirodhara offered by arogyam ayurveda is the authentic kerala treatment, unlike the head massage only type offered by many ayurveda centres and spas.
[shirodhara promotes profound relaxation with the steady flow of warm herbal oil poured on the forehead. It is beneficial for stress related disorders as it calms the nervous system, pacifies vatha and increases mental resilience. Its soothing, meditative effect releases deep seated tension and tiredness whilst also stilling restless or overactive minds. It can also be used to balance mood fluctuations, enhance intuition, increase mental clarity and improve memory. An unforgettable experience of pure bliss.


29 people found this helpful

Vaginal Piercing - What the Possible Risks Involved?

MICOG, MS, MBBS
Gynaecologist, Delhi
Vaginal Piercing - What the Possible Risks Involved?

Piercing is a form of body ornamentation. It involves the use of needles to pierce through the skin and attach a piece of jewellery to the skin. The purpose of piercing is to beautify and in case of genital piercing, it comes with the additional perks of sexual stimulation. However, this completely depends on individual preference. In the female genital anatomy, several parts are suitable for piercing. This includes the clitoral hood, the labia and the vulva vestibule.

How piercing should be done?
1. The skin around the area where the piercing is to be done must be cleaned with antiseptic.
2. A topical anaesthetic may be applied to temporarily numb the area to be pierced. This helps to control pain.
3. Any piercing must be carried out by a licensed, well-practised professional.
4. Piercing must be done with the use of new, unused, sterilized needles, which are easily disposable.
5. After-care must be provided immediately after the piercing. This includes the application of medicated healing creams, or an ice pack that relieves the pain of piercing. Typically a piercing should heal completely by the sixth week.

Risks associated with vaginal piercing
1. Wrong technique of piercing can lead to uncontrollable bleeding and wounds.
2. Poor placement of jewellery can cause the piercing to heal very slowly and painfully.
3. Poor sterilization of needles and unhygienic methods can cause severe skin infections and other complications.
4. Tearing of skin or sagging of the clitoral hood, or labia can occur due to the improper weight of the jewellery placed.
5. Spread of genital disease may occur if the piercer does not use gloves or antiseptic during the procedure.

Never opt for a piercing just because your friends are getting it done. A healthy method of getting pierced involves an understanding of your anatomy, skin type, tolerance of certain kinds of metal on your skin and extremely hygienic conditions. It sure is fashionable and may appeal to people with a different sense of aesthetics, but you must never ignore the risks. Do a thorough background check of the piercer you would like to visit and the possible after care products that you can use. It would also help to quickly get a check up done by a doctor before going ahead with the piercing. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

3729 people found this helpful

I have vaginal infection can you suggest some medication as I smell bad after intercourse with my husband.

BHMS
Homeopath, Delhi
Vaginal odor is a very common problem that most women have to deal with at least once or twice in their life. Vaginal odor can be due to a number of reasons, such as bacterial growth, yeast infections, poor hygiene, hormonal changes, and sexually transmitted diseases. Keep the vagina dry after every wash. You can take homoeopathic medicine sulphur 200 (4 drops in little water) every morning for a week and revert.
1 person found this helpful
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Health and Wellness Tips for College Students

BHMS
Homeopath, Raebareli
Health and Wellness Tips for College Students
Between exams, papers and maintaining an active social life, many college students feel they can't really find the time to keep up on their personal health and wellness until an illness catches hold and stops them in their tracks. With most colleges providing health care and endless physical activities for students, staying healthy in college is about as easy as it will ever get. Here are a few tips to help students make the most of the resources at their fingertips and to ensure they stay healthy and illness free throughout their education.

Diet: --

Without careful attention to your diet, you could end up putting on the freshman 15 and more. Follow these tips to help keep your diet healthy and beneficial.

Learn proper portion size. To avoid eating too much of even the healthiest foods, keep track of how much you're eating. For most people, meat servings should be about the size of a deck of cards and other servings vary by the type of food.

Eat breakfast. Start your day off right with a good meal when you get up. Whether you're rolling out of bed at noon or up at the crack of dawn for class, make sure you start your day with a balanced, healthy meal.

Drink water. Drinking enough water can help boost your concentration as well as keep you from overeating. Make sure to keep hydrated as you go through your day by bringing water with you.

Limit sugary and caffeinated beverages. Beverages may not fill you up, but they sure can help fatten you up and have a detrimental effect on your overall health. You don't have to completely give up soda and coffee, but you should scale back in order to keep yourself in tip top shape.

Try to eat fruits and veggies. Even if fruits and vegetables don't comprise some of your favorite foods, try to incorporate at least a few of them into your diet each day.

Limit junk food. Junk food is fast and easy and many students end up eating a lot of it while they're on the run to class or to work. While a little fast food now and again won't really hurt you, make sure it doesn't become a habit.

Get help for eating disorders. While many groups focus on helping students lose weight, there are those who need help fighting eating disorders as well. If you are worried you have an eating disorder and want help, don't be afraid to reach out to campus resources for help.

Sleep:--

College students aren't exactly known for their early to bed early to rise attitudes, but getting sleep is an integral part of staying healthy. Check out these tips to help you make sure you're resting enough.

Take a nap. If you have the time during the day, a short nap can do wonders for your energy levels. Just make sure not to nap too close to bedtime or for too long, and a nap will do your body good.

Don't work in bed. Working in bed can make getting to sleep harder. Keep your work space separate from your sleep space to keep insomnia at bay.

Get a full night's rest whenever possible. While the amount of sleep each person needs varies, most people need 7-9 hours to feel fully rested. While this may not be possible every night, try to sleep a full night whenever you get the chance.

Avoid all nighters. While you may feel like you need to study all night to do well you might be doing yourself a disservice. Not getting enough sleep can impair your ability to do well, regardless of how much you've studied, so make sure you get at least a little sleep before your big test.

Avoid caffeine, eating and drinking right before bed. All of these activities can throw off your body's internal clock, so try to limit meals, alcohol and caffeine consumption to a few hours before bed.

Illness:--

With communal living and thousands of other students sharing classroom space, spreading colds and viruses is easy if you're not careful. These tips can help keep you from getting sick.

Wash your hands. Studies have shown that simple hand washing can help prevent a large number of illnesses. So wash your hands, especially any time you'll be touching your nose, mouth or eyes or if you've been around others who are sick.

Avoid sharing beverages. Germs are easily spread through the sharing of drinks, alcoholic or otherwise, so get your own and avoid sharing with friends.

Don't go to class. If you're sick, don't force yourself to go to class. It will only make you feel worse and infect other students. Email your professors that you're ill and stay home and rest.

Get to the doctor. If you have symptoms that aren't showing any signs of clearing up within a few days, you may need to take a trip to the campus clinic or your doctor. Simple illnesses can mutate into much more deadly and dangerous ones if left alone so make sure to seek help if you aren't feeling any better.

Avoid ill friends. If your friend is sick, try to avoid spending too much time around them. While bringing soup or medications won't hurt, touching ill friends and their stuff can increase your chances of getting sick yourself.

Don't touch your eyes, nose or mouth. If your hands aren't totally clean, try to avoid touching these areas. The membranes in these areas make it easy for bacteria and viruses to enter your body.

Stress:--

Students can get run down with so much going on. These tips can help you beat the stress.

Put limits on work hours. You can't work all the time-fun and relaxation have to be part of your routine as well. Limit the times when you will work to give yourself time to sleep and rest up so you won't get sick.

Give yourself a break. If you've been working steadily for hours, give your eyes and mind a chance for a rest by taking a break. You can come back feeling more refreshed and ready to go.

Take advantage of campus meditation and yoga programs. Many campuses are equipped with programs that can help students get a release from their stresses through a relaxing session of meditation.

Cut back if needed. Sometimes students overwhelm themselves with everything they have going on. If you're feeling like you've got too much on your plate, cut back work hours, drop a class or cut out some extracurricular activities to make your schedule more manageable.

Relax with hobbies. Whether you like to paint or to destroy aliens with your friends in video games, making time for the things you love is an important part of keeping yourself from getting too stressed out.

Give yourself plenty of time. It's easy to put off starting on a big project or studying for a test until the last minute. You'll be much less stressed out, however, and will likely do better if you give yourself more time to work on it.

Spend time with friends. There are few things that can cheer you up like being around the people you like most. Eat dinner with friends or just hang out and watch tv or take a walk to get away from the stress of homework.

My wife is continuing her 5 mnths. Pregnancy. She is a itp patient having only 30000 tpcin present month despite infusion on 4 pkts. Of rdp. Suggests what to do?

F.MA.S. FELLOWSHIP IN MINIMAL ACCESS SURGERY, I.V.F. AND CLINICAL EMBRYOLOGY, FOETAL MEDICINE TRAINING, PREVENTIVE ONCOLOGY TRAINING, MS - Obstetrics and Gynaecology
Gynaecologist, Mumbai
My wife is continuing her 5 mnths. Pregnancy. She is a itp patient having only 30000 tpcin present month despite infu...
Dear, I had a patient of itp with platelet counts of 2000. She delivered normally and both mother and baby is fine. 2. High dose doses of omnacatil and other injectable steroids are less helpful. 3. If not properly managed itp causes dire consequences to mother and baby. 4. Low platelet can cause internal bleeding in mother and cause neonatal intracranial haemorrhage, etc. Please concern for a personal consultation as this case require specialised care. Thanks.
1 person found this helpful
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This patient have some times pain on right breast and some swelling after medication. please advice

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
This patient have some times pain on right breast and some swelling after medication. please advice
why is radiotherapy given? for swelling of breast get mammography done or ultrasound of breast ( report is as good with no radiation risk) you write to us the reports along with more symptoms and treatment , she is taking which causes swelling on the breast.
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Is it safe if I make a prostitute suck my dick without a condom. What about licking Her nipples? And kissing Her on neck and back?

MBBS, F R S T & H London , Fellowship of College of General Practice (FCGP)
Sexologist, Alwar
Prostitute has suck your dick if you have broken skin of penis then there is changes of spread of HIV if he is HIV then there changes of transmit of infection by sucking Nipple and kissing can neck and back does not transmit infection
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I had intercourse with my fiance on 13th feb and I took unwanted 72 contraceptive pill the next day i.e within 24 hours. Is there any chance of pregnancy?

MBBS, DGO
Gynaecologist, Delhi
I had intercourse with my fiance on 13th feb and I took unwanted 72 contraceptive pill the next day i.e within 24 hou...
Pregnancy is less likely in your case as you timely took pills. Still,you need to notice your periods this time. If your periods are delayed or abnormal contact gynaecologist.
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My wife is unable to conceive. Her period delayed every time. Every time her period comes in 2-3 months, and comes with the help of pills (regestrone). But this time we had decided not to take pills. So, her last period date was 23rd september 2016. After that period never happens. Now it has been five months. We have checked for pregnancy as well but result is negative. Our marriage completes one year and two months and we want a baby. But due to bad period cycles we are failed every time. We had consult with doctors as well. And gone through several tests like hsg, tsh, prolactin etc. Please suggest.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
My wife is unable to conceive. Her period delayed every time. Every time her period comes in 2-3 months, and comes wi...
Looks like she has some hormonal problem due to which she is Not able to produce hormones enough to make the lining of the uteurs. This means she is also not producing an egg (ovum) thats necessary for pregnancy. She needs expert infertility evaluation and you must upload her hormone tests to show the levels. Mostly she will be having PCOD, and may require fertility enhancing medicines to cause ovulation. Do NOT shirk away from medicines. Just making periods by taking a tablet is not good. The treatment must be aimed at making her have ovulation, which will automatically bring her either a period or make her pregnant. DO not do doctor shopping and visit numerous doctors. Find one good one and follow up with that gynecologist for a good 6 months while tests and other treatments are offered to her. If she is overweight, that could be a reason too which may hamper her ovulation and periods. If overweight losing weight is the simplest thing one can do to help oneself.
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My period was 5 to 9 I Had Sex On the 19 And Took The postpone 72 Pill 17 hours after what could happen.

BAMS
Ayurveda, Bangalore
My period was 5 to 9 I Had Sex On the 19 And Took The postpone 72 Pill 17 hours after what could happen.
Hi, Ovulation takes place between 12th to 15th day of the menstrual cycle in a women having regular menstrual cycle of 25 - 30 days. Since you sex on 15th day of your cycle, there are every chance of pregnancy. But, anyway you have consumed the pill after 17 hours. Wait till next month 5th. If you miss your periods, then get your urine tested for pregnancy.
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Hello Dr. Good morning. My wife is in 5th week of pregnancy now. She is a thyroid patient. Now her TSH is 4.96. And our gynecologist suggested for 75 mcg to 100 mcg of thyroxine. Can you please suggest me what is the minimum for pregnancy 1st trimester range. And is 100 mcg is enough to control the thyroid in pregnancy. Thank you in advance. Have a great day. Regards

C.S.C, D.C.H, M.B.B.S
General Physician,
Hello Dr. Good morning. My wife is in 5th week of pregnancy now. She is a thyroid patient. Now her TSH is 4.96. And o...
THyroxine is started in small dose and increased as per the need. Increases in levothyroxine dosage administered in pregnancy appear to be indispensable in the majority of patients with well-controlled hypothyroidism, especially in the first trimester. However, this change was not universal and levothyroxine dosage decreased in a few cases and remained unchanged in others.Adequate Levothyroxine Doses in Pregnant Women With Newly Diagnosed Hypothyroidism Hypothyroidism Type Baseline TSH (mIU/L) LT4 dose (µg/d) LT4 dose (µg/kg/d) Group 1aa (subclinical) 3.56 77.98 1.20 Group 1bb (subclinical) 5.43 95.35 1.42 Group 2 (overt) 40.33 147.08 2.33
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Mam merei gf ka period 19 aug ko khtm hua and I hv done unsafe sex on 21 aug kya wo pregnant ho jaygi mtl ki periods khatam hone ke 2 din baad maine uske ssath sex kiya.

Certification in Robotic surgery in Gynecology, MRCOG (LONDON), Fellowship in Gyn Endoscopy, MD - Gynaecologist & Obstetrician, MBBS
Gynaecologist, Mumbai
Mam merei gf ka period 19 aug ko khtm hua and I hv done unsafe sex on 21 aug kya wo pregnant ho jaygi mtl ki periods ...
There is a chance of pregnancy if umnprotected sex occus between 9th to 18th day ( day 1 as the first day) if one has a 28 day cycle
2 people found this helpful
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Benefits Of Aloe Vera Gel

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Benefits Of Aloe Vera Gel

Apply and massage fresh aloe vera gel taken from the plant, it is very useful in getting rid of black marks on skin.

5 people found this helpful

First Vaccine Again Dengue

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

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.

 

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 (2°c-8°c). 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

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STDs: Here Are Warning Signs That You Should Lookout For!

FFIM, Bachelor of Unani Medicine and Surgery (B.U.M.S)
Sexologist, Hyderabad
STDs: Here Are Warning Signs That You Should Lookout For!

STDs can be said to be the main down side to what is globally known as the most widely appreciated pastime. Yes, your read that right, as they can also be quite rampant. For example, by the age of twenty five, about half of all sexually active adults would have been the victim of at least one STD. Therefore, one should be aware of the risks and take precautions while indulging in sexual activities.

A lot of people are of the opinion that only an actual act of sex can lead to an infection by an STD. However, this is really not true as any sexual activity which features any or all of the mouth, penis, vagina and the anus has the potential to lead to an infection by an STD.

What doesn’t feel right?

  • STDs come in all sorts of ways. Some of them are curable and can be successfully treated while others just have to be managed. One of the symptoms to keep an eye out for includes a swelling or redness in the region around the penis or the vagina. Also, if a person experiences a lot of pain during urination, it is a very good idea to get checked for an STD.
  • The symptoms of an STD are basically that not everything feels okay. Apart from the symptoms which have been mentioned, others which also exist and serve as a warning sign are a severe itching, which is experienced in the genital region and a discharge from the penis or vagina. In addition to this, unexplained weight loss along with skin rashes and bumps, sores or warts around the mouth, or the genital regions are also fairly good signs that an STD has been contracted.

Road to recovery

  • If a person suspects that he or she may have an STD, it is very important to consult a doctor as delaying in doing so can harm other parts of one’s body, and at times permanently.
  • When it comes to the treatment of an STD, an antibiotic course of treatment is usually the way to go. It is important that the course of medication which is followed is specifically for that person as using another person’s medicine course can backfire.
  • The best way to practically avoid contracting an STD is to practice safe sex. Sex is something which is supposed to be fun and satisfying. Keeping a few things in mind, the fun can be almost unbridled. If you wish to discuss about any specific problem, you can consult a Sexologist.
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My Bhabhi is pregnant and her baby is in tube not in Uterus as said by doctor. What to do now? Is there any way of shifting baby to uterus? Please help.

Advanced Infertility, MIS TRAINING, FICMCH, PGDS, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Faridabad
My Bhabhi is pregnant and her baby is in tube not in Uterus as said by doctor.
What to do now? Is there any way of sh...
no baby can never be shifted .its a condition called ectopic pregnancy and requires urgent medical attention according to size of sac,beta hcg level ,presence of cardiac activity and clinical condition ,mode of treatment is decided , be in touch with your gynaec and follow her decision .dont delay as it can be threatening
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I take some pills last month when I was pregnant to avoid pregnancy. Now my mensuration cycle is disturbed my periods are not coming I font know why my last month's period date is 22nd. Please help.

MBBS
General Physician, Cuttack
I take some pills last month when I was pregnant to avoid pregnancy. Now my mensuration cycle is disturbed my periods...
After taking emergency contraceptive pill period gets disturbed for 1-2 cycles and will become regular after that.Consult Gynecologist for further advice
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