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Dr. Sushmita Misra  - Gynaecologist, New Delhi

Dr. Sushmita Misra

MBBS, MD - Obstetrtics & Gynaecology

Gynaecologist, New Delhi

27 Years Experience  ·  600 - 1000 at clinic
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Dr. Sushmita Misra MBBS, MD - Obstetrtics & Gynaecology Gynaecologist, New Delhi
27 Years Experience  ·  600 - 1000 at clinic
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Personal Statement

Dr. Sushmita Mishra is a Gynecologist, Obstetrician and Infertility Specialist in Vasant Kunj and Vasant Vihar, Delhi and has an experience of 25 years in these fields. Dr. Sushmita Mishr......more
Dr. Sushmita Mishra is a Gynecologist, Obstetrician and Infertility Specialist in Vasant Kunj and Vasant Vihar, Delhi and has an experience of 25 years in these fields. Dr. Sushmita Mishra practices at Sukhmani Hospital in Vasant Kunj, Delhi, Holy Angels Hospital in Vasant Vihar, Delhi and Fortis Vasant Kunj. She completed MBBS from Lady Hardinge Medical College and MD - Obstetrics & Gynaecology from Safdarjung Hospital New Delhi. She is a member of Member AOGD [Association of Obstetricians and Gynaecologists of Delhi], Federation of Obstetric and Gynaecological Societies of India (FOGSI) and National Association for Reproductive & Child Health of India (NARCHI).
More about Dr. Sushmita Misra
Dr. Sushmita Misra is one of the best Gynaecologists in Vasant Kunj, Delhi. She has been a practicing Gynaecologist for 26 years. She has done MBBS, MD - Obstetrtics & Gynaecology. She is currently associated with Inderprastha Medical Center in Vasant Kunj, Delhi. You can book an instant appointment online with Dr. Sushmita Misra on Lybrate.com.

Lybrate.com has a nexus of the most experienced Gynaecologists in India. You will find Gynaecologists with more than 27 years of experience on Lybrate.com. You can find Gynaecologists online in New 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 - Lady Hardinge Medical College, New Delhi - 1991
MD - Obstetrtics & Gynaecology - Lady Hardinge Medical College, New Delhi - 1991
Languages spoken
English
Hindi

Location

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Inderprastha Medical Center

Nelson Mandela Marg, Opp Police Station, Vasant KunjNew Delhi Get Directions
600 at clinic
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Fortis Flt. Lt. Rajan Dhall Hospital - Vasant Kunj

Sector B, Pocket 1, Aruna Asaf Ali Marg,Vasant KunjNew Delhi Get Directions
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1000 at clinic
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First Vaccine Again Dengue

MBBS,CCA,DCA,AASECT,FPA,AAD,F.H.R.SM.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

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

I have intercourse on monday i.e. 3 april with precautions then I gave her a pill so that she can't conceive. Her MC date is 8 april but not started. Can you help.

DGO
Gynaecologist, Delhi
I have intercourse on monday i.e. 3 april with precautions then I gave her a pill so that she can't conceive. Her MC ...
Dear Lybrate user, please wait for 3-4 days, if not then you can proceed with urine prenancy test by preg card self at home, but ask your partner to relax and avoid stress. If still any problem get back to us via Lybrate.
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I use to feel irritation and burning in my vulva. It's very painful sometime. Pls help.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I use to feel irritation and burning in my vulva. It's very painful sometime. Pls help.
Hi lybrate-user, their could be local lesion that might be irritating you, please keep area dry apply soframycin cream for soothing effect.
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Hi, I'm 20 years old girl. My friends says that I look 3 to 4 years older than I look. What shall I do look younger.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hi, I'm 20 years old girl. My friends says that I look 3 to 4 years older than I look. What shall I do look younger.
Hello, Please increase your daily water intake to 12-15 glasses a day and this shall help improve circulation and metabolism bringing back our glow.
5 people found this helpful
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Good evening doctor-I want ask a question, the 6th month of My wife's pregnancy is underway, but the kicks feet has not started yet.

MD - Homeopathy, BHMS
Homeopath, Vadodara
Good evening doctor-I want ask a question, the 6th month of My wife's pregnancy is underway, but the kicks feet has n...
Hi Manoj... She is in the third trimester of the pregnancy... You may go for anomaly check... You will have your answer... There are special sonography for it..
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After sex the period is not coming, they are not want any children. What to do without abortion?

Doctor of Medicine, F.C.P.S.(Mid. & Gynae)
Gynaecologist, Mumbai
First you have to confirm whether she is pregnant or not by doing urine pregnancy test (from chemist). If positive you have to meet a gynecologist immediately.
2 people found this helpful
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I am 21 year old but still I have not get regular menstrual cycle in each month it comes early many times what should I do to get the menstrual cycle on perfect date?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmednagar
I am 21 year old but still I have not get regular menstrual cycle in each month it comes early many times what should...
Hello, lybrate user for regularing your menstrual cycle you can use syp evecare 2tsf twice a day after food atleast for three months.
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Hi, I Got periods three times within 40 days. My gynecologist gave me DAFLON. But no result.Please help me with irregular periods.

MD - Homeopathy, BHMS
Homeopath, Vadodara
Hi, I Got periods three times within 40 days. My gynecologist gave me DAFLON. But no result.Please help me with irreg...
Hi Nida... As in your details it is written that you have thyroid problems.. but not given what like hypo or hyper... Again you have food allergies... You have already developed irregular periods... You have not given your age... Your gender is written Male... So you must understand that it is very difficult to give treatment.. And for conditions like this it is mandatory to take proper consultation and treatment taken regularly with regular follow ups.... I am sure homoeopathic treatment will help you a lot... it can not only regularise periods... but also can help normalizing the Thyroid and stopping the hormonal tablets.... You can consult me through lybrate...
1 person found this helpful
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My monthly cycle got over on 15th and I had sex on 20th. After about 3 days I hv been having cramps similar to periods pain. Does this mean I'm pregnant?

MBBS
General Physician, Cuttack
My monthly cycle got over on 15th and I had sex on 20th. After about 3 days I hv been having cramps similar to period...
Sex during 1st week after period is relatively safe.Chance of pregnancy is less.Consult gynecologist for further advice
1 person found this helpful
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Asthma In Children - How It Can Be Treated?

MD, DTDC , MBBS
General Physician, Delhi
Asthma In Children - How It Can Be Treated?

Asthma is a painful pulmonary disease that is usually caused due to inflammation of the air passages. The tubes that help us breathe in and out can get contaminated with pollutants and allergens like dust, smoke, pet hair, pollen and nettle, amongst various other substances. This can lead to coughing, shortness of breath, chest pain due to breathing difficulties and wheezing as the lungs try to get more oxygen which cannot pass through the swollen airways. This is usually characterised as asthma. In recent times, there has been a worrying increase in child asthma. Read on to find ways in which this can be treated.

Symptoms: Treating breathing difficulties is the first and foremost way of treating asthma in children. This is especially important because of the oxygen requirement for normal and proper development of the brain and rest of the body.

Long Term Medication: Inhaled Corticosteroids which act to combat inflammation and reduce the same, can be used by children. Also, leukotriene modifiers can be used along with these inhalers. But one must be careful of psychological reactions like aggression during the use of this medicine. Combination inhalers can also help in tackling agonists that can trigger severe and potentially fatal asthmatic attacks. Theophylline is another drug that can be taken on a daily basis to keep the bronchial tubes or air passages open.

Quick Relief Medication: Albuterol, pirbuterol, and levalbuterol are some of the medicines that can be used in the short term for quick and instant relief. Yet, there is no guarantee that the symptoms will not return and there is still a need for a child to undergo focussed and long term medication to alleviate the risk of severe attacks.

Immunotherapy: Asthmatic attacks that are caused due to the allergens like pollen, dust, smoke, nettle, pet hair, and other similar substances, will need a series of injections that contain a small measure of the allergens so that the immune system is strengthened. This will ensure that the child's allergic reactions and subsequent asthma attacks will gradually decrease.

Devices: Medication delivery devices like inhalers that will give you a measured dose, dry powder inhalers as well as nebulizers, will take the medication straight to the lungs for asthma relief and control.

Long terms diseases like asthma can greatly affect the growth and immunity of a child, which is why it is important to prevent and treat such attacks. If you wish to discuss about any specific problem, you can consult a General Physician.

3319 people found this helpful
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