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Dr. Vivek Rustugi

MBBS

Psychiatrist, Delhi

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Dr. Vivek Rustugi MBBS Psychiatrist, Delhi
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Vivek Rustugi
Dr. Vivek Rustugi is an experienced Psychiatrist in Apex Citi Hospital, Delhi. He studied and completed MBBS . You can consult Dr. Vivek Rustugi at Dr. Vivek Rustugi@Apex Citi Hospital in Apex Citi Hospital, Delhi. Save your time and book an appointment online with Dr. Vivek Rustugi on Lybrate.com.

Lybrate.com has an excellent community of Psychiatrists in India. You will find Psychiatrists with more than 28 years of experience on Lybrate.com. You can find Psychiatrists 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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I am a 28 years old female and i'm addicted to smoke. Please help me prescribe some medications to quit smoke. I've been smoking for 9 years and I can't quit.

MBBS, MD - Psychiatry, MBA (Healthcare)
Psychiatrist, Davanagere
Hi there ~ start your stop smoking plan with start s = set a quit date. Choose a date within the next two weeks, so you have enough time to prepare without losing your motivation to quit. If you mainly smoke at work, quit on the weekend, so you have a few days to adjust to the change. T = tell family, friends, and co-workers that you plan to quit. Let your friends and family in on your plan to quit smoking and tell them you need their support and encouragement to stop. Look for a quit buddy who wants to stop smoking as well. You can help each other get through the rough times. A = anticipate and plan for the challenges you'll face while quitting. Most people who begin smoking again do so within the first three months. You can help yourself make it through by preparing ahead for common challenges, such as nicotine withdrawal and cigarette cravings. R = remove cigarettes and other tobacco products from your home, car, and work. Throw away all of your cigarettes (no emergency pack!), lighters, ashtrays, and matches. Wash your clothes and freshen up anything that smells like smoke. Shampoo your car, clean your drapes and carpet, and steam your furniture. T = talk to your doctor about getting help to quit. Your doctor can prescribe medication to help with withdrawal and suggest other alternatives. If you can't see a doctor, you can get many products over the counter at your local pharmacy or grocery store, including the nicotine patch, nicotine lozenges, and nicotine gum. I hope this helps. Take care and have a lovely day.
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Depression: How It Affects Your Sex Life

MD-Dermatology, MBBS
Sexologist, Pune
Depression: How It Affects Your Sex Life

Depression is a very common disease and affects every aspect of your life including your physical relation to your partner. Depression and some antidepressants curb sexual drive. This has a negative effect on the depression as sex releases 'happy hormones'. Thus, depression and your sex life share a cyclic relationship. The effect of depression on your sex life is a result of both brain functioning and physical changes in the body. Women are more likely to suffer from a reduced libido as an effect of depression. 

When it comes to depression and your sex life, there is no universal form of treatment. However, it is important not to stop treatment for depression in fear of a lowered libido. The sexual side effects can be addressed later.

Here are a few things you can do to improve your Sex life:
Ask your doctor to adjust medication
In cases where the antidepressant curbs libido, lowering or adjusting the drug dosage can be a solution to treat the depression without curbing sexual desire. Do not attempt to adjust your medication on your own. Your doctor may also change the drug to another that does not affect your sex drive. You could also try adjusting the schedule of drug intake such that you medicate yourself after sex. Alternatively, you could ask your doctor to prescribe medication such as Viagra to boost your libido. 

If your curbed libido is an effect of the depression itself, antidepressants may help you enjoy sex more. You should know that anti depressants can take a few months to have an effect.

Break the pattern
Depression often makes a person withdraw from others and cease to enjoy any experience. This becomes a thought pattern that cannot be cured with medication. Talking to a counselor can help unlearn these thought patterns and help people form new social bonds. As part of the treatment, the patient will need to find and explore new ways of enjoying sex that can strengthen strained relationships. 

Talk to your partner
Having an open conversation with your partner is key to improving relationships and one's sex life. Talk about your sexual needs and help your partner understand your mental barriers to sex. Find forms of foreplay that appeal to both of you. It is also important for you and your partner to understand that there is no 'standard' to how often you should have sex or how you should feel after it.

4 people found this helpful

I lost somebody close last year and since then feel very depressed and prefer keeping to myself all the time please help me.

DHMS (Hons.)
Homeopath, Patna
I lost somebody close last year and since then feel very depressed and prefer keeping to myself all the time please h...
Hello, relax! go for meditation to reduce your stress and to calm down your nerve to set your psychological condition right. Tk, plenty of water to eliminate toxins and to hydrate yourself. Go for a walk mind morning/ evening to restore your blood circulation to nourish your whole body & brain. Tk, homoeo medicine, gentle and rapid in action with no adverse effect/ @ ignatia 20-6 pills, thrice. @ staphisagria 30-6 pills, thrice a day. Ensure sound sleep for at least 7 hrs in d night. Tk care.
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I am a student of b. Com 1st year, after admit in college, I couldn't concentrate in my study. Please help me to come out from this depression.

BHMS
Homeopath, Sindhudurg
I am a student of b. Com 1st year, after admit in college, I couldn't concentrate in my study. Please help me to come...
Homoepathic treatment nat mur 6x 4pills 3times. Arg nit 30 4pills 3times for 3days and revert back for further treatment.
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Are you feeling Sad all the times ?

Ph. D - Psychology
Psychologist,
Are you feeling Sad all the times ?
If you are feeling worthlessness, sadness and lack of hope than you may be suffering from depression. It is a debilitating condition that can prevent you from enjoying your life. Although it may be difficult to enjoy previous feeling of happiness. You can take control of your depression by increasing social support, changing your thinking and by increasing your physical health.
These are the method to overcome it.
1. Talk to a psychologist /psychiatrist/therapist a psychologist or a therapist will be able to help you work through the issues you are going through at this time. He or she will also educate you about your depression and will further guide you the right line of action to be taken.
2. Spend time with positive people social support is crucial to getting out of a depression and can be very helpful for you to cope with stress full life. Support from positive people can also help to reduce negative thoughts that lead to depression. Please find those people in your life who make a positive impact on your daily functioning. Your friends, family members or co-members should be encouraging and you should enjoy their company. Please go out and do small small things with them [ like listening music, watching movies, walking, reading etc.]. Please create distance with people you know cause you anxiety or who are not supportive. Spending time with them will surely worsen your condition and make it harder to feel enthusiastic about recovery. Plan a short vacation with positive people. 3. Physical contact
Hug a friend
Hold hands
Play with your pet or dog
4. Always think positive and realistically negative thoughts are trademark of depression. This means you get struck thinking the same negative thoughts over and over again. Write down all the bad negative thoughts you have and create a positive thought for each negative thought you wrote down. For example I am ugly, please write I am unique and beautiful. I dont need any approval.
5. Compliment yourself for small small things.
6. Please avoid alcohol, cigarettes or any kind of substance abuse.
61 people found this helpful

Ways to Keep You Stress Free and Keep Your Baby Happy

Speciality Birthing Care
Gynaecologist, Bangalore
Ways to Keep You Stress Free and Keep Your Baby Happy

If you are stressed and wondering if this anxiety will affect the health of your child, you can be assured that you will have an uncomplicated childbirth and a healthy baby. It is absolutely normal to be stressed to some extent regarding the changes that are taking place in your life and to your body. But that doesn’t mean you can be stressed all the time and if this is the case with you, then you should seek professional help as high anxiety levels can adversely affect the health of your baby. This is because the cortisol or stress hormone may cross the placenta and create an impact on the emotional development of the baby.

There are various ways of staying stress free during pregnancy, and they are simple enough to be incorporated in your daily routine.

  1. Take enough rest and concentrate on your baby: It is good for you and the baby if you relax. You should sing and talk to your baby and you will be happy to know that he or she can hear you from around 23rd week. This would also allow you to bond better with your child after the birth takes place.
  2. Talk about your stress with people you trust: If you have any tension or worries regarding your child’s well-being, you can always communicate it to your best friend, your mother or anyone you faith in. You should never hesitate to be honest about your thoughts and feelings, and when you are true to yourself, you are likely to receive the support you require. You should talk to your partner as well and you may be surprised to know that both of you share similar worries and that your partner has some concerns that you are unaware about.
  3. Eat well and stay healthy: Eating tasty as well as nutritious food is good for your mind and body. Take in as many minerals, vitamins and Omega-3 fatty acids as you can, as these will help in elevating your mood. It is believed that the amino acid named tryptophan can help you get rid of all the tensions and boost your mood. It also helps in raising the levels of serotonin and melatonin that allow you to sleep better and make you feel well rested.

With little exercise and pampering, you will be able to reduce the stress and feel comfortable about your pregnancy. But in case you feel that you are stressed out without any control, you must consider consulting a doctor.
 

4386 people found this helpful

I feel stress and tired without any pain. I feel weak and how should I increase my mind power. Usually when I study and learn something. But I was not able to keep learn for long time. But when I see and lean one time I am able to keep learn for long time. Please tell me. Why did he happen wth me.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Homoeopathicmedicine BREN UP ( ALLEN) Drink 2 spoon 3 times daily for 2 months. BRAMARI PRANAYAM early morning daily for 10 minutes.
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BAMS, YIC, DEC
Ayurveda,
Stress can be reduced by playing indoor are outdoor games,traveling,watching movies, give a break to your work give time to your self and family.
7 people found this helpful

I have been feeling low lately. I wish to be left out alone yet I want to understand why I am doing this to myself. I hv severed my bonds with my siblings and it has reached a stage where I cnt bear evn talking to them on phn after months. Life seems hopeless. I get sad far too often evn whn things are goin jst fine. Future haunts me. I dnt knw whthr I need help or its jst a phase where I hv gone nuts. And one mre thing, I hv always hd phases like this. Bt they were short. something always pulled me out of this mood. But now, am scared if I end up doing something irreversible.Please tell.

M.Sc - Applied Psychology
Psychologist, Bangalore
I have been feeling low lately. I wish to be left out alone yet I want to understand why  I am doing this to myself. ...
Hi, if you find yourself very energetic for some period followed by a period of extreme sadness or depression and see this cycle repeating itself, then you could be suffering from bipolar disorder. And if that's the case then do consult a psychiatrist soon as you may need medication treatment. Along with medicines, you will also need to be under counselling. But don't worry, you will be able to manage your mood and get some relief, but it's really important to remain under counselling. Take care.
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I am unable to control myself when I become angry and on some other occasions. Can you please tell me the natural ways to gain self control?

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. I can understand. You are just 18. Your brain is growing faster than ever and impulsivity is normal during this period. You can overcome this adolescent related impulsivity, anger and aggression through physical exercises and games upto an extent. There is no harm and therefore don't worry about it. Take care.
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I'm addicted to smoking and I really want to quit, how can do that? I thought of nicotine patches but I'm confused. I just want to quit for the good.

BHMS
Homeopath,
Dear lybrate user, you may need a bit of willpower to stop smoking permanently. You could easily abstain yourself from smoking during the initial 2-3 days. But after few days of abstaining from smoking you will feel a strong craving to smoke a cigarette whenever you face any tense situation. Here lies your real test. You will need a lot of willpower to resist that craving & face any tense situation without the help of nicotine. However, you can take homoeopathic mother tincture daphne indica q, 30 drops, thrice daily, after meals, in a cup of water. This medicine will help to reduce your craving for nicotine.
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All About Forensic Psychiatry

MD - Psychiatry, MBBS
Psychiatrist, Delhi
All About Forensic Psychiatry

Forensic psychiatry is generally identified as a specialized offshoot of psychiatry, dealing with the calculated treatment and evaluation of mentally disordered offenders in secure hospitals, prisons and in the community. This branch of psychiatry requires an indepth understanding and thorough knowledge of the connection between legality and mental health. 

Patients of Forensic Psychiatry, generally are affected with personality dysfunctions, mental illness, psychopathic disorders, organic brain damage, learning disability and other conditions, such as histories of abuse and traumatic experiences as well as substance abuse and misuse.

Nature of the work
The most important prerequisite of this branch of psychiatry is a secure and safe environment where the subjects are liable to legal restrictions. Evaluation and assessment may vary from highly secured hospitals and prisons to low secure units and community based services. Forensic psychiatrists must have a thorough knowledge of civil, criminal and case law because of their frequent dealings with criminal justice agencies and the courts. 

An important component of Forensic Psychiatry is risk assessment and evaluation. Forensic psychiatrists must be fluent and adept at handling patients during emergencies or routine situations. Moreover, they should be calm, composed and professional in their dealings, especially with patients who display instability or violent and aggressive behavior.

The probation service, the prison service and the courts generally rely on forensic psychiatrists for expert advice, precisely because of their familiarity with preparing reports for mental health review tribunals and criminal justice agencies.

Imperatives: 

  1. Quintessentially, the obligatory role of a forensic psychiatrist requires:
  2. Ability to treat others with understanding and respect
  3. Ability to work flexibly
  4. Emotional resilience along with the ability to empathize with patients
  5. Anticipation and an inherent initiative to work in challenging situations
  6. Good communication skills
  7. A scientific and analytic approach and assessment
  8. Good leadership qualities
3609 people found this helpful

I am suffering from cervical pain in the left shoulder and currently taking the physiotherapy treatment which has really helped me a lot but from pay 4 days I am having heaviness in my center to forehead which seems to get started from my neck. The intensity of the heaviness starts from the mornings itself and get increased by the evening. So when I consulted my physiotherapists he said it might be due to BP some I have that and take medication but it was all normal. therefore I would like to request that what is the cause of this and in which specialty I should consult since due to this I am not able to concentrate on my work at all.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PG Dip Panchakarma, PG Dip Ksharsutra for piles,pilonidal sinus and fistula management , Post Graduate Diploma In Hospital Administration (PGDHA), Certificate in Diabetes update
Ayurveda, Navi Mumbai
Got your pain, its really unfortunate to land in such issue while under any management which shakes faith on self and on our consultants. So relax. Be consistent. The clinical condition need to co-relate with your status in person.
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I am a chain smoker since last 4 years. And now I want to quit smoking but this is not going as I planned so please help me.

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
Either you have to stop smoking abruptly and your will power will help you. Otherwise, decrease the quantity slowly. You will falter several times. Don' t get offended. You will be able to do it one day. Appreciate your efforts and reward yourself for every positive step towards the goal. Take care.
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I'm 24 years old boy depression from 2 years Little interest Or pleasure in Doing things? Feeling Down, Depressed, or Hopeless? Trouble Falling or Staying Asleep, or Sleeping too Much? Feeling tired Or having Little energy? Poor appetite Or Overeating? Feeling bad About Yourself - or That you are A failure or Have let Yourself or Your family Down please help me.

Masters in Clinical Psychology
Psychologist, Lucknow
I'm 24 years old boy depression from 2 years Little interest
Or pleasure in
Doing things?
Feeling
Down,
Depressed, or...
Hi lybrate-user, Feeling down or blue is a natural part of life. People let us down, things go wrong, we lose people we love or the dreams we've valued. When feeling down stretches over weeks or months, is occurring frequently and interfering with your ability to interact with people and enjoy your life, it is likely that you're experiencing some form of depression. Provided that you're able to access information and have a good doctor and support network around you, even severe depression is a highly treatable condition. Along with medication psychotherapy from psychologist is a important adjunct. Firstly, you will have to make few lifestyle changes: Sleep well. Sleep is essential to a healthy, balanced body. Lack of sleep can aggravate negative thinking and easily becomes a vicious cycle whereby your negative thoughts keep you awake and disable your ability to get enough sleep. Waking unrefreshed and feeling tired is a common complaint during depression, and even too much sleep can leave depressed persons feeling tired. Breaking this cycle requires enforcing a strict sleep routine of the same bedtime and waking time every day, avoiding caffeine and alcohol, not exercising three hours prior to bed, removing anything distracting from your bedroom, and keeping your room at a suitable temperature. Exercise releases a natural anti-depressant chemical in your brain and gets you into doing something active. Start small with a simple walk to the local store or around the block, or to your garden gate might be the way to begin. Gradually work up to a routine that fits with your needs and enjoyment. Look for friends or group exercise sessions since having a partner will keep you more motivated. You can also look for activities that will allow you to release some of the pent-up emotions that may be built up, such as kickboxing. Playing sports is a great way to get regular exercise, stay occupied, focus on self-improvement and meet new people. Some studies have found that people who participate in sports have somewhat fewer symptoms of depression. Choose a sport that is exhausting to quiet the chatter in your mind and leave you feeling wrung out—just don't overdo it. Join a team or class in your area and commit to showing up to as many of these meetings as possible, even if you may not feel like going some days. Eat healthy. Reduce your intake of sugar, high fructose corn syrup, fast foods, and processed foods. Eat more fruits, vegetables and whole foods. Drink plenty of water and do some research on foods that are said to improve your state of mind and well-being. Improving your diet can be a positive project to keep you constructively occupied and focused when you're working through your depression. Plus, many healthy foods are effective at improving mood Talk with friends, family and colleagues who make you feel good and who are good to be around. Spend time with people who see the world in a positive way and ask them to share their visions, ideas, and approaches to life with you. Most positive people will be more than happy to reveal the things that help them keep upbeat and happy about their lives. Learn from them. Remember that misery loves company. It can be incredibly hard to keep away from negative people as down and out as you're feeling, but do your best to avoid them. You won't be doing either of you a favor by confirming each other's fears that the rest of the world is terrible. Keep occupied. Being busy is a way to prevent negative thoughts from going around your head repeatedly. For depressed persons, the first step is often the hardest, so making yourself do things can be a huge difference in your day and getting you started Start a journal of your journey through your depression. Document your feelings somewhere personal and completely private. This will be the place where you let out your darkest thoughts — no holds barred — because you don't need to worry that anyone will judge you for them. A diary can become your collaborator in the struggle against your depression because it eventually provides you with great evidence of what improves your mood as well as what brings it down. Try to write in it daily if possible. Change your thinking. As part of progressing, recognizing and defeating negative thinking patterns is a very important aspect to concentrate on. Cognitive behavioral therapy, psychotherapy, or other forms of psychological therapy are helpful when you're unlearning negative thinking and establishing patterns of thinking that support your self-esteem and increase your self confidence. While it is best to read up in this area and speak with someone qualified to help guide you through the ways to change your thinking, there are some important things to keep in mind. Acknowledge the feeling will pass. This can be a very difficult step, but it's vital because it helps you to start banishing thoughts of hopelessness. List all of your good points. When you're depressed, it's easy to understate the positive things about yourself. Turn this around by listing everything that is good about you. Include achievements from the past and hopes for the future, however few or random they may seem. If you can't write this list, have a trusted friend or family member start one for you. This is a list to keep building upon as you work through your depression. Self-acceptance is a vital part of recovering from depression because you acknowledge that there are good things about yourself, but also that you have challenges to overcome. This will help you stop judging yourself more harshly than anyone else. Make decisions, however small, and act on them. Again, while this is very difficult to do during depression, it is a vital element in facing the sense of helplessness that tends to overwhelm depressed persons. Small decisions like getting out of bed, calling friends, or cleaning up the kitchen all add up. Once you act on them, they become achievements. Learn how to replace faulty or negative thinking by focusing on it. Ask questions such as: Am I assuming the worst? Am I condemning myself because something bad has happened? Am I focused on my weaknesses rather than my strengths? It is helpful to arrange the negative thought in one column and a rationalization in another column, so that you can confront and undo the negative thinking. In one column you may write the thought" I'm a failure, and in the other you challenge that thought with" I made a mistake. I've made mistakes in the past and things have turned out okay. I've also had many triumphs. Learn assertiveness techniques once you've challenged the harder aspects of your negative thinking processes. Assertive techniques will allow you to find a pathway to standing up for yourself without giving in to feelings of anger, fear, or powerlessness. Knowing how to assert yourself is an important part of not falling back into depressive patterns in the future. Remember, Always keep yourself busy, or doing something positive. Sitting alone, or thinking about all the bad events in your life without expressing them to someone is going to make your depression worsen. Also pratice yoga or meditation. All the best. Consult psychologist for psychotherapy. You really need that.
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Hi sir/mam I im in need of a psychologist as I have no interest in live right now I am in a heavy and last stage of mental depression.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
Hi sir/mam I im in need of a psychologist as I have no interest in live right now I am in a heavy and last stage of m...
You are in an anger related depression and will feel quite hopeless. Life is very precious and every effort must be made to save it. Your desire to not live is a temporary phase but can be very difficult. So you must go and meet with a counselor immediately and if that person advises that you meet with a doctor you must do so and cooperate to your utmost. Please visit these professionals along with your parents. In the meantime please do the following sincerely because you could resolve the problem better with good cooperation: Have a good night’s sleep, have a good breakfast of more proteins, meditate often, remain free of stress, eat a lot of fiber, nuts, avocado, exercise regularly, eat dark chocolate, do Yoga meditation exercises, etc. I suggest you do the opposite of what this depression makes you feel like doing (actually, not doing): you will need to fight this condition. You must become active; stay upright during the daylight time; meet people; never sleep during the day, wake up by 6 am every day, play some active games, especially contact games, do physical exercises, talk to people and join some social clubs, attend Yoga classes etc. Watch sitcoms on TV or comedies and cheer yourself up. Go for excursions in groups, for outings, camps, conferences, and religious conventions. Get a pet dog and spend time training it, exercising it and relating to it. Expose yourself to some sunlight every day, at least, 30 minutes but not in the scorching heat. Whatever happens, please incorporate these three important adaptations in your life: always be responsible, be respectful, and be functional. If you did these three, lots of things will go well in life. Please pray and have faith in God to alleviate your sufferings. Don’t wait for others to help. Use your own motivation, which might be at its lowest, but persevere and win this battle. Above all to be really happy, you need to live in love and for love. Learn all about emotions and how to handle them and that will get you out of the depression rather easily and quickly. A counselor is there only to facilitate you, all the hard word must come from you, and your cooperation with that person is very critical for your success. Be positive every day and learn to be contented with what you have. Do some left brain exercises: it is the happy brain. Here are a few suggestions: shut your left nostril and breathe, move your eyes from right to left and vice versa for at least half a minute at a time, and do callisthenic exercises with some form of counting, regularly. Whatever happens please cooperate with the therapy and do not discontinue until the condition is completely resolved.
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I am 25 years old and I want to know about nicotine patches everything about it dosage and consumption.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
Nicotine patch is used for: Helping you to quit smoking. Nicotine patch is a smoking deterrent. It works by providing low levels of nicotine, which may help you to quit smoking by lessening the physical signs of withdrawal symptoms. Do NOT use nicotine patch if: • you are allergic to any ingredient in nicotine patch Contact your doctor or health care provider right away if any of these apply to you. Before using nicotine patch: Some medical conditions may interact with nicotine patch. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you: • if you are pregnant, planning to become pregnant, or are breast-feeding • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement • if you have allergies to medicines, foods, or other substances (including adhesive tape) • if you have skin problems at the application site • if you have heart problems, irregular heartbeat, or if you have had a recent heart attack • if you have high blood pressure • you continue to smoke, chew tobacco, use snuff, or use any other nicotine-containing products (eg, nicotine gum) • if you take medicine for asthma or depression, or if you are using another medicine to stop smoking Some MEDICINES MAY INTERACT with nicotine patch. Tell your health care provider if you are taking any other medicines. Ask your health care provider if nicotine patch may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine. How to use nicotine patch: Use nicotine patch as directed by your doctor. Check the label on the medicine for exact dosing instructions. • An extra patient leaflet is available with nicotine patch. Talk to your pharmacist if you have questions about this information. • Do not apply to skin that is oily, burned, irritated, or damaged in any way. • Remove backing from patch and immediately press onto a clean, dry, hairless part of your upper arm or hip. Press firmly and count to 10 to be sure it sticks well. • Wash your hands after applying or removing the patch. • Apply a new patch at the same time each day. Be sure to use a different skin site to avoid skin irritation. • Do not cut the patch in half or into smaller pieces. • Do not wear more than 1 patch at a time. • Wear each patch for 16 to 24 hours. Do not leave the patch on for more than 24 hours because it may irritate your skin and lose its strength. • After removing the used patch, fold it in half with the sticky sides together. Discard the patch out of the reach of children and away from pets. • If you miss a dose of nicotine patch, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once. Ask your health care provider any questions you may have about how to use nicotine patch. Important safety information: • Nicotine patch comes in different strengths. Talk to your doctor about which strength is right for you. • Do NOT use more than the recommended dose or use for longer than 10 weeks without checking with your doctor. If you feel the need to take nicotine patch after 10 weeks, check with your doctor. • If you begin to have vivid dreams or other sleeping problems, remove the patch at bedtime (after wearing it for about 16 hours). Put on a new patch when you wake up the next day. • Avoid getting nicotine patch in your eyes. If you get nicotine patch in your eyes, wash them out immediately with cool tap water. • Do not smoke or use tobacco products while you are using nicotine patch. This includes times when you are not wearing the patch. • Nicotine patch should be used as part of a larger program to help you stop smoking. If you need help choosing a program, talk with your health care provider. • Tell your doctor, dentist, or other health care provider that you use nicotine patch before you receive any medical or dental care, emergency care, or surgery. • If you will be having a magnetic resonance imaging (MRI), tell your doctor that you use nicotine patch. You may need to remove the patch before having the MRI. • Nicotine patch may cause harm if it is swallowed. If you, a child, or a pet may have taken it by mouth, contact your poison control center or emergency room right away. • Use nicotine patch with caution in the ELDERLY; they may be more sensitive to its effects. • Nicotine patch should not be used in CHILDREN younger than 18 years old without first checking with the child's doctor; safety and effectiveness in these children have not been confirmed. • PREGNANCY and BREAST-FEEDING: Nicotine patch may cause harm to the fetus. If you think you may be pregnant, contact your doctor. You will need to discuss the benefits and risks of using nicotine patch while you are pregnant. Nicotine patch is found in breast milk. If you are or will be breast-feeding while you use nicotine patch, check with your doctor. Discuss any possible risks to your baby. When used for longer than a few weeks or at high doses, some people develop a need to continue taking nicotine patch. This is known as DEPENDENCE or addiction. Do not suddenly stop taking nicotine patch without your doctor's approval. If you do, you may have WITHDRAWAL symptoms. These may include anxiety, craving, impaired concentration, increased appetite, irritability, nervousness, sleep disturbances, and weight gain. Possible side effects of nicotine patch: All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome: Abnormal or vivid dreams; mild redness, itching, or burning at the application site; trouble sleeping. Seek medical attention right away if any of these SEVERE side effects occur: Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); blurred vision; fast or irregular heartbeat; nausea; severe or persistent dizziness or headache; swelling or persistent (more than 4 days) redness at the application site; vomiting; weakness. This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA. General information: • If you have any questions about nicotine patch, please talk with your doctor, pharmacist, or other health care provider. • Nicotine patch is to be used only by the patient for whom it is prescribed. Do not share it with other people. • If your symptoms do not improve or if they become worse, check with your doctor. • Check with your pharmacist about how to dispose of unused medicine. This information should not be used to decide whether or not to take nicotine patch or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about nicotine patch. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to nicotine patch. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your health care provider for complete information about the risks and benefits of using nicotine patch. Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.
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I have been able to drink alcohol from last 5 years suddenly I get facial flushing and rapid heartbeat after drinking. Is this is alcohol intolerance or asian flush? And please don't tell me to avoid alcohol .Please tell.

PDDM, MHA, MBBS
General Physician, Nashik
I have been able to drink alcohol from last 5 years suddenly I get facial flushing and rapid heartbeat after drinking...
Bright red skin after drinking, caused by dilated capillaries, is almost certainly an example of the alcohol flush reaction, related to the incomplete metabolism of alcohol.
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I'm in a confused state of mind for a few weeks and there by I'm becoming anxious. I'm underweight. Is anxiety very bad for health. My weight is reduced for about 3 KGS. My BMI is 16.34.

L L. B..,, M.Sc psychy,, N L P, P.G.D.G.C, M.S psychotherapy,, M.A child care, M A, clinical psy, M.A,social psychiatry,, M.Phil., psychology., Ph.D .,psychology
Psychologist, Vijayawada
I'm in a confused state of mind for a few weeks and there by I'm becoming anxious. I'm underweight. Is anxiety very b...
Because of your confused state. Everything is result. Anxiousness. Underweight happen because of anxiety. You are not eat properly. Then it result of your low weight. Better to come to out of anxiety. Your confused may be you are thinking alone. You are not express your feelings properly. Thinking alone it is not good. So better to share your feelings with your friends and family members. Better to take the help of psychologist. Psychological counseling will help to overcome your confused state of mind. So better to consult psychologist. Be follow sincerely his suggestions. Better to walk. Be happy all the time. Do not develop negative things. Be positive always. It is always good for your health. Ok best of luck.
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