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Chlordiazepoxide

Prescription vs.OTC: Prescription by Doctor required

Chlordiazepoxide is a benzodiazepine. It treats anxiety disorders, irritable bowel syndrome and symptoms of acute withdrawal syndrome. It is a sedative and a hypnotic medication. This medication functions by slowing down the movement of chemicals in the brain.

On using Chlordiazepoxide you may experience the following side effects: dizziness, drowsiness, constipation, nausea, headache, hazy vision, upset stomach, changes in sexual drive, restlessness, fatigue and loss of appetite. Should your reactions become worse over time, contact your health care provider immediately.

Before using Chlordiazepoxide inform your doctor if you have any of these conditions. If you are pregnant, are planning to become pregnant, or are breastfeeding a baby, you are taking any prescription or non-prescription drugs, you have any allergies to any medicines, foods or substances, you have a history of glaucoma, have liver/ lung/ muscle/ drug abuse problems or you smoke.

The dosage for Chlordiazepoxide should be determined by your doctor based on the patient specifications. The usual dosage for anxiety disorders and sedation is about 5-10 mg, taken thrice or four times a day. For alcohol withdrawal dosage is 50-100 mg, taken orally per day.

Information given here is based on the salt and content of the medicine. Effect and uses of medicine may vary from person to person. It is advicable to consult a Psychiatrist before using this medicine.

In addition to its intended effect, Chlordiazepoxide may cause some unwanted effects too. In such cases, you must seek medical attention immediately. This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.
Weakness
Blurred vision
Nervousness.
Is It safe with alcohol?
Surex 5mg/2.5mg tablet may cause excessive drowsiness and calmness with alcohol.
Are there any pregnancy warnings?
Surex 5mg/2.5mg tablet is unsafe to use during pregnancy.
There is positive evidence of human fetal risk, but the benefits from use in pregnant women may be acceptable despite the risk, for example in life-threatening situations. Please consult your doctor.
Are there any breast-feeding warnings?
Unknown. Human and animal studies are not available. Please consult your doctor.
Is it safe to drive while on this medicine?
You should not drive or use machines
Caution is advised when driving or operating machinery.
Does this affect kidney function?
Caution should be exercised with impaired Renal function.
Does this affect liver function?
There is no data available. Please consult doctor before consuming the drug.
Below is the list of medicines, which contains Chlordiazepoxide as ingredient
Systopic Laboratories Pvt Ltd
La Pharmaceuticals
Systopic Laboratories Pvt Ltd
A N Pharmacia
Shine Pharmaceuticals Ltd
Wockhardt Ltd
Reliance Formulation Pvt Ltd
A N Pharmacia
Abbott India Ltd
Intas Pharmaceuticals Ltd
Talent India
Mankind Pharma Ltd
Shine Pharmaceuticals Ltd
Talent India
Cadila Pharmaceuticals Ltd
Leeford Healthcare Ltd
Thrift Pharmaceuticals
Chlordiazepoxide is a kind of sedative, which is commonly used to treat anxiety, withdrawal symptoms and insomnia. The mechanism of action for the drug is not very well known, but the EEG arousal in blocked .
What are you using Chlordiazepoxide for?
irritable bowel syndrome
anxiety disorders
Other
acute withdrawal syndrome
How much was the improvement?
Average
Excellent
Poor
How long did it take before seeing improvement?
Within a day
Within 2 hours
Within 6 hours
More than 2 days
Within 2 days
How frequently did you take this medicine?
Once a day
Thrice a day
Not taking on daily level
Twice a day
Four times A Day
How did you take this medicine?
With Food
With or without food
Empty stomach
What were the side effects of this medicine?
Blurred vision
Other
Dry Mouth
Sleepiness
Dizziness
Nausea
Disclaimer: The information produced here is best of our knowledge and experience and we have tried our best to make it as accurate and up-to-date as possible, but we would like to request that it should not be treated as a substitute for professional advice, diagnosis or treatment.

Lybrate is a medium to provide our audience with the common information on medicines and does not guarantee its accuracy or exhaustiveness. Even if there is no mention of a warning for any drug or combination, it never means that we are claiming that the drug or combination is safe for consumption without any proper consultation with an expert.

Lybrate does not take responsibility for any aspect of medicines or treatments. If you have any doubts about your medication, we strongly recommend you to see a doctor immediately.

Popular Questions & Answers

I have also been prescribed anti anxiety drugs amitriptyline +chlordiazepoxide but it is also no fruitful.

MBBS, MD - Psychiatry
Psychiatrist, Mumbai
I have also been prescribed anti anxiety drugs amitriptyline +chlordiazepoxide but it is also no fruitful.
Since you are already on medication I suggest you talk to your treating Psychiatrist and convey your current symptoms to them. It is possible that some changes in medication dosages will help improve the symptoms. As they are familiar with your history it is always better to have a discussion with them regarding this situation.

I have been experiencing anxiety, mainly repetitive palpitations throughout the day, since the last 5 months. I have always been a slightly anxious person but never had such palpitations. It all started with an incident last December and since then I have been on clonazepam for a while. Then discontinued it because of the addictive nature. Currently am on sertraline 100 mg, Chlordiazepoxide 10 mg and Desvenlafaxine 50 Mg. I feel quite good while I am taking these. But once I am off them, I feel the same again in some days. How long will they take to show some long lasting effects. Should I take Chlordiazepoxide for more than a month, cause it's been two months already and it's working quite well?

MA - Clinical Psychology, P.G. Diploma in Guidance and Counseling, BA In Psychology
Psychologist, Mumbai
I have been experiencing anxiety, mainly repetitive palpitations throughout the day, since the last 5 months. I have ...
Lybrate user. You are working on effects of anxiety but how about working on main cause of it. As you already know that it has started from an incident in past so why it has created such impact need to work on that. With medication if you do counselling and psychotherapy you will b able to see the change fast. Metaphor therapy works very good to overcome past issues.
2 people found this helpful

I am 44 years old and suffering from IBS. I was under depression and thus prescribed chlordiazepoxide and paroxetine for the same, which l was taking for an year. However my mother suffered a heart attack and she died in front of me. Thus l developed an intense fear of death. I consulted another psychiatrist who prescribed me paroxetine. However l suffered badly due to the withdrawal symptoms of chlordiazepoxide like trembling in fear, racing heart, dry mouth. After that l consulted another psychiatrist who has put me on dose of Cretrazalin 2-2-0 in morning, Sodium Valporate 100 mg and mretazipane 15 mg at night. Now the doctor says l will have to take the medicines for 2 years compulsory and since l had a recurrence it can be indefinitely also. Kindly advise whether this is the right line of treatment so that after two years noon tells me that you had wrong Medicines or I become dependent on them. I am badly worried. Please advise and help. Also let me know if hypnosis is the solution for the same.

M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
I am 44 years old and suffering from IBS. I was under depression and thus prescribed chlordiazepoxide and paroxetine ...
You should go through following regimen: 1. Avoid Milk, Ghee, Butter and oily food. 2. Use of buttermilk at least thrice a day after meals. 3. Take Bilwa Powder (Wood apple powder) 1 tea spoon thrice a day. 4. Take Jatiphaladi Churna 1 tea spoon thrice a day. 5. De-stress yourself and have regular morning walk and Yoga. Rest of the medicines can be given only after clinical examination. You can book appointment through Lybrate.

Sir Am I performance phobia every time in bed I get this feeling whether I ll be able to perform or not .I don't get strong erection and urge for sex. I used silalnifil tab .which some don't give strong erection Sometime I ejaculate very quickly like 1 min after penetration and sometime it takes very long and don't even come this happen during second time when m doing .Now I have fear that I ll able to perform with medicine. Although I am very physically active as I am in defence. So it like my sex life is getting ruin. I am single my sex life started very late ,at the age of 32 .Which is also not very regular as my partner stay and works in different city. Initially I didn't use my medicine but there was on bad experience where is did get any erection and from there I got very fearful and starred using sildenafil capsules. Sir please suggest some thing what is it that am going through and will I get addicted to these medicine. I used to smoke 5 to 8 cig for last 5 year but now have cut down smoke to less .and I drink couples of times in a week .Sir I am patient of IBS I presently am taking escitalopram oxalate 10 mg one in night and chlordiazepoxide coliseum bromide tabs 2 in day .Plz suggest some remedy for my sex life.

BAMS, MD Ayurveda
Sexologist, Navi Mumbai
Sir Am I performance phobia every time in bed I get this feeling whether I ll be able to perform or not .I don't get ...
The best remedy I can recommend you is as follows Saffron is a mild aphrodisiac 1. Soak 10 almonds in water overnight 2. Peel off the skin and crush them the next morning 3. Take 1 cup hot cow's milk 4. Add the crushed almonds 5. Add a pinch of ginger powder 6. Add a pinch of cardamom powder 7. Add a pinch of saffron 8. Mix well 9. Drink this every morning Causes: • Anxiety • Incorrect diet • Unhealthy lifestyle This remedy will be helpful.
2 people found this helpful

Popular Health Tips

Avoid The Ban Medicines To Be Safe

BHMS
Homeopath, Singrauli
Avoid The Ban Medicines To Be Safe

Govt bans 344 drugs, including phensedyl, corex
Sr. No. Product name (irrational fdc) 
1 aceclofenac + paracetamol + rabeprazole
2 nimesulide + diclofenac
3 nimesulide + cetirizine + caffeine
4 nimesulide + tizanidine
5 paracetamol + cetirizine + caffeine
6 diclofenac + tramadol + chlorzoxazone
7 dicyclomine + paracetamol + domperidone
8 nimesulide + paracetamol
9 paracetamol + phenylephrine + caffeine
10 diclofenac+ tramadol + paracetamol
11 diclofenac + paracetamol + chlorzoxazone + famotidine
12 naproxen + paracetamol
13 nimesulide + serratiopeptidase
14 paracetamol + diclofenac + famotidine
15 nimesulide + pifofenone + fenpiverinium + benzyl alcohol
16 omeprazole + paracetamol + diclofenac
17 nimesulide + paracetamol injection
18 tamsulosin + diclofenac
19 paracetamol + phenylephrine + chlorpheniramine + dextromethorphan + caffeine
20 diclofenac + zinc carnosine
21 diclofenac + paracetamol + chlorpheniramine maleate + magnesium trisillicate
22 paracetamol + pseudoephedrine + cetrizine
23 phenylbutazone + sodium salicylate
24 lornoxicam + paracetamol + trypsin
25 paracetamol + mefenamic acid + ranitidine + dicylomine
26 nimesulide + dicyclomine
27 heparin + diclofenac
28 glucosamine + methyl sulfonyl methane + vitamini d3 + maganese + boron + copper + zinc
29 paracetamol + tapentadol
30 tranexamic acid + proanthocyanidin
31 benzoxonium chloride + lidocaine
32 lornoxicam + paracetamol + tramadol
33 lornoxicam + paracetamol + serratiopeptidase
34 diclofenac + paracetamol + magnesium trisilicate
35 paracetamol + domperidone + caffeine
36 ammonium chloride + sodium citrate + chlorpheniramine maleate + menthol
37 paracetamol + prochlorperazine maleate
38 serratiopeptidase (enteric coated 20000 units) + diclofenac potassium & 2 tablets of doxycycline
39 nimesulide + paracetamol suspension
40 aceclofenac + paracetamol + famotidine
41 aceclofenac + zinc carnosine
42 paracetamol + disodium hydrogen citrate + caffeine
43 paracetamol + dl methionine
44 disodium hydrogen citrate + paracetamol
45 paracetamol + caffeine + codeine
46 aceclofenac (sr) + paracetamol
47 diclofenac + paracetamol injection
48 azithromycin + cefixime
49 amoxicillin + dicloxacillin
50 amoxicillin 250 mg + potassium clavulanate diluted 62.5 mg
51 azithromycin + levofloxacin
52 cefixime + linezolid
53 amoxicillin + cefixime + potassium clavulanic acid
54 ofloxacin + nitazoxanide
55 cefpodoxime proxetil + levofloxacin
56 azithromycin, secnidazole and fluconazole kit
57 levofloxacin + ornidazole + alpha tocopherol acetate
58 nimorazole + ofloxacin
59 azithromycin + ofloxacin
60 amoxycillin + tinidazole
61 doxycycline + serratiopeptidase
62 cefixime + levofloxacin
63 ofloxacin + metronidazole + zinc acetate
64 diphenoxylate + atropine + furazolidonee
65 fluconazole tablet, azithromycin tablet and ornidazole tablets
66 ciprofloxacin + phenazopyridine
67 amoxycillin + dicloxacillin + serratiopeptidase
68 azithromycin + cefpodoxime
69 lignocaine + clotrimazole + ofloxacin + beclomethasone
70 cefuroxime + linezolid
71 ofloxacin + ornidazole + zinc bisglycinate
72 metronidazole + norfloxacin
73 amoxicillin + bromhexine
74 ciprofloxacin + fluticasone + clotrimazole + neomycin is
75 metronidazole + tetracycline
76 cephalexin + neomycin + prednisolone
77 azithromycin + ambroxol
78 cilnidipine + metoprolol succinate + metoprolol tartrate
79 l-arginine + sildenafil
80 atorvastatin + vitamin d3 + folic acid + vitamin b12 + pyridoxine
81 metformin + atorvastatin
82 clindamycin + telmisartan
83 olmesartan + hydrochlorothiazide + chlorthalidone
84 l-5-methyltetrahydrofolate calcium + escitalopram
85 pholcodine + promethazine
86 paracetamol + promethazine
87 betahistine + ginkgo biloba extract + vinpocetine + piracetam
88 cetirizine + diethyl carbamazine
89 doxylamine + pyridoxine + mefenamic acid + paracetamol
90 drotaverine + clidinium + chlordiazepoxide
91 imipramine + diazepam
92 flupentixol + escitalopram
93 paracetamol + prochloperazine
94 gabapentin + mecobalamin + pyridoxine + thiamine
95 imipramine + chlordiazepoxide + trifluoperazine + trihexyphenidyl
96 chlorpromazine + trihexyphenidyl
97 ursodeoxycholic acid + silymarin
98 metformin 1000/1000/500/500mg + pioglitazone 7.5/7.5/7.5/7.5mg + glimepiride
99 gliclazide 80 mg + metformin 325 mg
100 voglibose+ metformin + chromium picolinate
101 pioglitazone 7.5/7.5mg + metformin 500/1000mg
102 glimepiride 1mg/2mg/3mg + pioglitazone 15mg/15mg/15mg + metformin 1000mg/1000mg/1000mg
103 glimepiride 1mg/2mg+ pioglitazone 15mg/15mg + metformin 850mg/850mg
104 metformin 850mg + pioglitazone 7.5 mg + glimepiride 2mg
105 metformin 850mg + pioglitazone 7.5 mg + glimepiride 1mg
106 metformin 500mg/500mg+gliclazide sr 30mg/60mg + pioglitazone 7.5mg/7.5mg
107 voglibose + pioglitazone + metformin
108 metformin + bromocriptine
109 metformin + glimepiride + methylcobalamin
110 pioglitazone 30 mg + metformin 500 mg
111 glimepiride + pioglitazone + metformin
112 glipizide 2.5mg + metformin 400 mg
113 pioglitazone 15mg + metformin 850 mg
114 metformin er + gliclazide Mr. + voglibose
115 chromium polynicotinate + metformin
116 metformin + gliclazide + piogllitazone + chromium polynicotinate
117 metformin + gliclazide + chromium polynicotinate
118 glibenclamide + metformin (sr)+ pioglitazone
119 metformin (sustainded release) 500mg + pioglitazone 15 mg + glimepiride 3mg
120 metformin (sr) 500mg + pioglitazone 5mg
121 chloramphenicol + beclomethasone + clomitrimazole + lignocaine
122 of clotrimazole + ofloxaxin + lignocaine + glycerine and propylene glycol
123 chloramphennicol + lignocaine + betamethasone + clotrimazole + ofloxacin + antipyrine
124 ofloxacin + clotrimazole + betamethasone + lignocaine
125 gentamicin sulphate + clotrimazole + betamethasone + lignocaine
126 clotrimazole + beclomethasone + ofloxacin + lignocaine
127 becloemthasone + clotrimazole + chloramphenicol + gentamycin + lignocaine ear
128 flunarizine + paracetamole + domperidone
129 rabeprazole + zinc carnosine
130 magaldrate + famotidine + simethicone
131 cyproheptadine + thiamine
132 magaldrate + ranitidine + pancreatin + domperidone
133 ranitidine + magaldrate + simethicone
134 magaldrate + papain + fungul diastase + simethicone
135 rabeprazole + zinc + domperidone
136 famotidine + oxytacaine + magaldrate
137 ranitidine + domperidone + simethicone
138 alginic acid + sodium bicarbonate + dried aluminium hydroxide + magnesium hydroxide
139 clidinium + paracetamol + dicyclomine + activated dimethicone
140 furazolidone + metronidazole + loperamide
141 rabeprazole + diclofenac + paracetamol
142 ranitidine + magaldrate
143 norfloxacin+ metronidazole + zinc acetate
144 zinc carnosine + oxetacaine
145 oxetacaine + magaldrate + famotidine
146 pantoprazole (as enteric coated tablet) + zinc carnosine (as film coated tablets)
147 zinc carnosine + magnesium hydroxide + dried aluminium hydroxide + simethicone
148 zinc carnosine + sucralfate
149 mebeverine & inner hpmc capsule (streptococcus faecalis + clostridium butyricum + bacillus
Mesentricus + lactic acid bacillus)
150 clindamycin + clotrimazole + lactic acid bacillus

151 sildenafil + estradiol valerate
152 clomifene citrate + ubidecarenone + zinc + folic acid + methylcobalamin + pyridoxine + lycopene
+ selenium + levocarnitine tartrate + l-arginine
153 thyroxine + pyridoxine + folic acid
154 gentamycin + dexamethasone + chloramphenicol + tobramycin + ofloxacin
155 dextromethorphan + levocetirizine + phenylephrine + zinc
156 nimesulide + loratadine + phenylephrine + ambroxol
157 bromhexine + phenylephrine + chlorepheniramine maleate
158 dextromethorphan + bromhexine + guaiphenesin
159 paracetamol + loratadine + phenylephrine + dextromethorphan + caffeine
160 nimesulide + phenylephrine + caffeine + levocetirizine
161 azithromycin + acebrophylline
162 diphenhydramine + terpine + ammonium chloride + sodium chloride + menthol
163 nimesulide + paracetamol + cetirizine + phenylephrine
164 paracetamol + loratadine + dextromethophan + pseudoepheridine + caffeine
165 chlorpheniramine maleate + dextromethorphan + dextromethophan + guaiphenesin + ammonium
Chloride + menthol
166 chlorpheniramine maleate + ammonium chloride + sodium citrate
167 cetirizine + phenylephrine + paracetamol + zinc gluconate
168 ambroxol
+ guaiphenesin + ammonium chloride + phenylephrine + chlorpheniramine maleate + menthol
169 dextromethorphen + bromhexine + chlorpheniramine maleate + guaiphenesin
170 levocetirizine + ambroxol + phenylephrine + guaiphenesin
171 dextromethorphan + chlorpheniramine + chlorpheniramine maleate 
172 cetirizine + ambroxol + guaiphenesin + ammonium chloride + phenylephrine +
Menthol
173 hlorpheniramine + phenylephrine + caffeine
174 dextromethorphan + triprolidine + phenylephrine
175 dextromethorphan + phenylephrine + zinc gluconate + menthol
176 chlorpheniramine + codeine + sodium citrate + menthol syrup
177 enrofloxacin + bromhexin
178 bromhexine + dextromethorphan + phenylephrine + menthol
179 levofloxacin + bromhexine
180 levocetirizine + phenylephrine + ambroxol + guaiphenesin + paracetamol
181 cetirizine + dextromethorphan + phenylephrine + zinc gluconate + paracetamol + menthol
182 paracetamol + pseudoephedrine + dextromethorphan+cetirizine
183 diphenhydramine + guaiphenesin + ammonium chloride + bromhexine
184 chlorpheniramine + dextromethorphan + phenylephrine + paracetamol
185 dextromethorphen + promethazine
186 diethylcabamazine citrate + cetirizine + guaiphenesin
187 chlorpheniramine + phenylephrine + dextromethophan + menthol
188 ambroxol + terbutaline + dextromethorphan
189 dextromethorphan + chlorpheniramine + guaiphenesin
190 terbutaline + bromhexine + guaiphenesin + dextromethorphan
191 dextromethorphan + tripolidine + phenylephirine
192 paracetamol + dextromethorphan + chlorpheniramine
193 codeine + levocetirizine + menthol
194 dextromethorphan + ambroxol + guaifenesin + phenylephrine + chlorpheniramine
195 cetirizine + phenylephrine + dextromethorphan + menthol
196 roxithromycin + serratiopeptidase
197 paracetamol + phenylephrine + triprolidine
198 cetirizine + acetaminophen + dextromethorphan + phenyephrine + zinc gluconate 
199 diphenhydramine + guaifenesin + bromhexine + ammonium chloride + menthol
200 chlopheniramine maleate + codeine syrup
201 cetirizine + dextromethorphan + zinc gluconate + menthol
202 paracetamol + phenylephrine + desloratadine + zinc gluconate + ambroxol
203 levocetirizine + montelukast + acebrophylline
204 dextromethorphan + phenylephrine + ammonium chloride + menthol
205 acrivastine + paracetamol + caffeine + phenylephrine
206 naphazoline + carboxy methyl cellulose + menthol + camphor + phenylephrine
207 dextromethorphan + cetirizine
208 nimesulide + paracetamol + levocetirizine + phenylephrine + caffeine
209 terbutaline + ambroxol + guaiphenesin + zinc + menthol
210 dextromethorphan + phenylephrine + guaifenesin + triprolidine
211 ammomium chloride + bromhexine + dextromethorphan 
212 diethylcarbamazine + cetirizine + ambroxol
213 ethylmorphine + noscapine + chlorpheniramine
214 cetirizine + dextromethorphan + ambroxol
215 ambroxol + guaifenesin + phenylephrine + chlorpheniramine
216 paracetamol + phenylephrine + chlorpheniramine + zinc gluconate
217 dextromethorphan + phenylephrine + cetirizine + paracetamol + caffeine
218 dextromethophan + chlorpheniramine + guaifenesin + ammonium chloride
219 levocetirizine + dextromethorphan + zinc
220 paracetamol + phenylephrine + levocetirizine + caffeine
221 chlorphaniramine + ammonium chloride + sodium chloride
222 paracetamol + dextromethorphan + bromhexine + phenylephrine + diphenhydramine
223 salbutamol + bromhexine + guaiphenesin + menthol
224 cetirizine + dextromethorphan + bromhexine + guaifenesin
225 diethyl carbamazine + chlorpheniramine + guaifenesin
226 ketotifen + cetirizine
227 terbutaline + bromhexine + etofylline
228 ketotifen + theophylline
229 ambroxol + salbutamol + theophylline
230 cetririzine + nimesulide + phenylephrine
231 chlorpheniramine + phenylephrine + paracetamol + zink gluconate
232 acetaminophen + guaifenesin + dextromethorphan + chlorpheniramine
233 cetirizine + dextromethorphan + phenylephrine + tulsi
234 cetirizine + phenylephrine + paracetamol + ambroxol + caffeine
235 guaifenesin + dextromethorphan
236 levocetirizine + paracetamol + phenylephirine + caffeine
237 caffeine + paracetamol + phenylephrine + chlorpheniramine
238 levocetirizine + paracetamol + phenylephirine + caffeine
239 caffeine + paracetamol + phenylephrine + chlorpheniramine
240 ketotifen + levocetrizine
241 paracetamol + levocetirizine + phenylephirine + zink gluconate
242 paracetamol + phenylephrine + triprolidine + caffeine
243 caffeine + paracetamol + phenylephrine + cetirizine
244 caffeine + paracetamol + chlorpheniramine
245 ammonium chloride + dextromethorphan + cetirizine + menthol
246 dextromethorphan + paracetamol + cetirizine + phenylephrine
247 chlorpheniramine + terpin + antimony potassium tartrate + ammonium chloride + sodium
Citrate + menthol
248 terbutaline + etofylline + ambroxol
249 paracetamol + codeine + chlorpheniramine
250 paracetamol+pseudoephedrine+certirizine+caffeine
251 chlorpheniramine+ammonium chloride + menthol
252 n-acetyl cysteine + ambroxol + phenylephrine + levocertirizine
253 dextromethorphan + phenylephrine + tripolidine + menthol
254 salbutamol + certirizine + ambroxol
255 dextromethorphan + phenylephrine + bromhexine + guaifenesin + chlorpheniramine
256 nimesulide + certirizine + phenylephrine
257 naphazoline + chlorpheniramine + zinc sulphate + boric acid + sodium chloride + chlorobutol
258 paracetamol + bromhexine + phenylephrine + chlorpheniramine + guaifenesin
259 salbutamol + bromhexine
260 dextromethorphan + phenylephrine + guaifenesin + certirizine + acetaminophen
261 guaifenesin + bromhexine + chlorpheniramine + paracetamo
262 chlorpheniramine + ammonium chloride + chloroform + menthol
263 salbutamol + choline theophylinate + ambroxol
264 chlorpheniramine + codeine phosphate + menthol syrup
265 pseudoephedrine + bromhexine
266 certirizine + phenylephrine + paracetamol + caffeine + nimesulide
267 dextromethorphan + cetirizine + guaifenesin + ammonium chloride
268 dextromethorphan + cetirizine + guaifenesin + ammonium chloride
269 ambroxol + salbutamol + choline theophyllinate + menthol
270 paracetamol + chlorpheniramine + ambroxol + guaifenesin + phenylephrine
271 chlorpheniramine + vasaka + tolubalsm + ammonium chloride + sodium citrate + menthol
272 bromhexine + cetrizine + phenylephrine ip+guaifenesin + menthol
273 dextromethorphan + ambroxol + ammonium chloride + chlorpheniramine + menthol
274 dextromethorphan + phenylephrine + cetirizine + zinc + menthol
275 terbutaline + n-acetyl l-cysteine + guaifenesin
276 calcium gluconate + levocetirizine
277 paracetamol + levocetirizine + pseudoephedrine
278 salbutamol + choline theophylinate + carbocisteine
279 chlorpheniramine + vitamin c
280 calcium gluconate + chlorpheniramine + vitamin c
281 chlorpheniramine + paracetamol + pseudoephedrine + caffeine
282 guaifenesin + bromhexine + chlorpheniramine + phenylephrine + paracetamol + serratiopeptidase
(as enteric coated granules) 10000 sp units
283 paracetamol + pheniramine
284 betamethasone + fusidic acid + gentamycin + tolnaftate + lodochlorhydroxyquinoline (ichq
285 clobetasol + ofloxacin + miconazole + zinc sulphate
286 clobetasole + gentamicin + miconazole + zinc sulphate
287 levocetirizine + ambroxol + phenylephrine + paracetamol
288 permethrin + cetrimide + menthol
289 beclomethasone + clotimazole + neomycin + lodochlorohydroxyquinone
290 neomycin + doxycycline
291 ciprofloxacin + fluocinolone + clotrimazole + neomycin + chlorocresol
292 clobetasol + ofloxacin + ketoconazol + zinc sulphate
293 betamethasone + gentamicin + tolnaftate + lodochlorhydroxyquinoline
294 clobetasol + gentamicin + tolnaftate + lodochlorhydroxyquinone + ketoconazole
295 allantoin + dimethieone + urea + propylene + glycerin + liquid paraffin
296 acriflavine + thymol + cetrimide
297 betamethasone + neomycin + tolnaftate + lodochlorohydroxyquinoline + cholorocresol
298 clobetasol + neomycin + miconazole + clotrimazole
299 ketoconazole + tea tree oil + allantion + zinc oxide + aloe vera + jojoba oil +
Lavander oil + soa noodels
300 clobetasol propionate + ofloxacin + ornidazole + terbinafine
301 clobetasol + neomycin + miconazole + zinc sulphate
302 beclomethasone diproprionate + neomycin + tolnaftate + lodochlorhydroxyquinoline +
Chlorocresol
303 betamethasone + gentamycin + zinc sulphate + clotrimoazole + chlorocresol
304 borax + boric acid + naphazoline + menthol + camphor + methyl hydroxy benzoate
305 bromhexine + dextromethorphan
306 dextromethophan + chlopheniramine + bromhexine
307 menthol + anesthetic ether
308 dextrometharphan + chlopheniramine + ammonium + sodium citrate + menthol
309 ergotamine tartrate + belladona dry extarct+caffeine + paracetamol
310 phenytoin + phenobarbitone
311 gliclazide 40mg + metformin 400mg
312 paracetamol + ambroxol + phenylephrine + chlorpheniramine
313 oflaxacin + ornidazole suspension
314 albuterol + etofylline + bromhexine + menthol
315 albuterol + bromhexine + theophylline
316 salbutamol+hydroxyethyltheophylline (etofylline) + bromhexine
317 paracetamol+phenylephrine+levocetirizine+sodium citrate
318 paracetamol + propyphenazone + caffeine
319 guaifenesin + diphenhydramine + bromhexine + phenylephrine
320 dried alumnium hydroxie gel + prophantheline + diazepam
321 bromhenxine + phenylephrine + chlorpheniramine + paracetamol
322 beclomethasone + clotrimazole + gentamicin + lodochlorhydroxyquinoline
323 telmisartan + metformin
324 ammonium citrate + vitamin b 12 + folic acid + zinc sulphate
325 levothyroxine + phyridoxine + nicotinamide
326 benfotiamine + metformin
327 thyroid + thiamine + riboflavin + phyridoxine + calcium pantothenate + tocopheryl acetate +
Nicotinamide
328 ascorbic acid + manadione sodium bisulphate + rutin + dibasic calcium phosphate +
Adrenochrome mono semicarbazone
329 phenylephrine + chlorpheniramine + paracetamol + bromhexine + caffeine
330 clotrimazole + beclomethasone + lignocaine + ofloxacin + acetic aicd + sodium methyl paraben +
Propyl paraben

Avoid this combinations and be safe.

201 people found this helpful

Diverticulitis - Symptoms, Causes And Treatment!

MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Diverticulitis - Symptoms, Causes And Treatment!

Diverticulitis
The world gets accustomed to various things over years, and this is very much true in case of the diseases. Diverticulitis is often heard these days, but if someone had uttered this a few decades back, it would have been considered a rare form of the disease. This disease is an inflammation of the diverticula. These are nothing but small pouches that are found around the intestinal walls. These pouches develop due to various reasons. They are not malicious when these pouches begin to develop. This stage of the pouch formation is called diverticulosis. Diverticulitis is the serious condition, where there can be multiple pouches, or there can be an abscess in them or there is an infection in the bowel.

The left side of the abdomen is where these pouches are often found. This is where the digestive tract ends by descending and the sigmoid colons are found. However, Diverticulitis can be found anywhere in the digestive tract. If they form in the first section of the small intestine they cause no problem or hardly any. When the diverticula bursts, and leads to infection, this condition called diverticulitis is formed. Abdominal pain and tenderness are the most common symptoms. This can also cause the white blood cells to grow in huge number.

The first attack of diverticulitis is considered the worst. Yes, the condition can recur, and if the first attack is mild, the patient can be relieved that no serious complications are on the card.

Diverticulitis and diverticulosis:

Diverticula, the small pouches are harmless, and when they do not get swollen or when they are not infected, the condition is called diverticulosis. There are no symptoms of diverticulosis, and there is no treatment required for the same. Symptomatic uncomplicated diverticular disease (SUDD) is the only symptom caused by diverticulosis. Abdominal pain, bloating and irritable bowel symptoms to are at times experienced. The condition takes 7 years to grow into diverticulitis.
 

Diverticulitis Symptoms:
Diverticulitis can never be found by the people who are affected by it because the condition does not produce many symptoms. Or the same can be associated with many other diseases. In most cases, a few other testings are only how this condition is diagnosed. Here are the most common symptoms of the condition listed

-  Pain in the abdominal area, in the, left lower part. This is where most often diverticulitis occurs.     

-  In the left lower abdominal area, tenderness can be experienced.

-  Fever

-  White blood cells count surge in the blood

-  Constipation

-  Diarrhoea

-  Nausea

-  Urge to urinate more often

-  Burning sensation while urination

-  Vomiting

-  Bleeding in stool

Calling the doctor immediately should be done if there are chills, or swelling in the abdomen accompanied by vomiting. When rectal bleeding is found, again this is an emergency condition. For a few people, the abdomen is tightened and rigid, and unbearable pain is experienced. This can be because of peritonitis, the infection in the membranes of the abdominal cavity. 

Diverticulitis Causes:
There is no particular reason for diverticulitis to develop. But the common reason that everybody agrees to is that the faecal matter blocks the opening of the diverticula and can cause inflammation and infection. There are various reasons for this blockage.

-  Lack of fibre in diet: The low fibre diet is the often-suspected risk factor. Though a few studies prove it otherwise, the adequate fibre is recommended by the doctors.

-  Genes: It has been proved by the studies that family link can be one strong reason for the occurrence of diverticulitis. When in a family, the condition affects one member, the chances of getting affected for a sibling or child raises to 50%.

-  No exercise: Studies among the group of people who exercise and who hardly exercise has proved that lack of exercising increased the risk. Though it is not yet found how sedentary lifestyle can lead to this condition, the potential risk of diverticulitis is higher in people who do not exercise for even 30 minutes a day.

-  Obesity: Again there is no conclusion how the disease and being overweight are related. Still, the chances of internal bleeding are heightened in people who are of excess weight. The research is going to find the connection.

-  Smoking: Smoking is often connected to an ocean of health complications. Symptomatic and complicated diverticular disease is caused in a higher percentage of people who smoke compared with people who do not.

-  Vitamin D insufficiency: Study showed that people who were admitted due to diverticulitis had lower levels of Vitamin D. Another study also found that in places where sunlight is low, resulted in people getting hospitalized for diverticulitis. Though the role of Vitamin D in preventing diverticulitis is not known, the studies prove that enough Vitamin D can keep the disease away. Also, it has been seen that the sunlight is essential to produce Vitamin D by the body, and the link ensures again Vitamin D has a crucial role to play here.

-  Sex: Men are affected more in the age group of 50 and less. And in the age group of above 50, the women are more affected than men.
 

How Diverticulitis is diagnosed?
The condition has symptoms that are akin to various other diseases. So, the doctor must recommend multiple tests to diagnose the presence of diverticulitis. The symptoms, medical history and genetic complications are evaluated by the doctor when the tests are done.

-  Blood test: The blood tests tell if the kidney related diseases are involved. Liver problems too can be identified

-  CT scan and ultrasound: These imaging tests give the clear picture of the GI tract, and help in determining where the pouches are formed

-  Urine and stool test: Various types of infections are identified from these tests.

-  Pelvic exam: In women, this helps in identifying gynaecological problems.

-  Pregnancy test: To check if the pregnancy is causing the symptoms

-  Barium X rays: These help in visualizing the colon. Under these X rays, the diverticulitis is seen as pouches that are filled with barium.

-  The direct visualization can be done by inserting flexible tubes through the rectum, and they are passed to the colon. The colonoscopes or the sigmoidoscopes can be used for the same. This test helps in ruling out the possibility of other diseases.

Diverticulitis Treatment:
The treatment is decided by the severity of the condition. The medication is prescribed to suit the same. It has to be understood that diverticulitis is not complicated 75% of the time. Treatment is different for the complicated condition. Based on the severity, one might have to be hospitalized too. 

Antispasmodic drugs are part of the treatment because one experiences severe abdominal pain.

-  chlordiazepoxide (Librax),

-  dicyclomine (Bentyl),

-  atropine, scopolamine, phenobarbital (Donnatal), and

-  hyoscyamine (Levsin).

As there are infections involved, one might also need antibiotics.

-  ciprofloxacin (Cipro),

-  metronidazole (Flagyl),

-  cephalexin (Keflex), and

-  doxycycline (Vibramycin).

Over the counter pain medication like Tylenol is prescribed to ease the pain.

Apart from medications, there are some dietary changes the doctors advise:

Short term clear liquid diet:

The digestive system obviously needs enough rest. But with the regular food intake, this is not going to happen. So, a short-term clear liquid diet is recommended. This continues until recovery.

The foods that are in this diet are:

-  water

-  ice chips

-  ice pops with frozen fruit puree or pieces of finely chopped fruit

-  soup broth or stock

-  gelatin (such as Jell-O)

-  tea or coffee without any creams, flavours, or sweeteners

-  clear electrolyte drinks

-  Low fibre diet:

For the mild symptoms, a low fibre diet is recommended. This is again to give time to the digestive tract to resume its function after getting enough strength.

Surgical treatment for Diverticulitis:
The surgery is the last option. When medications do not help, surgical intervention is required. The collection of pus is removed, the sigmoid colon, which usually contains the diverticula is resected. If the diverticulum bleeds persistently, surgical removal is essential. The surgeon before this considers a lot of tests to ensure where the bleeding is coming from. In a few cases, the urinary bladder close to the diverticula is eroded and ruptured. The patient passes gas during urination as a result. In such cases, surgery is inevitable. When the diseases recur, again surgery is seen the solution. The colon is removed during the surgery, and in fact, almost all parts are removed. The patient has to stay in the hospital for a few days and must take enough rest. This is to ensure that the condition never comes back.

Complication:
Acute episodes are when the complications are often faced by the patients. The condition becomes severe when the complications are more. Fever, rectal bleeding and blood are stool is considered to be serious. The complications caused by the diseases are life-threatening. 

Perforation and peritonitis:
Tiny punctures are caused by this disease in the diverticula. These can become huge, the abdominal cavity is filled with the contents of the colon. The abdominal cavity becomes swollen and gets infected. This condition is called peritonitis. The damaged part of the colon should be immediately removed, and also the damaged intestine is also removed through surgery. This procedure is called large bowel resection. The colon that is infected is removed, and the remaining healthy parts are joined together.

Abscess:
The infected pocket filled with pus is called abscess. The colon walls are developed with abscesses and phlegmons. This can lead to pain in the abdomen, bleeding, vomiting and nausea. Antibiotics are prescribed to treat the condition. The pus is drained from the abscesses using a tube. This is called percutaneous drainage.

Fistula:
The irregular connection between 2 organs is called fistula. The colon, bladder and vagina are connected by fistula that is caused by diverticulitis. Pain while passing urination, abnormal white discharge, and other symptoms are experienced based on the type of fistula.

Blocks in the intestine:
Blockages in the colon can appear when a stricture is formed. This is a severe narrowing formed in the colon because of the inflammation. This can block the stool passage. Bloating, and abdominal pain is the symptoms when the passage of stool is blocked.

Diet and diverticulitis:
The health of the digestive system is majorly decided by the diet one consumes. The management and prevention of the disease can be determined by the diet one takes. Foods that are rich in fibre, and keeping off processed foods can help in managing this disease, and in fact is necessary to maintain the health of the digestive system. Nuts and seeds aggravate the symptoms of diverticulitis and should be avoided. Compared with the high fibre diet, the Western Diet increase the risk of diabetes.

People who are vegetarians and affected by diverticulitis have a lesser reason for getting hospitalized for the condition, compared with people who are affected by the disease and take less fibre due to non-vegetarian foods.

Low FODMAP foods are recommended for people with irritable bowel syndrome. Dairy foods, onions, fermented foods and garlic are examples of these foods. The list of foods to be avoided by the people affected by diverticulitis includes:

-  canned foods

-  processed cooks

-  cooked fruits

-  seedless fruits

-  eggs, fish and poultry

-  low fibre cereals

-  cheese, yoghurt and milk

-  pasta and noodles

-  apples, pear

-  cabbage

-  beans

-  brussels

-  sprouts

while high fibre foods are recommended to prevent the disease, one should stay off from them, if affected by diverticulitis. This is because the digestive tract needs rest, and high fibre foods burden the intestines and make them feel heavy.

-  Dry and low fibre cereals

-  Processed fruits

-  Olive oil, and preferably all oils should be taken

-  Zucchini, pumpkins, and yellow squash

-  Potatoes that are peeled

-  Fruit and vegetable juices

Regardless of the foods to take or not to take for diverticulitis, it is vital to take 8 cups of water per day. The health of the GI tract is maintained this way. When the symptoms fade off slowly, taking in high fibre foods is recommended. Also, checking with the doctor before trying any diet plan is mandatory. 

Relationship Between Cd4 and Viral Load in Hiv Patients

FHM Fellowship In HIV Medicine, MD, MBBS
HIV Specialist, Hyderabad
Relationship Between Cd4 and Viral Load in Hiv Patients

Relationship Between Cd4 and Viral Load in Hiv Patients

If you're not currently taking hiv treatment

Hiv treatment is recommended for all people living with hiv. However if you have chosen not to take treatment for the moment, looking at your viral load and cd4 cell count can help predict your risk of becoming ill because of hiv in the future. While your cd4 cell count is the main indicator your doctor will use to help monitor the health of your immune system, viral load testing can also provide important information.

Among people with the same cd4 cell counts, research has shown that those with a higher viral load tend to develop symptoms more quickly than those with a lower viral load.

In addition, among people with the same viral load, those with lower cd4 cell counts tend to become ill more quickly.

Monitoring the effectiveness of treatment

Effective hiv treatment results in a fall in your viral load. Within about four weeks of starting hiv treatment, your doctor should test your viral load to see how much it has fallen.

The aim of treatment in people who have never taken anti-hiv drugs before is to get viral load to undetectable levels (below 20, 40 or 50, depending on which test your clinic is using) within six months.

If your viral load never becomes undetectable, or increases to become detectable in two consecutive tests after it has been undetectable, your doctor will review the treatment you are on to see if it is still working effectively and talk to you about the possibility of changing treatment.

As your viral load falls, your cd4 cell count should begin to increase slowly.

6 people found this helpful

PCOD Drilling With Laparoscopy!

MD, MBBS
Gynaecologist, Ahmedabad
PCOD Drilling With Laparoscopy!

Patient present to us with Obesity, hirsuitism, irregular/delayed cycles, anovulation & Infertility. TVUSG shows peripherally placed multiple follicles with hyperthicosis of stroma & large ovaries. PCOD drilling is indicated in Clomiphen resistant PCOD, where weight reduction & metformin had been tried sufficiently (for six months) in the past. In the past, wedge resection by Laparotomy was routine practice for fertility enhancement. Today laparoscopic PCOD drilling has become very popular fertility enhancing surgery. As compared to Gonadotrophin (pure FSH) injections i.e. ART with super ovulation, PCOD drilling had following advantages: 60-70% Ovulation rate, 40-50% Pregnancy rate, reduced abortion & OHSS following drilling, reduced requirement of CC.HMG/FSH/hCG following drilling. Effect of drilling lasts for nine months. According to the size of ovary 4 to 8 punctures should be made on both ovaries. 

Benefits of Laparoscopy Surgery:

  1. Shorter Hospital stay.
  2. Earlier return to your routine work.
  3. Cosmetically vary small scar.
  4. Less pain after operation.
  5. Best fertility enhancement & Fertility results following Laparoscopy.
  6. Video-live operative file available in CD/DVD for future reference (Transparency about surgical procedure).
  7. The possibility of post-operative adhesion formation will be less, and the possibility of pain because of post-operative adhesions will also be less.  

Pre-operative Check Lists:

  1. Lab. Investigation for Surgery (Urine complete & Blood complete, HbsAg, HIV, R.B.S.etc.); Pelvic Trance vaginal USG report. S.FSH, S.L.H. & S.TSH.
  2. Specific Investigations for Infertility (Endocrine, Blood, Genetic, Husband’s Semen report etc. If the couple is infertile.)
  3. Operation planned from 4th to 10th day of Menstrual Cycle
  4. Enema & preparation/shaving of local parts.

No. Of Cuts on Abdomen:
Three cuts: One of 5 mm and second & third of 3 mm size.

Average Stay in Hospital:
4 to 6 hours. (DAY CARE SURGERY)

Average Duration of Surgery:
10 to 20 minutes

Average Blood loss during Surgery:
10-30 cc.

Average time after operation to resume normal activities/work:
Within 24 hours.

Anesthesia:
General Anesthesia (Patient will not feel any pain in Operation Theatre during surgery) 

Operative Procedure:

Inside the Umbilicus small needle is introduced and Co2 gas is insufflated inside abdomen. Rather than creating a large incision and opening up the body, tiny incisions are made and a laparoscope is inserted. This slim scope has a lighted end. It takes pictures – actually fiber optic images - and sends them to a monitor so the surgeon can see what is going on inside. 

Performing Laparoscopy usually only requires three tiny incisions less than one half inch, (about 5-10 millimeters) in length. One incision is made inside sthe navel, and another two are usually made near the bikini line. The first incision allows a needle to be injected into the abdomen so carbon dioxide gas can be pumped inside the cavity of the abdomen, which helps to keep intestines & omentum up and away from organs. This allows the surgeon a better view and more working space to maneuver the laparoscope and surgical tools as needed. 

Cystic Ovary is lifted with suction irrigation cannula from one port and High frequency needle is used to puncture the ovarian surface perpendicularly from opposite side port. No. Of punctures are decided on the base of the size of enlarged ovaries. Haemostasis is checked & Ringer lactate poured over ovaries after Drilling.

Post-operative Course:

Patient remains drowsy/sedated for 2-3 hours after laparoscopy but conscious & pain free. Patient can take fluids 3-4 hors after laparoscopy & light food after 4-6 hours. She may feel little abdominal & shoulder pain after laparoscopy for 24 hours but it cam be relived with pain killer tabs.

Most of the patients can walk normally without support and can take normal diet 6-8 hours after the laparoscopy. She can be discharged on the same day of the operation. Few patients may feel nausea & vomiting after laparoscopy, which can be very well controlled with injection in post-operative room. Patient can do her normal activity within 24 hours after laparoscopy.

Patient is advised to take antibiotics & analgesic tabs. for 5 days following laparoscopy. Patient is advised to report to doctor for severe pain or bleeding or fever in postoperative period (Day-1 to Day-5) immediately. Patient is advised to come for follow up 7 days after the Laparoscopy for dressing.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3728 people found this helpful

Laparoscopic Vaginoplasty - With Absent Vagina, Can She Have Her Own Genetic Baby With MRKH Syndrome?

MD, MBBS
Gynaecologist, Ahmedabad
Laparoscopic Vaginoplasty - With Absent Vagina, Can She Have Her Own Genetic Baby With MRKH Syndrome?

Patient’s parent’s visits to us when their daughter does not menstruate after the age of 15-17 years of age for her fertility concern & for planning surgery before her marriage. This operation is advised for Phenotype female i.e. normal secondary sexual characters & Genotype XX.

Objective:

In-patient with absent uterus is evaluated for associated renal malformations by USG & SOS IVP. As compared to commonly practiced method (skin graft from thigh & putting on neo vagina) patient’s on peritoneum is utilized for covering neo-vagina for Vaginoplasty. Vaginal space is dissected in usual way from below and laparoscopic access helps in avoiding injury to bladder & rectal injury.  This technique gives two cms wide vagina & 8-10 cms long vagina and good quality of sexual function and patient discharged on the next day with minimum postoperative care. This surgery requires lot of experience & expertise.

Benefits of Laparoscopy Surgery:

  1. Shorter Hospital stay,
  2. Earlier return to your routine work,
  3. Cosmetically vary small scar,
  4. Less pain after operation,
  5. Best fertility enhancement & Fertility results following Laparoscopy,
  6. Video-live operative file available in CD/DVD for future reference (Transparency about surgical procedure).
  7. The possibility of post-operative adhesion formation will be less, and the possibility of pain because of post-operative adhesions will also be less.  

The special advantages with our technique are:

    • Next day discharge,
    • No plastic surgery for skin graft so no post-operative dressings,
    • User friendly post-operative care by patient by using vaginal stent every night following operation till she starts actual sexual relation with her husband 6 weeks after laparoscopic Vaginoplasty.

Pre-operative Check Lists:

  • Lab. Investigation for Surgery (Urine complete & Blood complete, HbsAg, HIV, R.B.S.); Pelvic Trance vaginal USG report for renal malformation.
  • Operation planned at about 1.5 to 2 months prior to her proposed Marriage.
  • Enema & preparation/shaving of local parts.

No. Of Cuts on Abdomen:
Three cuts: all of 5 mm size.

Average Stay in Hospital:
24 hours. 

Average Duration of Surgery:
40-60 minutes

Average Blood loss during Surgery:
10-30 cc

Average time after operation to resume normal activities/work:
Within 24 hours.

Anesthesia:
General Anesthesia (Patient will not feel any pain in Operation Theatre during surgery)

Operative Procedure:

Inside the Umbilicus small needle is introduced and Co2 gas is insufflated inside abdomen. Rather than creating a large incision and opening up the body, tiny incisions are made and a laparoscope is inserted. This slim scope has a lighted end. It takes pictures – actually fiber optic images - and sends them to a monitor so the surgeon can see what is going on inside. 


Performing laparoscopy usually only requires three tiny incisions less than one half inch, (about 5-10 millimeters) in length. One incision is made inside the navel, and another is usually made near the bikini line. The first incision allows a needle to be injected into the abdomen so carbon dioxide gas can be pumped inside the cavity of the abdomen, which helps to keep intestines & omentum up and away from organs. This allows the surgeon a better view and more working space to maneuver the laparoscope and surgical tools as needed. Using small incisions rather than opening the abdomen lessens recovery time as well as discomfort and makes surgical scars less noticeable.

Vaginal space is dissected in usual way after putting Folly’s catheter in urethra and rectal probe in rectum by 3 cms long incision at labia minora.  Laparoscopic light & pnumo helps during vaginal dissection. Peritoneum is cathched with two artery forceps, opened from below under laparoscopic guidance and edges of the catched peritoneum is circumferentially mobilized down till we can take tension free stitch with dissected & pulled peritoneum & labia minora by few No1/0 Vicryl figure of ‘8” stiches. Then vagina is closed with mop to prevent leakage of pneumoperitoneum from below and laparoscopically neo fornices are created at the level of pelvic brim by purse string stitches taken to close vaginal upper end with No-1 Vicryl stitch & approximating with extra corporeal knot. This technique gives two cms wide vagina & 8-10 cms long vagina and good quality of sexual function and patient discharged on the next day & with minimum requirement of postoperative care.

Post-operative Course:

 

  • Patient remains drowsy/sedated for 2-3 hours after laparoscopy but conscious & pain free.
  • Patient can take fluids 3-4 hours after laparoscopy & light food after 4-6 hours.
  • She may feel little abdominal & shoulder pain after laparoscopy for 24 hours but it cam be relived with pain killer tabs.
  • Most of the patients can walk normally without support and can take normal diet 6-8 hours after the laparoscopy.
  • She can be discharged on the same day of the operation.
  • Few patients may feel nausea & vomiting after laparoscopy, which can be very well controlled with injection in post-operative room.
  • Folly’s catheter is removed on next day.
  • Patient is advised to prepare vaginal stent from 10/20 cc syringe with gauze pieces applied around it and then condom is applied on it and then xylocaine jelly with soframycin applied on stent –which is advised to put the same in vagina gently every night, till she starts actual sexual relation 45 days after operation.
  • Patient can do her normal activity within 24 hours after laparoscopy. Patient is advised to take antibiotics & analgesic tabs. for 5 days following laparoscopy.
  • Patient is advised to report to doctor for severe pain or bleeding or fever in postoperative period (Day-1 to Day-5) immediately.
  • Patient is advised to come for follow up 7 days after the Laparoscopy for dressing.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3742 people found this helpful

Table of Content

About Chlordiazepoxide
What are the side effects of Chlordiazepoxide ?
Key highlights of Chlordiazepoxide
Medicines containing Chlordiazepoxide
How does medicine works?