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Overview

D Wellâ Aq 60000 IU Capsule

D Wellâ Aq 60000 IU Capsule

Manufacturer: Ranbaxy Laboratories Ltd
Medicine composition: Vitamin D3
Prescription vs.OTC: Prescription by Doctor required

D Wellâ Aq 60000 IU Capsule is important for proper absorption and metabolism of calcium and phosphate present in the blood stream. It can be either taken as a supplement or in the form of fish and dairy products which are rich in D Wellâ Aq 60000 IU Capsule like Salmon, Sardine, Cod liver oil, milk, mushroom etc. D Wellâ Aq 60000 IU Capsule is an essential element to improve the overall health condition and to treat diseases related to bones like osteoporosis. D Wellâ Aq 60000 IU Capsule deficiency causes Rickets among children while adults may suffer from brittleness of bones known as Osteomalacia. It also helps to maintain proper blood pH levels in our body.

D Wellâ Aq 60000 IU Capsule is a useful fat-soluble vitamin synthesised in the human body from Cholesterol with the help of sunlight. It helps the body to absorb and metabolize calcium and phosphate . It is an important element to promote good health, to cure bones related diseases and also helps in normal growth of bones and cells. If the level of D Wellâ Aq 60000 IU Capsule goes down in body then it may cause Rickets in children and Osteomalacia & Osteoporosis in adults.

It can be supplied to your body either through your food or by supplements, medicine or an injection. Foods rich in D Wellâ Aq 60000 IU Capsule are cod liver oil, marine fishes like salmon, tuna, sardines, dairy product like milk, soy milk and cheese, egg, mushrooms etc.

The common symptoms related to the deficiency of D Wellâ Aq 60000 IU Capsule are:

  • 1. Frequent bone fractures
  • 2. Fragile and brittle bones
  • 3. Excessive fatigue and weakness
  • 4. Difficulty in logical thinking
  • 5. Pain in bones and joints
  • 6. Osteoporosis, Rickets etc.
  • 7. Bone Cancer
  • 8. Insulin resistance that prevents body to utilise Insulin properly thereby increasing blood sugar level
  • 9. Weak immune system and high risk of infections etc.

People who are affected with Liver’s disease, Celiac and Crohn’s disease or those with darker skin colour are prone to deficiency of D Wellâ Aq 60000 IU Capsule.

Doctors can prescribe medicines, supplements and food remedies according to age, weight, gender and other physical conditions of the patient if he is diagnosed as a D Wellâ Aq 60000 IU Capsule deficient person.

Side Effects:

In rare cases excess intake of D Wellâ Aq 60000 IU Capsule (Amount> 40,000 IU per day for several months) may cause toxicity leading to kidney and heart failure.

D Wellâ Aq 60000 IU Capsule is used to relieve the symptoms of nerve damage in the feet and hand.
Megaloblastic Anemia
D Wellâ Aq 60000 IU Capsule is used to treat anemia due to deficiency of Vitamin B12.
Leber's Disease
D Wellâ Aq 60000 IU Capsule is not recommended for use in patients who have Leber's Disease, a rare genetic disorder.
In addition to its intended effect, D Wellâ Aq 60000 IU Capsule 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.
Nausea and vomiting Moderate Less Common
Diarrhea Moderate Less Common
Decreased appetite Moderate Rare
Dizziness Minor Rare
Headache Minor Rare
Skin rash Moderate Less Common
Chest pain and discomfort Moderate Rare
How long is the duration of effect?
The duration of action of this medicine is not clinically established. Since the active component is present in the body and supplemented through food, the duration is prolonged.
What is the onset of action?
This peak effect of this medicine can be observed after 3 hours of oral administration. This is because the active component is very large in size and requires a special transportation process inside the body.
Are there any pregnancy warnings?
Use of this medicine is not recommended unless absolutely necessary. There is a lack of conclusive evidence from the study on humans. It is advised to consult the doctor and evaluate the benefits and risks before taking this medicine. Ensure that the daily recommended limit is not exceeded.
Is it habit forming?
No habit forming tendencies were reported.
Are there any breast-feeding warnings?
This medicine can be taken by women who are breastfeeding. However, the daily recommended amount should not be exceeded. You are advised to consult a doctor before taking this medicine.
Below is the list of medicines, which have the same composition, strength and form as D Wellâ Aq 60000 IU Capsule, and hence can be used as its substitute.
Ranbaxy Laboratories Ltd
Sun Pharma Laboratories Ltd
Glenmark Pharmaceuticals Ltd
Are there any missed dose instructions?
Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for the next scheduled dose.
Are there any overdose instructions?
Contact your doctor immediately if an overdose is suspected.
India
United States
Japan
Whenever you take more than one medicine, or mix it with certain foods or beverages, you're at risk of a drug interaction.
Interaction with Alcohol
Ethanol Minor
You are advised to reduce the intake of alcohol while taking this medicine.
Interaction with Lab Test
Lab
Information not available.
Interaction with Food
Food
Information not available.
Interaction with Medicine
Chloramphenicol Moderate
Report the use of either of the medicines to the doctor. Suitable dose adjustments may be required while coadministering these medicines. Do not stop the usage of any medicine without consulting your doctor.
Omeprazole Moderate
Report the use of either of the medicines to the doctor. Suitable dose adjustments may be required while coadministering these medicines. Do not stop the usage of any medicine without consulting your doctor.
Ranitidine Moderate
Report the use of either of the medicines to the doctor. Suitable dose adjustments may be required while coadministering these medicines. Do not stop the usage of any medicine without consulting your doctor.
Metformin Moderate
Report the use of either of the medicines to the doctor. Suitable dose adjustments may be required while coadministering these medicines. Do not stop the usage of any medicine without consulting your doctor.

Popular Questions & Answers

My problem is back Bon in pain. What is solution is treatment? Please halp me solution.

BHMS
Homeopath, Delhi
My problem is back Bon in pain. What is solution is treatment? Please halp me solution.
Hello, you can take homoeopathic medicines 1. Ruta 30 (4 drops in little water) thrice a day for a week. 2. Rhus tox 30 (4 drops in little water) thrice a day for a week and update. Keep a gap of 15 - 20 minutes in both the medicines. *take rest or move about once in 1-2 hours in case of working in a constant position. *maintain a good posture while reading or working with computers. *take a high fibre content diet like vegetables, fruits, etc.

For me bon pain in legs. I cannot able to walk and stand for some times. What to do?

MPT, BPT
Physiotherapist, Noida
For me bon pain in legs. I cannot able to walk and stand for some times. What to do?
Avoid sitting cross legged. Ankle stretching. Ankle strengthening exercises. Avoid squatting. Quadriceps exercises. Core strenthening exercises.

What is the symptoms of hiv? And what is the symptoms of tv? How many bons in our body?

MBBS
General Physician, Mumbai
Fever with cough and loss of weight are few symptoms of tuberculosis and for HIV - If CD4 count is with in normal limits than the person is asymptomatic and if the level is low than there can be lymphadenopathy and secondary infections which have their own symptoms

Sir I have a big problem from last three years please help me there is problem in my back bon. There is too much pain.

BPTh/BPT
Physiotherapist, Ghaziabad
Sir I have a big problem from last three years please help me there is problem in my back bon. There is too much pain.
u take rest. take 15 minutes of hot wate Fermentation. Apply DFO gel on back. use L S belt while walking.

Sir my baby boy new bon 10 days. Mother feeding was going on. For milk digestion which drops can we use.

MBBS, Diploma In Family Medicine, Fellowship Diabetology
General Physician, Firozpur
Sir my baby boy new bon 10 days. Mother feeding was going on. For milk digestion which drops can we use.
Hello. I can understand your concern. Here i assume that you are taking about some milk that come out after feeding. If this is the case then you need not to worry. Try feeding the boby with head end raised, dont over feed the baby and burping after feeding is very important. If you have some other query i will surely help you, you can consult me for that. I hope it helped. Thanks.
1 person found this helpful

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Neuro Physiotherapy in the First Stage of Stroke

MPT, BPT
Physiotherapist, Noida
Neuro Physiotherapy in the First Stage of Stroke

TREATMENT PHYSIOTHERAPY IN THE FIRST STAGE  (FLACCID MAINLY):

Turning over from supine to side lying .

One of first activities the physiotherapist should work for in treatment is that of turning over to either side. The patient should not always remain in the supine position but should soon learn to use his trunk; i.e. his shoulder girdle and pelvis to turn over and lie on his side for some part of the day.

If patient rolls over and lies on the sound side, with the affected arm uppermost, the shoulder and arm should be moved well forward, the elbow should be extended, and the affected leg lie in a natural position of semi-flexion.If patient rolls over and lies on the affected side, the shoulder of that side should again, be placed forward with the elbow extended and in supination.

 This position helps to prevent shoulder retraction and the development of flexor spasticity with pronation of the affected arm.Patients clasps hands, he then raises arms. In this shoulder girdle is moved forward and upwards. Patient’s arms are then moved, with clasped hands to chest. With clasped hands, patient turns towards sound side keeping shoulder well forward.

Lying down from sitting

The physiotherapist holds affected hand of the patient, his arm externally rotated and extended diagonally forward at shoulder height, while the patient slowly lies down, using his sound arm for support. In this way, physiotherapist will prevent retraction of the shoulder and flexion of the affected arm. The patient then lifts the sound leg on the bed. If at all possible, he should then bend the affected leg at the knee and move it into the bed, the nurse giving a little help by lifting from under the knee.

Sitting and standing up

A foam rubber mat should be placed in front of the bed for standing. The therapist never be on patient’s sound side when he sits, stands or walks, since he can use his sound side. If he takes weight on his affected side, the patient will gradually overcome his fear of falling.

5 Best Neuro Physiotherapy Approaches for Stroke

MPT, BPT
Physiotherapist, Noida
5 Best Neuro Physiotherapy Approaches for Stroke

Stroke

We all know about it. In simple words, we can say damage to the brain from interruption of its blood supply. It’s also called CVA: cerebro vascularaccident. Now just have a simple look or idea about the patient’s structure means his look so that he can recognize about that. Firstly side of the face drops or feels numb with speech difficulties as face involves in it, then muscles weakness on one side of the body.

 There are three types of stroke:

1 Ischemic strokes 

2 Hemorrhagic  strokes 

3 Transient ischemic attacks (TIAs) 

BUT there is also something that we should know:-

There are two types of patients, first those patients with both flexor and extensor  spasticity; but predominant extensor hyper tonus of the leg, i.e.excessive co­-contraction.  

They can stand and take some weight for a moment.Other patients with more moderate degrees of spasticity and little co-contraction can walk and move the weight free leg.Both types of patients have balance problem, the first because of lack of mobility and the other due to lack of stability.

NOTE: If left brain involved then right side affected and if right brain involved then left side.

TREATMENT FOR STROKE

Before start treatment one should know about the following things. 

They are:·        

Check the muscle first either it’s flaccid or spastic.       

Sensory part involvement is there or not.     

Joints involved.       

Check the reflexes

PHYSIOTHERAPY APPROACHES: 

Bo bath: This is based in normal movement or Neuro -development approach.The main aim is to prevent abnormal movement and adverse plastic adaptations and to facilitate normal movement and subsequent plastic changes.

Brunstorn: He makes use of abnormal synergies and incorporate them into functional activities.

Motor relearning program: This training of motor control is based on an understanding of kinematics and kinetics of normal movement, motor control process and motor learning. 

Proprioceptive neuromuscular facilitation (PNF): To maximize sensory stimuli on the pool of AHC in order to stimulate purposeful muscle contraction.

Roods: This was mainly done to achieve purposeful muscular contraction by stimulating the skin through facilitating strokes on the skin. The combination of treatment used differs from patient to patient.

Neuro Physiotherapy Treatment for Control of Movements of the Arm in Stroke

MPT, BPT
Physiotherapist, Noida
Neuro Physiotherapy Treatment for Control of Movements of the Arm in Stroke

TREATMENT FOR CONTROL OF MOVEMENTS OF THE ARM:

The patient has great difficulty in lifting and holding his arm up against gravity ,because flexor spasticity of the trunk and shoulder girdle with shoulder girdle with pressure downwards prevents the action of the extensors, i.e. serratus anterior, deltoid and supraspinatus.

Inhibition of spasticity can be achieved more easily in supine, as already described in the first stage of treatment and this has to be continued in preparation for working in the upright posture. It is easily obtained in standing, rather than in sitting,because in standing extension of the hips facilitates lifting of the arm whereas, in sitting, flexion of the hips and trunk make inhibition of flexor spasticity more difficult.In order to make lifting of the arm possible, the patient must first be able to hold it at various stages when lowering it. 

He should extend his elbow and keep it extended all the way down. But extension alone is not sufficient.The arm should be in external rotation and supination, as internal rotation and pronation are part of the flexor pattern which counteracts lifting and holding the arm up. Control for holding the arm up at the shoulder is easier when it is held sideways rather than forward and down.  T

his is because extension with external rotation and supination can be maintained more easily sideways than forward.In supine, standing and sitting, it is easier for the patient to hold his arm against gravity than to lift it up. 

If he can control the weight of his arm all the way downward, he can also learn to lift it up from any downward point at which he is able to hold it. If the arm pulls down at any stage of the downward movement, the therapist will feel downward pressure against her support and the movement should then immediately be reversed upward, either by the therapist or better if possible by the patient. He soon learns to recognize the moment when flexor spasticity occurs and his elbow tends to bend.  

To begin with the therapist holds the patient’s hand with wrist and fingers extended, the thumb abducted. The patient extends his elbow, pushing against the therapist’s hand. She would be able to use some intermittent pressure to stimulate active extension. 

When he can hold his elbow in full extension, she moves his hand slowly sideways and down, but only as long as he is able to keep his elbow extended. He is then asked to move his arm up again. Gradually, the whole range of movement sideways for full horizontal abduction is performed. The movement is then done diagonally forward, as long as external rotation can be maintained. 

As a progression, the therapist holds the patient’s fingers but only lightly to prevent the occurrence of flexion until she is able to take he hand away at various points of the downward movement and the patient is able to control his arm at each stage. This is called placing.If the patient’s arm is more flaccid than spastic, contraction of the deltoid, for holding the arm up in horizontal abduction, can be facilitated by suddenly and without warning dropping the arm, but letting it fall only a little way down, then moving it up again. Letting it fall may produce a protective holding reaction through sudden stretch in the inner range of the deltoid and supraspinatus. 

The patient can then use this contraction immediately, i.e. before its effect has subsided, for lifting his arm up again.This manoeuvre will not work, however, if there is any flexor spasticity. Another way of stimulating active extension of the flaccid arm is a technique which we call (pull- push). With the patient’s hand held with wrist and fingers extended, his arm is raised sideways to the horizontal and a quick pull followed by a push against his extended arm, is given through his hand.

This stimulates mobile extension of the elbow and a holding action at the shoulder. The patient now feels that he can extend his arm without it stiffening, and through the pull, followed quickly by pushing against the extended arm, the therapist inhibits flexor spasticity. This combination of inhibition and stimulation is very useful and should be done with the patient’s arms in any direction, sideways, forward and diagonally, and also gradually downwards. 

When sufficient activation has been obtained at shoulder and elbow,the therapist lets go of the patient’s hand and he should hold his arm up unaided. Inhibition of flexor  spasticity has to be done during and if necessary, in between all the placing maneuvers described above, i.e. when the patient’s arm becomes heavy and uncontrolled, or when a pull downwards is noticed by the therapist.

The patient may now be able to lift and hold his arm at the shoulder,provided he keeps his elbow extended. The moment he is asked to bend his elbow so that he can bring his hand to his body or face, the whole pattern of flexion, pronation and downward pressure of the side flexors of his trunk and retraction of his shoulder girdle may come into play and he can no longer hold his arm up. 

For functional use, i.e. for feeding, dressing and other activities, it is essential that he should be enabled to bend and supinate his elbow and open his hand to grasp, while holding and stabilizing his raised arm at the shoulder. Treatment therefore, should be advanced towards obtaining independent movements of the elbow without letting the arm fall.  

7 Neuro Phsiotherapy/rehab Exercises in Kneeling and Sitting

MPT, BPT
Physiotherapist, Noida
7 Neuro Phsiotherapy/rehab Exercises in Kneeling and Sitting

EXERCISES IN PRONE LYING AND KNEELING  

Patient kneeling. 

He is asked to lift sound arm so that all pressure comes to the affected side. Poor balance and arm support on left affected side. Rocking backwards and forward , balancing on affected knee.

Patient kneel-standing. 

Weight is on affected side but note slight retraction on affected side.  

EXERCISES IN SITTING 

Weight bearing on the affected upper limb:  

The therapist sits behind the patient and maintains the arm in slight abduction and extension with elbow extension. The patient should be encouraged to weight bear with the arm in this position. As the patient improves the support given by the therapist should be gradually reduced.Facilitating weight transmission through affected side.

Shoulder shrugs: 

  • This exercises help the patient to achieve scapular elevation. The therapist may place her hand on the shoulder girdle to give a tactile input.                       
  • Touching the opposite shoulder and placing the hand on sacrum: The patient is trained to touch the opposite shoulder in supination and then take it behind the back as far across as possible to the opposite side.           
  • In sitting position some exercises for the hand can be given emphasizing more on the extension components. 
  • Visual feedback exercises like holding  a paper glass with water in it such that the water level should not increase or holding a clay mould without causing hand impression are some of the ways to train  control of the hand.
  • Supination- pronation by keeping the elbow flexed at 90 degree. 
  • Knee extension and flexion of knee: The patient should be asked to flex the knee by taking the foot as much as possible below the chair and then straightening it.
  • Getting up: The patient is trained to perform getting up by moving the foot closer to the chair, bending forward, holding the hand rest and then getting up. 
  • Vestibular exercises: The patient may be made to sit on the vestibular ball to improve the balance and also normalize the tone of the trunk. Vestibular ball may be used to exercise the upper extremities mainly to achieve control at the proximal joint and facilitate extension of the fingers through stimulation of the proprioceptors at all the joints of the upper limb.