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Overview

Epitome 25 MG Tablet

Manufacturer: Triton Health Care Pvt Ltd
Medicine composition: Topiramate
Prescription vs.OTC: Prescription by Doctor required

Epitome 25 MG Tablet, an anti-convulsing, aids in the treatment of seizures. The doctor may prescribe the drug with a combination of other medicines or all on its own, depending on the condition of the patient. The drug also effectively prevents headaches that occur because of migraine. Epitome 25 MG Tablet controls certain chemicals present in the brain, thus treating seizures and preventing headaches.

The drug should only be used if it is prescribed by a doctor. Before starting the drug provide your medical history and discuss the benefits and risks of taking it. The drug is not meant for patients who are allergic to any ingredient in it or those who suffer from metabolic acidosis, that is, high levels of acid in the blood. Also inform your doctor if you are pregnant or trying to conceive or breast feeding before starting Epitome 25 MG Tablet. Give him a list of medicines that you are taking presently. Ensure that you include prescribed, non-prescribed as well as any herbal medicines that you are taking. This is primarily because there are some medicines which tend to react with Epitome 25 MG Tablet resulting in severe complications. Tell the doctor about any allergies related to food or other medicines that you may have.

Some side effects will occur when you take Epitome 25 MG Tablet. A few common side effects of this drug are-

  • constipation
  • dizziness
  • headache
  • appetite loss
  • dryness of the mouth
  • flushing
  • pain in the stomach

Some patients may also experience severe side effects like-

  • pain in the bones
  • fever accompanied with chills
  • pain in the chest
  • problems with concentration and coordination
  • behavioral changes, like mood swings
  • fainting spells

A doctor should be consulted if the side effects persist or become worse.

Epitome 25 MG Tablet is used in the treatment of seizures which is a brain disorder characterized by uncontrolled jerking movements and loss of consciousness.
Epitome 25 MG Tablet is used in the treatment of Lennox-Gastaut syndrome which is a type of seizures characterized by multiple seizures.
Migraine Headache
Epitome 25 MG Tablet is used in the treatment of a severe headache in migraine patients.
Not recommended in patients known allergy to Epitome 25 MG Tablet.
In addition to its intended effect, Epitome 25 MG Tablet 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.
Blurred vision Major Common
Dizziness Major Common
Unusual tiredness and weakness Major Common
Abdominal pain Major Less Common
Loss of appetite Major Less Common
Hair loss Major Less Common
Pale skin Major Less Common
Tremors Minor Common
Back pain Minor Less Common
Constipation Minor Less Common
How long is the duration of effect?
The effect of this medicine lasts for an average duration of 2 to 3 days.
What is the onset of action?
The effect of this medicine can be observed in 1 to 2 hours.
Are there any pregnancy warnings?
This medicine is not recommended for pregnant women.
Is it habit forming?
No habit forming tendency has been reported
Are there any breast-feeding warnings?
This medicine is known to excreted in breast milk. It is recommended only if necessary. Monitoring of undesired effects like diarrhea, drowsiness is necessary.
Below is the list of medicines, which have the same composition, strength and form as Epitome 25 MG Tablet, and hence can be used as its substitute.
Cadila Pharmaceuticals Ltd
Alkem Laboratories Ltd
Unichem Laboratories Ltd
Sun Pharma Laboratories Ltd
Missed Dose instructions
Take the missed dose as soon as you remember. If it’s almost time for your next dose, skip the missed dose. Do not double your dose to make up for the missed dose.
Overdose instructions
Seek emergency medical treatment or contact the doctor if any symptoms of the overdose like drowsiness, slurred speech appear.
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 Disease
Blood disorders Major
Epitome 25 MG Tablet may lower the blood cell count and may lead to a fatal condition. Close monitoring of blood cell count is necessary. Inform the doctor if you have any blood disorder. An alternate class of medicine may be considered based on the clinical condition.
Interaction with Alcohol
Alcohol Moderate
Consumption of alcohol is not recommended if the patient is receiving Epitome 25 MG Tablet. Inform the doctor if you are an alcoholic. Any symptoms of dizziness, difficulty in concentration should be reported to the doctor. Dose adjustments or an alternate medicine should be considered based on the clinical condition.
Interaction with Lab Test
Lab
Information not available.
Interaction with Food
Food
Information not available.
Interaction with Medicine
Clozapine Major
These medicines may increase the body temperature and decreases sweating. This interaction is more common is children. Any symptoms of increase in the body temperature and decreased sweating should be informed to the dcotor.
Metformin Moderate
These medicines may increase the risk of lactic acidosis. Inform the doctor if you are receiving antidiabetic medications. Seek immediate medical treatment if you have any symptoms of weakness, muscle pain, vomiting and irregular heartbeat.
Ethinyl Estradiol Moderate
The desired effect of contraceptive pills will not achieve if these medicines are taken together. Suitable dose adjustments or an alternate medicine should be considered based on the clinical condition.

Popular Questions & Answers

I just don't enjoy the things I used to, and I don't feel much like visiting friends or family. Is this part of aging?

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, Positive Psychiatry and Mental Health
Psychologist, Palakkad
Dear lybrate-user, definitely this is not part of ageing. You are just 19 and you cannot have the feelings of ageing now. I think you are disappointed, frustrated, irritated. Disappointment is an epitome in life which removes the interest from a person. Don't worry. Once you cross the teen age period, your problem will be solved. You may consult a psychologist for counseling. Take care.
10 people found this helpful

My psychiatrist has prescribed librium 10 TDS, topiramate 25 BD and bupropionSR 150 OD. I have read that there is life threatening interaction between bupropionSR and benzodiazepine. I have been using this combination for long time. Earlier lithium carbonate and etizolam were also given now they have been stopped. I am very scared. My psychiatrist is not responding to my calls and messages. Please help me.

MD - Psychiatry
Psychiatrist, Chennai
My psychiatrist has prescribed librium 10 TDS, topiramate 25 BD and bupropionSR 150 OD. I have read that there is lif...
There is no life threatening drug interaction between the three as mentioned by you, only excessive sedation can be there, which can be adjusted with dosage. Consult your psychiatrist in person if you have more sedation rather than calling and sending sms. All the best.

I am 24 year old ocdian suffering from ocd from past 10 years though a bit of small to moderate symptoms were present earlier also but they were not as intense as one's life would stop. I was on paxidep cr 62.5 mg for a long time and on oleanz 1.25 mg for 3 months last year in april but they were weight gaining medicine so my doctor prescribed topiramate 25-50 mg .I took it for 14 days and left oleanz as my wt was about 95 kg. I don't know what happened my nature of thoughts completely changed from then. My thoughts had started coming in a slow manner and they were resistant to any therapy I would practice. Also thoughts of guilt and compulsion which had stopped coming long back restarted again. I took paxidep for 5 more months along with buspin 15 mg for few months. But there was hardly any change I noticed in my condition. I realized that the medicines are hardly having any effect on me. So I stopped the medicines for about 50 days and I saw no change in my symptoms after withdrawal also. My doctor was not understanding my situation So I changed the doctor and they changed my medicines and even then my thoughts slowed down much more. Now when I am studying anything l learn is looking same as anything I don't remember. It's almost become impossible to study. My other concern is that my anxiety has fallen down rapidly after that topiramate incident. So What exactly has happened?

Ph.D clinical psychology, M.Phil - Clinical Psychology
Psychologist, Mumbai
Please go for psychotherapy. You deserve to be happier and healthier. OCD is well managed trough psychotherapy. Also download or buy a book called Brain Lock and read it. Also do follow a healthier lifestyle - spend some time outdoors, eat a balanced and healthy diet including lots of water and fruits. These will nut treat you but help in your treatment. You do not have to suffer all your life. All the best.
3 people found this helpful

Hello doctor,i have a long medical history. I used to have headache all the time of the day so i started taking pain killers and then after few months thet became ineffective. Also I gained a lot of weight abruptly inspite of proper diet. Dan i saw a neurologist he prescribed me with topiramate for migraine. It has also become ineffective. N now i experience heat flashes, insomnia, depression, n inability to lose weight. Also i experience low blood pressure and kind of swelling or water retention all over the body.What is the possible cause for all this.Is there any hormonal problem or something else as I have gone through the thyroid test and it came normal.Please suggest wat tests should i get done?

Ph.D - Psychology, M.Sc. - Counselling and Psychotherapy, M.A - Psychology, Certificate in Psychometric Testing, Basic Course in Integrated Hypnotic Modality for Behavioral Resolution, Certificate in Cognitive Behavioral for Couple, B.Ed- Psychology Hon.
Psychologist, Delhi
Dear, get an eye test and uric acid test done from a proper place. Whatever problems you mentioned later, can be because of increase in weight and anxiety related to it. Check up with dietitian or nutritionist. For anxiety talk to counselor. You can talk to me on my personal forum.
2 people found this helpful

Popular Health Tips

7 Everyday Healthy Habits We All Must Follow!

M.Sc - Dietitics / Nutrition, Diploma in Diet and Nutrition, Certificate Of Diabetes Education , Ph.D.Nutrition
Dietitian/Nutritionist, Indore
7 Everyday Healthy Habits We All Must Follow!

Eating healthy food item like fruits, green leafy vegetables, salad etc. We have always been hearing this from our elders about how a healthy body is key to a healthy mind. Trying to define health in a sentence is possible, but not justifiable because it is an umbrella term for a lot of aspects of our life. Being healthy is that state of our existence where we are happy, content and at the epitome of our fitness. Life is too short to fret over things that make us unhappy, so taking decisions that would make us content mentally and physically is the first step to attaining a healthy lifestyle. Now, one could easily start a debate here stating how eating unhealthy food or indulging in unhealthy habits also make people happy. Yes, they do, but that is a momentary gratification and with one single life, it is essential to think long-term.

This article will have certain tips that could help an individual fall right on track if he/she wants to jumpstart their healthy lifestyle.

  1. Eating healthy food items, should not feel or look like restriction. It should be a mentality, a lifestyle rather than being a meaningless difficult regimen.
  2. In order to avoid unhealthy snacking, it would be a good idea to keep those kinds of food away from the visual arena.
  3. It is not necessary to entirely cut off the love for sweets. It would be great to eat strategic sweets like dark chocolate to fulfil the cravings and not feel guilty about it.
  4. Carrying homemade lunch is a very good idea to keep oneself away from unhealthy restaurant food. The best part about this is that a lot of money is saved.
  5. Proper strategies can definitely get us going. For example, the veggies we eat do not necessarily need to be tasteless. In fact, adding some spices or sauces (made from vinaigrette and different seasonings) can not only make the food taste great, but also help bring out the innovations inside us.
  6. One great way we can keep ourselves motivated is by talking about the dietary plans and goals with a friend and discussing the major healthy lifestyle changes that have already been taken care of.
  7. Keeping a journal about the progress and also rewarding oneself on reaching small goals are amazing ways to keep going.

There are numerous tips for a healthy lifestyle, but one important advice is to avoid alcohol and also other addictive substances like nicotine (which means smoking cigarettes). If you wish to discuss about any specific problem, you can consult a dietitian-nutritionist and ask a free question.

3664 people found this helpful

Healthy Habits - Why They Are A Must?

Post Graduate Diploma in Holistic Healthcare, PG Diploma Clinical research, Diploma in Medical Writing, MSc Biotechnology
Dietitian/Nutritionist, Bangalore
Healthy Habits - Why They Are A Must?

Eating healthy food item like fruits, green leafy vegetables, salad etc. We have always been hearing this from our elders about how a healthy body is key to a healthy mind. Trying to define health in a sentence is possible, but not justifiable because it is an umbrella term for a lot of aspects of our life. Being healthy is that state of our existence where we are happy, content and at the epitome of our fitness. Life is too short to fret over things that make us unhappy, so taking decisions that would make us content mentally and physically is the first step to attaining a healthy lifestyle. Now, one could easily start a debate here stating how eating unhealthy food or indulging in unhealthy habits also make people happy. Yes, they do, but that is a momentary gratification and with one single life, it is essential to think long-term.

This article will have certain tips that could help an individual fall right on track if he/she wants to jumpstart their healthy lifestyle.

  1. Eating healthy food items, should not feel or look like restriction. It should be a mentality, a lifestyle rather than being a meaningless difficult regimen.
  2. In order to avoid unhealthy snacking, it would be a good idea to keep those kinds of food away from the visual arena.
  3. It is not necessary to entirely cut off the love for sweets. It would be great to eat strategic sweets like dark chocolate to fulfil the cravings and not feel guilty about it.
  4. Carrying homemade lunch is a very good idea to keep oneself away from unhealthy restaurant food. The best part about this is that a lot of money is saved.
  5. Proper strategies can definitely get us going. For example, the veggies we eat do not necessarily need to be tasteless. In fact, adding some spices or sauces (made from vinaigrette and different seasonings) can not only make the food taste great, but also help bring out the innovations inside us.
  6. One great way we can keep ourselves motivated is by talking about the dietary plans and goals with a friend and discussing the major healthy lifestyle changes that have already been taken care of.
  7. Keeping a journal about the progress and also rewarding oneself on reaching small goals are amazing ways to keep going.

There are numerous tips for a healthy lifestyle, but one important advice is to avoid alcohol and also other addictive substances like nicotine (which means smoking cigarettes). If you wish to discuss about any specific problem, you can consult a Dietitian/Nutritionist.

1 person found this helpful

7 Things You Should Think Twice About Before Putting Them On Your Face!

MBBS, MD - Dermatology , Venereology & Leprosy
Dermatologist, Hyderabad
7 Things You Should Think Twice About Before Putting Them On Your Face!

The most special aspect of one’s personality is the face and is the most significant part that helps in identifying a person. Thus, naturally, and understandably, almost everyone loves indulging in facial care and is on the hunt for facial beauty products. However, you must know what goes into your skin and what problems it may cause before using a product. Hence, below is a list of some common items that you should think twice about before applying them to your face:

1. Let the shampoos not get into facial skin
The face and hair comprise of different molecules. Though the hair requires stronger surfactants for removal of oil and dirt, the face needs a milder cleanser. Shampoos are not able to address the delicate and softer molecules which are present in the facial skin. When the shampoo from the hair drips down to the face, it can make the facial skin dry and flaky which can make it harder to repair.

2. Petroleum jelly might clog the pores
Petroleum jelly is often considered a home run in most households. With aging, the skin starts getting thinner, and the elasticity decreases. The best thing that you can do for your skin is to keep it moisturized. However, petroleum jelly is very thick and doesn’t evaporate, thereby it does not allow the moisture to come to the surface of the skin. Moisturizing is important but more important is choosing the right moisturiser.

3. Toothpaste for pimples? No!
There is hardly any person on the planet who has not used a dab of toothpaste for drying out a pimple. A lot of toothpaste contain anti-bacterial agents that can help with a blemish. The result may be that you may end up having irritation and therefore, you should limit the application of toothpaste to your teeth only.

4. Dilute Lemon juice before use
Lemon juice is always held as an epitome of skin brightener. Apple cider vinegar is the new rage in the skincare regime. If you feel like using these ingredients, then make sure that you dilute them with water before applying it to the skin.

5. Baking soda
A lot of scrubbing or exfoliating can be quite detrimental to the facial skin. Though you may believe that baking soda can help keep your skin clean, you should never apply it directly on the skin. You may mix it with your regular face cleanser or coconut oil.

6. Use specific serums
Just like all other cosmetics, serums for varying body areas are comprised of varying components. This means that your skin cannot handle your hair serum. Hair serums comprise of ingredients which are meant for treating hair shaft but won’t treat the problems of your skin.

7. Alcohol-based products
Astringents and toners are always present in the skincare shelves, but they are not able to treat skin issues. It would be best to use lightweight moisturizer or switch to a different face cleanser to avoid hurting the skin.
Thus, doing a little research before dabbing on a product on your face can spare your facial skin from possible hazards and adverse reactions.

How to Lose Weight in the Right Way

Masters Of Science In Dietetics And Food Service Management Msc. (DFSM), Certified Diabetes Educator (CDE), Advanced Clinical Nutrition Program, Post Graduate Diploma In Clinical Nutrition And Dietetics PGD, Bachelors Degree In Applied Nutrition Bhsc
Dietitian/Nutritionist, Mumbai
How to Lose Weight  in the Right Way

In our everyday eat-and-run, huge-portion-sized culture, maintaining a healthy weight can be a challenge, and losing weight can be a massive challenge. While there is no easy fix to weight loss, there are plenty of steps that you can take to develop a healthy relationship with food, curb emotional triggers to overeating, and achieve long-lasting safe weight-loss. Here are a few safe options to lose weight the right way.

Cut out high-calorie condiments, sugars and refined carbs:

In spite of aiming to cut down on carbs, most of us consume way more sugar and refined carbohydrates than we actually plan to. Eliminating candy and desserts from our diet is not the only solution, though. Sugar is hidden in foods as diverse as bread, canned soups, pasta sauces, margarines and many foods labelled low fat. All this hidden sugar quantifies to nothing but a lot of empty calories.

Plump for low sugar products and use fresh ingredients instead of canned goods whenever possible. By slowly reducing sugar in your diet, you will give your taste buds time to adjust to the change and will be able to wean yourself off the craving for sweets.

According to dietician in bandra, in order to avoid insalubrious spikes in blood sugar, avoid refined carbs like white bread, white rice or pasta, and go for their whole-grain counterparts instead.

Hoof it up:
Exercise is the key to weight loss. Recent studies show that people who manage to exercise at least one fifty minutes per week are more successful with weight loss. People who do not have time to exercise can make a few small lifestyle changes, like taking the stairs instead of the elevator or parking the car a bit farther from the destination, so that they will have to walk.

Drink it down:
Water can be considered as liquid gold when it comes to weight loss. Water powers your workouts, boosts your energy and increases your metabolism. It also helps you heed your hunger cues and keeps you from drinking other things. Drinking more water may decrease calorie intake and reduce the risk of long-term weight gain and obesity. Drinking water before meals will reduce appetite and intake, thus leading to weight loss.

Try the veggie-loaded plate method:
Many best nutritionist recommend using your plate to guide your food selection and portion sizes. You can fill one half of your plate with vegetables and the other half can be split between protein and starchy carbohydrates. And if you decide to go for a second serving, it better be all vegetables. Studies have shown that people who consume five or more servings of fruits and vegetables per day are more successful with weight loss.

Work flax seeds into your routine:
One of the easiest and safest things according to best dietitian in kemps corner, warden road, nepeansea road, you can do to speed up your weight loss is to incorporate at least two tablespoons of flax seeds into your daily food regime. You can add it to your morning oatmeal, blend it with your smoothie or sprinkle it over your soup or salad. Flax seeds are the epitome of nutritional benefits and a great source of soluble fiber. They help in lowering cholesterol levels and make you feel fuller for a longer time.

Article purely in unique way written by best dietitian Geetanjali Ahuja Mengi

10 people found this helpful

BHMS, M.D.
Homeopath, Bangalore
Ritu Charya
Ritu in Sanskrit means season. As mentioned earlier that ayurveda believes in maintaing health and prevention from disease. India is a land of diversity of seasons. In India there are 6 types of seasons. These are1. Shishir (winter season)

1. Shishir (winter season)
2. Basant (spring)
3. Gresham (summers)
4. Varsha (rainy)
5. Sharad (autumn)
6. Hemant (early winters)
Such a diversity of seasons only occurs in Indian subcontinent. But it can also lead to various troubles if life style is not maintained according to seasons.
First we will discuss the impact of sun on earth and on our body as the basic energy on earth is derived from sun. Sun has the direct impact on the vegetation and every living being. Rays of sun have different impacts on human body and vegetation as the intensity of rays and heat vary from season ro season.
First we will talk about the intensity and effect of sun on our health i.e. when sun rays fall on northern hemisphere (utrayan kaal) and when rays fall on the southern hemisphere it is called dakshiayan kaal.
As the sun rays fall directly on the northern hemisphere, this part of the globe experiences summers and this time there is winters in southern hemisphere and vice versa.

• Uttrayan kaal (Northern solstice)
• Dakshiayan kaal (southern solstice
• Hemant Ritu and shishir Ritu
• Basant Ritu
• Grisham Ritu
• Varsha Ritu
• Sharad Ritu
• Ritu viparyaya (perverted season)

Ritu satmyam
Utrayan kaal (northern solstice)
It is the phase of the earth when sun rays are falling directly on northern hemisphere. The countries above the equator faces summers. In Indian context it is the phase that progress to wards the summer season which falls during the months of January to June. This phase is also known as aadan kaal and is agneye i.e. extremely hot in nature.This phase faces intense rays and heat of the sun. Due to its property rays from the sun makes the air dry and heated and takes away all the coolness present in air. This character of air makes all the moisture in air to dry and air becomes rough. This makes all the animals and plants gain the ruksh (dry) and filled with katu (pungent), tickt (bitter) and kashaya (astringent) rasa (taste). These factors diminishes strength of an individual. More over environment around him also contributes to this factor. His food is also influenced by these factors. You might have noticed that people get tired during summers easily and also loses their weight. There energy levels also decreases and the stamina fades away. According to ayurveda it includes three ritus (seasons) these are shishir, basant and hemant.
Dakshiayan kaal (southern solstice)
This the phase when sun rays fall directly on the southern hemisphere therefore has great heating effects on that phase but in northern hemisphere rays of the sun falls in slanting way. This phase comes between July to December. In this phase northern hemisphere approaches winters as the rays of the sun are falls slanting. During this phase there is good moisture in air and vegetation is also juicy and pulpy. This phase represent growth of body. In this phase there is good amount of growth. Energy levels in individual are high and stamina is at its peak. This phase is also known as visarg kaal. Due to increase in madhur (swet), amal (sour) and lavan (salt) rasa. Body is provided with good nourishment and is important for good growth in the body. In this phase there is also increase in strength in the body. Dryness also disappears from body and the enviornment. According to ayurveda it included three ritus. These are varsha, sharad and hemant.
Hemant Ritu and Shishir Ritu
Referred to as the season that is the beginning of winters. Indian calendar months are magha-phagun-chaitra-vaishakha According to ayurveda in this season, there is quite dusty environment. Visibility is less, due to fog . There is flow of cold breeze coming from northern direction. Due to cold environment rivers start freezing and thus water level decreases. Birds and reptiles start hibernating. Seasonal plants like (priyangu) callicarpa macrophylla, lodhra (symphlocos racemosa), and lavly (cicca acidc Merrih) starts flowering. According to modern calendar it falls in month of November and December as of hemant Ritu and January and February as of shishir Ritu.
Effect of Hemant Ritu and Shishir Rituon body
Jatharagni (digestive fire) get ignited and appetite increases. Due to this capacity body easily digest guru aahar (heavy food). As this lies in dakshiayan phase hence body grows due to increased appetite. Heavy food is not consumed accordingly then this increased metabolism of the body start consuming bodies dhatus therefore leading to weaknesses body.
Lifestyle to be lead in Hemant Ritu and Shishir Ritu

1. Food rich in madhur, amal and lavan rasa should be consumed to satisfy bodies metabolic desires
2. Snigdh food should be consumed so as jatharagni does not start consuming bodies own stored energy.
3. People should exercise regularly. Regular body massage with oil according to individuals prakruti should be done.
4. Stream bath (swedan) should regularly be taken.
5. Person should reside in warm and cozy place and should not directly be exposed to outer cold environment.
6. Body should be properly covered and wrapped with proper warm clothes.
7. Kesar (crocus stavis) and Aguru (aquilaria agallocha) should be applied on body
8. Indulge in sexual activities

Diet
• People who are non vegetarian should eat meat preferably of rat, audak like fish and tortoise, anoop like ox and goat, prasar like vultures, animals flesh which helps in providing good energy.
• Sweet products made from sugarcane extracts like jaggery etc
• Milk and dairy products should be consumed like cheese, butter, ghee etc
• Pithi (made from pulses) products should be taken regularly
• New rice is beneficial for body.
• Hot drinks should be preferred.

Basant Ritu
This season is commonly known as spring season in common language. In this season, breeze flows from south to north direction. Sun is not having intense heat. Hence sun appears reddish in colour. New leaves originate from trees. Old bark of trees gets replaced by new one. Environment is clear and non dusty. Flowers blossoms on trees and there is fragrance in environment. In this Ritu, shlesham (mucous) which had got accumulated in winter season melts off due initiation of increase in temperature. According to modern day calendar it falls in the season of March and April.
Lifestyle

1. Person should exercise regularly during this season.
2. Sleeping in day time is strictly prohibited in this Ritu.
3. Body should regularly be cleaned by following panchkarma procedures like tikshan (strong) Vaman, tikshan Dhumapanam, tikshan Gandusha, and tikshan nasya.
4. One should bathe regularly and should apply some natural fragrance on body.
5. Avoid exposure to direct air.
6. Oils massage should be done.
7. Chandan (santanam album) and aguru (aquilaria agallocha) should be applied on the body.
8. Uptan (facial) should be done
Diet

1. Honey should be consumed daily as it helps in avoiding diseases caused by kapha.
2. Yav (hordeum vulgare) should be taken during basant ritu
3. Godhum (triticum vulgare) should be taken
4. Non vegetarian people should have flesh
5. Asavs, sidhu, mardik, mardvik, madhav and arishtas should be consumed on the regular basis.
6. Shunti (zingiber officinale), nagarmotha (Cyperus rotundus) should be boiled in water and then should be consumed with honey.
7. All cold stuff should be avoided.
8. Snigdh (oily) food stuff should be avoided.
9. Stuff that contains madhur and amal rasa should be avoided.

Grisham Ritu
This season in commonly known as summer season. In Indian calendar it is jyeshtha – ashadha. Sun is hot and penetrating, sun heat is maximum, environment is hot and sky remains clear. Wind is in direct North West direction Air is dry, light, hot, unpleasant day. Moonlight is pleasant. Atmosphere is bright and hot. Effect of moon is negligible. Land becomes hot and dry especially during day time. Water becomes hot and light, very little water in rivers. They are always muddy and meshy, and do not have any current.
Life style

1. People should not do over exertion and excess of physical work
2. Avoid exercise.
3. Should make arrangements to keep one self cool
4. Should avoid outside work during day time
5. Should fan your self with taadh (borasus flabellifer) feather
6. To keep your self cool one should wear ornaments made of utpal (Nyphaea stellata) and lotus
7. Should apply a mixture of chandan and kapur on the body to protect one self from heat.
8. Avoid sexual intercourse everyday.
9. Try to wear soft, light colored and thin clothes made out of cotton
Diet

1. Avoid usage of katu, amal and lavan rasa and products containing these rasa.
2. Drinking of alcohol should be avoided as it has properties which dries up the bodies fluids and makes it week.
3. Consume plenty of fluids which help in combating lost fluid of the body by sweat.
4. Also should consume chilled sweet tasting liquids like panna (extracts of juicy fruits especially of ripe mango) and manth (commonly known as sattu)
5. Consume draksha (vitis vinifera), nariyal (cocus nucifera) should be consumed with water
6. Avoid heavy food stuff and oily food
7. Start taking dairy products.

Varsha Ritu
In this season varun (synonym of rain) and Vayu (considered to be as monsoon) starts flowing, this is very essential for agriculture purpose. In this whole sky gets filled with clouds. Western winds blow. Air is damp and chilled. Rivers are flooded with water. Lotus (Nelumbo nucifera) flowers bloom in rainy season. There is lightening in sky. Thunder sound is quite common in rainy season. Peacock (pavao cristasus) and an insect named indragopa (mutella occidentalis) appears in this season. Rainbow appears in sky after rain. Land is muddy and wet and there is vegetation all over the earth due to enough supply of water. In this season the digestive fire which got decreased in summers gets ignited again. Indian calendar marks this season as shravan-bhadrapada
Life style

1. Should protect yourself from getting wet in rainy season
2. Pragharshan (cleaning body with piece of clothes), Udvartanam, snanam and Dhumapanam should be regularly done.
3. Apply aguru (aquilaria agallocha) on your body.
4. Protect your self from insects like mosquitoes and drum stick insect and animals like snakes, scorpion and rats that might come out of burrows during rainy season.
5. One should perform panchkarma procedure especially Vaman and virechan.
Diet

1. Avoid heavy and oily foods as digestive fire is just better than that of summer season but not at its best
2. Avoid water directly from the well. First one should boil water and then consume it.
3. It has been said to consume all types of anna (wheat etc.) mixed with honey as honey protects vata to get aggravated which is predominant in this season
4. old rice, kanak (triticum vulgare) and yav (hordeum vulgare) should be consumed with krityush (processed in oils or ghee)
5. Should avoid consumption of alcohol
6. On the day of rain one should avoid oily food and vata suppressant food should be consumed.
7. In varsha ritu (rainy season) one should take food full of amal and lavan rasa.

Sharad Ritu
In Indian calendar months for sharad ritu is ashwin- kartik. In this season sky is filled with scanty white clouds and earth is damped with water. Though the sun is hot, the heat effect is normal. Air is damp and hot. Atmosphere is clear. Effect of moon is moderate. Land emanates water vapors remains slightly wet-muddy and covered with lush green grass, water is clear and pure (hansodaka) due to rays of rising star agasti. In this sekaash (saccharum spontaneum), saptahv (alstonia scholaris) and kumud (Nymphaea alba) start blooming. Lotus also blooms in lakes. Kraunch birds are seen flying in air. Hans (anser indicus) are seen in lakes and ponds creating ripples in water.in this seaeon dominat rasa (taste) is lavana (salty).
Life style

• One should avoid heavy food as jathar Agni (digestive fire) is just moderate.
• One should apply usher (veteriveria zizanioides) on the body and then sit in moon light.
• Person should save himself from direct sun light and eastern winds
• Never sleep in day time.
• Clothes should loose and of light colored.
• One should purify his body by virechan and raktmokshan
Diet
• Person should use kashaya, madhur and tickt rasa in this season.
• One should eat shali rice, sathi rice, gehun (triticum vulgare), yav (hordeum vulgare), mung (phaseolus mungo)
• Person should consume sugar products, honey, parval (trichosanthes cucmerina). Amlaki (Emblica officinale) and draksha (vitis vimifera)
• One should avoid heavy foods, curd, oils and alcohol
• Ritu sandhi and its regimen
It is very obvious thing that a ritu (season) would not change suddenly. In between two ritus there is a transitional period which is called ritu sandhi kaalam. In this phase there is a combined effect of both the ritus i.e. one previous one and other which have to come. It is of 14 days duration and consists of last week of the outgoing season and first week of in coming season. In this phase the seasonal regimen of previous season should be gradually omitted and regimen of the forthcoming season gradually introduced. If one does not follow this regimen properly then one can get affected by asatmya janaya roga.

Ritu Viparyaya (perverted season)
When we get the unnatural and unexpected seasonal symptoms, i.e. different symptoms in a season, it is called ritu viparyaya, e.g. in the month on May-June (grisham ritu), we are expecting clear sky with a sharp rays of sun and hot temperature or in the month or January and February (shishir ritu) we get the hot climate. But if we experience, cloudy sky and rains in that month then this is perverted season
Ritu viparyaya is one of the cause in which bodies doshas gets imbalanced thus leads to cause of disease. More over due environmental changes it cause huge damage to human resources like agriculture etc thus ultimately plays part in disturbing human body physiology.

Ritu satmyam
Man is epitome of the universe. Environmental changes always affect the human being. But man responds to the seasonal changes in variety of ways. As an example few people sweat profusely, as of pitta prakruti, in summers then in other people.
Hence it becomes essential to understand that of what prakruti a person is and what effect it has on his health.




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