Flutine 20 MG Capsule is used for the treatment of obsessive-compulsive disorder (OCD), depression, sudden panic attacks, bulimia (eating disorder) and premenstrual dysphoric disorder (symptoms of tension, irritability and depression before menstruation). The medication can improve your sleep, mood, appetite as well as the energy level. It belongs to the drug group known as selective serotonin reuptake inhibitors (SSRIs). It works by increasing the serotonin amount in your body, which is a natural substance present in your brain that helps in maintaining mental balance.
Flutine 20 MG Capsule is available in the form of a tablet, capsule, delayed-release capsule and a liquid solution, to be taken orally. It can be taken with food or without it. The dosage will depend on your present health condition and how your body reacts to the first dose. Your doctor may prescribe a low dose initially and then increase it gradually. It is advised not to stop the medication abruptly without consulting your doctor, as there is a possibility of experiencing withdrawal symptoms such as mood changes, dizziness, anxiety, confusion, agitation or irritability. It may take 4-5 weeks and sometimes even longer for Flutine 20 MG Capsule to show its full effectiveness.
You can suffer from mild side effects like nervousness, nausea, dry mouth, weakness, drowsiness and decreased sexual performance while taking Flutine 20 MG Capsule. You can consult your doctor if they refuse to go away after some time. However, there can be some serious side effects too in some cases that require immediate medical attention:
Flutine 20 MG Capsule can make you feel drowsy or dizzy. It is advised not to drive or do any other activity that requires your complete concentration. In case you are an elderly patient, be careful when you are getting up from a sitting or sleeping position to avoid a sudden fall. Also, you must avoid alcohol while you are under this medication.
Premature ejaculation (pe) refers to the persistent or recurrent discharge of semen with minimal sexual stimulation before, on, or shortly after penetration, before the person wishes it, and earlier than he expects it. In making the diagnosis of pe, the clinician must take into account factors that affect the length of time that the man feels sexually excited. These factors include the age of the patient and his partner, the newness of the sexual partner, and the location and recent frequency of sexual activity.
Premature ejaculation (pe) is a common complaint. The available evidence supports the notion that control and modulation of sexual excitement is learned behavior. If someone has learned it incorrectly or inadequately, they can relearn it. Pe is only rarely caused by a physical or structural problem; in these cases it is usually associated with other physical symptoms, usually pain. In rare cases, pe may be associated with a neurological condition; infection of the prostate gland; or urethritis (inflammation of the duct that carries urine and semen to the outside of the body). With the rising prevalence of substance abuse, an increasing number of cases of pe are being diagnosed in patients withdrawing from drugs, especially opioids.
Pe may be of lifelong duration or develop in later life, especially if a difficult interpersonal relationship is one of its causes. Although pe is commonly associated with psychological symptoms, especially performance anxiety and guilt, these symptoms are its consequences rather than its causes. Once pe is firmly established, however, the accompanying psychological factors, especially in combination with sexual overstimulation, may form a self-perpetuating cycle that makes the disorder worse.
Premature ejaculation is common in adolescents where it may be made worse by feelings of sinfulness concerning sexual activity, fear of discovery, fear of making the partner pregnant, or fear of contracting a sexually transmitted disease (std). All of these may be made worse by performance anxiety. Adults may have similar concerns as well as interpersonal factors related to the sexual partner.
In pe, ejaculation occurs earlier than the patient and/or the couple would like, thus preventing full satisfaction from intercourse, especially on the part of the sexual partner, who frequently fails to attain orgasm. Pe is almost invariably accompanied by marked emotional upset and interpersonal difficulties that may add frustration to an already tense situation, which makes the loss of sexual fulfillment even worse. It is also important to differentiate male orgasm from ejaculation. Some men are able to distinguish between the two events and enjoy the pleasurable sensations associated with orgasm apart from the emission of semen, which usually ends the moment of orgasm. In these cases, the partner is capable of achieving orgasm and sexual satisfaction.
The physical examination of a patient who is having problems with pe usually results in normal findings. Abnormal findings are unusual. The best source of information for diagnosing the nature of the problem is the patient's sexual history. On taking the patient's history, the clinician should concentrate on the sexual history, making sure that both partners have adequate and accurate sexual information. Ideally, the sexual partner should participate in the history and is often able to contribute valuable information that the patient himself may be unaware of or unwilling to relate. The female partner should also be examined by a gynecologist in order to ascertain her sexual capabilities and to eliminate the possibility that the size or structure of her genitals is part of the reason for the male's premature ejaculation.
Premature ejaculation that takes place before the man's penis enters the woman's vagina will interfere with conception, if the couple is planning a pregnancy. Continued lack of ejaculatory control may lead to sexual dissatisfaction for either or both members of the couple. It may become a source of marital tension, disturbed interpersonal relationships, and eventual separation or divorce.
Memory slips are aggravating, frustrating, and sometimes worrisome. When they happen more than they should, they can trigger fears of looming dementia or Alzheimer’s disease. there are many mundane—and treatable—causes of forgetfulness. Here are seven common ones and how can homeopathic treatment can help you.To know more about homeopathy and homeopathic treatment read more.....
Lack of sleep.
Not getting enough sleep is perhaps the greatest unappreciated cause of memory slips. Too little restful sleep can also lead to mood changes and anxiety, which in turn contribute to problems with memory.
Tranquilizers, antidepressants, some blood pressure drugs, and other medications can affect memory, usually by causing sedation or confusion. That can make it difficult to pay close attention to new things. Talk to your doctor or pharmacist if you suspect that a new medication is taking the edge off your memory. As shown in the table below, alternatives are usually available.
*Medications* that may affect memory and possible substitutes
If you take these drug, ask about switching to one of these drugs:
1.paroxetine (Paxil) another antidepressant such as fluoxetine (Prozac) or sertraline (Zoloft), or a different type of antidepressant such as duloxetine (Cymbalta) or venlafaxine (Effexor)
2.cimetidine (Tagamet) a different type of heartburn drug, such as lansoprazole (Prevacid), omeprazole (Prilosec), or esomeprazole (Nexium)
3.oxybutynin (Ditropan) or tolterodine (Detrol, Detrusitol) other medications for an overactive bladder, such as trospium (Sanctura), solifenacin (Vesicare), or darifenacin (Enablex)
4.amitriptyline (Elavil), desipramine (Norpramin), or nortriptyline (Aventyl, Pamelor) another type of medication, depending on why your doctor has prescribed a tricyclic antidepressant (neuropathic pain, depression, etc.)
5.*captopril (Capoten)* a different type of ACE inhibitor, such as enalapril, lisinopril, or ramipril
cold or allergy medication containing brompheniramine, chlorpheniramine, or diphenhydramine loratadine (Claritin) or other non-sedating antihistamine
(Adapted from Improving Memory: Understanding age-related memory loss, a Harvard Medical School Special Health Report)
A faltering thyroid can affect memory (as well as disturb sleep and cause depression, both of which contribute to memory slips). A simple blood test can tell if your thyroid is doing its job properly.
Drinking too much alcohol can interfere with short-term memory, even after the effects of alcohol have worn off. Although “too much” varies from person to person, it’s best to stick with the recommendation of no more than two drinks per day for men and no more than one a day for women. One drink is generally defined as 1.5 ounces (1 shot glass) of 80-proof spirits, 5 ounces of wine, or 12 ounces of beer.
Stress and anxiety.
Anything that makes it harder to concentrate and lock in new information and skills can lead to memory problems. Stress and anxiety fill the bill. Both can interfere with attention and block the formation of new memories or the retrieval of old ones.
Common signs of depression include a stifling sadness, lack of drive, and lessening of pleasure in things you ordinarily enjoy. Forgetfulness can also be a sign of depression—or a consequence of it.
If memory lapses are bugging you, it’s worth a conversation with your doctor to see if any reversible causes are at the root of the problem. Something like getting more sleep, switching a medication, or a stress reduction program could get your memory back on track.
TREATMENT PROTOCOLS FOR POOR MEMORY
Spleen Kidney and heart are the 3 organs which provides memory
?Following are the three patterns of poor memory :
1) spleen deficiency causes poor memory, inability to concentrate and study.
2) deficiency of kidney essence causes poor everyday memory.
3) heart deficiency causes poor memory of past events , forgetting names.
1) Spleen deficiency causes
poor memory inability to concentrate
Main symptoms :
1) poor memory
3) poor appetite
4) *pale tongue*
5) *weak pulse*
Treatment principle :
1) tone the spleen
2) strengthen intellect. Spleen houses intellect , which controls memorisation, study and concentration.
2) Kidney essence deficiency
causes poor memory everyday.
Main symptoms :
1) poor everyday memory
2) can not remember names , faces, roads etc.
6) if kidney yang is deficient , tongue will be
7) if kidney yin is deficient the tongue will be
Treatment principles :
1) tone the kidney
2) nourish essence and marrow
3) Heart deficiency causes
Main symptoms :
1) poor memory of past events
2) forgetting names
3) absent mindedness
5) slight breathlessness
6) if there is heart yang deficiency the tongue will be pale with heart cracking
7) if there is heart yin deficiency the tongue will be red with heart crack
Treatment principle :
1) *tone the heart*
2) strengthen the mind and memory
There are many remedies in homeopathy to treat this condition. It requires a detailed study of the patient to know his/her lifestyle and life circumstances to be able to diagnose at the correct cause/causes so as to administer the right remedy. Since homeopathic medicines do not have sideeffects this is a very great advantage.
A woman's sexual desire naturally fluctuates over the years. Highs and lows commonly coincide with the beginning or end of a relationship or with major life changes, such as pregnancy, menopause or illness. Some antidepressants and anti-seizure medications also can cause low sex drive in women.
If you have a persistent or recurrent lack of interest in sex that causes you personal distress, you may have hypoactive sexual desire disorder — also referred to as female sexual interest/arousal disorder.
But you don't have to meet this medical definition to seek help. If you are bothered by a low sex drive or decreased sexual desire, there are lifestyle changes and sex techniques that may put you in the mood more often. Some medications may offer promise as well.
If you want to have sex less often than your partner does, neither one of you is necessarily outside the norm for people at your stage in life — although your differences, also known as desire discrepancy, may cause distress.
Similarly, even if your sex drive is weaker than it once was, your relationship may be stronger than ever. Bottom line: There is no magic number to define low sex drive. It varies from woman to woman.
Some signs and symptoms that may indicate a low sex drive include a woman who:
* Has no interest in any type of sexual activity, including self-stimulation
* Doesn't have sexual fantasies or thoughts, or only seldom has them
* Is bothered by her lack of sexual activity or fantasies
When to see a Doctor specializing in sexual health.
If you're bothered by your low desire for sex, talk to your doctor. The solution could be as simple as changing the type of antidepressant you take.
A woman's desire for sex is based on a complex interaction of many components affecting intimacy, including physical well-being, emotional well-being, experiences, beliefs, lifestyle and current relationship. If you're experiencing a problem in any of these areas, it can affect your sexual desire.
A wide range of illnesses, physical changes and medications can cause a low sex drive, including:
* Sexual problems. If you experience pain during sex or an inability to orgasm, it can hamper your desire for sex.
* Medical diseases. Numerous nonsexual diseases can also affect desire for sex, including arthritis, cancer, diabetes, high blood pressure, coronary artery disease and neurological diseases.
* Medications. Many prescription medications — including some antidepressants and anti-seizure medications — are notorious libido killers.
* Lifestyle habits. A glass of wine may make you feel amorous, but too much alcohol can spoil your sex drive; the same is true of street drugs. And smoking decreases blood flow, which may dampen arousal.
* Surgery. Any surgery, especially one related to your breasts or your genital tract, can affect your body image, sexual function and desire for sex.
* Fatigue. Exhaustion from caring for young children or aging parents can contribute to low sex drive. Fatigue from illness or surgery also can play a role in a low sex drive.
Changes in your hormone levels may alter your desire for sex. This can occur during:
* Menopause. Estrogen levels drop during the transition to menopause. This can cause decreased interest in sex and dryer vaginal tissues, resulting in painful or uncomfortable sex. Although many women continue to have satisfying sex during menopause and beyond, some women experience a lagging libido during this hormonal change.
* Pregnancy and breast-feeding. Hormone changes during pregnancy, just after having a baby and during breast-feeding can put a damper on sexual desire. Of course, hormones aren't the only factor affecting intimacy during these times. Fatigue, changes in body image, and the pressures of pregnancy or caring for a new baby can all contribute to changes in your sexual desire.
Your problems don't have to be physical or biological to be real. There are many psychological causes of low sex drive, including:
* Mental health problems, such as anxiety or depression
* Stress, such as financial stress or work stress
* Poor body image
* Low self-esteem
* History of physical or sexual abuse
* Previous negative sexual experiences
For many women, emotional closeness is an essential prelude to sexual intimacy. So problems in your relationship can be a major factor in low sex drive. Decreased interest in sex is often a result of ongoing issues, such as:
* Lack of connection with your partner
* Unresolved conflicts or fights
* Poor communication of sexual needs and preferences
* Infidelity or breach of trust
Treatments and drugs
Most women benefit from a treatment approach aimed at the many causes behind this condition. Recommendations may include sex education, counseling and sometimes medication.
Talking with a sex therapist or counselor skilled in addressing sexual concerns can help with low sexual desire. Therapy often includes education about sexual response and techniques and recommendations for reading materials or couples' exercises. Couples counseling that addresses relationship issues may also help increase feelings of intimacy and desire.
Your doctor will want to evaluate the medications you're already taking, to see if any of them tend to cause sexual side effects. For example, antidepressants such as paroxetine (Paxil, Pexeva) and fluoxetine (Prozac, Sarafem) may lower sex drive. Adding or switching to bupropion (Aplenzin, Wellbutrin) — a different type of antidepressant — usually improves sex drive.
Estrogen delivered throughout your whole body (systemic) by pill, patch, spray or gel can have a positive effect on brain function and mood factors that affect sexual response. But systemic estrogen therapy may have risks for certain women.
Smaller doses of estrogen — in the form of a vaginal cream or a slow-releasing suppository or ring that you place in your vagina — can increase blood flow to the vagina and help improve desire without the risks associated with systemic estrogen. In some cases, your doctor may prescribe a combination of estrogen and progesterone.
Male hormones, such as testosterone, play an important role in female sexual function, even though testosterone occurs in much lower amounts in women. However, replacing testosterone in women is controversial and it's not approved by the Food and Drug Administration for sexual dysfunction in women. Plus it can cause acne, excess body hair, and mood or personality changes.
Lifestyle and home remedies
Healthy lifestyle changes can make a big difference in your desire for sex:
* Exercise. Regular aerobic exercise and strength training can increase your stamina, improve your body image, elevate your mood and boost your libido.
* Stress less. Finding a better way to cope with work stress, financial stress and daily hassles can enhance your sex drive.
* Communicate with your partner. Couples who learn to communicate in an open, honest way usually maintain a stronger emotional connection, which can lead to better sex. Communicating about sex also is important. Talking about your likes and dislikes can set the stage for greater sexual intimacy.
* Set aside time for intimacy. Scheduling sex into your calendar may seem contrived and boring. But making intimacy a priority can help put your sex drive back on track.
* Add a little spice to your sex life. Try a different sexual position, a different time of day or a different location for sex. Ask your partner to spend more time on foreplay. If you and your partner are open to experimentation, sex toys and fantasy can help rekindle your sexual sizzle.
* Ditch bad habits. Smoking, illegal drugs and excess alcohol can all dampen sexual desire. Ditching these bad habits may help rev up your sexual desire as well as improve your overall health.
Low sexual desire can be very difficult for you and your partner. It's natural to feel frustrated or sad if you aren't able to be as sexy and romantic as you want — or you used to be.
At the same time, low sexual desire can make your partner feel rejected, which can lead to conflicts and strife. And this type of relationship turmoil can further reduce desire for sex.
It may help to remember that fluctuations in your sexual desire are a normal part of every relationship and every stage of life. Try not to focus all of your attention on sex. Instead, spend some time nurturing yourself and your relationship.
Go for a long walk. Get a little extra sleep. Kiss your partner goodbye before you head out the door. Make a date night at your favorite restaurant. Feeling good about yourself and your partner can actually be the best foreplay.
What is ejaculation?
It is the release of semen from the penis at orgasm. Semen is made up of sperm and fluid from testes (singular testis), seminal vesicles and prostate gland.
When a man is sexually stimulated, the brain sends signals to the genital area through nerves in spinal cord that causes contraction of pelvic muscles. Waves of pelvic muscle contractions transport the semen from the testes to tip of penis through vas deferens. This is called ejaculation or orgasm (colloquially to cum, shoot, blast or bust).
What is premature ejaculation (PE)?
PE means 'cumming too soon', that is, a man ejaculates before he is ready for it and he has no control over it.
Studies have shown that most men ejaculate between 2-5 minutes after penetration. This time frame is again arbitrary since it can differ from men to men, couple to couple, between cultures and other factors. So, for practical reason, if ejaculation occurs within 1 minute of penis entering into a vagina, it is called premature ejaculation. It is the commonest sexual problem in men and affects all ages.
What are the causes?
How is it diagnosed?
There are no tests or scans to diagnose PE. If you have premature ejaculation, you need to see your local doctor and a diagnosis is made based on your history.
What treatments are there for premature ejaculation?
Treatment for PE may involve sex therapy, behavioural techniques, medications, local gels and creams, and treatment of other conditions like erectile dysfunction.
Sex therapy is administered by a person called sex therapist. This is particularly important if the cause of premature ejaculation is psychological like relationship issues and anxiety. Sex therapist provides counselling to address these issues.
There are mainly two behavioural techniques that can be used for treating premature ejaculation:
Seman's 'stop start' technique and Masters and Johnson's 'squeeze' technique.
How to perform Seman's 'stop start' technique
Once you are fully aroused and feel you are close to ejaculation, squeeze the tip of the penis between your thumb and index finger (or your partner can squeeze it for you) for several seconds until the feeling of ejaculation passes away. Repeat this squeeze and release technique for as long as you can until you finally ejaculate.
What medications are used to treat PE?
Premature ejaculation is a very common sexual problem in men and affects all ages. It can cause embarrassment and anxiety and affects a man's self-esteem. It can affect both partners emotionally and sexually. There are many treatments available including sex therapy, behavioural techniques and medications but you need to seek help early. It is very important for partners to discuss this openly and get help from a doctor or other health care professionals.
Priapism is a condition of the penis where the erection persists long after the sexual stimulation. It is a painful condition and is extremely common among patients suffering from sickle cell anaemia. Medical treatment is necessary at the earliest in order to prevent any damage to the tissue. This condition is mostly observed in people in the age segment of 30-40.
Symptoms of priapism:
The symptoms of priapism vary according to the type of priapism a person is affected with. Two of the most common types of priapism are non-ischemic and ischemic priapism. While the latter is more common to those with a family history of the same disease, the former can occur to any person. Some of the common symptoms of both the condition include the following:
What are the causes of priapism?
What are the possible complications?
Priapism can lead to serious consequences, especially the ischemic type. The trapped blood inside the penis that is devoid of oxygen can start damaging the tissue of the penis. If this disease is not treated on time, it can lead to erectile dysfunction.
How is priapism diagnosed?
A doctor starts from a physical exam and goes through the medical history in order to get first-hand knowledge of the condition. This is followed by the prescription of tests such as blood gas measurement, ultrasound, count of red blood cells and platelets and other toxicology tests.
What are the treatment options?
There could be various approaches that are taken by a doctor. Excess blood can be drained out with the help of a syringe and the penis can be flushed with saline in order to get rid of the oxygen-devoid blood out of the penis. Certain medications can be injected into the pen that helps the blood to flow normally without accumulating inside the penis. If all else fails, a surgeon can perform a procedure in order to drain the blood from a different route.