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Overview

Flutine 20 MG Capsule

Flutine 20 MG Capsule

Manufacturer: Reliance Formulation Pvt Ltd
Medicine composition: Fluoxetine
Prescription vs.OTC: Prescription by Doctor required

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.

Flutine 20 MG Capsule is used in the treatment of Bulimia which is an excessive eating disorder caused by genetic and psychological factors. Some of the symptoms include living in fear of gaining weight and eating continuously until it feels uncomfortable.
Flutine 20 MG Capsule is used in the treatment of depression which is a serious mood disorder caused by genetic and environmental factors. Feeling sad, irritable and devoid of energy are some the symptoms of depression.
Obsessive Compulsive Disorder
Flutine 20 MG Capsule is used in the treatment of obsessive-compulsive disorder which is an anxiety disorder caused by genetic and environmental factors. Some of the symptoms include aggression, suffering from a fear of contamination, and getting an obsessive urge to clean.
Panic disorder
Flutine 20 MG Capsule is used in the treatment of the panic disorder. Sweating, breathing problem, weakness and numbness in hands are some of the symptoms of panic disorder.
Flutine 20 MG Capsule is used in the treatment of premenstrual dysphoric disorder which is a condition in which women has irritability, tension, and depression before menstruation.
If you have a known allergy to Flutine 20 MG Capsule or any other medicines belongs to the class selective serotonin reuptake inhibitors.
Monoamine oxidase inhibitors
Flutine 20 MG Capsule is not recommended in patients who have taken Monoamine oxidase inhibitors within the last 14 days.
In addition to its intended effect, Flutine 20 MG 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.
Skin rash Major Common
Restlessness Major Common
Fever or chills Major Less Common
Muscle or joint pain Major Less Common
Anxiety Major Rare
Increased sweating Major Rare
Dry mouth Major Rare
Decreased appetite Minor Common
Abnormal dreams Minor Less Common
Frequent urination Minor Less Common
Changes in vision Minor Less Common
Convulsions (seizures) Major Rare
How long is the duration of effect?
The effect of this medicine lasts for an average duration of 12 to 14 days.
What is the onset of action?
The peak effect of this medicine can be observed in 6 to 8 hours.
Are there any pregnancy warnings?
This medicine is not recommended for use during pregnancy unless absolutely necessary. Consult your doctor about the potential benefits and risks before deciding to take this medicine.
Is it habit forming?
No habit forming tendency has been reported
Are there any breast-feeding warnings?
This medicine is not recommended for use in breastfeeding women unless absolutely necessary. Consult your doctor about the potential benefits and risks before deciding to take this medicine. Monitoring of undesired effects like colic, fussiness, and drowsiness is necessary.
Below is the list of medicines, which have the same composition, strength and form as Flutine 20 MG Capsule, and hence can be used as its substitute.
Sun Pharma Laboratories Ltd
Micro Labs Ltd
Wockhardt Ltd
Intas Pharmaceuticals Ltd
Elder Pharmaceuticals Ltd
Missed Dose instructions
Take the missed dose as soon as you remember. If its 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 in case of an overdose.
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
Depression Major
Use with caution the patients suffering from depression and other psychiatric disorders due to the increased risk of suicidal thoughts especially at the beginning of the treatment and at the time of dose change. Discontinue the medicine and inform the doctor if these symptoms appear.
Glaucoma Moderate
Use with caution in the patients with angle-closure glaucoma or history of glaucoma due to the risk of increasing the intraocular pressure.
Interaction with Alcohol
Alcohol Moderate
Consumption of alcohol with this medicine is not recommended as it can result in dizziness and difficulty in concentration. Avoid activities that need mental alertness like driving or operating heavy machinery.
Interaction with Lab Test
Lab
Information not available.
Interaction with Food
Food
Information not available.
Interaction with Medicine
Tramadol Major
Flutine 20 MG Capsule is not recommended with tramadol due to increase in the risk of seizures, confusion, and increased heartbeat. This interaction is more likely to occur in the elderly population with a history of seizures or alcohol withdrawal. Inform the doctor if these medicines are taken together. An alternate medicine should be considered based on the clinical condition.
Diuretics Moderate
Flutine 20 MG Capsule may cause low blood sodium levels and this risk may increase if taken with diuretics like furosemide. Frequent monitoring of blood pressure and kidney function tests are necessary. Dose adjustments or an alternate medicine should be considered based on the clinical condition.
Monoamine oxidase inhibitors Major
Flutine 20 MG Capsule is not recommended with monoamine oxidase inhibitors like selegiline, isocarboxazid, phenelzine due to increase in the risk of side effects. There should be a minimum of 14 days time gap between these two medications. Inform the doctor if these medicines are taken together. An alternate medicine should be considered based on the clinical condition.

Popular Questions & Answers

I'm under antidepressants namely (fluoxetine, Paroxetine, Venlafaxine and clomipramine). Clomipramine is the latest addition to this combination of SSRI and SNRI. Initially when started clomipramine at 25 mg and 50 mg, I felt better for around 2-3 days after which my MDD and OCD went back to the bottom. Doctor increase it to 75 mg, again felt better for 2-3 days before it got worse. The same thing happened when the dosage was increased to 100 mg. Now my doctor told me to make it 150 mg. I'm confused about it. I need clarity with regard to my condition of clinical Depression and why it isn't working properly.

MBBS, DPM
Psychiatrist, Bangalore
Dear lybrate-user, MDD and OCD are chronic disorders needing long term treatment. Just taking a SSRI or SNRI may not improve fully. You need to do ERP (exposure and response prevention) therapy also in addition. Clomipramine needs to be escalated to 300-400 mg/day if you can tolerate the side effects. You doctor is doing that slowly so that your get used to side effects. She/he is also using other antidepressants, my be in low dose to increase your tolerance. Initial feeling better will be there because of clomipramine's dual action. That does not mean that the improvement will last. Please follow the dose advised by your doctor. If you have some concerns please talk to her/him about it.
1 person found this helpful

I am 26 year old boy suffering from general anxiety disorder doctor gave me flunil fluoxetine syrupy twice a day. How long I tale to full recovery.

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
I am 26 year old boy suffering from general anxiety disorder doctor gave me flunil fluoxetine syrupy twice a day. How...
Dear user, Nervousness or Anxiety disorders are a category of mental disorders characterized by feelings of anxiety and fear, where anxiety is a worry about future events and fear is a reaction to current events. These feelings may cause physical symptoms, such as a racing heart and shakiness. There are a number of anxiety disorders: including generalized anxiety disorder, a specific phobia, social anxiety disorder, separation anxiety disorder, agoraphobia, and panic disorder among others. While each has its own characteristics and symptoms, they all include symptoms of anxiety. Anxiety medicines alone cannot cure anxiety disorders mainly because medicines do not alter behavior. Behavior change and Continuous practice of the changed behavior cure anxiety. I suggest anxiety education, progressive counseling and progressive psychotherapy. I assure you complete cure. I need to know more about your anxiety so that I will be able to diagnose it properly and provide you tips to overcome and manage your anxiety. Take care.
1 person found this helpful

Sir Mera nam rajesh hai muche sextual problem hai jab mai apni wife ke pass sex karne ke liya jata hun to mera penis bhut jaldi daun ho jata hai so please muche koi effectiv medicine ke li suggest karen jisse mai apni wife ko sex karke setisfied kr sakun Muche aasha hai ki uchit jankari parapt ho gi dhanywad.

CCT (UK) General Psychiatry, MD-Psychiatry, MBBS Bachelor of Medicine and Bachelor of Surgery
Psychiatrist, Delhi
Sir Mera nam rajesh hai muche sextual problem hai jab mai apni wife ke pass sex karne ke liya jata hun to mera penis ...
Preferably, therapy for PE (Premature ejaculation). Should be conducted under the supervision of a health professional trained in sexual dysfunction. Both partners must participate responsibly in the therapeutic program. Treatment of PE requires patience, dedication and commitment by both partners, and the therapist must convey this message to both. The first part of therapy requires both partners to avoid intercourse for a period of several weeks. This period of abstinence is helpful in relieving any troublesome performance anxiety on the part of the man that may interfere with therapy. Behavioral techniques, taught either individually, conjointly, or in groups, are effective in the therapy of PE. A preliminary stage of all treatment is termed "sensate focus" and involves the man's concentration on the process of sexual arousal and orgasm. He should learn each step in the process, most particularly the moment prior to the "point of no return. The sexual partner participates in the process, maintaining an awareness of the patient's sensations and how close he is to ejaculating. At this point, two techniques are commonly used: • The "stop and start" technique. This approach involves sexual stimulation until the man recognizes that he is about to ejaculate. At this time, the stimulation is discontinued for about thirty seconds and then resumed. This sequence of events is repeated until ejaculation is desired by both partners, with stimulation continuing until ejaculation occurs.• The "squeeze" technique. This approach involves sexual stimulation, usually by the sexual partner, until the man recognizes that he is about to ejaculate. At this time stimulation ceases. The patient or his partner gently squeezes the end of the penis at the junction of the glans penis (tip of the penis) with the shaft. The squeezing is continued for several seconds. Sexual stimulation is withheld for about 30 seconds and then resumed. This sequence of events is repeated by the patient alone or with the assistance of his partner until ejaculation is desired. At this point stimulation is continued until the man ejaculates. The patient and his partner should be advised against trying any of the many unproven remedies that are available either over the counter or popularized on the Internet. Certain prescription medications, especially antidepressants that produce delayed ejaculation as a side effect, may be useful as therapeutic adjuncts. Recently, the use of a class of drugs known as selective serotonin receptor inhibitors (SSRIs) has shown promise in the treatment of premature ejaculation. The SSRIs prolong the time it takes the man to ejaculate by as much as 30 minutes. The SSRIs most commonly used to treat PE are sertraline and fluoxetine. Potential complications 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.

How to cope up with breakup issues .I m unable to move on and forget that person.

PDDM, MHA, MBBS
General Physician, Nashik
First of all I'd like to tell you that try to accept the change in life. Accept that past is past and you have to move on. You have to convert the pain, stress and frustration into positive things. Try to find motivation to move up in all what happened to you after break up. It's common to have aggravated depressive and anxiety symptoms after break up but in most individuals these don't last more than 6 months. These symptoms of adjustment disorder usually remit by own. The poor memory, stress and anger are due to lack of focus. To come out of these symptoms stay outdoors as much as possible. This will help you to distract yourself from past. Try to find a new hobby and if possible learn it or complete it. Reading, completing a new course, gym etc are options. Try to find interests in these things. If symptoms are severe and persist then visit a psychiatrist for help. Medicines like SSRIs can help to reduce the depression. Fluoxetine or Escitalopram can be used for short time and will help you to come out of depression. These are safe medicines and can be used without any worries.
1 person found this helpful

Meri problem sex se related hai. Me jab sex karta hu to mera virya dalte hi nikal jata hair.

CCT (UK) General Psychiatry, MD-Psychiatry, MBBS Bachelor of Medicine and Bachelor of Surgery
Psychiatrist, Delhi
Meri problem sex se related hai. Me jab sex karta hu to mera virya dalte hi nikal jata hair.
Preferably, therapy for PE (Premature ejaculation). Should be conducted under the supervision of a health professional trained in sexual dysfunction. Both partners must participate responsibly in the therapeutic program. Treatment of PE requires patience, dedication and commitment by both partners, and the therapist must convey this message to both. The first part of therapy requires both partners to avoid intercourse for a period of several weeks. This period of abstinence is helpful in relieving any troublesome performance anxiety on the part of the man that may interfere with therapy. Behavioral techniques, taught either individually, conjointly, or in groups, are effective in the therapy of PE. A preliminary stage of all treatment is termed "sensate focus" and involves the man's concentration on the process of sexual arousal and orgasm. He should learn each step in the process, most particularly the moment prior to the "point of no return. The sexual partner participates in the process, maintaining an awareness of the patient's sensations and how close he is to ejaculating. At this point, two techniques are commonly used: • The "stop and start" technique. This approach involves sexual stimulation until the man recognizes that he is about to ejaculate. At this time, the stimulation is discontinued for about thirty seconds and then resumed. This sequence of events is repeated until ejaculation is desired by both partners, with stimulation continuing until ejaculation occurs.• The "squeeze" technique. This approach involves sexual stimulation, usually by the sexual partner, until the man recognizes that he is about to ejaculate. At this time stimulation ceases. The patient or his partner gently squeezes the end of the penis at the junction of the glans penis (tip of the penis) with the shaft. The squeezing is continued for several seconds. Sexual stimulation is withheld for about 30 seconds and then resumed. This sequence of events is repeated by the patient alone or with the assistance of his partner until ejaculation is desired. At this point stimulation is continued until the man ejaculates. The patient and his partner should be advised against trying any of the many unproven remedies that are available either over the counter or popularized on the Internet. Certain prescription medications, especially antidepressants that produce delayed ejaculation as a side effect, may be useful as therapeutic adjuncts. Recently, the use of a class of drugs known as selective serotonin receptor inhibitors (SSRIs) has shown promise in the treatment of premature ejaculation. The SSRIs prolong the time it takes the man to ejaculate by as much as 30 minutes. The SSRIs most commonly used to treat PE are sertraline and fluoxetine. Potential complications 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.

Popular Health Tips

Depression - Tips That Will Help You Cope Up!

MD - Psychiatry, MBBS
Psychiatrist, Kolkata
Depression - Tips That Will Help You Cope Up!

Feeling tired all the time? Do you feel that you can’t focus on things anymore? Have you lost interest in things and people you once loved spending time with? Does your temper fly off the hook at the drop of a hat? If it is a ‘yes’ to the questions above, then you might be slowly but steadily succumbing to depression. Depression is a psychological disorder that is characterized by symptoms of extreme sadness, worthlessness and hopelessness over a prolonged period of time.

Symptoms

  1. Lack of Interest: This is probably the starkest of all the symptoms. Hobbies or activities that you used to enjoy once no longer catch your fancy. You do not find little or no pleasure in social activities or any other hobby of yours anymore.
  2. A constant Feeling of Hopelessness: You tend to develop a negative outlook towards life in general, as you feel that the current situation will never get better and will only worsen.
  3. Loss of Appetite: Loss of appetite is a common feature of depression; it can also lead to rapid weight loss. If engulfed by depression, one generally tends to ignore food completely, remain hungry, both of which contribute to the vicious cycle that depression is.
  4. Changes in Sleep Patterns: Insomnia is a condition that is marked by a sheer inability to sleep, no matter how physically exhausted one is. Depression tends to exhibit this particular symptom in maximum cases. However, oversleeping, or sleeping more than the sufficient hours is also common.
  5. Reckless Behavior: Depression makes one more prone to reckless behavior; one generally develops an angry and irritated persona; this in turn, may make one to exhibit reckless and rash behavior.
  6. Lack of Energy and Focus: Depression causes one to feel fatigued and sluggish the entire day. Factors such as a total loss of appetite contribute to this particular symptom. Stemming from these symptoms are two other major occurrences; an inability to focus on anything and an inability to decide on anything.

Self-help, Coping tips and Treatment-

  1. Connect with different people: Being isolated from the rest can and usually aggravates symptoms of depression. So, reach out to other people and your loved ones; talk to your loved ones and try to empty your mind when you are having a one-to-one with them. Interacting and talking to others will make you feel better and should go a long way in taking that huge rock off your chest.
  2. Try to ditch that sedentary lifestyle; go out in the open: An early morning jog can feel daunting at first but the benefits are immense. Exercising regularly has been proven to be as effective as anti-depressants in combatting depression. Even a 20 minutes jog early in the morning releases ‘endorphins’ in the body, also known as the ‘feel good hormones’. These hormones induce a feeling of happiness and relaxation, thus taking your mind off any particular event or circumstance that has been ruining your sanctity of late.
  3. Avoid Alcohol and Drugs: Avoid alcohol and drugs to come out of your sadness; they have never helped and will never help. Taking these substances provides a temporary solution to depression, as it will again show up once the effects of the intoxicants wear off. It will also interfere with other medications that you may be taking to combat depression, thus reducing their potency.
  4. It’s high time you bought the meditating mat: Sleep has a beneficial effect on your mental health as it has been proven to improve memory and other cognitive and brain functions. Another way to improve brain function and be more relaxed is to meditate regularly. Meditation induces a state of relaxation, and if done on a regular basis, can be an effective treatment for depression. Meditation also helps with an improved focus and reduced anxiety.
  5. Medications can always help: Medications such as anti-depressants are administered to treat depression. Selective Serotonin Reuptake Inhibitors (SSRIs), including citalopram, fluoxetine and sertraline are the most commonly administered medications to cure this condition. However, it is advised to try the abovementioned methods first so that you do not have to depend on medications alone; the reason being that these medications do have their fair share of side effects.

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

4460 people found this helpful

Premature Ejaculation - Treatment Options Available For It!

BAMS, PG Diploma (Sexual Therapy), PG Certificate (Cosmetology & Laser Therapy), PG Diploma in sexology, psychosexual medicine, infertility, Fellowship in Sexology, Fellowship in Medical Trichology, Fellowship in Clinical Cosmetology, Advance Medical Skin Aesthetics and Laser, PG Diploma in clinical Cosmetology, PG Diploma in Medical Trichology, Hair Transplant Assistant, OZONE THERAPY, MD-BIO CHEMIC MEDICINE
Sexologist, Kolhapur
Premature Ejaculation - Treatment Options Available For It!

Since long, ailments which can hamper your physical intimacy with your partner are of grave concern and amongst these premature ejaculation tops the list. Thus it is important that you discuss it out with your partner along with a therapist and resolve it through medical help. 

It is important that we understand what is premature ejaculation in order. Premature ejaculation is uncontrolled ejaculation either before or shortly after penetration.It may result in unsatisfactory intercourse for both partners. This can increase the anxiety of that person. It is one of the most common forms of male sexual dysfunction.
 
What are the causes behind PE?
The exact cause of premature ejaculation is unknown, but it's often rooted in physical, psychological, or emotional issues. In some cases, it may be related to a medical cause such as hormonal problems, injury, or a side effect of certain medicines.

Other causes may include:

  • Early experiences with masturbation and sex.
  • Erectile Dysfunction.
  • Relationship problems.
  • Intercourse with a new partner.

What are the symptoms?: The primary symptom of premature ejaculation is the inability to delay ejaculation for more than one minute after penetration. The main symptom is an uncontrolled ejaculation either before or shortly after intercourse begins. Ejaculation occurs before the person wishes it, with minimal sexual stimulation.
 
How it is diagnosed?: Premature ejaculation is diagnosed based on typical symptoms. To understand your problem, your doctor will need to discuss your sexual history with you. Be frank and open. The more your doctor knows, the better he or she can help you.
 
How it is treated?: In many cases premature ejaculation gets better on its own over time. Treatment may not be needed. But there are some serious conditions that need to be treated. If you are suffering from depression you should take medications to remove your depression, such as Paxil (paroxetine), Zoloft (sertraline), and Prozac (fluoxetine).

Practicing relaxation techniques or using distraction methods may help you delay ejaculation. You can try using a condom to reduce sensation to the penis. Or you can try a different position (such as lying on your back) during intercourse.

These therapies may be used together in different combinations to treat premature ejaculation and in turn improve your self-esteem and sex life. Behavioral therapy is one possible approach for treating premature ejaculation. Most commonly, the 'squeeze technique' is used. Some men with premature ejaculation may benefit from drugs called phosphodiesterase inhibitors, such as sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis).

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

3136 people found this helpful

10 Ways To Manage Trichotillomania Effectively!

CIDESCO, DGA, DBT, DBC, MBBS
Trichologist, Mumbai
10 Ways To Manage Trichotillomania Effectively!

Trichotillomania is a condition that urges a person to pull out hair from eyebrow, scalp and other parts of the body. This can lead to bald spots and several other complications in the body. Compulsive hair-pulling often starts in the teenage years.

Trichotillomania coupled with depression can lead to social and work-related impairment in a person. Hair-pulling, therefore, is a serious condition that a person should get rid of. Here is a list of 10 ways to manage trichotillomania effectively:

  1. A plan to stop trichotillomania: It is important to notice when the urge of pulling the hair starts. Once this is being identified, it is time to interrupt the chain of feelings and listen to positive reminders in the head. Keeping a journal to note down the timings of hair-pull can help to identify a pattern. The time chart can then be used to keep one engaged.
  2. Eliminate stress: It has been found that stress plays a pivotal role in hair-pull. It is, therefore, wise to prepare a list of activities that can cause stress. Once the list is prepared, each activity can then be analyzed individually and tackle accordingly. Thus, hair-pulling can be avoided.
  3. Muscle relaxation: This is another method to release stress and refrain from trichotillomania. All it requires is to tighten the muscle for 5 seconds and then make the muscles loose. It reduces muscle tension and relaxes the body.
  4. Think positive: Negative thinking is certainly one reason for hair-pull. Refraining from the fear of failure, negative thinking, too-much critical thinking etc. can help a person stay away from tension and eschew the habit of hair-pull every now and then.
  5. Try Exercise: Various studies have shown that regular exercise regimen can go a long way in cutting down the tendency to pull hair. With exercise, the body produces an increased number of endorphins. The latter is believed to be the hormone that results in positive thinking.
  6. Get sleep: Getting enough sleep is another crucial step towards eliminating Trichotillomania. Eight hours of sleep is crucial for the body to function properly. It fuels the body with enough energy and positive thought to sail through the day without having the urge to pull-hair.
  7. Talk it out: It has been found that talking it out can help a great deal to reduce the tendency of hair-pull. It makes sense to talk to close friends, family, and relatives about the apprehension and other negative news that may be bothering an individual.
  8. Consult a health professional: A doctor is the best bet when the disorder has been persistent for a long time. He can give sound counsel on the ways to cope up with the disorder and chart out a plan to get permanent relief from the condition.
  9. Medication: If a doctor feels that the condition has surpassed the state of habits and lifestyle changes, he might prescribe drugs to reduce the symptoms and get relief from depression, anxiety, fluctuating emotions resulting in less pulling of hair. Some of the common medicines that are prescribed by medical professionals include Olanzapine, Fluoxetine, and Aripiprazole.
  10. Find a support group: For those who are not willing to take a bet on doctors and medications, one best way to eliminate this condition is to join a self-help group. They act as a learning center and can greatly help to cut down the habit of hair-pulling.

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

2756 people found this helpful

Premature Ejaculation (PE)

CCT (UK) General Psychiatry, MD-Psychiatry, MBBS Bachelor of Medicine and Bachelor of Surgery
Psychiatrist, Delhi
Premature Ejaculation (PE)

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.

Causes

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.

Symptoms

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.

Diagnosis

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.

Treatment

  • Preferably, therapy for pe should be conducted under the supervision of a health professional trained in sexual dysfunction. Both partners must participate responsibly in the therapeutic program. Treatment of pe requires patience, dedication and commitment by both partners, and the therapist must convey this message to both. The first part of therapy requires both partners to avoid intercourse for a period of several weeks. This period of abstinence is helpful in relieving any troublesome performance anxiety on the part of the man that may interfere with therapy.
  • Behavioral techniques, taught either individually, conjointly, or in groups, are effective in the therapy of pe. A preliminary stage of all treatment is termed" sensate focus" and involves the man's concentration on the process of sexual arousal and orgasm. He should learn each step in the process, most particularly the moment prior to the" point of no return" the sexual partner participates in the process, maintaining an awareness of the patient's sensations and how close he is to ejaculating. At this point, two techniques are commonly used:
  • • the" stop and start" technique. This approach involves sexual stimulation until the man recognizes that he is about to ejaculate. At this time, the stimulation is discontinued for about thirty seconds and then resumed. This sequence of events is repeated until ejaculation is desired by both partners, with stimulation continuing until ejaculation occurs.• the" squeeze" technique. This approach involves sexual stimulation, usually by the sexual partner, until the man recognizes that he is about to ejaculate. At this time stimulation ceases. The patient or his partner gently squeezes the end of the penis at the junction of the glans penis (tip of the penis) with the shaft. The squeezing is continued for several seconds. Sexual stimulation is withheld for about 30 seconds and then resumed. This sequence of events is repeated by the patient alone or with the assistance of his partner until ejaculation is desired. At this point stimulation is continued until the man ejaculates.
  • The patient and his partner should be advised against trying any of the many unproven remedies that are available either over the counter or popularized on the internet. Certain prescription medications, especially antidepressants that produce delayed ejaculation as a side effect, may be useful as therapeutic adjuncts. Recently, the use of a class of drugs known as selective serotonin receptor inhibitors (ssris) has shown promise in the treatment of premature ejaculation. The ssris prolong the time it takes the man to ejaculate by as much as 30 minutes. The ssris most commonly used to treat pe are sertraline and fluoxetine. 

Potential complications

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.
 

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Homeopathy For Forgetfulness / Memory Loss

BHMS
Homeopath, Navi Mumbai
Homeopathy For Forgetfulness / Memory Loss

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.

Medications.

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)

 

Underactive thyroid

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.

Alcohol.

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.

 

Depression.

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
and study:
Main symptoms :
1) poor memory
2) tiredness
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.
3) dizziness
4) tinnitus
5) weakness
6) if kidney yang is deficient , tongue will be
pale
7) if kidney yin is deficient the tongue will be
red

Treatment principles :
1) tone the kidney
2) nourish essence and marrow

3) Heart deficiency causes

  • Poor memory of past events 
  • Forgetting names 

Main symptoms :

1) poor memory of past events
2) forgetting names
3) absent mindedness
4) tiredness
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

Homeopathic treatment

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.

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