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Lavotears 0.5% Eye Drops Tips

Dr.Jyothy K 87% (17ratings)
M Derm, Diploma in Venerology & Dermatology (DVD)
Dermatologist, Coimbatore
NAIL COSMETICS -HOW SAFE ARE THEY?
Nails protect the tip of the fingers and greatly help in the appreciation of fine touch and aids in picking up of small objects. Moreover they add to the beauty of the hands. People take great care to maintain the looks of nails. Nail cosmetics are used to enhance nails’ appearance & beauty and to disguise unsightly nail conditions.

What we do not realize is, there is always a health risk while using these products;

Nail polish : Also called nail lacquer, consists of enamel, top coats and base coats either separately or combined in one product. Nail polish contain 30% solids and 70% solvent ingredients.
The usual ingredients are

cellulose film formers
Resins
Plasticizers
Suspending agents
Solvents and diluents
Color substances.

Pearls or frosts are produced by bismuth oxychloride and titanium dioxide coated with mica and guanine. Nail polishes can produce allergic reactions which can develop in any part of the body. The commonest areas being eyelids, lower half of the face, neck and upper chest. Nail polish dermatitis can occur in user’s partner or other close contacts. The most common allergen is tosylamide formaldehyde resin.

Nail plate staining (yellow/orange) occurs on repeated applications and the dyes may penetrate deeply. Nails may become friable if the lacquer is left on the nails for many weeks.

Nail polish removers : Usually made up of various solvents such as acetone. They may cause excessive dryness of the nail plate.

Cuticle removers : 0.4% sodium or potassium hydroxide is used as lotions or gels as cuticle removers. 1-5% lactic acid cream is also used.

Nail hardeners : Nails are thickened with tissue fixatives such as formaldehyde but they are notorious to produce pain, bleeding under the nails, bluish discoloration of nails and are no longer preferred.

Preformed plastic nails : These are prosthetic nails which can be fixed to the nails with cyanoacrylate adhesives. It can be trimmed to fit the fingertip. If they are kept for 3-4 days it can cause nail damage and discoloration. Sometimes allergic reactions can also occur at distant places.
Other nail cosmetic products include nail cream, nail whitener, nail mending kits, silicone rubber nail prosthesis, buffing creams etc. Always consult a dermatologist in case of any allergies or nail changes to get the proper advice and treatment.
4 people found this helpful

National Nutrition Week - Simple Ways To Prevent Nutritional Deficiency!

Dr.Sanjeev Kumar Singh 92% (193ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurvedic Doctor, Lakhimpur Kheri
National Nutrition Week - Simple Ways To Prevent Nutritional Deficiency!

The first week of September is observed as the National Nutrition Week to spread awareness about the pitfalls of nutritional deficiencies and how to address them. To spread awareness about this silent and unnoticed epidemic, National Nutrition Week is observed between 1st and 7th September.
Nutritional deficiency is a silent killer, especially in the present-day setting where several cannot afford a balanced meal, and many are giving into fad diet trends. This combined with the increasingly common sedentary lifestyle choices and lack of awareness about nutritional requirements paint a rather bleak picture of the prevalence of nutritional deficiencies. Combatting nutritional deficiency requires awareness. To achieve objectives of controlling rampant nutritional deficiencies, the first week of September is observed as the National Nutrition Week. To protect yourself from the common nutritional deficiencies, here is a list of simple things you can do.

  1. Find out more about the common nutritional deficiencies - Common nutritional deficiencies arise out of diets that are not balanced in the major food groups. These food groups include carbohydrates, proteins, fats, vitamins, and minerals. A little research into the common deficiencies shows a deficiency of either vitamins or minerals. Include lots of fruits, vegetables, and supplements if absolutely necessary in your daily diet. Talk to a dietician about your daily diet and ensure you are on the right path. After all, knowledge is power.

  2. Don’t miss out on the essential fats - Speaking of food groups, fats are the one is the single most avoided food group. However, it is important to know that not all fats are bad. In fact, it is vital for the proper functioning of the brain. Include more polyunsaturated fatty acids and Omega3 fatty acids in your diet. Fish and fish oil are the best source. Other options include avocadoes, almonds, coconut oil, etc.

  3. Include fibres - Another overlooked food group contains fibres or the indigestible part of fruits and vegetable, mostly consisting of cellulose. They are incredibly important for the health of the intestine. Other than this, they can reduce the risk of Type 2 diabetes and protect the body from jumps in the insulin level after consuming sugary food.

  4. Antioxidants are essential - Antioxidants found richly in bright and colourful fruits and berries and dark green vegetables. Among their several benefits, they protect the cells from oxidative damages caused by disease-causing germs and blocks cancer cells.

  5. Organic over processed - Natural and organic food is superior in its nutrition content but also free from toxic pesticides and fertilizers. Additionally, they are rich in vitamins, minerals and fibres often lost in the processing and packaging of the food.

  6. Chose unpolished over polished - The kernel found in unpolished and unprocessed food grains is a rich source of protein and fibre. Brown rice, oats, barley, unprocessed wheat or atta, and bulgur contain the nutrient-rich part of the staples that are otherwise discarded by all the processing.

Your body is your temple and it requires proper care and attention to what you put in it. Adopting these simple habits can ensure a healthy and balanced long life without the burden of diseases.

1 person found this helpful

Cholesterol And Lipid Profile - All You Should Know!

Dr.Rajiv Bajaj 94% (2923ratings)
MBBS, MD - Internal Medicine, DM - Cardiology, Fellowship in EP
Cardiologist, Delhi
Cholesterol And Lipid Profile - All You Should Know!

Cholesterol

Cholesterol is a building block of animals. We have only one type of cholesterol, just as we have one type of water. Animals can walk, swim or fly because their cells have cholesterol. Plants have cellulose instead of cholesterol. It makes them immobile. Everything of every animal, including hair, nails, bone, blood, eggs, meat, skin, wing, milk, etc. always contains cholesterol; and everything obtained from plants is always ‘zero cholesterol’.

Most of our cholesterol is manufactured by our cells. We can get some from food. Our livers can easily excrete excess in bile. Food cholesterol does not raise the blood levels just as buying shirts does not lead to wearing two together.

Triglycerides

Cholesterol does not dissolve in water, so it is called a lipid or fat. Triglyceride is another important lipid. Oil, ghee and meat-fat are mostly triglycerides. Body uses them as fuel. Triglycerides from food enter blood directly as chylomicrons. Other foods go first to liver, and are converted to triglycerides for circulation.

Lipoproteins

Since lipids are insoluble in blood, they are transported with proteins as ‘lipo-proteins’. We have LDL, HDL, and chylomicrons. All lipoproteins contain a mixture of various proteins, fats, and other insoluble substances.

LDL and HDL are made in the liver. Fresh LDL and HDL keep entering the blood, and old lipoproteins are continuously removed. Lipoproteins trap all insoluble dirt, including broken cells and bacterial toxins, and keep our blood vessels clean and healthy. LDL and HDL work together, like mop and bucket. The liver has Kuppfer cells for safely disposing of the toxins they collect and bring.

Our blood has more toxins during illnesses, and more lipoproteins get consumed; blood levels, therefore, drop in every illness. High levels, therefore, predict good health and longer lifespan, but there are exceptions to this rule. Sometimes, there is accumulation of old toxin-filled lipoproteins in blood. Egs: In familial hypercholesterolemia clearance of old LDL by liver is slow. Similarly, alcohol slows removal of HDL; torcetrapib prevents HDL-LDL cooperation. In such situations, high levels of LDL or HDL increase blockages.

Statin medicines help by clearing old LDL from blood, but most lipid medicines just change the blood report without improving health.

Cholesterol and Blockages

Food cholesterol has virtually nothing to do with blockages. Blockages occur because of modern lifestyle. Unlike pre-modern hunter-gatherers who fed on forest foods, we eat a high glucose agricultural diet. Thankfully, our liver does not allow too much glucose into the blood, otherwise, our blood glucose would shoot up to over one thousand after every meal! The liver converts sugars into triglycerides and circulates them as VLDL.

Modern diets keep the liver busy manufacturing triglycerides from glucose; this predisposes us to diabetes and fatty liver. Fasting triglycerides should be less than 150. Higher values suggest that the diet contains too much glucose or alcohol.

Glucose damages artery endothelium, and also changes our LDL to small dense LDL. The cholesterol inside blockages comes from harmful, small dense LDL.

Lipid Profile

Lipid Profiles ‘tests’ are quite popular, but not very helpful. Lipid Profiles have poor predictive value.

The lipids we measure are mostly from liver, not food. Cholesterol, triglycerides and HDL are measured. All the other numbers are usually arithmetic. E.g.: VLDL is triglycerides divided by 5. Additional measurements like apo A, B, Lp(a) etc. do not help much.

Cholesterol levels below 300 are normal. Levels persistently above 300 (or LDL levels above 220) suggest familial hypercholesterolemia. Much lower levels of cholesterol and LDL are presently advocated. The dangerous cholesterol levels have been changed from 350 to 270, 250, 220, 200, 170, 150 etc.; and safe level of LDL is being continuously reduced. These recommendations are motivated. In 1945, a heart disease scare was started in the USA. Large research programs were rolled out to ‘find the cause’ of the ‘number 1 killer’, and they promoted the cholesterol theory the whole world now believes.

High Triglycerides and low HDL is called atherogenic dyslipidemia (blockage causing lipid abnormality). Focus on these for protecting health. They usually stay perfect with a diet low in sugar, starch and alcohol.

Summary

Cholesterol is present in animal bodies for the same reason that wood is present in plants. LDL and HDL are two types of blood cleaning lipoproteins; they are not two types of cholesterol. Both these are good and essential for health. High triglycerides and low HDL are the commonest abnormalities in people prone to heart attacks. These improve with low glucose/fructose diet or exercise. Cholesterol found in blockages is not food cholesterol, it is small dense LDL. Blockages are caused by glucose-rich diets.

2079 people found this helpful

Diabetes & Its Homeopathic Medication!

Dr.Tanoy Bose 91% (200ratings)
EULAR certificate for Rheumatic Diseases, MD, Diploma in Echocardiography, Diploma in Rheumatology
Internal Medicine Specialist, Kolkata
Diabetes & Its Homeopathic Medication!

Diabetes is a state of persistent high blood sugar either due to lack of the hormone called insulin or resistance to the action of insulin even if it is somewhat adequate. Few basic points for the readers before we delve into how the medicines act in controlling blood sugar.

1. Type 1 Diabetes occurs in children or adults aged less than 30 years. It is due to the complete destruction of the insulin-producing cells of the pancreas. (these patients will need external insulin for survival as there is NO insulin in the body)

2. Type 2 Diabetes occurs in adults usually over the age of 30 years and it appears after 80% of the insulin-producing cells of the pancreas are destroyed. (Since there is some amount of insulin in the body, these patients respond to medicines)

3. Insulin helps the glucose in the blood to be pushed inside the cells of different organs especially liver and muscles and thus decrease the blood glucose levels.

4. Type 2 Diabetes patients often suffer insulin resistance, which means, whatever insulin they have in them, is unable to perform to its best due to obesity , extra fats in the tissues and other hormonal dysregulation. Drugs that help to overcome insulin resistance can help in the control of blood sugar without external insulin.

Now let's discuss the medications in brief. 

1. Metformin:

  • This medicine acts by overcoming insulin resistance. Since it simply helps our endogenous insulin (our own residual insulin) to act in its full potential, the chances of fall in blood sugar below 70mg/dL (Called Hypoglycemia) is practically ZERO.
  • The maximum dose is 2500mg per day in divided doses
  • Side effects are gastritis, acidity, flatulence and diarrhoea. Rarely we get cases of Vitamin B12 deficiency.
  • Can be combined with any medication used for Diabetes
  • Cannot be used in patients with Kidney Disease (Create >1.5mg/dL), Heart Failure, Immediately after a heart attack or complicated septicemia.
  • Safe in pregnancy.
  • Due to their unique action in overcoming insulin resistance, they are used in females who suffer from Polycystic Ovarian Disease (as they also do have insulin resistance)

2. Glimepiride/Gliclazide/Glibenclamide/Glipizide/Glyburide/Repaglinide:

  • Yes, they sound similar and they belong to the same family of drugs called Sulfonylureas
  • They can directly stimulate the release of endogenous insulin from the pancreas into the blood which in turn controls the blood sugar.
  • Yes, they are notorious to cause hypoglycemia as the amount of insulin released due to the use of these drugs does not always tally mathematically with the dose administered.
  • Chances of Hypoglycemia increases with higher doses, delay in meal timings, excessive exercises, alcoholism, kidney diseases, concomitant use with external insulin and fasting. The crucial times when hypoglycemia occurs are before breakfast, before lunch, before dinner and around 3 to 4 hours after lunch.
  • They can be combined with metformin and other antidiabetic medicines too.
  • They can cause mild weight gain due to the action of the released insulin.

3. Pioglitazone:

  • This one acts similar to metformin and helps in overcoming the resistance to the action of our endogenous insulin.
  • Since they cause accumulation of fluids in the body, they are not indicated in patients suffering from Chronic Heart Failure, Chronic Liver Failure or any volume overload states.
  • There has been speculation for development of urinary bladder cancer which resulted in discontinuation of this drug, however, the incidence is so low, the drug has been reinstated.
  • The dose ranges from 15mg to 30mg/day often combined with metformin.

4. Acarbose/Voglibose:

  • These medicines have a unique mechanism of action. They act in the intestine where they prevent the complex carbohydrates  to be broken down into simple glucose before being absorbed into the blood from our gut. For a clearer conception, whatever we eat, is actually digested by the enzymes in our intestine to the simplest form e.g Cellulose is digested into Glucose and then they are absorbed into the blood. Complex carbohydrates cannot be absorbed into a blood unless they are digested first.
  • This unique mechanism of action causes excess complex carbohydrates remaining undigested and this bulk reach the colon where they are acted upon by colonic bacteria. This causes excessive flatulence - one of the known side effects of these drugs.
  • Point to be noted: In a situation, a patient consuming these drugs suffers hypoglycemia, they should be provided oral glucose to increase the blood sugar. Even a piece of chocolate or sweet might contain a significant amount of sweetening carbohydrates which actually is complex in nature and will not breakdown to glucose in the intestine due to these medicines.
  • They are often used to control patients who tend to have higher blood sugar values after meals (Raised PP Sugar)

5. Gliptins: (Teneligliptin, sitagliptin, saxagliptin, linagliptin, vildaglitpin)-

  • They have a unique mechanism of action and is a bit complicated. They act in the intestine where they can sense what amount of carbohydrate load is being consumed in the diet. This sensing then is transmitted to the insulin-releasing cells of the pancreas and an exact amount of insulin is released that is necessary to control the transient rise in blood sugar after meals.
  • They do not have the propensity to cause hypoglycemia even in a fasting state.
  • No significant adverse effects of concern have been reported.
  • They are costlier that the medicines mentioned above.
  • Some of them cannot be used in patients with kidney disease. Linagliptin is safe in this regard.
  • Few instances of acute pancreatitis have been reported.

6. Glifosins : (empraglifosin/ dapaglifosin/ empaglifosin)-

  • These are the latest drugs in the armamentarium of management of Diabetes. They are costly and effective
  • Normal urine is basically an ultrafiltrate of our blood which is filtered and formed in the kidneys. The kidney actually filters all excretory products of metabolism from the blood e.g. Urea, Creatinine Uric Acid, Calcium, Organic Acids, and excess water. Interestingly some useful products are also primarily filtered but later they are reabsorbed in the blood eg. Glucose, SodiumPotassium, etc.
  • These medicines prevent the reabsorption of the Glucose after it is primarily filtered from the blood during the formation of the urine. Thus the glucose which is filtered never returns to the blood and is lost by the urine
  • These medications cause weight loss. Yes, they do. Around 5 to 6 Kgs over a period of 3 to 6 months have been reported.
  • Since the urine becomes rich is glucose concentration, one important adverse effects of these medications are dehydration and recurrent urinary tract infection. Both are more common in elderly women. Some might also complain of repeated perivaginal itching which is due to increased bacterial growth due to high sugar content in the urine
  • Volumes of water are recommended for regular consumption when somebody is on this medication


This is just a summary of the oral medications available for the management of Type 2 Diabetes Mellitus. Few points for the readers.

1. Usually, treatment is started with metformin and the dose is gradually increased up to the maximum dose or up to the level of tolerance.

2. The next medicine that is added in case the blood sugar is just out of the range is Pioglitazone, however, in case the blood sugar is significantly high, doctors prefer to add the Sulfonylureas (Glimiperide /Glicazide, etc).

3. Ideal treatment should address insulin resistance first and then target insulin release.

4. Gliptins are the third line drugs or can be used just after metformin is maximized depending on the patients' profile and doctors evaluation.

5. Sometimes Voglibose and Acarbose are used just before the meals to control the disproportionate high postprandial blood sugars in a situation when the fasting is well under control.

6. Caution regarding Hypoglycemia should always be observed when a patient is on the Sulfonylurea group of medications. Keep 2 to 3 packs of sugar along with.

7. Use of gliosis is often restricted due to its cost else, it is a fantastic medicine to lose weight.

5077 people found this helpful

Avoid The Ban Medicines To Be Safe

Dr.Sumit Gupta 87% (17ratings)
BHMS
Homeopathy Doctor, Singrauli
Avoid The Ban Medicines To Be Safe

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

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

Avoid this combinations and be safe.

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