Common Specialities
{{speciality.keyWord}}
Common Issues
{{issue.keyWord}}
Common Treatments
{{treatment.keyWord}}

Lupizep Plus 12.5 Mg/0.5 Mg Tablet Tips

Infantile Spasms - How They Can Be Treated?

Infantile Spasms - How They Can Be Treated?

Infantile spasm is a seizure-related disorder that is witnessed among infants and young children. The average age for getting affected with infantile spasm is four months, but some kids might experience this disorder within a month of the birth. This disease can have a subtle appearance, and as such it is difficult to recognize as a serious condition. While a full seizure in an adult is scary, the one observed among infants can be as little as a minor head drop, along with minor body shakes. This might appear to be that serious, but infantile spasm is more serious as compared to a full body convulsion in adults. Unfortunately, an infant suffering from infantile spasm is at great risk of developmental disability, if the condition is not detected and treated early.

Anticonvulsant Medication:
There are very few medicines that are approved by the FDA for treating infantile spasms. The two medicines that are widely used by doctors include Adrenocorticotropic hormone (ACTH) and Vigabatrin.

  • ACTH: This is the oldest approved medicine by the FDA that was first discovered in the year 1958. This injection needs to be pushed twice in a day. Children tend to gain weight and feel hungry when this injection is injected.
  • Vigabatrin: Vigabatrin is very well tolerated by young kids and has a successful track record of treating infantile spasms. Studies have proven that Vigabatrin can tackle tuberous sclerosis and plays an important role in improving developmental outcome.

Second line therapies:

 

  • Pyridoxine: Dependency on Pyridoxine as a cause of infantile spasm is very rare. High dosage of oral administration of pyridoxine has fetched good results for patients, who do not suffer from pyridoxine related seizures.
  • Valproic acid: Valproic acid has the best anecdotal rate of success. However, doctors do not recommend this medicine for kids less than 2 years of age because of possible complications.
  • Clonazepam: This is one of the earliest non-steroid medicine for the treatment of infantile spasm. Some of the popular medicines used are nitrazepam, benzodiazepines, and clonazepam.
  • Ketogenic Diet: This is a decade old practice that has come back to popularity again. Studies have shown that ketogenic diet can help 20-35 % patients of infantile spasm to keep the condition under control.
  • IVIG: High dosage of IVIG has been reported to be very helpful in tackling infantile spasms. The dosage ranges from 100-200 mg/kg/dose ranging for about 2-3 weeks at stretch.
  • Surgery: The final part of the therapy includes a surgery that removes the abnormal part of the brain. It should only be considered for patients who have not responded to therapies including Vigabatrin and ACTH. It should also be investigated whether the patient has any structural abnormalities of the brain.

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

2846 people found this helpful

Be aware of natural breast enhancement supplements !

Be aware of natural breast enhancement supplements !
Natural breast enhancement supplements doesn't to work, even might have important adverse effects.
Manufacturers use to describe benefits of plant-derived phytoestrogens on breast health. However, no clinical trial have ever demonstrated such benefit. Serious drug interactions are possible with any of these herbs, especially if you take a blood-thinning medication such as warfarin.
Breast enlargement might be a side effect of certain drugs such as estrogen, contraceptive pills, paroxetine, and fluoxetine. But, any of these medications are not approved for breast enhancement.
2 people found this helpful

Myofacial Pain - How To Diagnose It?

Myofacial Pain - How To Diagnose It?

Myofascial pain syndrome or MPS refers to the soft tissue and muscle pain that is often accompanied by inflammation. This chronic condition affects the fascia, which is the connective tissue covering the muscles. MPS is also called referred pain.

Symptoms of Myofascial Pain Syndrome

The symptoms of myofascial pain syndrome are all related to pain:

  • Excruciating pain in the muscles

  • Persistent pain that worsens occasionally

  • Knotty muscles

  • Sleep disturbances due to the pain

  • Difficulty at work or any performance due to the pain

The pain usually originates at a point and spreads to the entire muscle group and surrounding muscle groups, depending on the intensity of the pain. Allowing the pain to stay without treatment might worsen symptoms.

The symptoms give way to sleep disorders and sometimes, Fibromyalgia, that will worsen the symptoms.

Causes of Myofascial Pain Syndrome

Myofascial pain usually occurs due to some kind of injury. It can be strenuous exercise or sports routine, or an injury from an accident. A tendon, ligament, or muscle group injured earlier can develop symptoms of myofascial pain syndrome. Other specific causes include:

  • General fatigue

  • Stomach irritation

  • Heart attack is a risk factor

  • Repetitive Motions

  • Lack of movement of a certain body part

  • Intervertebral disk injury

  • Stress and anxiety are the causes that don’t even need a preexisting physical injury to cause referred pain. But if MPS already exists, stress, anxiety, depression, and other mental health issues can worsen the symptoms.

Diagnosis

The doctor will ask questions about the injury (if any), the mental health condition, the lifestyle or work routine, and about the symptoms and triggers. The doctor will apply pressure on the pain regions to determine the type of pain. It can be any of the following:

  • Active trigger point

  • Dormant trigger point

  • Secondary trigger point

  • Satellite myofascial point

Treatment of Myofascial Pain Syndrome

Treatment of MPS involves a combination of medication, injections at the trigger points, and physical therapy. The doctor will decide which of the three treatment pathways, or which combination is best fitted for the case.

  • Medication: Usually there are three types of medication for referred pain. One is pain relievers containing Ibuprofen or Naproxen Sodium. Some need to be orally consumed and some need to be applied on the skin at the trigger point. The second option for medication includes antidepressants which might be helpful if the pain is chronic and worsens with depression. The third option is sedatives like Clonazepam that helps with stress and insomnia to alleviate the pain symptoms.

  • Therapy: A certified physical therapist will know suitable stretching/massage/posture training exercises to alleviate the symptoms over time. Heat and ultrasound can also be used in therapy to increase blood circulation and promote muscle healing.

  • Needle procedures: Trigger point steroid injection and acupuncture can help alleviate symptoms of MPS.

The symptoms of myofascial pain syndrome take time to reduce. With continued treatment, moderate exercise, some caution to avoid further injuries, and maintenance of healthy posture at all times, even chronic pain can be cured.

It is always advisable to consult a doctor as soon as a person notices any symptoms.



 

4298 people found this helpful

Frequently Asked Questions On Mental Health

Frequently Asked Questions On Mental Health

Frequently Asked Questions on Mental Health:

1. Are mental health problems similar to other health problems? If so, why is there so much stigma about it?

Mental health problems (psychiatric disorders), in one sense, are similar to other diseases like neurological disorders, heart disease, kidney problems etc. Commonly if anyone develops a disease, he or she goes to the concerned doctor immediately. Also he tells other people about the disease.

But if anyone is affected in his mind, he does not tell anybody about it, nor does he go to a doctor. This is because if it is known to others that somebody is having a mental health (psychiatric) problem, our society gives him titles like “mad” or “mental”.

We need to remember that any one of us can be affected in our minds at any point of time. So, each one of us needs to change our attitude towards those innocent people whose mental health is affected. Then only we can take them to the right doctor at the right time and help them.

2. How do people commonly develop mental health problems?

There is no one in the world who does not have any problem. Any person at any time can be affected in his mind through some loss or failure or other problems in life. Some people come out of those difficulties. But some people keep on thinking about the problems and are affected in their minds. There will be neurochemical changes in their brains. And there will be changes in their behaviour, which manifest as mental health problems.

3. What are the common symptoms of mental health problems?

The common symptoms are fear, suspicion, depression, anxiety, stress, sleep problems, suicidal thoughts, hearing voices in the ear when all alone, talking/ muttering/ smiling all alone, violent behaviour, suspecting spouse’s (wife’s or husband’s) fidelity (faithfulness) falsely, other strange experiences and behaviour etc.

People also can have memory problems, problems in food intake, sexual problems, diseases for which no cause could be found, addiction to alcohol, nicotine (smoking), drugs, social media, video games, internet etc., personality disorders, anger control problems, interpersonal conflicts, family problems, marriage related problems, career and job related problems, learning problems, guilt, spiritual conflicts etc. Children and teenagers also can develop behavioural and emotional problems because of various reasons.

4. How should these symptoms be approached?

All of these should be treated promptly and appropriately. Mental health problem is not something to be covered up. One has to take treatment and counselling for mental health problems just like one takes treatment for other diseases. Then it can be controlled effectively.

5. Is mental health so important?

Many of you would be familiar with this famous proverb “Sound mind in a sound body”. It points to the proven fact that our body and mind are so deeply related to each other. If you have problems in your mind like fear and anxiety, it can affect your body by making you physically weak and prone to various bodily illnesses. Likewise if you have physical ailments, it can affect your mental health also. Research shows that many physical disorders are predisposed, precipitated and exacerbated by many mental health problems.

6. People say that if you start taking psychiatric medicines, then you have to take life long. Is it true?

No; not at all. This is a common myth. Once the symptoms become better with medicines and counselling, your Psychiatrist can taper medicines slowly. But, please don’t stop or adjust the dose without Psychiatrist’s advice. If you do that, the symptoms may come back and you may need higher doses of medicines.

7. Are all psychiatric medicines addictive and having serious side effects?

No; not at all. This is another common myth. Only Benzodiazepine group among psychiatric drugs, is addictive. It includes Alprazolam, Diazepam, Nitrazepam, Lorazepam, Clonazepam etc. A good Psychiatrist will prescribe these only if they are really needed for you for controlling severe symptoms, and he will try to taper them at the earliest, so that you do not get addicted to it.

If psychotherapy (counselling) is also given along with medicines, you may need only smaller doses of medicines. A good Psychiatrist will choose a medicine which suits each particular patient so that side effects would be minimum or almost nil. He will always monitor you for any emerging side effect. If needed, he will adjust the dose of medicines, or change over to other medicines with lesser possibility of side effects, or add another medicine to counter the side effects.

15 people found this helpful

Creutzfeldt Jakob Disease!

Creutzfeldt Jakob Disease!

Treatment of Creutzfeldt-Jakob disease

Homeopathic Treatment of Creutzfeldt-Jakob disease
Acupuncture & Acupressure Treatment of Creutzfeldt-Jakob disease
Psychotherapy Treatment of Creutzfeldt-Jakob disease
Conventional / Allopathic Treatment of Creutzfeldt-Jakob disease
Surgical Treatment of Creutzfeldt-Jakob disease
Dietary & Herbal Treatment of Creutzfeldt-Jakob disease
Other Treatment of Creutzfeldt-Jakob disease
What is Creutzfeldt-Jakob disease
Symptoms of Creutzfeldt-Jakob disease
Causes of Creutzfeldt-Jakob disease
Risk factors of Creutzfeldt-Jakob disease
Complications of Creutzfeldt-Jakob disease
Lab Investigations and Diagnosis of Creutzfeldt-Jakob disease
Precautions & Prevention of Creutzfeldt-Jakob disease
Treatment of Creutzfeldt-Jakob disease 

Homeopathic Treatment of Creutzfeldt Jakob Disease

Homeopathy balances mood and relieves complaints like anxiety, depression, insomnia etc. It treats the person as a whole. Treatment is constitutional. It means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition. It balances the energy system, improves immunity and body functions. It naturally cures the root cause of disorder. Some of the homeopathic medicines for treatment of Creutzfeldt Jakob disease are:

Platina
Kali br
Aurum
Ars alb
Kali ars 

Acupuncture and Acupressure Treatment of Creutzfeldt Jakob Disease

Acupuncture has worldwide reputation in treatment of degerative neurological conditions. Therapist will first make acudiagnosis to detect blockage of energy system and will then treat accordingly.

Psychotherapy and Hypnotherapy Treatment of Creutzfeldt Jakob Disease

Psychotherapy and hypnotherapy can play a good supportive role in reducing anxiety, depression, improving sleep and overall emotional state.

Conventional / Allopathic Treatment of Creutzfeldt-Jakob disease

In the allopathic treatment of Creutzfeldt-Jakob disease, Opiate drugs can help relieve pain if it occurs, and the drugs clonazepam and sodium valproate may help relieve symptoms. A catheter can be used to drain urine if the patient cannot control bladder function, and intravenous fluids and artificial feeding also may be used.

What is Creutzfeldt-Jakob disease?

Creutzfeldt-Jakob disease is a degenerative brain disorder. It leads to dementia and, ultimately, death. This disease is rapidly progressive and always fatal. Most patients die within a year.

Symptoms of Creutzfeldt-Jakob disease

Personality changes
Anxiety and Depression
Mood swings
Memory loss
Impaired thinking
Blurred vision
Insomnia
Difficulty speaking
Difficulty swallowing
lack of coordination
Sudden jerky movements

Causes of Creutzfeldt-Jakob disease

The cause of Creutzfeldt-Jakob disease is abnormal versions of a kind of protein called a prion. These proteins are harmless, but when they’re misshapen they become infectious and can wreak havoc on normal biological processes.

Risk factors of Creutzfeldt-Jakob disease

Around the age of 60
Genetics
Exposure to contaminated tissue

Complications of Creutzfeldt-Jakob disease

Infection
Heart failure
Respiratory failure 

Diagnosis of Creutzfeldt-Jakob disease

Diagnosis of Creutzfeldt-Jakob disease involves the following tests:

Medical and personal history
Neurological exam
Electroencephalogram (EEG)
Magnetic resonance imaging (MRI)
Spinal fluid tests
Tonsil biopsy

Premature Ejaculation Treatment

Premature Ejaculation Treatment

Premature ejaculation - medicines:
You can take:

1. Dapoxetine 30 mg. Tab.
Trade names:
Duralast.
Dasutra.
Sustinex 
Dapox
Durlast
Ejalong
Kutub 
Take one tablet 1-3 hours before you have sex.
Side effects: 
Feeling dizzy or faint, and feeling sick. 
Drinking a full glass of water at the same time as taking the tablet can reduce these effects.

2. Paroxetine 12.5mg, one tablet after food for a month at night. 

The brand names:
Perolight 12.5 mg

Parocin cr 12.5 mg.
Side effects:
Vision changes;
Weakness,
Drowsiness,
Dizziness;
Sweating
Anxiety
Shaking;
Sleep problems (insomnia);
Loss of appetite, constipation;
Dry mouth,
Yawning; or.
Decreased sex drive, impotence or difficulty having an orgasm.

3. Lignocaine jelly (xylocaine) 2%:
Apply over glans penis (head of penis) 10 minutes prior to the intercourse to delay ejaculation. 
 
If medicines are not effective then, we can try other techniques.

51 people found this helpful

Medical Therapy For Premature Ejaculation!

Medical Therapy For Premature Ejaculation!

How to manage premature ejaculation - part 4, medical treatment options

As discussed earlier, premature ejaculation (pe) occurs when a man reaches the peak of sexual excitement and ejaculates before he wants it to happen. When pe interferes with the sexual pleasure of a man or his partner, it becomes a medical problem.

Several factors such as psychological problems (eg. Anxiety), penile hypersensitivity, habituation of quick sex / masturbation, alcohol abuse, hormonal imbalance (e. G. Thyroid problem), and even genetic problems may cause pe.

Medical (allopathic) therapy for pe treatment:

Drugs used for the management of pe reduce sensitivity and anxiety, improve blood flow or even affect some chemical mediators present in the brain. These classes of drugs include local anaesthetics, antidepressants, and phosphodiesterase 5 inhibitors.

Anaesthetic compounds were the first medical treatment proposed for pe management. They were applied topically to the surface of the skin. Lidocaine-prilocaine sprays or creams decrease the sensation of the penis and increase the time taken to ejaculate during vaginal penetration. These sprays / creams are applied 10 to 20 minutes prior to sexual activity. Side effects of topical agents include partial loss of sensation of the penis, absorption in vagina resulting in vaginal numbness and irritation.

Treatment medications include selective serotonin reuptake inhibitors (ssris), which interact with a receptor (5-ht2c) present in brain and increases the production of serotonin. They also help in reducing anxiety and depression associated with pe. Through this mechanism, they prolong the time to reach ejaculation.

Several ssris have increasingly become used as" off-label" for pe. Among the available ssris, paroxetine and dapoxetine are more beneficial with lesser side effects as compared to other ssris. These medications are associated with sexual side effects including decreased fertility and erectile dysfunction. Dapoxetine is a recent ssri which acts quickly and cleared rapidly from the body. Adverse effects with ssris are usually minor and include fatigue, mild nausea, loose stools and sweating. Other side effects may include decreased sexual urge and increased tendency to suicide, especially with long-term paroxetine.


Another potential treatment option for pe are classes of medications which increase the blood flow by dilating the blood vessels of the penile region and prolong the ejaculation time (phosphodiesterase 5 inhibitors). But a headache, dizziness, flushing, body aches associated with them have limited their use in pe.

At present, clinicians need to consider all treatment modalities when evaluating a man with pe, as each patient may respond differently and experience variable side effects. Additional and more effective therapies need to be developed having least side effects.

Ayurvedic therapy for pe treatment:

Vajikaran in Ayurveda is an important treatment modality which increases sexual capacity and improves health. In Sanskrit, vaji means horse, the symbol of sexual potency and performance thus vajikaran means producing a horse's vigor, particularly the animal's great capacity for sexual activity in the individual. Vajikaran therapy reenergizes all the seven dhatus (body elements) and restores equilibrium and health. It also offers a solution to minimize the shukra (sperm and ovum) defects.

There are many formulations which are used in vajikaran. Some of the commonly used formulations include vrihani gutika, vrishya gutika, vajikaranam ghritam and upatyakari shashtikadi gutika. Vrihani gutika is one of the potent formulations while vrishya gutika is highly potent aphrodisiac used in the treatment of pe. Vajikaranam ghritam enhances the strength of penis. Upatyakari shashtikadi gutika is useful for the enhancement of the fertility.

Also, chapdraprabha vati and kaunch pak are known to increase sexual vigor and semen consistency, thereby helping to prolong ejaculation time and sex pleasure. If you wish to discuss about any specific problem, you can consult a Sexologist.

5454 people found this helpful

How to Manage Premature Ejaculation? Medical Treatment Options

How to Manage Premature Ejaculation? Medical Treatment Options

As discussed earlier, premature ejaculation (pe) occurs when a man reaches the peak of sexual excitement and ejaculates before he wants it to happen. When pe interferes with the sexual pleasure of a man or his partner, it becomes a medical problem.

Several factors such as psychological problems (eg. Anxiety), penile hypersensitivity, habituation of quick sex / masturbation, alcohol abuse, hormonal imbalance (e. G. Thyroid problem), and even genetic problems may cause pe.

Medical (allopathic) therapy for pe treatment:

Drugs used for the management of pe reduce sensitivity and anxiety, improve blood flow or even affect some chemical mediators present in the brain. These classes of drugs include local anaesthetics, antidepressants, and phosphodiesterase 5 inhibitors.

Anaesthetic compounds were the first medical treatment proposed for pe management. They were applied topically to the surface of the skin. Lidocaine-prilocaine sprays or creams decrease the sensation of the penis and increase the time taken to ejaculate during vaginal penetration. These sprays / creams are applied 10 to 20 minutes prior to sexual activity. Side effects of topical agents include partial loss of sensation of the penis, absorption in vagina resulting in vaginal numbness and irritation.

Treatment medications include selective serotonin reuptake inhibitors (ssris), which interact with a receptor (5-ht2c) present in brain and increases the production of serotonin. They also help in reducing anxiety and depression associated with pe. Through this mechanism, they prolong the time to reach ejaculation.

Several ssris have increasingly become used as" off-label" for pe. Among the available ssris, paroxetine and dapoxetine are more beneficial with lesser side effects as compared to other ssris. These medications are associated with sexual side effects including decreased fertility and erectile dysfunction. Dapoxetine is a recent ssri which acts quickly and cleared rapidly from the body. Adverse effects with ssris are usually minor and include fatigue, mild nausea, loose stools and sweating. Other side effects may include decreased sexual urge and increased tendency to suicide, especially with long-term paroxetine.


Another potential treatment option for pe are classes of medications which increase the blood flow by dilating the blood vessels of the penile region and prolong the ejaculation time (phosphodiesterase 5 inhibitors). But a headache, dizziness, flushing, body aches associated with them have limited their use in pe.

At present, clinicians need to consider all treatment modalities when evaluating a man with pe, as each patient may respond differently and experience variable side effects. Additional and more effective therapies need to be developed having least side effects.

Ayurvedic therapy for pe treatment:

Vajikaran in Ayurveda is an important treatment modality which increases sexual capacity and improves health. In Sanskrit, vaji means horse, the symbol of sexual potency and performance thus vajikaran means producing a horse's vigor, particularly the animal's great capacity for sexual activity in the individual. Vajikaran therapy reenergizes all the seven dhatus (body elements) and restores equilibrium and health. It also offers a solution to minimize the shukra (sperm and ovum) defects.

There are many formulations which are used in vajikaran. Some of the commonly used formulations include vrihani gutika, vrishya gutika, vajikaranam ghritam and upatyakari shashtikadi gutika. Vrihani gutika is one of the potent formulations while vrishya gutika is highly potent aphrodisiac used in the treatment of pe. Vajikaranam ghritam enhances the strength of penis. Upatyakari shashtikadi gutika is useful for the enhancement of the fertility.

Also, chapdraprabha vati and kaunch pak are known to increase sexual vigor and semen consistency, thereby helping to prolong ejaculation time and sex pleasure.

3591 people found this helpful

All You Need to Know About Premature Ejaculation Part - 4

All You Need to Know About Premature Ejaculation Part - 4

My last article gave insight on the non-medical methods of controlling premature ejaculation Now, as a wrap up on this topic, I will highlight the options of medical treatments available for managing P.E. However, take it as a warning that you must consult a doctor before trying out any of these methods and medicines, because more often than not, such drugs and medicines have their side effects that can adversely bother your health.

By now we know that Premature ejaculation (PE) occurs when a man reaches peak of sexual excitement and ejaculates before he actually wants it to happen, thus, leaving his partner deprived of the sexual pleasure that she deserves. Even the most empathetic female partner would not like his man to leave her unsatisfied in bed.  Sooner or later this problem becomes a medical problem, reduces the warmth in their relationship.

Several factors including psychological problems such as anxiety; biological problem like penile hypersensitivity, hormonal imbalance (e.g. thyroid problem); behavioural problem like, habituation of quick sex/masturbation, etc may be held responsible for causing PE.

Medical (Allopathic) therapy for PE treatment:

Drugs used for managing premature ejaculation reduce sensitivity and anxiety, improve blood flow and even affect some chemical mediators present in the brain. These class of drugs include local anaesthetics, antidepressants and phosphodiesterase-5 inhibitors.

Anaesthetic compounds were the first medical treatment proposed for PE management. They were applied topically to the surface of skin. Lidocaine-prilocaine sprays or creams decrease the sensation of the penis and increase the time taken to ejaculate during vaginal penetration. These sprays/ creams are applied 10 to 20 minutes prior to sexual activity. Side effects of topical agents include partial loss of sensation of penis, absorption in vagina resulting in vaginal numbness and irritation.

Earlier agents like Alpha Amino Benzoate and Phenoxybenzamine were used to prolong duration of intercourse, but they were associated with severe side effects.

It has been found that Serotonin (a chemical in brain) levels were deficient in PE patients. Treatment medications include Selective Serotonin Reuptake Inhibitors (SSRIs), which interact with a receptor (5-HT2C) present in brain and increases the production of Serotonin. They also help in reducing anxiety and depression associated with PE. Through this mechanism, they prolong the time to reach ejaculation. Several SSRIs have increasingly become used as 'off-label' for PE.

Among the available SSRIs, Paroxetine-Dapoxetine is more beneficial with lesser side effects as compared to other SSRIs. These medications are associated with sexual side effects including decreased fertility and erectile dysfunction. Dapoxetine is a recent SSRI which acts quickly and cleared rapidly from the body. Adverse effects with SSRIs are usually minor and include fatigue, mild nausea, loose stools and sweating. Other side effects may include decreased sexual urge and increased tendency to suicide, especially with long-term use of Paroxetine.

Another potential medical treatment option for PE are class of medications which increase the blood flow by dilating the blood vessels of penile region and prolong the PE. But headache, dizziness, flushing, body-ache associated with them have limited their use in PE.

At present, clinicians need to consider all treatment modalities when evaluating a man with PE, as each patient may respond differently and experience variable side effects. Additional and more effective therapies need to be developed having least side effects.

Ayurvedic therapy for PE treatment:

Vajikaran in Ayurveda is an important treatment modality which increases sexual capacity and improves health. In Sanskrit, Vaji means horse, the symbol of sexual potency and performance thus Vajikaran means producing a horse's vigour, particularly the animal's great capacity for sexual activity in the individual. Vajikaran therapy reenergizes all the seven dhatus (body elements), and restores equilibrium and health. It also offers a solution to minimize the shukra (sperm and ovum) defects.

There are many formulations which are used in Vajikaran. Some of the commonly used formulations include Vrihani GutikaVrishya Gutika, Vajikaranam Ghritam and Upatyakari Shashtikadi Gutika.

Vrihani Gutika is one of the potent formulations while Vrishya Gutika is highly potent aphrodisiac used in treatment of PE. Vajikaranam Ghritam enhances the strength of penis. Upatyakari Shashtikadi Gutika is useful for the enhancement of the fertility.

Also, Chapdraprabha Vati and Kaunch Pak are known to increase sexual vigour and semen consistency by helping in increasing the sexual timing.

So, with this concluding article, I wrap up my knowledge and experience in treating patients suffering from premature ejaculation.  Take care, and stay healthy! If you wish to discuss about any specific problem, you can consult a sexologist.

6220 people found this helpful

Knowing Premature Ejaculation - PART 4: Treatment Options

Knowing Premature Ejaculation - PART 4: Treatment Options

How to manage premature ejaculation - part 4, medical treatment options

As discussed earlier, premature ejaculation (pe) occurs when a man reaches the peak of sexual excitement and ejaculates before he wants it to happen. When pe interferes with the sexual pleasure of a man or his partner, it becomes a medical problem.

Several factors such as psychological problems (eg. Anxiety), penile hypersensitivity, habituation of quick sex / masturbation, alcohol abuse, hormonal imbalance (e. G. Thyroid problem), and even genetic problems may cause pe.

Medical (allopathic) therapy for pe treatment:

Drugs used for the management of pe reduce sensitivity and anxiety, improve blood flow or even affect some chemical mediators present in the brain. These classes of drugs include local anaesthetics, antidepressants, and phosphodiesterase 5 inhibitors.

Anaesthetic compounds were the first medical treatment proposed for pe management. They were applied topically to the surface of the skin. Lidocaine-prilocaine sprays or creams decrease the sensation of the penis and increase the time taken to ejaculate during vaginal penetration. These sprays / creams are applied 10 to 20 minutes prior to sexual activity. Side effects of topical agents include partial loss of sensation of the penis, absorption in vagina resulting in vaginal numbness and irritation.

Treatment medications include selective serotonin reuptake inhibitors (ssris), which interact with a receptor (5-ht2c) present in brain and increases the production of serotonin. They also help in reducing anxiety and depression associated with pe. Through this mechanism, they prolong the time to reach ejaculation.

Several ssris have increasingly become used as" off-label" for pe. Among the available ssris, paroxetine and dapoxetine are more beneficial with lesser side effects as compared to other ssris. These medications are associated with sexual side effects including decreased fertility and erectile dysfunction. Dapoxetine is a recent ssri which acts quickly and cleared rapidly from the body. Adverse effects with ssris are usually minor and include fatigue, mild nausea, loose stools and sweating. Other side effects may include decreased sexual urge and increased tendency to suicide, especially with long-term paroxetine.


Another potential treatment option for pe are classes of medications which increase the blood flow by dilating the blood vessels of the penile region and prolong the ejaculation time (phosphodiesterase 5 inhibitors). But a headache, dizziness, flushing, body aches associated with them have limited their use in pe.

At present, clinicians need to consider all treatment modalities when evaluating a man with pe, as each patient may respond differently and experience variable side effects. Additional and more effective therapies need to be developed having least side effects.

Ayurvedic therapy for pe treatment:

Vajikaran in Ayurveda is an important treatment modality which increases sexual capacity and improves health. In Sanskrit, vaji means horse, the symbol of sexual potency and performance thus vajikaran means producing a horse's vigor, particularly the animal's great capacity for sexual activity in the individual. Vajikaran therapy reenergizes all the seven dhatus (body elements) and restores equilibrium and health. It also offers a solution to minimize the shukra (sperm and ovum) defects.

There are many formulations which are used in vajikaran. Some of the commonly used formulations include vrihani gutika, vrishya gutika, vajikaranam ghritam and upatyakari shashtikadi gutika. Vrihani gutika is one of the potent formulations while vrishya gutika is highly potent aphrodisiac used in the treatment of pe. Vajikaranam ghritam enhances the strength of penis. Upatyakari shashtikadi gutika is useful for the enhancement of the fertility.

Also, chapdraprabha vati and kaunch pak are known to increase sexual vigor and semen consistency, thereby helping to prolong ejaculation time and sex pleasure.

'consult'.

Related Tip: Knowing Premature Ejaculation - PART 3: Management and Techniques (Non-medical methods)

4017 people found this helpful