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Overview

R-Ppi-L 75Mg/20Mg Capsule

R-Ppi-L 75Mg/20Mg Capsule

Manufacturer: Blue Cross Laboratories Ltd
Medicine composition: Levosulpiride, Rabeprazole
Prescription vs.OTC: Prescription by Doctor required

R-Ppi-L 75Mg/20Mg Capsule falls under a class of medication known as antipsychotic (also familiar as neuroleptics or tranquilizers) medicines. It is mainly used for mental disorders such as hallucinations, schizophrenia, bipolar disorder, anxiety disorder, vertigo and irritable bowel syndrome. Recently it has also come to be used in the treatment of premature ejaculation as it is believed to be a cause of both psychological as well as organic shortcomings.

On using R-Ppi-L 75Mg/20Mg Capsule the associated side effects that you may suffer from are lightheadedness, insomnia, irregular menstrual periods, fatigue, abdominal pain, drowsiness, lowered sexual desire, rapid or irregular heartbeat. In certain severe cases you may experience fever, uncontrollable sweating, gynecomastia (a disorder of the endocrine system where there is an enlargement of the male breast size). In the latter case it will be necessary for you to seek medical attention. Before using this medication it is advised that you consult your doctor and tell him/her if you:

  • Are pregnant, or are planning to become pregnant.
  • Are nursing a baby. In case of absolute necessity of using R-Ppi-L 75Mg/20Mg Capsule, it is advised that breastfeeding be stopped.
  • Are taking any prescriptive or over the counter drugs, herbals medications or dietary supplements.
  • Had a recent surgery or are scheduled for one in the near future.
  • Have pheochromocytoma or gastrointestinal perforation.
  • Have a history of cancer-related disease.
  • Have a history of epilepsy or any other kind of seizures.
  • Are allergic to any medicine, food or substance.

The dosage of R-Ppi-L 75Mg/20Mg Capsule will be as prescribed by your doctor as per the severity of your condition, your age, gender and overall medical history. But commonly a dose of 25 mg of R-Ppi-L 75Mg/20Mg Capsule is prescribed which needs to be taken three times in a day. Results may start to show within an hour or two of using. In case of drug overdose notify your physician right away.

Gastroesophagal Reflux Disease
This medicine is used for the treatment of gastroesophagal reflux disease marked by increased irritation of the stomach caused by bile and acid.
This medicine is used for the treatment of irritable bowel syndrome marked by persistent stomach pain, flatulence, diarrhea, or constipation.
This medicine is not recommended for use if you have a known history of allergy to R-Ppi-L 75Mg/20Mg Capsule or any other component present with it.
This medicine is not recommended for use if you suffer from epilepsy or have a history of convulsions.
This medicine is not recommended for use in patients suffering from bipolar disorder marked by frequent episodes of anxiety, agitation, depression, hallucinations etc.
This medicine is not recommended for use in patients having a tumor of the adrenal glands that causes a life threatening rise in blood pressure.
Gastrointestinal perforation
This medicine is not recommended for use if you have a condition where the food pipe and the gut is bleeding, obstructed, and perforated.
This medicine is not recommended for use if you have been diagnosed with breast cancer (malignant mastopathy).
In addition to its intended effect, R-Ppi-L 75Mg/20Mg 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.
Drowsiness Moderate Common
Breast tenderness Moderate Common
Irregular menstrual periods Moderate Common
Gynacomastia Major Common
Cosntipation Moderate Less Common
Abdominal pain and cramps Moderate Less Common
Weight gain Moderate Less Common
Sleeplessness Minor Common
Unusual tiredness and weakness Moderate Common
Increased salivation Moderate Rare
Decrease in libido Minor Less Common
Fever Major Less Common
Excessive sweating Major Less Common
Change in heart rate Moderate Common
How long is the duration of effect?
The effect of this medicine lasts for an average duration of 5-8 hours upon oral administration.
What is the onset of action?
The effect of this medicine can be observed within 1-2 hours of oral administration.
Are there any pregnancy warnings?
Use of this medicine during pregnancy is not recommended unless absolutely necessary. It is advised to use this medicine only when the benefits outweigh the risks involved.
Is it habit forming?
No habit forming tendencies were reported.
Are there any breast-feeding warnings?
Use of this medicine by breastfeeding women is not recommended. However, if it is absolutely necessary to use this medicine, then breastfeeding should be discontinued. Consult your doctor before using this medicine.
Below is the list of medicines, which have the same composition, strength and form as R-Ppi-L 75Mg/20Mg Capsule, and hence can be used as its substitute.
Seagull Labs (I) Pvt Ltd
Hetero Drugs Ltd
FDC Ltd
Jenburkt Pharmaceuticals Ltd
Wockhardt Ltd
Lyka Labs
Galpha Laboratories Ltd
Wockhardt Ltd
Medley Pharmaceuticals
Morepen Laboratories Ltd
RPG Life Sciences Ltd
Evaxo Pharma
Delcure Life Sciences
Uvb Healthcare Pvt Ltd
Zerico Lifesciences Pvt Ltd
Shilpex Pharmysis
Wanbury Ltd
Avis Lifecare Pvt Ltd
TTK Healthcare Ltd
Cipla Ltd
Ordain Health Care Global Pvt Ltd
Macleods Pharmaceuticals Pvt Ltd
Cipla Ltd
Cadila Pharmaceuticals Ltd
Maverick Pharma Pvt Ltd
Ronyd Healthcare Pvt Ltd
Meyer Organics Pvt Ltd
Knoll Pharmaceuticals Ltd
Sat Pharma Pvt Ltd
Macleods Pharmaceuticals Pvt Ltd
Grandcure Healthcare Pvt Ltd
Mitis Biomedics Ltd
GH Vision Care Life Science
Morepen Laboratories Ltd
Avis Lifecare Pvt Ltd
Midas Healthcare Ltd
Votary Laboratories I Ltd
CGN Lifesciences Private Limited
Aurz Pharmaceuticals Pvt Ltd
Macsys LifeSciences
Cachet Pharmaceuticals Pvt Ltd
Kinedex Healthcare Pvt Ltd
Reliance Formulation Pvt Ltd
Divine Lifecare Pvt Ltd
S H Pharmaceuticals Ltd
Coxswain Healthcare
Biomax Biotechnics Pvt Ltd
Cadila Pharmaceuticals Ltd
Akesiss Pharma Pvt Ltd
Kepler Health Care
Aptus Pharma Pvt Ltd
Juggat Pharma
Crescent Therapeutics Ltd
Tikish Pharmaceuticals
Micro Labs Ltd
Staunch Health Care Pvt Ltd
Mission Research Laboratories Pvt Ltd
Sundyota Numandis Pharmaceuticals Pvt Ltd
Missed Dose instructions
Take the missed dose as soon as you remember. If it is almost time for the next scheduled dose, then the missed dose can be skipped.
Overdose instructions
Contact a doctor if an overdose with R-Ppi-L 75Mg/20Mg Capsule is suspected. Symptoms of an overdose may include excessive drowsiness, fall in blood pressure, agitation, coma etc.
India
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
Heart Disease Moderate
This medicine should be used with caution in patients suffering from a disease of the heart and blood vessels. You may require an adjusted dose and safety monitoring to safely use this medicine.
Gastro-intestinal bleeding Major
This medicine should be used with extreme caution in patients suffering from perforation and bleeding of the stomach and the intestine. Report any instance of fever with chills, nausea, vomiting, presence of blood in stool to the doctor.
Prolactin imbalance Major
This medicine should not be used in patients having an abnormal level of the hormone prolactin. Breast cancer due to a high level of prolactin should be ruled out before treatment with this medicine is initiated.
Neuroleptic Malignant Syndrome (NMS) Major
Use of this medicine is not recommended if the patient suffers from Neuroleptic malignant syndrome. Introduction or reintroduction of this medicine should be done with caution in patients having a known history of this syndrome.
Asthma Moderate
This medicine should be used with caution if you have asthma. Report any instances of difficulty in breathing, wheezing, chest pain etc to the doctor immediately.
Interaction with Alcohol
Ethanol Moderate
Avoid or limit the uptake of alcohol while taking this medicine as the risk of adverse effects are increasingly high. Contact your doctor if an excess of drowsiness is experienced.
Interaction with Lab Test
Prolactin test Moderate
Report the use of this medicine before undergoing a laboratory test to determine the levels of the hormone prolactin in the body. This medicine can interfere with the test and yield false positive results.
Interaction with Food
Food
Information not available.
Interaction with Medicine
Diltiazem Moderate
Report the use of diltiazem or any other medicine taking for managing high blood pressure to the doctor. These medicines should be used with caution as the risk of adverse effects are increasingly high. Your doctor may determine the best course of treatment after assessing the conditions.
Pregabalin Moderate
Report the use of either of the medicine to the doctor. You may require a dose adjustment and more frequent monitoring while using these medicines together. Do not stop the use of any medicine without consulting your doctor.
Sucralfate Moderate
Report the use of either of the medicine to the doctor. You may require a dose adjustment and frequent clinical monitoring while using these medicines together. Do not stop the use of any medicine without consulting your doctor.
Tramadol Major
Report the use of any narcotic pain-killer medicine to the doctor. These medicines should be used with extreme caution as the risk of adverse effects are significantly high. Your doctor may decide the best course of treatment after assessing the conditions.
Aluminium Hydroxide/Magnesium Hydroxide Moderate
Report the use of any aluminum or magnesium containing antacids to the doctor before receiving this medicine. You may need a dose adjustment and frequent clinical monitoring to safely use these medicines together.
Ipratropium Moderate
Report the use of either of the medicine to the doctor. You may require a dose adjustment and more frequent monitoring while using these medicines together. Do not stop the use of any medicine without consulting your doctor.

Popular Questions & Answers

I am 28 years old female and am suffering from Thyroid (normal level of thyroid should be between 0.25 mg-5.50mg, but mine is 8.50mg. Can you please me the foods to be avoided and foods to be taken. I mean the diet.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
you are very right about normal range of tsh levels. At 8.5 milli units/ml, with normal t4, the condition is classified as sub- clinical hypothyroidism. This normally is not treated with any drugs. Treatment is advised only once the levels cross 10 milli units or there are troublesome symptoms with lower tsh levels. As regards food intake you have to have a balanced diet, but avoid certain foods like - soy beans, soy containing products, cabbage, cauliflower, broccoli, peanuts, radish, mustard and coffee. Consume good deal of green leafy vegetables, salads and fruits. Use whole grain flour for making chapati or roti. Do not use refined flour like maida. If you are taking non- vegetarian diet then take lean meat, skinned chicken and fish. Exercise regularly, that is important. Further, if one is desirous of having conception, then before conception tsh levels have to be brought down to around 2 mill units/ml. Keep that in mind. Thanks for the question.
2 people found this helpful

I am 46 years male a diabetic patient taking medicines from last 10 years with insulin at morning 44mg & evening 30mg but I tested yesterday to check the blood sugar level but report shows my sugar level almost doubled despite taking insulin & medicines. So kindly guide me how to control it. The medicines which I took daily includes zomelis Met 50mg/1000mg & panto tak DSR. The report attached herewith.

MBBS
General Physician, Cuttack
I am 46 years male a diabetic patient taking medicines from last 10 years with insulin at morning 44mg & evening 30mg...
You have to adjust insulin doses after consulting diabetologist and switch over to other oral drugs since it is not working 1. Do regular aerobic exercise for 1 hour daily (brisk walking, jogging, running, swimming, cycling etc) 2. Reduce weight if overweight 3control diet a) avoid sweets, sugar/honey, milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta b) avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food, c) include more fiber like pulse, green leafy vegetable, cucumber, carrot, tomato, j legume. D) avoid sweetened fruit like banana, mango, litchi, chickoo, sapota, seethaphal jack fruit, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, jack fruit, sweet potato, a handful of walnut daily (akhrot) e) avoid white/polished rice, take unpolished rice like brown rice/wheat/jowar/ragi, moong and chana dal. F) avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. G) avoid red meat. Take fish/chicken. H) avoid alcohol and carbonated drinks like soft drink 4. Adhere to a strict diabetic diet by consulting dietitian 5. Monitor your fasting, pp blood sugar 3 monthly and hba1c six monthly 6. Consult diabetologist for advice and treatment.

Newcold-ML 5mg+10mg this tablet is used for which purpose as I had asked to pharmacist for allergy of Chinese food because I was facing problem of allergy. However no effect after taking this tablet. Please suggest.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
if u r allergic to some food etc.. the remedy is...simply avoid that food u can take lezyncet for some time
1 person found this helpful

Hi, I am 29 years old with diabetes mellitus type 2. Am taking galvus met 50mg/1000mg daily twice. At night am taking 1 actos 30mg. Still my fasting sugar level is 220. I am not using any sugar food and rice. Kindly advice. My hba1c is 12.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Zirakpur
Hi, I am 29 years old with diabetes mellitus type 2. Am taking galvus met 50mg/1000mg daily twice. At night am taking...
It's cause of concern that your insulin is not acting to neutralize the sugar while you are taking good medicines prescribed by your experience doctor. This is non response of drugs. It's not fault in treatment by your doctor. I would suggest the support of ayurveda medicine as support to your current medicine. Both won't counteract with each other. Observing the response of this integrative approach, further directions would be decided. If you agree, I would mention the first phase of safe, side effect less, easy to take and economic medicines which will prevent complications also.
1 person found this helpful

I was diagnosed with dm 2 about two years back. Iam on amaryl-m1 bd & has hba1c of 7. I started feeling extra sensation under the feet, heaviness in foot, leg, thighs from about a month or two, some pain in hip area and finally difficulty in lifting one leg about 2 weeks days back along with knee weakness in one leg although other leg has been affected to a lesser extent till date. I never experienced very sharp pain & 2 weeks back had mild pain in my buttocks for about a week. The loss of movement in the 2 directions direction in the leg & knee weakness was quite quick about 10-12 days back. Now I do not feel any pain but had some falls primarily on account of knee weakness or weakness in right leg. Mri scan, ct scan were ok but problem was reported in nerve conduction test in both legs but mainly in right leg. Was diagnosed with peripheral neuropathy or diabetic amyotrophy which correlates with my overall symptoms. Doctor put me on 8 day course of prednisone (40mg-10mg) with insulin. My sugar with amaryl m1 as on now is under control & I take light food with reasonable physical activity & sugar levels now seems to be ok 92 fasting /140 pp. Also started visiting a physiotherapist from today. As of know there is appears to be some improvements in my walking (can walk 15-20 min at a stretch inside home) though weakness in one leg & knee persist. I cannot drive due to difficulty in movement of my right leg when trying to move it sideways while sitting. It is also not possible to lift the right leg against gravity when laying down though backward lifting & movement on sideways when lying on one side are intact. Have been prescribed pregaba m 75 (hs, neurkind+. Have no pain of any type. My questions 1) has peripheral neuropathy reached a plateau ie. Stopped or not 2) is pregabalin needed in my case as I have no pain, i. E. Whether it play a role in nerve regeneration or is overall beneficial in such situation 3) can I expect improvement in my right leg in 1-2 months time with sugar control & exercises.

Diploma in Family Medicine, Fellowship in Diabetology, Diploma in Diabetology, FCCP, MBBS
General Physician,
I was diagnosed with dm 2 about two years back. Iam on amaryl-m1 bd & has hba1c of 7. I started feeling extra sensati...
1. Peripheral neuropathy is a on going process even in normal individuvals as age advances due to deficiency of vitamins mainly b12 2. In your case pregabalin is needed for some time 3. Nerve regeneration is impossible for anyone 4. Definitely you can expect improvement in the right leg in 1-2 months with good control of sugar & exercises.

Popular Health Tips

Procedures That Can Help Treat Slip Disc & Sciatica!

MBBS, MD, FIMSA, FIPP
Pain Management Specialist, Delhi
Procedures That Can Help Treat Slip Disc & Sciatica!

The intervertebral discs are made-up of two concentric layers, the inner gel-like Nucleus Pulposus and the outer fibrous Annulus fibrosus. As a result of advancing age, the nucleus loses fluid, volume and resiliency and the entire disc structure becomes more susceptible to trauma and compression. This condition is called as degeneration of the disc. The disc then is highly vulnerable to tears and as these occur, the inner nucleus pulposus protrudes through the fibrous layer, producing a bulge in the intervertebral disc. This condition is named as herniated disc. This can then cause compression to the spinal cord or the emerging nerve roots and lead to associated problems of Sciatica radiating pain from back to legs in the distribution of the nerve. Other symptoms could be a weakness, tingling or numbness in the areas corresponding to the affected nerve. Sometimes bladder compromise is also present, which is made evident for urine retention and this need to be taken care as an emergency.

Excessive weight, bad postures, undue movements, improper weight lifting and other kinds of traumas may weaken the intervertebral discs. When this occurs the pulpous nucleus will bulge against the annulus, or even be squeezed through it (extruded disc).

The first steps to deal with a herniated or prolapsed lumbar disc are conservative. These include rest, analgesic and anti-inflammatory medication and in some cases physical therapy. At this point, it is convenient to have some plain X-rays done, in search of some indirect evidence of the disc problem, as well as of degenerative changes on the spine.

If in a few days these measures have failed, the diagnosis has to be confirmed by means of examinations that give better detail over the troubled area, as the MRI, CT which will show the disc, the space behind it and in the first case, the nerves. In some instances, the EMG (electromyography) is also of great value, as this will show the functionality of the nerves and muscles.

Once the diagnosis has been confirmed, one of the best alternatives existing today is the Ozone Discolysis as the results obtained are excellent and practically has no complications. This novel treatment avoids the use of surgery in 80% of those who needed it. In most patients left with painkillers as the only treatment, the symptoms eventually disappear, only that this could take weeks to months. Ozone speeds up these developments, see the same result in a few weeks. The problem has to be seen and approached integrally and frequently the combination of therapies has to be used, most frequently physiotherapy. Also, it has to be known that those who had a herniated disc have 10 times more chances of having another herniation than the rest of the population.

If despite the ozone therapy the symptoms persist, Drill Discectomy/ Laser Discectomy are good alternatives before open surgery (Discectomy) which has to be contemplated in those true emergencies, as mentioned above, this is possibly the first choice.

Once the conservative treatment fails:

Early aggressive treatment plan of pain has to be implemented to prevent peripherally induced CNS changes that may intensify or prolong pain making it a complex pain syndrome. Only 5% of total LBP patients would need surgery & 20% of discal rupture or herniation would need surgery. Nonoperative treatment is sufficient in most of the patients, although patient selection is important even then.

Depending upon the diagnosis one can perform & combine properly selected percutaneous fluoroscopic guided procedures with time spacing depending upon pt`s pathology & response to treatment.

Using precision diagnostic & therapeutic blocks in chronic LBP, isolated facet joint pain in 40%, discogenic pain in 25% (95% in L4-5&L5S1), segmental dural or nerve root pain in 14% & sacroiliac joint pain in 15% of the patients. This article describes successful interventions of these common causes of LBP after conservative treatment has failed.

LESI: Lumbar Epidural Steroid Injection

Indicated in – Acute radicular pain due to irritation or inflammation.

  • Symptomatic herniated disc with failed conservative therapy
  • Acute exacerbation of discogenic pain or pain of spinal stenosis
  • Neoplastic infiltration of roots
  • Epidural fibrosis
  • Chronic LBP with acute radicular symptoms
  • Epidural- lumbar injection

ESI Treatment Plan

Compared to interlaminar approach better results are found with a transforaminal approach where drugs (steroid+ LA/saline +/- hyalase) are injected into anterior epidural space & neural foramen area where herniated disc or offending nociceptors are located. Whereas in interlaminar approach most of drug is deposited in posterior epidural space.Drugs are injected total 6-10 ml at lumbar, 3-6 ml at cervical & 20+ ml, if caudal approach is selected. Lumbar ESI is performed close to the level of radiculopathy, often using paramedian approach to target the lateral aspect of the epidural space on involved side. Cervical epidural is performed at C7-T1 level.

SNRB- Selective Nerve Root Block 

Fluoroscopically performed it is a good diagnostic & therapeutic procedure for radiculopathy pain if

  • There is minimal or no radiological finding.
  • Multilevel imaging abnormalities
  • Equivocal neurological examination finding or discrepancy between clinical & radiological signs
  • Postop patient with unexplainable or recurrent pain
  • Combined canal & lateral recess stenosis.
  • To find out the pathological dermatome for more invasive procedures, if needed

Intradiscal Procedures 

Provocative Discography - Coupled with CT

A diagnostic procedure & prognostic indicator for surgical outcome is necessary for the evaluation of patients with suspected discogenic pain, its ability to reproduce pain(even with normal radiological finding), to determine type of disc herniation /tear, finding surgical options & in assessing previously operated spines.

Percutaneous Disc Decompression (PDD)

After diagnosing the level of painful offending disc various percutaneous intradiscal procedures can be employed

Ozone Discolysis: Ozone Discectomy a revolutionary least invasive safe & effective alternative to spine surgery is the treatment of choice for prolapsed disc (PIVD) done under local anaesthesia in a daycare setting. This procedure is ideally suited for cervical & lumbar disc herniation with radiculopathy. The total cost of the procedure is much less than that of surgical discectomy. All these facts have made this procedure very popular at European countries. It is also gaining popularity in our country due to high success rate, less invasiveness, fewer chances of recurrences, remarkably fewer side effects meaning high safety profile, short hospital stay, no postoperative discomfort or morbidity and low cost.

Dekompressor: A mechanical percutaneous nucleosome cuts & drills out the disc material somewhat like morcirator debulking the disc reducing nerve compression.

Epidural Adhenolysis or Percutaneous Decompressive Neuroplasty for Epidural Fibrosis or Adhesions in Failed Back Surgery Syndrome (FBSS)

A catheter is inserted in epidural space via caudal/ interlaminar/ transforaminal approach. After epidurography testing volumetric irrigation with normal saline/ L.A./ hyalase/ steroids/ hypertonic saline in different combinations is then performed along with mechanical adenolysis with spring loaded or stellated catheters or under direct vision with epiduroscope.

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

4490 people found this helpful

Know more about Helios Laser

MBBS, MD - Dermatology
Dermatologist, Delhi
Play video

Implementation and Benefits of Helios Laser

Hello! I am Dr. Latika Arya from LS Skin and Aesthetic clinic. I am a dermatologist and my main interests are in the treatment of pigmentary disorders, acne, lasers and anti ageing treatments. Today, I will be talking about a laser called Helios Laser. Helios is a Q switch ND:YAG fractional laser which has the latest and all the advanced innovations. This is basically used to treat pigmentary conditions like freckles, age spots, melasma, post inflammatory hyper pigmentation, burn marks, acne marks and for general skin toning. And, it is also used to treat birthmarks, pigmented birthmarks, etc.

It is also used to treat tattoos and it also has a mode in which collagen can be tightened thus it helps to improve pores and scars. This laser also bleaches the fine hair and therefore it helps in taking care of hair growth. This laser also has a use in treating toenail fungus which is very difficult to treat sometimes with medical therapy. So, the advantage of this laser is that it has got four hand pieces which is the very 1st time in any Q Switch ND:YAG laser. It has a proprietary 4g toning technology. Basically, it means that the toning of the skin occurs at four different levels from superficial to the deep, so that the pigments at all levels are targeted.

The most popular use of this laser is for laser toning. So what is laser toning? Basically it is the use of this laser to even out the skin complexion taking care of tan and the dullness. After a few sessions the skin becomes lightened, more glowing and reflectant. And the best part of this laser is that it has no down time. Being an advanced new laser (therapy) and a great technology safety is big advantage of this, there are hardly any side effects and it's very safe to use. Even over longer sessions there is no damage to the skin and the results are great.
Now I will just demonstrate to you how this laser is used and how comfortable the procedure is for the patient.
(Doctor says to patient), "I will be covering your eyes."
The patient's skin is already being cleaned and the patient is instructed how the laser is going to feel and now I am going to start the laser.

The laser is very convenient to use. The patient doesn’t feel any discomfort. This is a rejuvenating energy in which there is instant lightening and brightening . There is an immediate glow. The fine hairs are lightened and we can target the pigment areas. And the whole procedure is very quick, it hardly takes 10 to 15 minutes. There is not much down time. There is a mild redness which goes away in 15 minutes and the patient can go back to their normal routine.
(Doctor says to patient), "Are You comfortable"
(Patient's reply), "Yes Ma’m"
Incase you are interested to know more about this laser you can contact us through Lybrate or you can visit our clinic and schedule an appointment at LS Skin and aesthetics clinic, New Delhi. Thank you.

3895 people found this helpful

Early Puberty: Causes and Effects

MAMC, MRCPCH, MD - Paediatrics, MBBS
Pediatrician, Noida
Play video


Puberty
Hi, I am Dr IPS Kochar, a pediatric endocrinologist. I’m going to talk about puberty, precautions puberty or early puberty.

Puberty is a time when the child is growing in height and weight along with some feature which comes when a child matures. Now there are conditions when a child starts getting early features. If a girl starts getting breast before the age of 8 or if a boy whose testicle volume increases more than 4 ml before 9 years of age, these children are getting into early puberty. A girl if she starts getting pubic and underarm hair before the age of 8 body odour or there are lots of behavioural changes or she suddenly shot up in height. This child may be having early puberty. So these are the symptoms concerned in a girl.

In boys the testicle volume increases more than 4 ml, increase in height velocity, 6 to 8 to 10 cms in 1 year, hair on the lips and the arm, an underarm or pubic area in less than 9 years of age, behavioural changes, mood swings, the appearance of acne. The child may be going through early puberty or precautious puberty. These things they must keep in mind because there will be a change in growth pattern. Initially, the child will grow more but later the growth will be stunted. The child will not grow up to his final height. If these points are there one should be very careful. if there is early puberty you can always go to the doctor, examine the child. So, if a girl is having breasts before the age of 8 one should definitely find out what is happening with the child and same in a boy if there is an increase in testicle volume or breaking of voice or hair anywhere in his body you should always consult a doctor. There are certain specific tests which are done where lS and FSH when they can only make a diagnosis.

In a girl, you can go for ultrasound and in a boy, you can go for MRI as to know why it is happening. These are certain things that you should keep in mind especially if the boy is having breaking of voice pubic hair armpit hair, appearance of acne one should definitely go and find out what is happening. So in a girl if there is budding of breast, pubic hair and mood swings you should definitely find out what’s happening. Girls are getting early menarche at 9 and a half years and the growth is less.

So if your child has any of these symptoms you should see a pediatric endroconologist. I’m available at lybrate.com or you can come to my clinic.

Thank you
 

3716 people found this helpful