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Overview

Tritin 20 MG Tablet

Manufacturer: Tripada Healthcare Pvt Ltd
Medicine composition: Fluoxetine
Prescription vs.OTC: Prescription by Doctor required

Tritin 20 MG Tablet is used for the treatment of obsessive-compulsive disorder (OCD), depression, sudden panic attacks, bulimia (eating disorder) and premenstrual dysphoric disorder (symptoms of tension, irritability and depression before menstruation). The medication can improve your sleep, mood, appetite as well as the energy level. It belongs to the drug group known as selective serotonin reuptake inhibitors (SSRIs). It works by increasing the serotonin amount in your body, which is a natural substance present in your brain that helps in maintaining mental balance.

Tritin 20 MG Tablet is available in the form of a tablet, capsule, delayed-release capsule and a liquid solution, to be taken orally. It can be taken with food or without it. The dosage will depend on your present health condition and how your body reacts to the first dose. Your doctor may prescribe a low dose initially and then increase it gradually. It is advised not to stop the medication abruptly without consulting your doctor, as there is a possibility of experiencing withdrawal symptoms such as mood changes, dizziness, anxiety, confusion, agitation or irritability. It may take 4-5 weeks and sometimes even longer for Tritin 20 MG Tablet to show its full effectiveness.

You can suffer from mild side effects like nervousness, nausea, dry mouth, weakness, drowsiness and decreased sexual performance while taking Tritin 20 MG Tablet. You can consult your doctor if they refuse to go away after some time. However, there can be some serious side effects too in some cases that require immediate medical attention:

Tritin 20 MG Tablet can make you feel drowsy or dizzy. It is advised not to drive or do any other activity that requires your complete concentration. In case you are an elderly patient, be careful when you are getting up from a sitting or sleeping position to avoid a sudden fall. Also, you must avoid alcohol while you are under this medication.

Tritin 20 MG Tablet is used in the treatment of Bulimia which is an excessive eating disorder caused by genetic and psychological factors. Some of the symptoms include living in fear of gaining weight and eating continuously until it feels uncomfortable.
Tritin 20 MG Tablet is used in the treatment of depression which is a serious mood disorder caused by genetic and environmental factors. Feeling sad, irritable and devoid of energy are some the symptoms of depression.
Obsessive Compulsive Disorder
Tritin 20 MG Tablet is used in the treatment of obsessive-compulsive disorder which is an anxiety disorder caused by genetic and environmental factors. Some of the symptoms include aggression, suffering from a fear of contamination, and getting an obsessive urge to clean.
Panic disorder
Tritin 20 MG Tablet is used in the treatment of the panic disorder. Sweating, breathing problem, weakness and numbness in hands are some of the symptoms of panic disorder.
Tritin 20 MG Tablet is used in the treatment of premenstrual dysphoric disorder which is a condition in which women has irritability, tension, and depression before menstruation.
If you have a known allergy to Tritin 20 MG Tablet or any other medicines belongs to the class selective serotonin reuptake inhibitors.
Monoamine oxidase inhibitors
Tritin 20 MG Tablet is not recommended in patients who have taken Monoamine oxidase inhibitors within the last 14 days.
In addition to its intended effect, Tritin 20 MG Tablet may cause some unwanted effects too. In such cases, you must seek medical attention immediately. This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.
Skin rash Major Common
Restlessness Major Common
Fever or chills Major Less Common
Muscle or joint pain Major Less Common
Anxiety Major Rare
Increased sweating Major Rare
Dry mouth Major Rare
Decreased appetite Minor Common
Abnormal dreams Minor Less Common
Frequent urination Minor Less Common
Changes in vision Minor Less Common
Convulsions (seizures) Major Rare
How long is the duration of effect?
The effect of this medicine lasts for an average duration of 12 to 14 days.
What is the onset of action?
The peak effect of this medicine can be observed in 6 to 8 hours.
Are there any pregnancy warnings?
This medicine is not recommended for use during pregnancy unless absolutely necessary. Consult your doctor about the potential benefits and risks before deciding to take this medicine.
Is it habit forming?
No habit forming tendency has been reported
Are there any breast-feeding warnings?
This medicine is not recommended for use in breastfeeding women unless absolutely necessary. Consult your doctor about the potential benefits and risks before deciding to take this medicine. Monitoring of undesired effects like colic, fussiness, and drowsiness is necessary.
Missed Dose instructions
Take the missed dose as soon as you remember. If its almost time for your next dose, skip the missed dose. Do not double your dose to make up for the missed dose.
Overdose instructions
Seek emergency medical treatment or contact the doctor in case of an overdose.
India
United States
Japan
Whenever you take more than one medicine, or mix it with certain foods or beverages, you're at risk of a drug interaction.
Interaction with Disease
Depression Major
Use with caution the patients suffering from depression and other psychiatric disorders due to the increased risk of suicidal thoughts especially at the beginning of the treatment and at the time of dose change. Discontinue the medicine and inform the doctor if these symptoms appear.
Glaucoma Moderate
Use with caution in the patients with angle-closure glaucoma or history of glaucoma due to the risk of increasing the intraocular pressure.
Interaction with Alcohol
Alcohol Moderate
Consumption of alcohol with this medicine is not recommended as it can result in dizziness and difficulty in concentration. Avoid activities that need mental alertness like driving or operating heavy machinery.
Interaction with Lab Test
Lab
Information not available.
Interaction with Food
Food
Information not available.
Interaction with Medicine
Tramadol Major
Tritin 20 MG Tablet is not recommended with tramadol due to increase in the risk of seizures, confusion, and increased heartbeat. This interaction is more likely to occur in the elderly population with a history of seizures or alcohol withdrawal. Inform the doctor if these medicines are taken together. An alternate medicine should be considered based on the clinical condition.
Diuretics Moderate
Tritin 20 MG Tablet may cause low blood sodium levels and this risk may increase if taken with diuretics like furosemide. Frequent monitoring of blood pressure and kidney function tests are necessary. Dose adjustments or an alternate medicine should be considered based on the clinical condition.
Monoamine oxidase inhibitors Major
Tritin 20 MG Tablet is not recommended with monoamine oxidase inhibitors like selegiline, isocarboxazid, phenelzine due to increase in the risk of side effects. There should be a minimum of 14 days time gap between these two medications. Inform the doctor if these medicines are taken together. An alternate medicine should be considered based on the clinical condition.
What are you using Tritin 20 MG Tablet for?
Obsessive Compulsive Disorder
Other
Disclaimer: The information produced here is best of our knowledge and experience and we have tried our best to make it as accurate and up-to-date as possible, but we would like to request that it should not be treated as a substitute for professional advice, diagnosis or treatment.

Lybrate is a medium to provide our audience with the common information on medicines and does not guarantee its accuracy or exhaustiveness. Even if there is no mention of a warning for any drug or combination, it never means that we are claiming that the drug or combination is safe for consumption without any proper consultation with an expert.

Lybrate does not take responsibility for any aspect of medicines or treatments. If you have any doubts about your medication, we strongly recommend you to see a doctor immediately.

Popular Questions & Answers

I have OCD for past 7 years. My OCD triggered only during my exams. Last year I took prodep 20 mg one month before exams and then stop it. I have my exams in February, I have OCD attack not able to concentrate on studies. Is it ok to use prodep 20 mg for 1 month. I saw in internet that it cause many side effects like erectile dysfunction and decrease libido.

MD-Ayurveda, Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Sexologist, Haldwani
Hello- Prodep is the brand name of a medicine called fluoxetine. Common side effects in men include decreased libido and difficulty getting an erection. Some men have trouble maintaining an erection. Men taking Prodep also report delayed or blocked orgasm. So more you use more chances of getting ED.
1 person found this helpful

How do I control my pre ejaculation as it is not stopping and I want to do sex for longer time. How can I control it?

CCT (UK) General Psychiatry, MD-Psychiatry, MBBS Bachelor of Medicine and Bachelor of Surgery
Psychiatrist, Delhi
How do I control my pre ejaculation as it is not stopping and I want to do sex for longer time. How can I control it?
Preferably, therapy for PE should be conducted under the supervision of a health professional trained in sexual dysfunction. Both partners must participate responsibly in the therapeutic program. Treatment of PE requires patience, dedication and commitment by both partners, and the therapist must convey this message to both. The first part of therapy requires both partners to avoid intercourse for a period of several weeks. This period of abstinence is helpful in relieving any troublesome performance anxiety on the part of the man that may interfere with therapy. Behavioral techniques, taught either individually, conjointly, or in groups, are effective in the therapy of PE. A preliminary stage of all treatment is termed "sensate focus" and involves the man's concentration on the process of sexual arousal and orgasm. He should learn each step in the process, most particularly the moment prior to the "point of no return. The sexual partner participates in the process, maintaining an awareness of the patient's sensations and how close he is to ejaculating. At this point, two techniques are commonly used: • The "stop and start" technique. This approach involves sexual stimulation until the man recognizes that he is about to ejaculate. At this time, the stimulation is discontinued for about thirty seconds and then resumed. This sequence of events is repeated until ejaculation is desired by both partners, with stimulation continuing until ejaculation occurs.• The "squeeze" technique. This approach involves sexual stimulation, usually by the sexual partner, until the man recognizes that he is about to ejaculate. At this time stimulation ceases. The patient or his partner gently squeezes the end of the penis at the junction of the glans penis (tip of the penis) with the shaft. The squeezing is continued for several seconds. Sexual stimulation is withheld for about 30 seconds and then resumed. This sequence of events is repeated by the patient alone or with the assistance of his partner until ejaculation is desired. At this point stimulation is continued until the man ejaculates. The patient and his partner should be advised against trying any of the many unproven remedies that are available either over the counter or popularized on the Internet. Certain prescription medications, especially antidepressants that produce delayed ejaculation as a side effect, may be useful as therapeutic adjuncts. Recently, the use of a class of drugs known as selective serotonin receptor inhibitors (SSRIs) has shown promise in the treatment of premature ejaculation. The SSRIs prolong the time it takes the man to ejaculate by as much as 30 minutes. The SSRIs most commonly used to treat PE are sertraline and fluoxetine.

Sir my sex timings last one year its very bad if I started sex with my wife my sperm come out with in 10 seconds please give some tips.

CCT (UK) General Psychiatry, MD-Psychiatry, MBBS Bachelor of Medicine and Bachelor of Surgery
Psychiatrist, Delhi
Sir my sex timings last one year its very bad if I started sex with my wife my sperm come out with in 10 seconds plea...
Thanks a lot for your query. I am really sorry to learn about your problem. Its very difficult to diagnose with such a brief history. In order to help you, we need to assess you in detail. All the best and happy New year. Premature ejaculation Premature ejaculation is the most common ejaculation problem. It's where the male ejaculates too quickly during sexual intercourse. A study looking at 500 couples from five different countries found the average time taken to ejaculate during intercourse was around five-and-a-half minutes. However, it's up to each couple to decide if they’re happy with the time taken – there’s no definition of how long sex should last. Occasional episodes of premature ejaculation are common and aren't a cause for concern. However, if you're finding that around half of your attempts at sex result in premature ejaculation, it might help to get treatment. Causes of premature ejaculation Various psychological and physical factors can cause a man to suddenly experience premature ejaculation. Common physical causes include: prostate problems thyroid problems – an overactive or underactive thyroid gland using recreational drugs Common psychological causes include: depression stress relationship problems anxiety about sexual performance (particularly at the start of a new relationship, or when a man has had previous problems with sexual performance) It's possible, but less common, for a man to have always experienced premature ejaculation since becoming sexually active. A number of possible causes for this are: Conditioning – it's possible that early sexual experiences can influence future sexual behaviour. For example, if a teenager conditions himself to ejaculate quickly to avoid being caught masturbating, it may later be difficult to break the habit. A traumatic sexual experience from childhood – this can range from being caught masturbating to sexual abuse. A strict upbringing and beliefs about sex. Biological reasons – some men may find their penis is extra sensitive. Treating premature ejaculation There are a number of things you can try yourself before seeking medical help. Measures you can try yourself It can sometimes help to: masturbate an hour or two before having sex use a thick condom to help decrease sensation take a deep breath to briefly shut down the ejaculatory reflex (an automatic reflex of the body during which ejaculation occurs) have sex with your partner on top (to allow them to pull away when you are close to ejaculating) take breaks during sex and think about something boring Couples therapy If you're in a long-term relationship, you may benefit from having couples therapy. During these sessions, the therapist will: encourage couples to explore any relationship issues they have, and give them advice about resolving them show the couple techniques that can help you "unlearn" the habit of premature ejaculation (the two most popular techniques are the "squeeze" and "stop-go" techniques) In the squeeze technique, your partner masturbates you, but stops before the point of ejaculation and squeezes the head of your penis for between 10 to 20 seconds. They then let go and wait for another 30 seconds before resuming masturbation. This process is carried out several times before ejaculation is allowed to occur. The stop-go technique is similar, but your partner doesn’t squeeze your penis. Once you feel more confident about delaying ejaculation, you and your partner can begin to have sex, stopping and starting as required. These techniques may sound simple, but they require lots of practice. Antidepressants (SSRIs) Selective serotonin reuptake inhibitors (SSRIs) are designed to treat depression, but they also delay ejaculation. SSRIs used for this purpose include: paroxetine sertraline fluoxetine Some men may experience an improvement as soon as treatment begins. However, you'll usually need to take the medication for one to two weeks before you notice the full effects. Side effects of SSRIs are usually mild and should improve after two to three weeks. They include: fatigue feeling sick and being sick diarrhoea excessive sweating Read more about the side effects of SSRIs. Topical anaesthetics and condoms The use of topical anaesthetics such as lidocaine or prilocaine can help but may be transferred and absorbed to the vagina, causing decreased sensation. Condoms can also be used and are effective, particularly when combined with local anaesthesia.
1 person found this helpful

Tell me the OCD problem medicines I'm suffering from depression anxiety disease please suggest medicines.

MBBS, MRCPsych (UK), CCST (General Adult Psychiatry and Geriatric Psychiatry)
Psychiatrist, Visakhapatnam
Tell me the OCD problem medicines I'm suffering from depression anxiety disease please suggest medicines.
Hi lybrate-user Most commonly used medicines for OCD are classed as SSRIs which include fluoxetine, paroxetine, fluvoxamine etc although some other medicines may also be used. In common practice these are called antidepressants as they were first developed to help treat depression but later through research they were found to be beneficial in OCD as well. If you have been diagnosed with Depression by your psychiatrist you may be currently using or have used one of these medicines. The dosage of SSRIs used in OCD may usually be higher than in Depression or anxiety. Please consult your psychiatrist for further evaluation before initiating or altering your treatment. Hope that helps.
4 people found this helpful

I’m taking fluoxetine 40 mg daily for anxiety. I’ve taken it for 2 years before then stopped as my anxiety was under control but after 3 months I again started having anxiety so my doctor again prescribed me fluoxetine 40 mg but this I’m getting erection problems due to it. My doctor says this be alright when I stop fluoxetine but I’m not sure why is it causing this sexual side effects this time as last time I tolerated it really well?

MD - Psychiatry
Psychiatrist, Chennai
I’m taking fluoxetine 40 mg daily for anxiety. I’ve taken it for 2 years before then stopped as my anxiety was under ...
Fluoxetine very commonly causes erection problems, discuss with your psychiatrist, there are many alternatives which are effective for anxiety but have lesser sexual side effects. Surprised to hear your doctor has asked you to continue the same despite sexual side effect. All the best.

Popular Health Tips

Premature Ejaculation (PE)

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

Premature ejaculation (pe) refers to the persistent or recurrent discharge of semen with minimal sexual stimulation before, on, or shortly after penetration, before the person wishes it, and earlier than he expects it. In making the diagnosis of pe, the clinician must take into account factors that affect the length of time that the man feels sexually excited. These factors include the age of the patient and his partner, the newness of the sexual partner, and the location and recent frequency of sexual activity.

Causes

Premature ejaculation (pe) is a common complaint. The available evidence supports the notion that control and modulation of sexual excitement is learned behavior. If someone has learned it incorrectly or inadequately, they can relearn it. Pe is only rarely caused by a physical or structural problem; in these cases it is usually associated with other physical symptoms, usually pain. In rare cases, pe may be associated with a neurological condition; infection of the prostate gland; or urethritis (inflammation of the duct that carries urine and semen to the outside of the body). With the rising prevalence of substance abuse, an increasing number of cases of pe are being diagnosed in patients withdrawing from drugs, especially opioids.

Pe may be of lifelong duration or develop in later life, especially if a difficult interpersonal relationship is one of its causes. Although pe is commonly associated with psychological symptoms, especially performance anxiety and guilt, these symptoms are its consequences rather than its causes. Once pe is firmly established, however, the accompanying psychological factors, especially in combination with sexual overstimulation, may form a self-perpetuating cycle that makes the disorder worse.

Premature ejaculation is common in adolescents where it may be made worse by feelings of sinfulness concerning sexual activity, fear of discovery, fear of making the partner pregnant, or fear of contracting a sexually transmitted disease (std). All of these may be made worse by performance anxiety. Adults may have similar concerns as well as interpersonal factors related to the sexual partner.

Symptoms

In pe, ejaculation occurs earlier than the patient and/or the couple would like, thus preventing full satisfaction from intercourse, especially on the part of the sexual partner, who frequently fails to attain orgasm. Pe is almost invariably accompanied by marked emotional upset and interpersonal difficulties that may add frustration to an already tense situation, which makes the loss of sexual fulfillment even worse. It is also important to differentiate male orgasm from ejaculation. Some men are able to distinguish between the two events and enjoy the pleasurable sensations associated with orgasm apart from the emission of semen, which usually ends the moment of orgasm. In these cases, the partner is capable of achieving orgasm and sexual satisfaction.

Diagnosis

The physical examination of a patient who is having problems with pe usually results in normal findings. Abnormal findings are unusual. The best source of information for diagnosing the nature of the problem is the patient's sexual history. On taking the patient's history, the clinician should concentrate on the sexual history, making sure that both partners have adequate and accurate sexual information. Ideally, the sexual partner should participate in the history and is often able to contribute valuable information that the patient himself may be unaware of or unwilling to relate. The female partner should also be examined by a gynecologist in order to ascertain her sexual capabilities and to eliminate the possibility that the size or structure of her genitals is part of the reason for the male's premature ejaculation.

Treatment

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

Potential complications

Premature ejaculation that takes place before the man's penis enters the woman's vagina will interfere with conception, if the couple is planning a pregnancy. Continued lack of ejaculatory control may lead to sexual dissatisfaction for either or both members of the couple. It may become a source of marital tension, disturbed interpersonal relationships, and eventual separation or divorce.
 

4 people found this helpful

Homeopathy For Forgetfulness / Memory Loss

BHMS
Homeopath, Navi Mumbai
Homeopathy For Forgetfulness / Memory Loss

Memory slips are aggravating, frustrating, and sometimes worrisome. When they happen more than they should, they can trigger fears of looming dementia or Alzheimer’s disease. there are many mundane—and treatable—causes of forgetfulness. Here are seven common ones and how can homeopathic treatment can help you.To know more about homeopathy and homeopathic treatment read more.....

Lack of sleep.

Not getting enough sleep is perhaps the greatest unappreciated cause of memory slips. Too little restful sleep can also lead to mood changes and anxiety, which in turn contribute to problems with memory.

Medications.

Tranquilizers, antidepressants, some blood pressure drugs, and other medications can affect memory, usually by causing sedation or confusion. That can make it difficult to pay close attention to new things. Talk to your doctor or pharmacist if you suspect that a new medication is taking the edge off your memory. As shown in the table below, alternatives are usually available.

*Medications* that may affect memory and possible substitutes
If you take these drug, ask about switching to one of these drugs:
1.paroxetine (Paxil) another antidepressant such as fluoxetine (Prozac) or sertraline (Zoloft), or a different type of antidepressant such as duloxetine (Cymbalta) or venlafaxine (Effexor)
2.cimetidine (Tagamet) a different type of heartburn drug, such as lansoprazole (Prevacid), omeprazole (Prilosec), or esomeprazole (Nexium)
3.oxybutynin (Ditropan) or tolterodine (Detrol, Detrusitol) other medications for an overactive bladder, such as trospium (Sanctura), solifenacin (Vesicare), or darifenacin (Enablex)
4.amitriptyline (Elavil), desipramine (Norpramin), or nortriptyline (Aventyl, Pamelor) another type of medication, depending on why your doctor has prescribed a tricyclic antidepressant (neuropathic pain, depression, etc.)

5.*captopril (Capoten)* a different type of ACE inhibitor, such as enalapril, lisinopril, or ramipril
cold or allergy medication containing brompheniramine, chlorpheniramine, or diphenhydramine loratadine (Claritin) or other non-sedating antihistamine
(Adapted from Improving Memory: Understanding age-related memory loss, a Harvard Medical School Special Health Report)

 

Underactive thyroid

A faltering thyroid can affect memory (as well as disturb sleep and cause depression, both of which contribute to memory slips). A simple blood test can tell if your thyroid is doing its job properly.

Alcohol.

Drinking too much alcohol can interfere with short-term memory, even after the effects of alcohol have worn off. Although “too much” varies from person to person, it’s best to stick with the recommendation of no more than two drinks per day for men and no more than one a day for women. One drink is generally defined as 1.5 ounces (1 shot glass) of 80-proof spirits, 5 ounces of wine, or 12 ounces of beer.

Stress and anxiety.

Anything that makes it harder to concentrate and lock in new information and skills can lead to memory problems. Stress and anxiety fill the bill. Both can interfere with attention and block the formation of new memories or the retrieval of old ones.

 

Depression.

Common signs of depression include a stifling sadness, lack of drive, and lessening of pleasure in things you ordinarily enjoy. Forgetfulness can also be a sign of depression—or a consequence of it.

If memory lapses are bugging you, it’s worth a conversation with your doctor to see if any reversible causes are at the root of the problem. Something like getting more sleep, switching a medication, or a stress reduction program could get your memory back on track.

TREATMENT PROTOCOLS FOR POOR MEMORY

Spleen Kidney and heart are the 3 organs which provides memory

●Following are the three patterns of poor memory :

1) spleen deficiency causes poor memory, inability to concentrate and study.

2) deficiency of kidney essence causes poor everyday memory.

3) heart deficiency causes poor memory of past events , forgetting names.

1) Spleen deficiency causes
poor memory inability to concentrate
and study:
Main symptoms :
1) poor memory
2) tiredness
3) poor appetite
4) *pale tongue*
5) *weak pulse*

Treatment principle :
1) tone the spleen
2) strengthen intellect. Spleen houses intellect , which controls memorisation, study and concentration.

2) Kidney essence deficiency
causes poor memory everyday.
Main symptoms :
1) poor everyday memory
2) can not remember names , faces, roads etc.
3) dizziness
4) tinnitus
5) weakness
6) if kidney yang is deficient , tongue will be
pale
7) if kidney yin is deficient the tongue will be
red

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

3) Heart deficiency causes

  • Poor memory of past events 
  • Forgetting names 

Main symptoms :

1) poor memory of past events
2) forgetting names
3) absent mindedness
4) tiredness
5) slight breathlessness
6) if there is heart yang deficiency the tongue will be pale with heart cracking
7) if there is heart yin deficiency the tongue will be red with heart crack

Treatment principle :
1) *tone the heart*
2) strengthen the mind and memory

Homeopathic treatment

There are many remedies in homeopathy to treat this condition. It requires a detailed study of the patient to know his/her lifestyle and life circumstances to be able to diagnose at the correct cause/causes so as to administer the right remedy. Since homeopathic medicines do not have sideeffects this is a very great advantage.

14 people found this helpful

Low Desire Disorder In Women

MS Human Sexuality, M.Phil Clinical Psychology, PhD (Behaviour Modification), Certified In Treatment of Resistant Depression, Certificate course to be Sexuality Educator
Sexologist, Hyderabad
Low Desire Disorder In Women

A woman's sexual desire naturally fluctuates over the years. Highs and lows commonly coincide with the beginning or end of a relationship or with major life changes, such as pregnancy, menopause or illness. Some antidepressants and anti-seizure medications also can cause low sex drive in women.

If you have a persistent or recurrent lack of interest in sex that causes you personal distress, you may have hypoactive sexual desire disorder — also referred to as female sexual interest/arousal disorder.
But you don't have to meet this medical definition to seek help. If you are bothered by a low sex drive or decreased sexual desire, there are lifestyle changes and sex techniques that may put you in the mood more often. Some medications may offer promise as well. 
If you want to have sex less often than your partner does, neither one of you is necessarily outside the norm for people at your stage in life — although your differences, also known as desire discrepancy, may cause distress.
Similarly, even if your sex drive is weaker than it once was, your relationship may be stronger than ever. Bottom line: There is no magic number to define low sex drive. It varies from woman to woman.

Some signs and symptoms that may indicate a low sex drive include a woman who:
* Has no interest in any type of sexual activity, including self-stimulation
* Doesn't have sexual fantasies or thoughts, or only seldom has them
* Is bothered by her lack of sexual activity or fantasies
When to see a Doctor specializing in sexual health.
If you're bothered by your low desire for sex, talk to your doctor. The solution could be as simple as changing the type of antidepressant you take.

Causes

A woman's desire for sex is based on a complex interaction of many components affecting intimacy, including physical well-being, emotional well-being, experiences, beliefs, lifestyle and current relationship. If you're experiencing a problem in any of these areas, it can affect your sexual desire.

Physical causes
A wide range of illnesses, physical changes and medications can cause a low sex drive, including:
* Sexual problems. If you experience pain during sex or an inability to orgasm, it can hamper your desire for sex.
* Medical diseases. Numerous nonsexual diseases can also affect desire for sex, including arthritis, cancer, diabetes, high blood pressure, coronary artery disease and neurological diseases.
* Medications. Many prescription medications — including some antidepressants and anti-seizure medications — are notorious libido killers.
* Lifestyle habits. A glass of wine may make you feel amorous, but too much alcohol can spoil your sex drive; the same is true of street drugs. And smoking decreases blood flow, which may dampen arousal.
* Surgery. Any surgery, especially one related to your breasts or your genital tract, can affect your body image, sexual function and desire for sex.
* Fatigue. Exhaustion from caring for young children or aging parents can contribute to low sex drive. Fatigue from illness or surgery also can play a role in a low sex drive.

Hormone changes
Changes in your hormone levels may alter your desire for sex. This can occur during:
* Menopause. Estrogen levels drop during the transition to menopause. This can cause decreased interest in sex and dryer vaginal tissues, resulting in painful or uncomfortable sex. Although many women continue to have satisfying sex during menopause and beyond, some women experience a lagging libido during this hormonal change.
* Pregnancy and breast-feeding. Hormone changes during pregnancy, just after having a baby and during breast-feeding can put a damper on sexual desire. Of course, hormones aren't the only factor affecting intimacy during these times. Fatigue, changes in body image, and the pressures of pregnancy or caring for a new baby can all contribute to changes in your sexual desire.

Psychological causes
Your problems don't have to be physical or biological to be real. There are many psychological causes of low sex drive, including:
* Mental health problems, such as anxiety or depression
* Stress, such as financial stress or work stress

* Poor body image
* Low self-esteem
* History of physical or sexual abuse
* Previous negative sexual experiences

Relationship issues
For many women, emotional closeness is an essential prelude to sexual intimacy. So problems in your relationship can be a major factor in low sex drive. Decreased interest in sex is often a result of ongoing issues, such as:
* Lack of connection with your partner
* Unresolved conflicts or fights
* Poor communication of sexual needs and preferences
* Infidelity or breach of trust

Treatments and drugs
Most women benefit from a treatment approach aimed at the many causes behind this condition. Recommendations may include sex education, counseling and sometimes medication.
Counseling
Talking with a sex therapist or counselor skilled in addressing sexual concerns can help with low sexual desire. Therapy often includes education about sexual response and techniques and recommendations for reading materials or couples' exercises. Couples counseling that addresses relationship issues may also help increase feelings of intimacy and desire.

Medication review
Your doctor will want to evaluate the medications you're already taking, to see if any of them tend to cause sexual side effects. For example, antidepressants such as paroxetine (Paxil, Pexeva) and fluoxetine (Prozac, Sarafem) may lower sex drive. Adding or switching to bupropion (Aplenzin, Wellbutrin) — a different type of antidepressant — usually improves sex drive.
Hormone therapy
Estrogen delivered throughout your whole body (systemic) by pill, patch, spray or gel can have a positive effect on brain function and mood factors that affect sexual response. But systemic estrogen therapy may have risks for certain women.
Smaller doses of estrogen — in the form of a vaginal cream or a slow-releasing suppository or ring that you place in your vagina — can increase blood flow to the vagina and help improve desire without the risks associated with systemic estrogen. In some cases, your doctor may prescribe a combination of estrogen and progesterone.
Male hormones, such as testosterone, play an important role in female sexual function, even though testosterone occurs in much lower amounts in women. However, replacing testosterone in women is controversial and it's not approved by the Food and Drug Administration for sexual dysfunction in women. Plus it can cause acne, excess body hair, and mood or personality changes.

Lifestyle and home remedies

Healthy lifestyle changes can make a big difference in your desire for sex:
* Exercise. Regular aerobic exercise and strength training can increase your stamina, improve your body image, elevate your mood and boost your libido.
* Stress less. Finding a better way to cope with work stress, financial stress and daily hassles can enhance your sex drive.
* Communicate with your partner. Couples who learn to communicate in an open, honest way usually maintain a stronger emotional connection, which can lead to better sex. Communicating about sex also is important. Talking about your likes and dislikes can set the stage for greater sexual intimacy.
* Set aside time for intimacy. Scheduling sex into your calendar may seem contrived and boring. But making intimacy a priority can help put your sex drive back on track.
* Add a little spice to your sex life. Try a different sexual position, a different time of day or a different location for sex. Ask your partner to spend more time on foreplay. If you and your partner are open to experimentation, sex toys and fantasy can help rekindle your sexual sizzle.
* Ditch bad habits. Smoking, illegal drugs and excess alcohol can all dampen sexual desire. Ditching these bad habits may help rev up your sexual desire as well as improve your overall health.    

Low sexual desire can be very difficult for you and your partner. It's natural to feel frustrated or sad if you aren't able to be as sexy and romantic as you want — or you used to be.
At the same time, low sexual desire can make your partner feel rejected, which can lead to conflicts and strife. And this type of relationship turmoil can further reduce desire for sex.

It may help to remember that fluctuations in your sexual desire are a normal part of every relationship and every stage of life. Try not to focus all of your attention on sex. Instead, spend some time nurturing yourself and your relationship.
Go for a long walk. Get a little extra sleep. Kiss your partner goodbye before you head out the door. Make a date night at your favorite restaurant. Feeling good about yourself and your partner can actually be the best foreplay.

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Male Sexual Health

MD - General Medicine
Sexologist, Delhi
Male Sexual Health

What is ejaculation?

It is the release of semen from the penis at orgasm. Semen is made up of sperm and fluid from testes (singular testis), seminal vesicles and prostate gland.

When a man is sexually stimulated, the brain sends signals to the genital area through nerves in spinal cord that causes contraction of pelvic muscles. Waves of pelvic muscle contractions transport the semen from the testes to tip of penis through vas deferens. This is called ejaculation or orgasm (colloquially to cum, shoot, blast or bust).

What is premature ejaculation (PE)?

PE means 'cumming too soon', that is, a man ejaculates before he is ready for it and he has no control over it.

Studies have shown that most men ejaculate between 2-5 minutes after penetration. This time frame is again arbitrary since it can differ from men to men, couple to couple, between cultures and other factors. So, for practical reason, if ejaculation occurs within 1 minute of penis entering into a vagina, it is called premature ejaculation. It is the commonest sexual problem in men and affects all ages.

What are the causes?

  • Premature ejaculation can be primary or secondary.
  • Primary or lifelong PE is when a man has not had control of ejaculation from the time of his first sexual experience. It can be caused by a chemical imbalance in brain centres that lowers the threshold for ejaculation.
  • Secondary or acquired PE is usually when there has been a period of normal functioning before premature ejaculation began. Secondary premature PE is often linked to psychological factors like stress, performance anxiety, relationship issues and impotence.

How is it diagnosed?

There are no tests or scans to diagnose PE. If you have premature ejaculation, you need to see your local doctor and a diagnosis is made based on your history.

What treatments are there for premature ejaculation?

Treatment for PE may involve sex therapy, behavioural techniques, medications, local gels and creams, and treatment of other conditions like erectile dysfunction.

Sex therapy is administered by a person called sex therapist. This is particularly important if the cause of premature ejaculation is psychological like relationship issues and anxiety. Sex therapist provides counselling to address these issues.

There are mainly two behavioural techniques that can be used for treating premature ejaculation:

Seman's 'stop start' technique and Masters and Johnson's 'squeeze' technique.

How to perform Seman's 'stop start' technique

  • Arouse yourself sexually by playing with your penis or ask your partner to stimulate it for you
  • Once you are fully aroused and feel you are close to ejaculation, stop playing
  • Wait for some time until the feeling of ejaculation passes away
  • Once the feeling has passed, you can restart stimulating your penis
  • Repeat this cycle 5-6 times until you finally ejaculate
  • Once you feel more confident with this technique, you can actually practice this after entering your partner. Start thrusting your partner until you feel you are close to ejaculation, stop thrusting and divert your attention to something else. Once the ejaculation feeling passes away, resume thrusting and stopping until you finally ejaculate.
  • How to perform Masters and Johnson's 'squeeze' technique

Once you are fully aroused and feel you are close to ejaculation, squeeze the tip of the penis between your thumb and index finger (or your partner can squeeze it for you) for several seconds until the feeling of ejaculation passes away. Repeat this squeeze and release technique for as long as you can until you finally ejaculate.

What medications are used to treat PE?

  • You need to see your local doctor to get medications prescribed for PE.
  • Dapoxetine (Priligy) is the only medication that is specific to the treatment of premature ejaculation. It is taken 'on-demand' only, one to three hours before sexual intercourse.
  • Some antidepressants have the side effect of delayed ejaculation and used for premature ejaculation. They include SSRIs like fluoxetine, paroxetine and sertraline and tricyclic antidepressant called clomipramine.
  • If PE is associated with erectile dysfunction, Viagra, Cialis or Levitra may be prescribed by your doctor.
  • Local anaesthetic creams and gels can reduce penile sensation and help premature ejaculation. They should be applied up to 30 minutes before sexual intercourse.
  • Using two condoms can reduce penile sensation and help a man take longer to ejaculate.

Just remember

Premature ejaculation is a very common sexual problem in men and affects all ages. It can cause embarrassment and anxiety and affects a man's self-esteem. It can affect both partners emotionally and sexually. There are many treatments available including sex therapy, behavioural techniques and medications but you need to seek help early. It is very important for partners to discuss this openly and get help from a doctor or other health care professionals.

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Priapism - How Can It Be Treated?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine, Certified Course In Herbal(Ayurvedic) Medicine
Sexologist, Ludhiana
Priapism - How Can It Be Treated?

Priapism is a condition of the penis where the erection persists long after the sexual stimulation. It is a painful condition and is extremely common among patients suffering from sickle cell anaemia. Medical treatment is necessary at the earliest in order to prevent any damage to the tissue. This condition is mostly observed in people in the age segment of 30-40.

Symptoms of priapism:
The symptoms of priapism vary according to the type of priapism a person is affected with. Two of the most common types of priapism are non-ischemic and ischemic priapism. While the latter is more common to those with a family history of the same disease, the former can occur to any person. Some of the common symptoms of both the condition include the following:

  1. An erection that lasts for more than an hour or more
  2. Pain in the penis during erection
  3. Rigid shaft of the penile with a soft tip

What are the causes of priapism?

  1. Blood-related disorders such as leukaemia, thalassemia, and sickle cell anaemia
  2. It can also arise from side effects of other medications such as fluoxetine, sertraline, papaverine, warfarin, atomoxetine, chlorpromazine, phentolamine etc
  3. Abuse of alcohol, marijuana, drugs etc.
  4. An injury or trauma to the penis, perineum and pelvis restricting the blood flow.
  5. Penis cancer
  6. Metabolic disorders such as amyloidosis and gout
  7. Neurological disorders such as syphilis or an injury to the spinal cord
  8. A toxic infection or a bite from a spider

What are the possible complications?
Priapism can lead to serious consequences, especially the ischemic type. The trapped blood inside the penis that is devoid of oxygen can start damaging the tissue of the penis. If this disease is not treated on time, it can lead to erectile dysfunction.

How is priapism diagnosed?
A doctor starts from a physical exam and goes through the medical history in order to get first-hand knowledge of the condition. This is followed by the prescription of tests such as blood gas measurement, ultrasound, count of red blood cells and platelets and other toxicology tests.

What are the treatment options?
There could be various approaches that are taken by a doctor. Excess blood can be drained out with the help of a syringe and the penis can be flushed with saline in order to get rid of the oxygen-devoid blood out of the penis. Certain medications can be injected into the pen that helps the blood to flow normally without accumulating inside the penis. If all else fails, a surgeon can perform a procedure in order to drain the blood from a different route. In case you have a concern or query you can always consult an expert & get answers to your questions!

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