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Dr. Amit

MBBS

Orthopedist, Mumbai

500 at clinic
Dr. Amit MBBS Orthopedist, Mumbai
500 at clinic
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Amit
Dr. Amit is a popular Orthopedist in Malad East, Mumbai. He has completed MBBS . You can consult Dr. Amit at Sanjeevani Hospital Malad in Malad East, Mumbai. Save your time and book an appointment online with Dr. Amit on Lybrate.com.

Find numerous Orthopedists in India from the comfort of your home on Lybrate.com. You will find Orthopedists with more than 42 years of experience on Lybrate.com. You can find Orthopedists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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MBBS - - -

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2nd floor,Bhavani Chambers, Kedarmal Road, Rani Sati Marg,Malad East, MumbaiMumbai Get Directions
500 at clinic
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Plot No 22, Sector No 3, C, Shivaji Chowk, Nerul, Landmark: Near Rajiv Gandhi Bridge.Navi Mumbai Get Directions
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My wife age 28 and she has pain in one legs one finger when any thing or body touch it. I shown in orthopedic doctor but no and fracture he tiolet to show in neurologist. Please guide me and tell me the reason to pain in legs one finger (no. 4)Please help sir .

MBBS, MD - Anaesthesiology, FIPM
Pain Management Specialist, Pune
My wife age 28 and she has pain in one legs one finger when any thing or body touch it. I shown in orthopedic doctor ...
Your wife is suffering from Allodynia which means a stimulus which is normally not painful (ex. touch ) is causing pain. Allodynia occurs due to problems in nerves which can occur in your case due to some problems in spine causing nerve compression, inflammation of nerves due to some autoimmune disease or even Fibromyalgia. Consult a Pain Specialist in your city for evaluation and treatment.\
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Dengue Vaxia

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
Dengue Vaxia

Dengvaxia - first vaccine against dengue

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Read more:

Dengue symptoms and what to do if you think you have denguedengue fever - remedies using papaya leaf juice

Full prescribing info - dengvaxia

Contents

Dengue tetravalent vaccine (live, attenuated).

Indications / uses

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Dosage / direction for use

The patient will receive 3 injections of 0.5 ml each at 6-month intervals.

The first injection will occur at the chosen or scheduled date; the second injection, 6 months after the first injection; and the third injection, 6 months after the second injection. Dengvaxia should be used according to the local vaccination schedule.

If the patient forgot an injection of dengvaxia: if the patient missed a scheduled injection, the physician will decide when to give the missed injection.

It is important that the patient follows the instructions of the physician, pharmacist or nurse regarding return visits for the follow-up injection. If the patient forgets or is not able to go back to the physician, pharmacist or nurse at the scheduled time, ask the physician, pharmacist or nurse for advice.

Administration: dengvaxia is given by the physician or nurse as an injection underneath the skin (subcutaneous route) in the upper arm.

Contraindications

Do not use dengvaxia if the patient is allergic (hypertensive) to the active substances or any of the other ingredients of dengvaxia listed in description (see description); has developed an allergic reaction after prior administration of dengvaxia. Signs of an allergic reaction may include an itchy rash, shortness of breath and swelling of the face and tongue; is suffering from a disease with mild to high fever or acute disease. In this case, the physician will postpone the administration of dengvaxia until the patient has recovered; has a weakened immune system, for example due to a genetic defect, hiv infection or therapies that affect the immune system (for example, high-dose corticosteroids or chemotherapy); is pregnant; is breastfeeding.

Use in pregnancy lactation: dengvaxia must not be given to pregnant or breastfeeding women.

If the patient is of child-bearing stage, the patient should take the necessary precautions to avoid pregnancy for 1 month following administration of dengvaxia; is pregnant or breastfeeding, the patient thinks may be pregnant or is planning to have a baby, ask the physician, pharmacist or nurse for advice before receiving dengvaxia.

Special precautions

Inform the physician, pharmacist or nurse before receiving dengvaxia if the patient is taking an immunosuppressive treatment (prednisone or equivalent to 20 mg or 2 mg/kg for 2 weeks or more). The physician will postpone administration of dengvaxia until 4 weeks after the treatment is discontinued; has experienced any health problems after prior administration of any vaccines. The physician will carefully consider the risks and benefits of vaccination.

As with all vaccines, dengvaxia may not protect 100% of persons who have been vaccinated. Vaccination with dengvaxia is not a substitute for protection against mosquito bites. The patient should take appropriate precautions to prevent mosquito bites, including the use of repellents, adequate clothing, and mosquito nets.

Fainting, sometimes accompanied by falling, can occur (mostly in adolescents) following, or even before, any injection with a needle. Therefore inform the physician, pharmacist or nurse if the patient fainted with a prior injection.

Adults above 45 years of age: adults above 45 years of age should not receive the vaccine.

Driving and using machines: no data are available on the effects of dengvaxia on the ability to drive or use machines.

Use in children: children less than 9 years of age should not receive the vaccine.

Side effects

Like all medicines, dengvaxia can cause side effects, although not all patients get them.

Serious allergic reactions: if any of these symptoms occur after leaving the place where the patient received an injection, consult a physician immediately: difficulty in breathing, blueness of the tongue or lips, a rash, swelling of the face or throat, low blood pressure causing dizziness or collapse.

When these signs and symptoms occur they usually develop quickly after the injection is given and while the patient is still in clinic or physician's surgery.

Serious allergic reactions are very rare (may affect up to 1 in 10, 000 people), after receiving any vaccine.

Other side effects: the following side effects were reported during clinical studies in children, adolescents and adults (from 9 to and including 60 years of age). Most of the reported side effects occurred within 3 days after the injection of the vaccine: very common (may affect more than 1 user in 10): headache, muscle pain (myalgia), generally feeling unwell (malaise), feeling of weakness (asthenia), injection site pain, fever.

Common (may affect up to 1 user in 10): injection site reactions: redness (erythema), bruising (hematoma), swelling, and itching (pruritus).

Uncommon (may affect up to 1 user in 100): infections of the upper respiratory tract, dizziness, sore throat (oropharyngeal pain), cough, runny nose (rhinorrhea), nausea, skin eruption (rash), neck pain, hardening of skin at the injection site (injection site induration).

Additional side effects in adults (from 18 to and including 60 years of age): uncommon (may affect up to 1 user in 100): swollen glands (lymphadenopathy), migraine, joint pain (arthralgia), flu-like symptoms (influenza-like illness).

Additional side effects in children and adolescents (from 9 to and including 17 years of age: uncommon (may affect up to 1 user in 100): itchy rash (urticaria).

Reporting of side effects or any suspected adverse event: if the patient experiences any side effects after vaccination, advised to seek immediate medical attention.

By reporting side effects, it can help provide more information on the safety of the vaccine.

Click to view adr monitoring form

Interactions

Using other medicines and dengvaxia: dengvaxia may not have an optimal effect if it used at the same time as medicines that suppress the immune system such as corticosteroids or chemotherapy.

Inform the physician, pharmacist or nurse if the patient is taking or has recently taken any other vaccines or any other medicines, including medicines obtained without a prescription.

Caution for usage

Before administering any biological, the person responsible for administration must take all precautions to prevent allergic or other reactions. As with all injectable vaccines, appropriate medical treatment and supervision must always be readily available in the event of an anaphylactic reaction following the administration of dengvaxia.

Epinephrine (1: 1000) and other appropriate agents used to control immediate allergic reactions must be available to treat unexpected events such as anaphylaxis.

Dengvaxia must not be mixed with other medicinal products in the same syringe.

Dengvaxia must not be administered by intravascular injection under any circumstances.

Syncope (fainting) can occur following, or even before, any vaccination as a psychogenic response to injection with a needle. Procedures should be in place to prevent injury from falling and to manage syncopal reactions.

Separate syringes and needles, separate injection sites and preferably separate limbs must be used if any other vaccine (s) or medicinal product (s) is/are concomitantly administered.

Dengvaxia is reconstituted by transferring all the solvent (0.4% sodium chloride solution) provided in the blue-labeled pre-filled syringe into the vial of freeze dried powder with a yellowish green flip off cap. The pre-filled syringe is fitted with a sterile needle for this transfer. The vial is then gently swirled. After complete dissolution, a 0.5 ml dose of reconstituted suspension is withdrawn into the same syringe. For injection, the syringe should be fitted with the new sterile needle.

The suspension should be visually inspected prior to administration. After reconstitution, dengvaxia is clear, colorless liquid with the possible presence of white to translucent particles (of endogenous nature).

After reconstitution with the solvent provided, dengvaxia must be used immediately.

Any unused dengvaxia or waste material should be disposed of, preferably by heat inactivation or incineration, in accordance with local regulations.

Do not throw away any medicines via wastewater or household waste. Ask a pharmacist on how to throw away medicines that no longer use. These measures will help to protect the environment.

Storage

Store in a refrigerator. Do not freeze. Keep the vaccine in the outer carton in order to protect it from light.

Description

After reconstitution, one dose (0.5 ml) contains 4.5-6.0 log10 ccid50* of each serotype of the cyd dengue virus** (1, 2, 3 and 4).

* ccid50: 50% cell culture infectious dose.

** produced in serum-free vero cells by recombinant dna technology.

The powder is a white, homogenous, freeze-dried powder with possible retraction at the base, and may form a ring-shaped cake.

The solvent (0.4% sodium chloride solution) is a clear, colorless liquid.

After reconstitution with the solvent provided, dengvaxia is a clear, colorless liquid with the possible presence of white to translucent particles.

Excipients/inactive ingredients: essential amino acids including l-phenylalanine, non-essential amino acids, l-arginine hydrochloride, sucrose, d-trehalose dihydrate, d-sorbitol, trometamol, urea, sodium chloride, water for injections.

Mechanism of action

Dengvaxia contains dengue virus serotypes 1, 2, 3 and 4 that have been weakened. Dengvaxia works by stimulating the body's natural defenses (immune system), which produces its own protection (antibodies) against the viruses that cause dengue disease.

Dengue is a viral infection transmitted to humans through the bite of an infected aedes mosquito. Dengue is not transmitted directly from person-to-person. Nevertheless the virus which replicates in an infected individual can be transmitted to other humans through mosquito bites for 4-5 days (maximum 12 days) after the first symptoms appear.

Dengue disease results in a wide range of symptoms including fever, headache, pain behind the eyes, muscle and joint pain, nausea, vomiting, swollen glands or skin rash. Symptoms usually last for 2-7 days. Dengue disease can also be asymptomatic.

However, occasionally dengue can be severe and potentially lead to hospitalization and in rare cases to death. Severe dengue is characterized by high fever and any of the following symptoms: severe abdominal pain, persistent vomiting, rapid breathing, severe bleeding, bleeding in stomach, bleeding gums, fatigue, restlessness, coma, seizure and organ failure.

Source:- http://www.mims.com/philippines/drug/info/dengvaxia

More information about dengvaxia - first vaccine against dengue

Sanofi awaits govt approval to launch dengue vaccine in india

Sanofi pasteur - dengue vaccine frequently asked questions

13 people found this helpful

Sir, frequently I am getting pain to my left elbow. Can you please suggest me what to do?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
Sir, frequently I am getting pain to my left elbow. Can you please suggest me what to do?
hi take following remedies 1. triphala kadha before lunch and dinner 2.sinha nad guggul 2 tab after lunch and dinner 3. apply mahavishgarbha tail on elbow ..... this remedies you will get at any ayurvedic medical.....
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I had an accident in which there was a minor head injury. Hairs at the injured lost have permanently lost. How can I grow them again.

BHMS
Homeopath, Lucknow
I had an accident in which there was a minor head injury. Hairs at the injured lost have permanently lost. How can I ...
after healing of injured area there is fibrosis & absolute loss of hair follicles.so there is no medicnes . only by some surgical procedures u will be able to cover that area by hairs.
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what is the optimum level of sio2% in the human body and when to attend doctor and hospitalisation

MPTh/MPT
Physiotherapist, Bhopal
optimal oxygen saturation for healthy adult varies from 94% and above. But this could be as low as 70% in a COPD patient and still acceptable. clinically medical help can be sought as when the symptoms like breathlessness, mental confusion, cold limbs etc arises.
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I am 43 yrs old male. Having a shoulder pain for the last few days. Max pain is felt after waking up in the morning. Gradually it spreads over the wings.

Bachelor Of Physiotherapist
Physiotherapist, Mumbai
I am 43 yrs old male. Having a shoulder pain for the last few days. Max pain is felt after waking up in the morning. ...
Morning pain generally occurs after sleeping in wrong position for whole night. Do not use thick pillows. Work on your posture. Exercise of neck can help you out.
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How to reduce pain of legs naturally.

Doctor Of Physical Therapy (DPT), Bachelor of Physical Therapy
Physiotherapist,
How to reduce pain of legs naturally.
Stretches for calf and leg muscles or yoga deep tissue massage to calf and tight leg mucles hot or cold fermentation as tolerated. Improving posture especially when sitting or standing long hours. Regular walking.
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Hi, Since past 2-3 days I was suffering from urinal infection. I consulted with a doctor and got it cured. Now suddenly I am suffering from severe lower back pain. Especially the right side of my back. Can you please provide me with medication. Thank you.

MBBS
General Physician, Mumbai
Hi,
Since past 2-3 days I was suffering from urinal infection. I consulted with a doctor and got it cured. Now sudden...
For pain take tablet paracetamol 650 mg and we have to rule out an impacted ureteric stone causing the pain
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During periods knee pain occurs. However last time there was stomach pain and last to last time there was back pain. What should be the reason of these changing symptoms. Is there something like" that body part is gonna pain in periods which is weak" or like I am gonna have knee/back/stomach related issued in ma old age? cant the periods be had without pain?

MBBS
Sexologist, Panchkula
During periods knee pain occurs. However last time there was stomach pain and last to last time there was back pain. ...
You don't have any knee, back or stomach issues, it is due to weakness. Get your hb test done. Do regular slow and deep breathing relaxation exercises in the morning. Take proper balanced diet. Avoid garlic and red chilly, non veg and eggs. Drink 8 to 10 glasses of water daily. Follow these to get painless periods.
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I have pain on my upper back. on first 7 days there is a severe pain and I used volini spray for 5 days. And now I have a small pain and also have cold. Is there any checkup is needed for me.

BPTh/BPT
Physiotherapist, Delhi
I have pain on my upper back. on first 7 days there is a severe pain and I used volini spray for 5 days. And now I ha...
Dear lybrate user how start your pain. With spray use hot pack 15 minutes twice a day, stretching exercise of back muscles, strengthening exercise of back muscles, avoid forward bending, heavy weight lifting, prolong standing, sitting. Sit maximum 45 minutes continue. Sit it with proper back support.
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I have pain below knee in the bone please help is it a strain or something else ?

DNB, MBBS
Orthopedist, Delhi
You should see an orthopaedic surgeon first so that he can evaluate where exactly the pain is and advise appropriate tests for the cause of pain. Sometimes low Vitamin D causes bone pains so get serum vitamin D levels(blood test) done and see the doctor with the report.
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My shoulder have a back pain. I really paining and depressed with it. My shoulder is very paining now. And I want to cure myself. Help please sir. I am very thankful for you.

BHMS
Homeopath, Agra
My shoulder have a back pain. I really paining and depressed with it. My shoulder is very paining now. And I want to ...
Hello lybrate user, you can take homoeopathic medicine-- Take rhus tox 30 and bryo 30, 2 drops 3 times alternatively. You can also purchase my package for joint and muscular pain. If you would like to consult with me privately, please click on 'consult'.
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Hallo I am sonu from satna and I am suffering from joints please me some medicine.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Hallo I am sonu from satna and I am suffering from joints please me some medicine.
Homoeopathic medicine ACTAE SPICATA 30 ( Dr Reckeweg) Drink 5 drops direct on tongue twice daily ADEL 4 ( ADEL) Drink 20 drops in 20 ml fresh water 3 times daily.
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My periods date was 20th August. Till it is absent. I had done preg kit test on 24th August. It was negative. Usually my periods is very regular. Now I am suffering in white discharge and mild back pain. Should I wait for few days or check up gynecologist?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
My periods date was 20th August. Till it is absent. I had done preg kit test on 24th August. It was negative. Usually...
You can wait for another week and if your periods still fail to come repeat a urinary pregnancy test and see a Gynaecologist.
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I am a 27 year old male, my muscles are very loose and feels like baloon filled with water and I always have this from very early age and no restricted to a particular pasrt of the body, add o that my finger nails and my hair to feels very soft, what treatment should I go for?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. Your complaints require a thorough work up by a good general physician with various blood tests. You can come back to me once your general evaluation has been done because you do not have a specific orthopaedic problem per se. Do not hesitate to contact me if you need any further assistance. Thanks & regards Dr Akshay Kumar Saxena
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Doctor I am suffering from back pain since three days, please tell me the remedies.

Diploma In Orthopaedics (D. Ortho)
Orthopedist, Amravati
Doctor I am suffering from back pain since three days, please tell me the remedies.
Hello, Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them . I will advise to check your vit B12 and vit D3 level. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
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I have very much pain in feet back I am suffering from varicose veins Is any home remedies for me.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I have very much pain in feet back I am suffering from varicose veins
Is any home remedies for me.
Do take mobilisation exercise from neuro physiotherapist do use varicose veins stocking at home for about 4 to 6 hours daily best wishes.
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I have low back pain for couple of months what I do to resolve this problem.

MS - Orthopaedics, MBBS
Orthopedist,
I have low back pain for couple of months what I do to resolve this problem.
Sleep on a hard bed with soft bedding on it. Use no pillow under the head. Kindly take biod3 max 1 tab dailyx10 paracetamol 250mg od & sos x5days do back (spine)/shoulder/knee exercises make sure you are not allergic to any of the medicines you are going to take do not ignore it. It could be beginning of a serious problem. If no relief in 4_5 days, then contact me again.
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I have high pain in my back since last 3 days as im healthy persons (19y male), i am worried about it why its paining in my back and its continues. Pain is its serious or there any remedy for it.

BPT, BPTh/BPT
Physiotherapist, Lucknow
I have high pain in my back since last 3 days as im healthy persons (19y male), i am worried about it why its paining...
Hot saline fomentation and volini gel application followed by spinal exercises. Avoid forward bending and reduce weight see my health feed for back pain.
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I go to play ground daily . But one day I got injury on my wrist I think before 10 days. Now its ok but not all Tell me any suggestion.

MSPT (Master of Physical Therapy)
Physiotherapist,
I go to play ground daily . But one day I got injury on my wrist I think before 10 days. Now its ok but not all
Tell ...
do wrist and finger movements keeping hand inside a tub with warm water. use wrist suport band durilg daily activities.
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