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Dr. Malathi.D.Adsula

Ayurveda, Mumbai

Dr. Malathi.D.Adsula Ayurveda, Mumbai
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Malathi.D.Adsula
Dr. Malathi.D.Adsula is a trusted Ayurveda in Shivaji Nagar, Mumbai. Doctor is currently practising at Adsar Clinic in Shivaji Nagar, Mumbai. Book an appointment online with Dr. Malathi.D.Adsula and consult privately on Lybrate.com.

Lybrate.com has a nexus of the most experienced Ayurvedas in India. You will find Ayurvedas with more than 42 years of experience on Lybrate.com. Find the best Ayurvedas online in Mumbai. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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#42,Shivaji Nagar, N.M.Joshi Marg,Lower Parel, Landmark: Near Bawla Masjid, MumbaiMumbai Get Directions
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I have bad pain for 3 years. When I had left my body building before 3 year. And I got some fat on my stomach. Please advise.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bundi
I have bad pain for 3 years.
When I had left my body building before 3 year.
And I got some fat on my stomach. Please...
Start yoga exercises and hit water drinking with medohar guggul 2 bd for two months initially. In food daliya, khichri etc should be opted. At night take turmeric powder mixed hot water or milk daily. Report after two months.
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I'm 23years old boy and daily when I'm getting up from bed daily suffering from Body back pain?

MBBS, MBA (Healthcare)
General Physician, Delhi
I'm 23years old boy and daily when I'm getting up from bed daily suffering from Body back pain?
apply volini gel on back, do warm fomentation. avoid forward bending. do back stretching exercises in pain free period. it will help you.
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My mother is 54 years old suffering with diabetes mellitus type -II .I observed her eye vision is very poor. How to improve eye visibility on diabetic patients?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Kolkata
My mother is 54 years old suffering with diabetes mellitus type -II .I observed her eye vision is very poor. How to i...
Saptamrita lowha 250mg and amlaki rasayan 5gm take together bdac with luke warm water for three months . Use itone eye drop two drops four times daily for three months
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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

My wife, 55 yrs. Of age, is 5 inch tall & 59 kg wt. Large stomach, adiabatic, taking insulin, suffering from knee joint pain, suggested partial knee replacement. Instead of knee surgery may we think to undergo bariatric surgery to recover both adiabatic & knee pain?

BPTh/BPT
Physiotherapist, Vellore
My wife, 55 yrs. Of age, is 5 inch tall & 59 kg wt. Large stomach, adiabatic, taking insulin, suffering from knee joi...
Sir, no need for bariatric surgery for knee pain. Consult physiotherapist. Apply hot water fermentation. Do calf muscle stretch. Do ankle pumping movement. Avoid long time standing, walking.
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Due to sitting job my wife weight got increase. Please provide the best diet for weight loss Weight 70 kg Height 5 ft 2 inch Age 28 yrs.

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
Due to sitting job my wife weight got increase.
Please provide the best diet for weight loss
Weight 70 kg
Height 5 ft...
Take high fiber low fat diet. Drink lot of water everyday. Take small and frequent meals at regular intervals of 2-3 hrs. ask me privately for detailed diet plan
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Sir, I am a diabatic patient. My serum cretinine level is 3.5. Is this harmful for my health? my age is 64.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Sir, I am a diabatic patient. My serum cretinine level is 3.5. Is this harmful for my health? my age is 64.
Yes it is harmful. You have to have strict sugar control and if high blood pressure is there then take ace - inhibitor like ramipril.
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How we can reduce our weight without using any medicines in small duration of time. Please suggest the best way?

BHMS
Homeopath, Faridabad
How we can reduce our weight without using any medicines in small duration of time. Please suggest the best way?
Hello, It's good to reduce weight at right time as many problems are directly related to overweight! Read the following guidelines and implement them in your routine: Management: 1: Drink plenty of water (at least 2-3 l/d) or other calorie-free beverages. 2: Be choosy about nighttime snacks. 3: Enjoy your favorite foods. 4: Have 6 meals per day - 3 main courses and 3 snack meals (snack meals should be healthy). 5: Do regular exercises daily (start with light and later may be little vigorous) . Exercise decreases the stress hormone in your body, burns calories and also increases the blood circulation. Preferably brisk walking, swimming, cycling, skipping. 6: Eat seasonal fruits. Fruit helps to satisfy your sweet tooth thanks to its natural sugars, while fresh vegetables help you fill up more quickly. Fruits and vegetables contain fiber to help you feel full quickly. 7: Eat more whole grains and cut simple carbs. Whole wheat bread, oatmeal, whole wheat pasta, sweet potato, and brown rice are all excellent sources of energy and sources of nutrition. 8: Choose lean proteins instead of fatty ones. 9: Cut the salt from your diet. Eating more sodium causes your body to retain water, which can cause you to feel bloated and gain more weight. 10: Don't skip meals.When you skip meals, your body stops breaking down fat and starts breaking down muscle tissue. Muscle tissue burns more calories at rest than other tissues, so you're actually working against your goals 11: Eat at home. Going out to eat makes it too easy to cheat. Food sold at restaurants is commonly much higher in fat, sodium, and other weight-loss killers. 12: Give yourself a treat now and then. If you're attending a party or going out for a special occasion, allow yourself an indulgence. Just make sure that these indulgences don't become daily habits. 13: Go for a health walk. Gear up yourself daily for a health walk which not only shed off your extra calorie, but also reduces the stress levels.
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Hii m 26 year female having problem that I sleep with open mouth and some time at day time also my mouth gey open what can I do.

MBBS
General Physician, Trivandrum
Hii m 26 year female having problem that I sleep with open mouth and some time at day time also my mouth gey open wha...
You maybe suffering from allergic rhinitis and pharyngitis. You need to avoid the cause of your allergies and also take anti allergy medications. Please consult for prescription. If you have an infection and have fever you will need to do a course of antibiotics. For now do warm saline gargle and steam inhalation 3 times a day. You are having open mouth problem because your nose is blocked by allergy or infection.
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My grandmother is suffering from diabetes. It is not under control. What should I do?

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Nagpur
My grandmother is suffering from diabetes. It is not under control. What should I do?
Start giving her 1 tsp of methi powder before 1 hour ago of meals. Divide her meals in 5 -6 times a day and keep her watch of carbs. Such as give her jowar ki roti, lots of vegetables and salad and thin buttermilk or curd and dal in her diet.
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I am a 21 year old I have stomach pain abdominal pain continuing 2-3 days in per week what should I do.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
I am a 21 year old I have stomach pain abdominal pain continuing 2-3 days in per week what should I do.
There are a various causes for stomach problems, treatment depends on the location, severity and type of pain. Laboratory tests such as the complete blood count (cbc), liver enzymes, pancreatic enzymes (amylase and lipase), urinalysis are frequently performed in the evaluation of abdominal pain. If you have h. Pylori infection for which I can prescribe a 14 day treatment plan which will eliminate it. Untreated infection causes ulcers in stomach and may finally lead to cancer. If your pain is occurring once in a year and not regular then such types of pain could be amoebic infection, worm infestation or premenstrual cramps. If pain is occurring frequently then get ultrasound abdomen done.
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Continues acne in my face. I used various acne creams .like benzyl peroxide and adaclene.

BHMS, DEMS
Homeopath, Pune
Continues acne in my face. I used various acne creams .like benzyl peroxide and adaclene.
Hello acne occurs when the pores on your skin become blocked with oil, dead skin, or bacteria. Each pore on your skin is the opening to a follicle. The follicle is made up of a hair and a sebaceous (oil) gland. The oil gland releases sebum (oil), which travels up the hair, out of the pore, and onto y skin. Drink water 10 glass / day wash your face 3 times / day avoid oily food eat one orange daily do not squeeze pimples, because that often leads to infections, worse acne and scars. Wash your hair often if your hair is oily. Try to keep your hair off of your face. Avoid hair care products such as gels, mousses, cream rinses, and pomades that contain a lot of oil. Use baksons sunny face wash. Avoid touching your face. Protect your skin from too much sun exposure. For complete cure kindly consult us.
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My brother is 32 yrs old man. He have diabetic problem. Sugar level in fasting ranging from 196 and after meals about 246. If he take medicine, taking medicine required to need continuously or not? Please tell me.

MBBS
General Physician, Mumbai
My brother is 32 yrs old man. He have diabetic problem. Sugar level in fasting ranging from 196 and after meals about...
We need to control sugar levels with medication exercise and following a diabetic diet and as of now better to take medicine
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I had red circular patches on my legs it is circular like shape and itching occurs regularly. How to get rid from this type of skin disease. Wil you please give me an advice. Thank you.

MD - Dermatology, MBBS
Dermatologist, Mumbai
I had red circular patches on my legs it is circular like shape and itching occurs regularly. How to get rid from thi...
Hello, it may be ringworm or fungal infection. Apply d-k gel twice a day on itchy areas for 6 weeks. Keep the affected area dry as much as possible. Avoid sweat.
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I have come fever for three days. And also getting headache. Not interest to staying.

MBBS
General Physician, Mumbai
I have come fever for three days. And also getting headache. Not interest to staying.
For fever take tablet paracetamol 650 mg and Get your blood checked for cbc, mp , widal , sgpt and urine r/m and revert back to us with reports
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Hi I have high blood pressure and diabetes as well. Though both ate under control but since last few days I am having some problem with urine. Every time I need to put extra pressure to do the urine. I am 70 years old. Please suggest.

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
Dear , as you are 70 years old first thing that comes to mind is enlarged prostate. Do you have get up to pass urine during night? if. Secondly, as summer has set in do you drink enough water? if urine output drops in summer you might have to strain a bit to pass urine. Next point is: are you constipated? is your stool hard? so increase your fluid intake, if you are passing hard stools then avoid constipation. If you have nocturia then consider prostate problem and urine examination. If it shows that you are retaining urine after passing urine medical treatment like alpha blockers should be considered. Dr. Kiran mehta.
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I do daily headbath and i' m seeing few white hair, the hair has also thinned very much. What are the solutions to make my hair back to normal state. Looking for valuable suggestions.

B.Sc(hons), Physics, B.H.M.S., PGDIT (software Engg)
Homeopath, Delhi
Homoeo treatment take lycopodium 200 / 1 dose in morning / 7 days buy german medicine available in homoeo med shop mixed fruit juice daily 2 times report me after 7 days for next medicine Consult for any kind of health support.
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I am 23 Male working in IT company. I have my weight of only 55kgs and height of 5.6ft. How do I increase my weight and height. I do smoking habit of smoking 2 twice per day and occasionally drinking. Please help me increase my weight. Thanks in advance.

MSc
Dietitian/Nutritionist, Chandigarh
I am 23 Male working in IT company. I have my weight of only 55kgs and height of 5.6ft. How do I increase my weight a...
Hi to increase weight you need to have calorie rich meals well placed throughout the day to form 4-5 meals a day. Foods like milk and milk products, nuts, eggs, ghee based home made sweets, pulses.
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I am 21 years old I am having the dark circles around the eyes. What I do for remove it?

BHMS
Alternative Medicine Specialist, Vadodara
Hello, homoeopathy internal medicine & external application of cream & liquid give you good result. Consult privately. Try to reduce stress & drink more water, take sound sleep. Thanks.
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