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Dr. Sachin Shah

MBBS

Ophthalmologist, Mumbai

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Dr. Sachin Shah MBBS Ophthalmologist, Mumbai
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Sachin Shah
Dr. Sachin Shah is one of the best Ophthalmologists in Mulund West, Mumbai. He studied and completed MBBS. He is currently associated with Aastha Health Care in Mulund West, Mumbai. You can book an instant appointment online with Dr. Sachin Shah on Lybrate.com.

Lybrate.com has a number of highly qualified Ophthalmologists in India. You will find Ophthalmologists with more than 38 years of experience on Lybrate.com. You can find Ophthalmologists 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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Off LBS Marg, Mulund Colony, Mulund West. Landmark:-Opposite Chedda Petrol PumpMumbai Get Directions
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LBS Marg, Mulund Colony Landmark : Opposite Chedda Petrol PumpMumbai Get Directions
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Doctor I need help since 2 years I am on psychiatric treatment bcz of depression. Now I am working in a bank and I do not know why I watch gay videos if I got time then I will see those videos and masturbate please tell me how to overcome this situation so that I want to be a normal lead to a heterosexual life.

M.S. Counselling and Psychotherapy
Psychologist
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Doctor I need help since 2 years I am on psychiatric treatment bcz of depression. Now I am working in a bank and I do...
There is a possibility that you might be gay. But just watching gay videos do not make you gay. So it is advisable to talk to your psychiatrist or a counsellor to know more about your own sexuality and get more clarity about it. It is very important for you to understand and accept your sexual inclination. If you are gay and are unable to accept it, it will be difficult for you to live heterosexual life. Please understand that, being gay is not a crime. Please seek professional help.
1 person found this helpful

Hi. This is gurpreet. I was. Watching TV more. Please tell me best suitable glasses for my eyes.

BHMS
Homeopath
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Hi. This is gurpreet. I was. Watching TV more. Please tell me best suitable glasses for my eyes.
Hello, if you don't have any sight no. then you can use simple glasses without power while watching TV.
1 person found this helpful

Can I use contact lens over 3 years and I am aware of using it will lose my eyes or I can have laser treatment or any other treatment? I am uncomfortable of using spectacles, so I am using contact lens.

FPRS, DNB Ophtalmology
Ophthalmologist
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Can I use contact lens over 3 years and I am aware of using it will lose my eyes or I can have laser treatment or any...
Lasik is a simple laser procedure which changes the shape of the cornea so that the light rays fall on the retina properly. It is a painless procedure. It is a day care procedure does not require any injections, does not require admission, you can simply resume your duties in 2 days. Cost varies from centre to centre. Side effects are usually limited to dryness of eyes for few months. We can do lasik anytime after age of 18 years. You need to undergo proper prelasik checkup to decide whether lasik is safe for you or not

I am suffering from headache, when I am seeing any pictures, movies etc, my head was too pain that time, even when I think something the headache is came as usually. Please give me suggestions to this problem.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda
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I am suffering from headache, when I am seeing any pictures, movies etc, my head was too pain that time, even when I ...
Hi take pranacharya no tens capsule 1_1 twice a day. 1-1 drop of cow ghee in both nostrils at night time before sleep. Take shirshooladi vajra ras twice a day with honey. Avoid tea and coffee.

I have head ache for the past 2 days even my eyes are paining and watering how to over come it?

MD - Consultant Physician, Doctor of Medicine, MD
General Physician
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I have head ache for the past 2 days even my eyes are paining and watering how to over come it?
Take tab paracetamol 500mg one take cetera zine tab one vital c one bedroom complex one and rest take soup veg fluids.
1 person found this helpful

Hello Sir, I am 30 years old, I have an eyes squint problem from childhood. I have treated my eyes and operate two years ago, but I think still the problem there in my eyes. Please suggest me what should I do. I feel shame when I look someone.

MS - Ophthalmology
Ophthalmologist
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Hello Sir, I am 30 years old, I have an eyes squint problem from childhood. I have treated my eyes and operate two ye...
Dear:- strabismus surgery is indicated for cometicaly improvement & visual progression of eye. Each strabismus surgery is completed in two steps. Single surgical step may produce undercorrection. Remaining correction may be completed in 2 nd steps. You should send images of your eye to recognised your strabismus status.

I am suffering from nearsightedness. My contact lens is - 3.0. What should I do to decrease the contact lens no.

BHMS
Homeopath
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I am suffering from nearsightedness. My contact lens is - 3.0. What should I do to decrease the contact lens no.
hi, Take Physostigma 6Ch, 5 drops twice daily. Use CMD2, eye drop, 2 drops in each eye twice daily. Drink amla juice, 10 ml twice daily. Revert after 1 month.
3 people found this helpful

I have red eyes last three weeks what should I do please give a suggestion and also headache I need your help.

MBBS, MS - Ophthalmology, DOMS, DNB Ophtalmology, FICO (UK), FLVPEI (Cornea, Cataract & Anterior Segment)
Ophthalmologist
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I have red eyes last three weeks what should I do please give a suggestion and also headache I need your help.
Headache - get eye power check up. We need to see you to know the reason for the redness of eye and treat accordingly. You need to visit an eye doctor.
2 people found this helpful

My eyes are burning all time. It increase in sunlight. It decrease in cool water. What I have to do?

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist
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My eyes are burning all time. It increase in sunlight. It decrease in cool water. What I have to do?
Hello this is due to dryness 1. Blink a lot 2. Cold compresses 3. Use goggles in sunlight 4. Use lubricating eyedrop like flogel thrice daily.

I am not able to use my left eye however it is having no disease. What should I do?

DOMS, MBBS
Ophthalmologist
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I am not able to use my left eye however it is having no disease. What should I do?
Dear, if you are unable to see objects clearly from left eye, you need to get your vision tested for any refraction error and corrective spectacles can be worn for that. Please see an opthalmologist for detailed examination of eye including slit lamp for any other pathology of cornea etc.

I have cold, irritation in thought and eyes, not feeling well, what can I do and don't?

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist
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I have cold, irritation in thought and eyes, not feeling well, what can I do and don't?
i think u have viral fever ....consult ur physician...start gargles with warm water...do steam inhalation
2 people found this helpful

Dengue Vaxia

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician
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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
Dengue Vaxia
9 people found this helpful

I have red eyes and feelings jealousy in my eyes because of this I can't sleep properly its very bad for my eyes.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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I have red eyes and feelings jealousy in my eyes because of this I can't sleep properly its very bad for my eyes.
Homoeopathic medicine EUPHRASIA 30 ( Dr Reckeweg) Drink 2 drops direct on tongue every 2-3 hrly EUPHRASIA EYEDROPS ( SBL ) pour into eyes 1-2 drops 3 times daily

Mornings I feel my both eyes gets blurred. Is it the cause for cataract? And my vision so far is good. I don't use spectacles. So pls guide me what to do.

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist
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Mornings I feel my both eyes gets blurred. Is it the cause for cataract? And my vision so far is good. I don't use sp...
Hello dear... even If u have cataract but it is not interefering in ur routine life then u can wait for surgery...When cataract starts disturbing ur daily routine then u can directly go for cataract surgery
1 person found this helpful

I have black spots as well pimples on may back. I used scar removal cream for 4 months. Bat did not see any changers. What should I do?

MD - Homeopathy
Homeopath
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I have black spots as well pimples on may back. I used scar removal cream for 4 months. Bat did not see any changers....
Take following homoeo medicines berberus aquifolium q 30 ml sbl or any company 10 drops 3 times per day in water also apply berberis aq oin. Both avaliable in homoeo medical or online. Take full sleep no late night drink planty water eat vegetables fruits wash face with himilaya face wash.

I am 20 years old I am getting headtake every day evening and also my eyes will become red unnecessarily I want some tips to reduce this problems.

MS - Ophthalmology
Ophthalmologist
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I am 20 years old I am getting headtake every day evening and also my eyes will become red unnecessarily I want some ...
Hi lybrate-user take tab dolo 650 mg 2 times per day for two weeks take refresh tears eye drops 3 times per day lot of water fruit and vegetables study in good light.

My eyes becomes red while I ride a bike. N my eyes become very watery while riding a bike. What should I do.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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My eyes becomes red while I ride a bike. N my eyes become very watery while riding a bike. What should I do.
Eyes water because , while driving the rate at which the eye dries up increases , hence of rate of secretion of tears also goes up. since we are not driving at a constant speed there is a mismatch between the tear secretion and eyes drying up . our body always tries to over perform. this over secreted tears is too much to handle by the normal tear route from the eyes to the nose. hence the excess tears overflow leading to watering.So it is a normal process.Dont worry about this.Your eyes are normal.

I am looking for government employment, but my left eyes vision is very low because of this problem I had lost several opportunities in police and another divisions. What is the better solution for this problem.

BHMS
Homeopath
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I am looking for government employment, but my left eyes vision is very low because of this problem I had lost severa...
Hello, you should do these exercises to strengthen the eye muscles. Exercises for eyes: Warm your eyes. Rub your palms together to create heat, and then place them against your eyes for five seconds. Repeat this three times. Roll your eyes. Start by looking up and then slowly circle 10 times clockwise and 10 times counterclockwise. Focus. Hold a pen at arm's length, focus your eyes on it, and slowly bring the pen closer until it's about 6 inches away from your nose. Then slowly move it back, keeping your eyes focused on the pen, 10 times in all. Massage your temples. Using your thumb knuckles, massage your temples in small circles, 20 times in one direction and 20 in the other. Repeat the same actions above the mid-point of the eyebrows at the forehead, then below the eyes on both sides of the bridge of the nose. Take a mini-nap. Put your head back, close your eyes, and relax for 3 minutes. Insufficient sleep may weaken your vision, so shoot for 8 hours of sound sleep a night. Rest your eyes 10 minutes for every 50 minutes spent reading or in front of the computer. If your eyes feel overly tired, lie down and place cooling cucumber slices over your eyelids. Medication: Take homoeopathic medicine which will help you in preventing rather reducing the power of your eyes. Take Physostigma 6/ thrice daily for 1 month. Thereafter, revert back for further guidance.
1 person found this helpful

My grandfather has eye problem. He can not see properly. l could not understand what are doing now. Please help me kindly.

MD - Ophthalmology
Ophthalmologist
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Your question cannot be answered without knowing the real cause of vision loss in your grandfather's case.

Can meditation remove my specs. And tell what are the benefits of doing meditation.

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist
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Can meditation remove my specs. And tell what are the benefits of doing meditation.
Hello I am sorry but meditation cannot help to get rid of glasses You have only two options A. Contact lenses B. Lasik.
1 person found this helpful
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