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Dr. Gouri S Deodhar

Dentist, Pune

Dr. Gouri S Deodhar Dentist, Pune
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Gouri S Deodhar
Dr. Gouri S Deodhar is one of the best Dentists in Erandwane, Pune. You can visit her at Dr Gouris Dental Clinic in Erandwane, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Gouri S Deodhar on Lybrate.com.

Lybrate.com has top trusted Dentists from across India. You will find Dentists with more than 30 years of experience on Lybrate.com. You can find Dentists online in Pune 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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Office No 6, Surya Towers, B Wing, S no 50/A, Near Mahadev Mandir, Erandwane, Pune, PunePune Get Directions
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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 brother have pain in his teeth since last two month and all doctors says for root canal therapy what should he do?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
My brother have pain in his teeth since last two month and all doctors says for root canal therapy what should he do?
If onlocal examination all the doctors have the same view then you should surely go for RCT as I cannot comment without examining physically.
2 people found this helpful
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I am a 32 years old female and have toothache for last 4 weeks. What should I do?

Certified Implantologist, BDS
Dentist, Jaipur
I am a 32 years old female and have toothache for last 4 weeks. What should I do?
Hi. It could b due to cavity formation. A xray is required to advice further. Get xray done and send it to me and would revel everything regarding your problem.
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I have mouth ulcer in regular interval since one year and I feel so difficulty to eat so please tell me what to do.

BDS
Dentist, Vadodara
I have mouth ulcer in regular interval since one year and I feel so difficulty to eat so please tell me what to do.
Mouth ulcers are usually due to vitamin deficiency or bad digestion. Other causes are stress, change in lifestyle or medicine, allergies. Start some vitamin supplements. Eat healthy and balanced diet. Reduce your stress level. Increase your intake of water. Avoid oilly n spicy food.
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Why does bad smell come from my mouth, even after I brush my teeth? I have not use and have not testing any types of alochol in today date. I am fear to talk with my friends with near. If they got my mouth's bad smell. Please help me sir/madam.

BDS
Dentist, Noida
Why does bad smell come from my mouth, even after I brush my teeth? I have not use and have not testing any types of ...
Hello Bad breath can result from a number of factors like caries in teeth, plaque deposits, indigestion, bad stomach & other hormonal factors as well. Firstly you need to get a proper oral check up done for the dentist to come to a conclusion about your problem. Take care.
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Ybrate 200 When I am doing brushing on teeth then why little bit water comes from gums can you pls tell me how I stop it? Thats why it takes 30-40 minutes time on brushing.

BDS
Dentist, Amritsar
Ybrate 200
When I am doing brushing on teeth then why little bit water comes from gums can you pls tell me how I stop...
It seems there is problem in your brushing technique. You must avoid aggressive brushing, do brushing in vertical strokes, brushing for 2-3 minutes is enough 30-40 minutes brushing daily will instead damage your teeth. Use mouth wash at least once a day.
1 person found this helpful
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Mere teeth se blood aata hai aisa kyo. Aur teeth ke andar me black aur yellow mark hai.

BDS
Dentist, Gurgaon
Mere teeth se blood aata hai aisa kyo. Aur teeth ke andar me black aur yellow mark hai.
Bleeding gum is due to various reasons for example:- -tooth infection -diabetes mellitus -iron overload -malnutrition -harmonal imbalance -use of aspirin and anticoagulants etc. I advice you visit a dentist once in every 3-4 month for plaque removal. Use soft bristle tooth-brush. Use floss twice a day it prevent plaque formation. Tooth paste with triclosan should be used. Use anti-plaque mouthwash two times in a day for 15 days. A balanced healthy diet should be taken. If cavity is not deep or there is no pain and sensitivity in the decayed tooth then go for restoration (filling) but if cavity is deep or there is pain and sensitivity in the decayed tooth then first get the X-RAY done of that tooth and send me the X-RAY picture for further diagnosis
1 person found this helpful
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Hello doctor my name is sunny I have black teeth last year what I do please tell me home remedies.

BDS
Dentist, Mumbai
Hello doctor my name is sunny I have black teeth last year what I do please tell me home remedies.
Lybrate-useryou are having black teeth. Keep your teeth clean and visit dental surgeon for check up and scaling and polishing of teeth and removal of decay and filling of teeth.
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My age 21 I am smoking since 5 years my teeth became yellow color can you tell me how to avoid this problem?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
My age 21 I am smoking since 5 years my teeth became yellow color can you tell me how to avoid this problem?
Quit habits. Kindly consult a dentist in person for further suggestion. We need more investigations to decide upon treatment. You may need deep cleaning along with whitening (bleaching) procedures and / or artificial enamel filling. Advance procedures can be done with laser too. You may consult me in person. Dental tips: - visit a dentist every six months. Gargle your mouth thoroughly after every meal. Scrub gently to clean your tongue with a tongue cleaner. Floss all your teeth inter dentally & brush twice daily, morning & night, up & down short vertical strokes, with ultra-soft bristles, indicator brush.
6 people found this helpful
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I have had ulcers in my mouth for as long as I can remember. Is there a cure for this? What's the cause?

BDS
Dentist, Vadodara
I have had ulcers in my mouth for as long as I can remember. Is there a cure for this? What's the cause?
The most common cause for ulcers in mouth is constipation, stress or vitamin deficiency. So start taking vitamin supplements. Reduce your stress level. Switch to healthy n regular diet. Increase intake of raw fruit and vegetables. For local application, use either dologel or mucopain ointment 3-4 times a day.
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Every morning I got saliva in my mouth that make my mouth smell so dear sir/mam suggest me how to stop it.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Every morning I got saliva in my mouth that make my mouth smell so dear sir/mam suggest me how to stop it.
•Eat a healthy, balanced diet and avoid eating strongly flavoured or spicy food. •Cut down on sugary food and drink, as it can increase the amount of bacteria in your mouth. •Reduce your alcohol consumption. •Stop smoking. •Cut down on coffee. •Drink plenty of water to help prevent your mouth becoming dry. •Chew sugar-free gum after eating, to stimulate the flow of saliva. This will help clean away any remaining food particles. •Don't use toothpaste to clean your dentures, as it can scratch the surface and cause stains. •Clean your dentures thoroughly using soap and lukewarm water, denture cream or a denture-cleaning tablet. •Use a separate toothbrush to clean your dentures. •Make sure you visit your dentist for regular check-ups. Having regular dental check-ups will ensure that any plaque is removed from your teeth, particularly in areas that are difficult to reach. •Your dentist can recommend the best way to clean your teeth and gums, and point out areas you might be missing. They can also identify any signs of gum disease and ensure early treatment. •Gastritis, lung & sinus infection may also be the cause of bad smell in the mouth. 90% of bad breath is due to a dirty tongue. •If your bad breath is caused by a gastrointestinal problem, such as an H. Pylori infection or gastro-oesophageal reflux disease (GORD), you may be referred to a gastroenterologist. •Persistent bad breath or a bad taste in the mouth may be a warning sign of gum (periodontal) disease. Gum disease is caused by the buildup of plaque on teeth. •You may need deep cleaning & fill tooth cavities with artificial enamel filling. Rinse your mouth thoroughly with a mouth wash until then. Advance procedures can be done with laser too.
1 person found this helpful
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I am age of 21 male. I am getting new teeth at the end of my jaw and it is swellon. And it is painful. What is the reason for it.

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
U r getting wisdom show a maxillofacial surgeon take x ray you may send me, alternatively you may also consult me.
1 person found this helpful
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Hello doctor I am Rakesh I am 30 yrs old man n I have suffering from cavity problem so what should I do.

BDS
Dentist, Bhopal
Hi you need to do fill that tooth i. E. Restoration. If you hv no pain. If you hv pain/ sensation go for an xray to confirm whether cavity has reached your pulp. After that go for root canal treatment.
2 people found this helpful
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Tips for a Healthy Mouth

BDS
Dentist, Bhopal
Tips for a Healthy Mouth
  1. Clean in between your teeth using interdental brushes or floss. This will help to clean a higher portion of the tooth and prevent the build-up of plaque
  2. A diet that is rich in vitamins, minerals, and fresh fruit and vegetables can help to prevent gum disease
  3. Eating and drinking naturally weakens the enamel on your teeth, and brushing straight afterwards can cause tiny particles of enamel to be brushed away. It is best not to brush your teeth until at least one hour after eating
  4. Chew sugar-free gum to stimulate saliva to help prevent your mouth from drying out
  5. If you are a nervous patient, make sure your dentist knows this, including what you most dislike about treatment
  6. To test if you have bad breath, simply lick the inside of your wrist, let it dry and sniff. If the smell is bad, you can be fairly sure you have bad breath
  7. Always tell your dentist about changes to your health, as it may help them prevent gum disease from developing
  8. A glass of water is the best drink to give your child after eating sugary foods
  9. Brush your teeth just before you go to bed and before you have anything to eat or drink at breakfast
  10. Use a mouthwash containing anti-bacterial to help control gum disease.
You found this helpful

The innner side of some of my teeth are getting black. So how to get rid of this problem ?

B.D.S
Dentist, Jaipur
May be you are having cavity there or staining. Visit nearby dentist to get rid of this. Thank you Dr. Jagrati
2 people found this helpful
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My mom had undergone replacement of all teeth in both upper and lower jaw. As per one doctor since the gum has tried up, teeth implantation can be done via screw. Can you please let me know the average price for this implantation? Its little urgent.

MDS, BDS
Dentist, Vadodara
My mom had undergone replacement of all teeth in both upper and lower jaw. As per one doctor since the gum has tried ...
Average price for one implant can be around 20000-25000. Your dentist can give you an overall package depending on the type of denture you want.
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I am always troubled by tooth ache as soon as I eat chocolate or sweets. Tough I brush twice a day I m not satisfied with it. Please help me to sought out this problem.

MDS
Dentist, Kolkata
I am always troubled by tooth ache as soon as I eat chocolate or sweets. Tough I brush twice a day I m not satisfied ...
Toothache means there may be a decayed tooth that needs immediate attention, so visit dentist and ask him if it can be restored.
8 people found this helpful
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I am 57. My teeth are getting exposed from roots. The skin adjoining the base of the tooth is getting low day by day. My dentist told me that this could be due to acid formation as I often suffer from acidity. Can you please suggest what can I do to save my teeth.

DRCH, BHMS
Homeopath, Bareilly
I am 57. My teeth are getting exposed from roots. The skin adjoining the base of the tooth is getting low day by day....
You should take action to reduce acidity . Take light and easily digestible food items. Drink plenty of water. Take homeopathic medicine nux vomica 30 daily at night for relief of acidity problem. Eat nutritious food items
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Throat infection and ulcers (çheal) in whole mouth since three days, any suggestions?

BHMS
Homeopath, Faridabad
Throat infection and ulcers (çheal) in whole mouth since three days, any suggestions?
Hello, take homoeopathic medicines - schwabe's alpha-cf and biocombination-6 and borax 30 - all of them thrice a day for 4-5days. Avoid rough use of voice. Avoid cold food/ drinks. Avoid sitting long hours in a/c rooms.
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