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Dr. K. S. Kulkarni

MD - Psychiatry, Diploma in Psychological Medicine

Psychiatrist, Pune

37 Years Experience  ·  500 at clinic
Dr. K. S. Kulkarni MD - Psychiatry, Diploma in Psychological Medicine Psychiatrist, Pune
37 Years Experience  ·  500 at clinic
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Personal Statement

My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. K. S. Kulkarni
Dr. K. S. Kulkarni is a popular Psychiatrist in Deccan, Pune. He has been a successful Psychiatrist for the last 37 years. He is a MD - Psychiatry, Diploma in Psychological Medicine . You can consult Dr. K. S. Kulkarni at Sathe Hospital in Deccan, Pune. Book an appointment online with Dr. K. S. Kulkarni and consult privately on Lybrate.com.

Lybrate.com has top trusted Psychiatrists from across India. You will find Psychiatrists with more than 35 years of experience on Lybrate.com. You can find Psychiatrists 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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Specialty
Education
MD - Psychiatry - Seth G.S. Medical College and King Edward Memorial Hospital, Mumbai, - 1982
Diploma in Psychological Medicine - Seth G.S. Medical College and King Edward Memorial Hospital, Mumbai, - 1980
Languages spoken
English
Hindi
Professional Memberships
Membership of Indian Psychiatric Society 11164
Life Fellow Membership of Indian Psychiatric Society

Location

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Sathe Hospital,Deccan Gymkhana. Landamrk: Above Deccan Gymkhana Post Office Building, PunePune Get Directions
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#402/A, Senapati Bapat Road, Gokhale Nagar. Landmark: Near Dominos Pizza, PunePune Get Directions
500 at clinic
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Hello doctors, I'm in 12th now. I have a girlfriend. So, my question is, if I have a limited physical relationship with her, what will be the effect of it on us physically as well as mentally?

M.Sc - Psychological Counseling, B.A ( Hons) - Psychology
Psychologist, Delhi
Hello doctors, I'm in 12th now. I have a girlfriend. So, my question is, if I have a limited physical relationship wi...
Hello lybrate-user, there are no side effects of having limited physical contact with other people, physically or mentally. Having too much of a physical contact on the other hand can lead to many problems, both, physical and mental. So, focus over your studies and engage in some outdoor sports. Good luck.
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I can't remind any thing for more times. please tell me what is the reasons behind it?

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear lybrate-user, welcome to lybrate. At your age, memory problems like amnesia, dementia or alzheimer's are not common. Many young people do complain having problems with memory. These problems are due to either they are too busy or due to anxiety and stress. Busy people use organizers or employ a personal assistant because they can't remember every task. You need to understand this. If you still say, you are having memory problems, we need to check your memory using memory test. Take care.
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Will paxidepcr gives any side effects and how many days should I continue it. Any withdrawal symptoms.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Will paxidepcr gives any side effects and how many days should I continue it. Any withdrawal symptoms.
Dear , I can understand your problem. Psychiatric problems are always treated with a combination of medicines, psychotherapy and counseling. You are taking medicines but not supplementing it with psychotherapy and counseling. In fact, psychotherapy and counseling will help you to quit the medicine and continue without medicines. Please contact me with every detail and I will help you. Take care.
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D.P.M(psychiatry) [Diploma in Psychological medicine] , MBBS
Psychiatrist, Jalna
Symptoms of depression -
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Can we take both homeopathic and allopathic treatment simultaneously for depression and anxiety?

MD - Psychiatry
Psychiatrist, Chennai
Can we take both homeopathic and allopathic treatment simultaneously for depression and anxiety?
Highly risky as the drug interactions are not studied between these different medical methods. If u do it will be at ur own risk, u can blame neither the homepath nor the allopath. All the best
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5 Reasons You Must Rid Yourself of Anxiety on Daily Basis

DPM, MBBS
Psychiatrist, Mumbai
5 Reasons You Must Rid Yourself of Anxiety on Daily Basis

5 Reasons to Get Rid of Everyday Anxiety

Anxiety is a disorder where the body is in a state of alertness as a result of a stressful situation. It is an inbuilt mechanism, which can result from stress, threat or pressure. Being constantly anxious impairs work performance and creates havoc in relationships. The blood supply to the brain increases during anxiety, thereby quickening heart rate and tensing the muscles of the body to facilitate a state of high alertness. High anxiety levels can give rise to a number of health issues, reason why you should try to minimize your anxiety levels.

Here are 5 reasons to get rid of anxiety:

1. High blood pressure - 
Spikes in blood pressure occur during periods of anxiety. These temporary spikes can result in damage to heart health and blood vessels in the body. Anxiety may also cause a person to smoke or consume alcohol, which affects blood pressure.

2. Stomach problems - Anxiety is known to cause problems in digestion as symptoms of irritable bowel syndrome and an upset stomach are reported to occur. It may cause vomiting, abdominal pain, and constipation.

3. Weight gain - Binge eating during periods of anxiety can cause weight gain in affected people. A study reported that stressed out women processed fat and sugar in a different manner than usual, thereby leading to an increase in weight. Weight gain can give rise to other complications like diabetes and high blood pressure.

4. Disorders of the respiratory system - People with respiratory diseases face complications due to anxiety. Breathing problems such as hyperventilation can cause further complications.

5. Depression - Anxiety can cause a person to develop depression, which can be life-threatening. Thus, preventing anxiety can help in preventing depression as well.

'Consult'.

Related Tip: How to know if you have an anxiety disorder?

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Hello doctor, I have a friend. She is a very good girl. She is caring, helpful, she never say no to anyone. She has been a best friend and a best daughter. But every time she trust people they ditch her. People always be mean to her. They all around her just want their work to be done and bitch about her at her back. Plus she has been facing family problems since her childhood, like fight between her parents, financial problems, etc. She has been a sacrificing girl. But now from few days she has been very much depressed, she don't even talk to her parents properly, she just keep quiet, she don't smile and be happy like before. Please do advice something for her. She is giving her exams right now. She is mentally disturbed.

M.Sc - Applied Psychology, P.G.Dip.in Guidance &Counselling, B.A., Psychology, Dip.in Pharmacy
Psychologist, Madurai
Hello doctor, I have a friend. She is a very good girl. She is caring, helpful, she never say no to anyone. She has b...
It is good that your concern over your friend's good character and empathy towards her problems. But, the problems you present here are only due to lack of assertiveness, low self confidence and poor self-esteem on your friend's side. Assertiveness means being able to stand up for one's own rights with positive attitdue and without showing aggressiveness. Luckily she has a good friend like you who can take her to a psychological counselor to get training to improve these kinds of skills. Other family problems will automatically be well managed by her if she is more assertive with self-confident.
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My chewing paan masala without using tobacco in it, M using tobacco free pan masala Is it have any harmful affect? before it about 6 months ago m a adductor of smokeless or smoke tobacco but I left it.

MDS, BDS
Dentist, Mumbai
My chewing paan masala without using tobacco in it,

M using tobacco free pan masala 
Is it have any harmful affect?
...
Chewing pan masala which contain beetle nut or areca nut is harmful. It can cause submucous fibrosis of oral mucosa which is pre-cancer condition.
2 people found this helpful
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Does yoga & meditation can cure depression of loosing some one whom you are too much attached? Or is there any other therapy which can help?

DHMS (Hons.)
Homeopath, Patna
Does yoga & meditation can cure depression of loosing some one whom you are too much attached? Or is there any other ...
Hello, yes, of course, yoga/ meditation can change your life and help to come out of your depression. * go for a walk in d morning for 30 mnts. * divert your attention to a film, you like, most, meet your friends at that time. Go to a garden to enjoy d nature. ** homoe -care ** @ acid phos 30 - 6 pills, take thrice/dly # ignatia 30-6 pills x3 dly. All d best, get noble.
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I am 20 years old. I have a few days for exam and due to my lethargic condition I can't prepare properly. Previously I was on medication for depression for 6 months and for irregular menstrual cycle for 2 years. Now I am not taking any medicine. I don't feel healthy and that's hampering my studies. What can I do for this because I need a solution as soon as possible.

Certificate Course in Fitness Management
Dietitian/Nutritionist, Faridabad
I am 20 years old. I have a few days for exam and due to my lethargic condition I can't prepare properly. Previously ...
Increase you liquid intake in the form of water, lemonade, fresh fruit juices and milk. Drink carrot juice, aloe vera juice, grape juice. Add ginger, cinnamon, pumpkin seeds, green (unripe) papaya, sesame seeds (with Jaggery), Apple Cider Vinegar and wheat grass to your diet. Also eat other seasonal fruits and vegetables and drink green tea 3 times day. REDUCE STRESS: Breathe away stress by doing yoga and breathing exercises and meditation in the morning. Also, do kapalbhati and anulom-vilom pranayama for 15 mins each. CHASTE BERRY: The best known hormone balancing herb for women, Chaste berry helps to regulate the female gynecological system. It works by normalizing the secretions of the pituitary gland, hypothalamus, and ovaries, which then appropriately signal to balance the endocrine system. Note – This herb is not recommended if you are taking any fertility drug. It should not be consumed during pregnancy. SHATAVARI: Shatavari is also known to restore the balance of hormones in women. Mix it with equal amount of Ashwagandha and take 1 teaspoon with warm milk at night daily.
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Hi I have a lot of work now a days I have a lot of depression on my mind how can I get overcome from my depression please help me regarding this please suggest me some medicine medicines thanks a lot.

BHMS
Homeopath,
Hi I have a lot of work now a days I have a lot of depression on my mind how can I get overcome from my depression pl...
Dear lybrate user, try biochemic kali phos 6x tablets to get rid of your depression. Take 4 tablets, thrice daily, with a cup of lukewarm water.
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Sir I suffered from depression and anxiety. I am taking pexep cr 12.5 mg and half of risdone mt 0.5 mg .now I am fine but sometimes I feel like tired and weak and nervous and lack of concentration in study. So what can I do? Pls suggest me.

MBBS
General Physician, Mumbai
Sir I suffered from depression and anxiety. I am taking pexep cr 12.5 mg and half of risdone mt 0.5 mg .now I am fine...
Meditation helps greatly. How meditation affects health? it has been scientifically proved that meditation not only helps the mind but also body because controlled mind and purification of consciousness leads to better lifestyle and improved habits of food, sleep etc which in turn leads to better overall health. Most diseases have their roots in uncontrolled mind and impure consciousness. So do transcendental meditation by finding and reading iskcon books, either from internet and/or from your nearest iskcon center.
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I am In deep depression and fear it is a terrifying feeling to do my routine acts I can't even understand that what is happening to me I have suicidal thoughts also give me good suggestion I am really fearing I think my problems were cleared when something very bad happens to me.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
You have an anger related depression and need immediate help. Fear and depression tend to go together but with some help, you should well out of the problem. You have not mentioned your age so it is difficult to guide you completely well. If you have depression then there are some major ramifications to take into account. I believe there may be some genetic predisposition or there has been some childhood issue, related to anger, that needs urgent attention. You must go and meet with a counselor immediately and if that person advises that you meet with a doctor you must do so and cooperate to your utmost. Please visit these professionals along with your parents. In the meantime please do the following sincerely because you could resolve the problem better with good cooperation: Have a good night’s sleep, have a good breakfast of more proteins, meditate often, remain free of stress, eat a lot of fiber, nuts, avocado, exercise regularly, eat dark chocolate, do Yoga meditation exercises, etc. I suggest you do the opposite of what this depression makes you feel like doing (actually, not doing): you will need to fight this condition. You must become active; stay upright during the daylight time; meet people; never sleep during the day, wake up by 6 am every day, play some active games, especially contact games, do physical exercises, talk to people and join some social clubs, attend Yoga classes etc. Watch sitcoms on TV or comedies and cheer yourself up. Go for excursions in groups, for outings, camps, conferences, and religious conventions. Get a pet dog and spend time training it, exercising it and relating to it. Expose yourself to some sunlight every day, at least, 30 minutes but not in the scorching heat. Whatever happens, please incorporate these three important adaptations in your life: always be responsible, be respectful, and be functional. If you did these three, lots of things will go well in life. Please pray and have faith in God to alleviate your sufferings. Don’t wait for others to help. Use your own motivation, which might be at its lowest, but persevere and win this battle. Above all to be really happy, you need to live in love and for love. Learn all about emotions and how to handle them and that will get you out of the depression rather easily and quickly. A counselor is there only to facilitate you, all the hard word must come from you, and your cooperation with that person is very critical for your success. Be positive every day and learn to be contented with what you have. Do some left brain exercises: it is the happy brain. Here are a few suggestions: shut your left nostril and breathe, move your eyes from right to left and vice versa for at least half a minute at a time, and do callisthenic exercises with some form of counting, regularly. Whatever happens please cooperate with the therapy and do not discontinue until the condition is completely resolved. Life is extremely precious and the depression​ can make you feel like quitting but you must never give up.
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I have stammering problem since I was child. I talk normally without stammering when I talks to friends or someone I know, but the problem starts when I talk to any strangers or front of many people on stage due to nervousness. It also happens when someone suddenly ask a question. It's really very big problem for me, I just want to overcome it. So if you please tell me what to do, I will be very obliged. Thank you & looking for your reply.

B. Sc. Speech and Hearing
Audiologist, Delhi
Speaking situations which are in your comfort zone, you will not face a problem. But when you are stepping out from your comfort zone stammering happens. This happens to all. But problem arise when you fail to cope with the situation. So you need to strengthen your coping mechanism. Speech therapy will help.
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Hi I would like to quit smoking but I am not able to as I have been smoking for the last 27years. I am a 41years old.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear , quitting smoking is very easy if you have will power. Just stop it and be stubborn never to touch it. Nicotine chewing gum is available in medical stores. You can use them as an alternative to reduce craving. Slowly you can reduce them too. Take care.
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I found myself depressed after not studying enough in a day? is it normal.? Or I should take some medicine.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
I found myself depressed after not studying enough in a day? is it normal.? Or I should take some medicine.
Dear, You are not depressed, but you are stressed. Stress is simply a reaction to a stimulus that disturbs our physical or mental equilibrium. In other words, it's an omnipresent part of life. A stressful event can trigger the ?fight-or-flight? response, causing hormones such as adrenaline and cortisol to surge through the body. A little bit of stress, known as ?acute stress,? can be exciting?it keeps us active and alert. But long-term, or ?chronic stress,? can have detrimental effects on health. You may not be able to control the stressors in your world, but you can alter your reaction to them. Please let me know the details. Take care.
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How to get rid of tobacco and alcohol I am hate it both of them but after some time I failed.

MD - Psychiatry
Psychiatrist, Jalandhar
It can b left with strong will power under guidance of a deaddiction expert which is a psychiatrist.
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If i am smoking cigratte so swine flu will harm me or not! because some where i had read that while smoking the person can save himself from swine flu !

BHARAT JYOTI, MRACGP, INCEPTOR, MD-PhD, MD - Psychiatry, FIPS, Fellow of Academy of General Education (FAGE), DPM, MBBS
Psychiatrist, Bangalore
No. Stop smoking Dr. Aravinda jawali pharmacological treatments to help quit smoking why is it so hard to quit smoking? you have probably heard this before" smoking is so bad for you. Why do you do it" people start smoking for different reasons. They might think it will help calm their nerves, make them look more mature, or maybe at the time it just seemed sort of adventurous. Looking back, it was not the best choice. Many people really want to quit, but why is quitting so hard? it is hard to quit smoking because the nicotine in cigarettes, cigars, and other tobacco products gets you hooked and keeps you hooked. Most people try as many as three times to quit before they are able to do so. Look at smoking cessation as a process instead of a one-time event. That way, if you do slip, you can focus on what you can do differently to prevent future slips and relapse. Don? t give up? you will get there. You have probably heard a lot about how smoking is harmful, but here are some positive things you can look forward to when you do quit. If you quit, you will: prolong your life improve your health feel healthier (smoking can cause coughing, poor athletic ability, and sore throats.) look better (smoking can cause face wrinkles, stained teeth, and dull skin.) improve your sense of taste and smell save money (most smokers spend about $90 a month on cigarettes.) smoking increases complications for those who have diabetes. While smoking can increase your chances of getting diabetes, it can also make managing diabetes more difficult for those who already have it. Smoking-related complications of diabetes could include retinopathy (eye disease), heart disease, stroke, vascular disease, kidney disease, nerve damage, and/or foot problems. What options do people have? some people try quitting on their own before they go to their doctor, but your doctor can be very helpful. He or she may offer tips and suggest medicines, both prescription and over-the-counter, to help you" kick the habit" it is also important to tell your doctor what types of products you might use or are using to quit smoking. The doctor can make sure that suggested products will not interact with other medicines you are already taking. Remember, there is no" magic bullet" when it comes to quitting smoking. Quitting requires persistent effort. Over-the-counter medicines nicotine-based medicines over-the-counter medicines that contain nicotine can be very helpful in fighting off cravings. These products will not remove all cravings, but you can use them instead of smoking to reduce your nicotine intake gradually and ease off of its addictive effects. When you give your body a steady dose of nicotine all the time and then stop suddenly, you will have more side effects (withdrawal symptoms) that usually make quitting a lot harder. Withdrawal symptoms include irritability, headache, and the craving to smoke. Go slow and lower the dose gradually with nicotine-based products until you feel you are able to resist the cravings on your own. You will still have cravings, but they will be weaker. It is very important to have some form of social support when you decide to quit, no matter if you use products or not. Support can come from your doctor, counselor, support group, close friend, or a family member. When considering a nicotine-based product to help you quit, be sure to tell your doctor about any conditions you might have, especially: asthma or breathing problems heart or blood vessel disease high blood pressure stomach ulcer diabetes mellitus kidney disease liver disease overactive thyroid pheochromocytoma (pcc) over-the-counter treatments are typically used for up to 12 weeks as part of a smoking cessation program. Additional things to consider when taking nicotine-based medicines do not smoke while you are using the nicotine-based medicines. You could risk overdosing on nicotine. Tell your doctor about any medicines you are taking or any allergies you have. Do not use the nicotine-based medicines if you are breastfeeding, are pregnant, or think you might be pregnant. Keep this and all medicines out of the reach of children and pets. Common brand names of the nicotine patch, gum, and lozenge include: nicorelief (gum) nicorette (gum) nicoderm cq (patch) commit (lozenge) transdermal nicotine patch the patch is worn directly on the skin. Nicotine passes through the skin into your bloodstream. Some brands have patches with different strengths so you can gradually reduce your dosage. Nicotine patches are available without a prescription. If you are not sure what kind of patch to use, ask your doctor. Always follow the instructions on the box, but here are some things to remember when using the nicotine patch: patches are supplied in child-resistant pouches; save the pouch for disposal of the patch. Find a clean, dry part of the skin to apply it. Somewhere on your upper arm or torso usually works best. Try to find an area that has little hair and is without scars, cuts, burns, or rashes. Right before applying the patch, wash your hands and the skin area with plain soap and water and dry completely. Avoid using any soap, lotion, hand cream, tanning lotion or oil, bath oil or insect repellent that contains aloe, lanolin or glycerin as a moisturizer since these agents can leave a moisturizing film on your skin, which can potentially interfere with the adherence of the patch. When you have finished applying or removing the patch, wash your hands with water only. Do not try to adjust the dosage by cutting the patch into sections. Leave the patch on, even while bathing or swimming. If it falls off, do not try to re-apply it. Use a new one remove the patch according to the instructions on the box (usually after 16 to 24 hours). Dispose by folding sticky ends of the patch together and putting in pouch. When applying a new patch, choose a different place than before. Do not use the patch in the same place for at least a week. Do not leave the patch on for longer than directed. Remove the patch if you are going to do rigorous exercise. This might cause more nicotine to pass into your bloodstream. If you are unsure how to use the product, be sure to ask your doctor or pharmacist to explain. Remove the patch if you are having a magnetic resonance imaging (mri) scan. Nicotine patches contain aluminum. If you have vivid dreams or other sleep disturbances, try removing the patch at bedtime and applying a new one in the morning. Common side effects of the nicotine patch: increased appetite mild headache irritation at the site of the patch, including itching, burning, or redness there are other common or more serious side effects. Please read the information that comes with the product carefully, and be sure to contact your doctor if you have any questions. Nicotine gum nicotine gum, like the patch, is a systemic way to receive nicotine. This means that the nicotine in the gum passes from the lining of your mouth right into your bloodstream. Like the patch, you will decrease the dosage during the recommended time (usually 12 weeks or sooner) if you are able to resist cravings on your own. Nicotine gum is sold without a prescription. Always follow the instructions on the box, but here are some things to remember when using nicotine gum: use nicotine gum only when you feel the urge to smoke. Slowly chew the gum until you begin to taste it or feel a tingling sensation in your mouth. Then stop chewing and park it between your cheek and gum. This helps release the nicotine. When the taste or tingling is almost gone, repeat these two steps for 30 minutes. Use only one piece at a time. Do not drink beverages (e. G, soft drinks, tea, coffee, and fruit juices) or eat food 15 minutes before or while chewing the gum. Gradually decrease the number of pieces of gum you chew per day, until you reach three to six pieces per day. Some people can do this in less than 12 weeks. Do not chew more than twenty-four pieces in 1 day. Try to have the nicotine gum handy at all times. You might try hard candy or using regular gum, if the nicotine gum is not available. Nicotine gum can be difficult to use if you have dentures. Common side effects of nicotine gum: belching (burping), gas, or heartburn increased appetite mild headache watery mouth jaw or muscle pain or fatigue sore mouth or throat nausea hiccups there are other common or more serious side effects. Please read the information that comes with the product carefully and be sure to contact your doctor if you have any questions. Nicotine lozenge a nicotine lozenge, like the patch and gum, is a systemic way to receive nicotine. This means that the nicotine in the lozenge passes from the lining of your mouth right into your bloodstream. Always follow the instructions on the box, but here are a few things to remember when using the nicotine lozenges: place the lozenge in your mouth; wait until it dissolves completely; and move it around from time to time without chewing. It takes around 20 to 30 minutes to dissolve. Do not take more than one lozenge at a time or continuously use one lozenge after the other, this can cause hiccups, heartburn, or nausea. Do not eat or drink 15 minutes prior to, during, or after use. Do not use more than five lozenges in 6 hours or more than twenty lozenges in 24 hours. Prescription medicines nicotine nasal spray nicotine that can help you stop smoking also comes in the form of a nasal spray, available only by prescription. Like the patch and the gum, the amount taken is gradually decreased during a period of 12 weeks. It is to be used, like the gum and the patch, as part of a program that also includes support, education, and counseling. Nicotrol ns is one brand of nicotine nasal spray. Always follow the instructions on the prescription label. Here are some other things to remember when using nicotine nasal spray: blow your nose prior to use. You may gradually reduce your dose of nasal spray by skipping doses or using only half the usual amount. Writing down the time you take the nasal spray and how much you take might be very useful when reducing your dose. Common side effects of nicotine nasal spray: back pain constipation coughing indigestion or nausea runny nose sneezing watery eyes headache a burning feeling in the back of the throat or nose the nicotine nasal spray is not recommended for people with reactive airway disorders such as asthma. In addition, caution is urged in patients with chronic nasal disorders. There are other common or more serious side effects. Please read the information that comes with the product carefully and be sure to contact your doctor if you have any questions. Nicotine inhalant a nicotine inhalant? available only by prescription? used for up to 6 months (initial treatment period up to 12 weeks followed by gradual reduction period of up to 12 weeks) can be part of a smoking cessation program. When the inhaler is used, nicotine passes from the lining of the mouth and throat (not the lungs) into the bloodstream. Like other nicotine products, you will decrease the dosage during the recommended time (usually several weeks) or until you are able to resist cravings on your own. Nicotrol inhaler is one brand name of nicotine inhalant. Always follow the instructions on the box, but here are some things to remember when using a nicotine inhalant: store the inhaler in a dry area at room temperature not to exceed 77 f or 25 c. Write down the time you take the inhalant and how much you take. This might be very useful when reducing your dose. The normal first dose is between six and sixteen cartridges per day. Common side effects of nicotine inhalants: coughing indigestion mouth and throat irritation stuffy nose or runny nose there are other common or more serious side effects. Please read the information that comes with the product carefully and be sure to contact your doctor if you have any questions. Bupropion bupropion is more commonly seen under the brand names of zyban or wellbutrin. Zyban is specifically indicated for smoking cessation. It is not a nicotine-based medicine; it is an antidepressant that is only available by prescription. It is prescribed along with counseling and support to aid in smoking cessation. Bupropion might also be used to treat major depressive disorders. It usually takes 2 weeks for bupropion to take effect, so plan to quit smoking 2 weeks after beginning the treatment. Before considering bupropion, be sure to inform your physician if you have a history of seizure disorder, bulimia, or anorexia nervosa. Bupropion comes in tablets that are to be swallowed whole, not crushed, divided, or altered in any other way. Individual prescription strengths might vary, so if you are taking bupropion, be sure to follow the directions on the label. Ask your doctor or pharmacist any questions you have about how to take it, when to take it, any potential side effects, and the duration of treatment. Common side effects of bupropion: dry mouth sweating insomnia rash headache dizziness anxiety restlessness irritability indigestion decreased appetite there are other common or more serious side effects. Please read the medication guide that comes with the product carefully and be sure to contact your doctor if you have any questions. Do not take bupropion if you have taken a monoamine oxidase inhibitor (maoi) within the last 14 days. Monoamine oxidase inhibitors are used to treat depression. Some examples include: tranylcypromine (parnate), phenelzine (nardil), and isocarboxazid (marplan). There are several products that might interact with bupropion, so be sure to tell your doctor about any over-the-counter and/or prescription medicines, as well as any herbal supplements you are taking. While taking bupropion, immediately report any psychological changes (e. G, new onset depression) to your doctor. Varenicline (chantix) varenicline, also known by the brand name chantix, is a prescription medication that does not contain nicotine. This medicine helps to reduce the reinforcing effects of nicotine and can minimize the withdrawal effects from nicotine. It is recommended to set a quit date 1 week after initiation of varenicline therapy. Typically, this medication is taken for a minimum of 12 weeks accompanied by smoking cessation counseling. If you have stopped smoking, another 12 weeks of varenicline might be prescribed. If you have not stopped smoking after the first 12 weeks, stop taking this medication and return to your doctor for advice. Varenicline should be taken with food and a full glass (8 ounces) of water. Varenicline can interact with over-the-counter and prescription medicines especially insulin, blood thinners, and asthma medications as well as with certain herbal supplements; therefore, it would be important to inform your physician of your entire medication regimen. Contact your doctor immediately if you experience any psychological changes (e. G, new onset depression) while taking varenicline. Common side effects of varenicline: nausea, which may dissipate over time headache insomnia there are other common or more serious side effects. Please read the medication guide that comes with the product carefully and be sure to contact your doctor if you have any questions. How could research benefit smokers who want to quit? researchers are testing a vaccine that could make quitting a lot less difficult. This type of treatment could potentially be used in a program, along with bupropion (zyban) and counseling, to significantly reduce withdrawal symptoms.
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I am a class 12th student. I am going to appear for the aipmt exam this year. But the chapters which I had remembered throughout the year now I had forgotten all those things. Now I am thinking that I am not able to write any thing in my exam if this situation exists. And because of the depression I want to suicide. please doctor help me.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
Life is too precious and if the depression is making you contemplate suicide you must immediately seek professional help which will perhaps be both a counselor and a doctor. You are into an anger related depression and if you deal with the feeling, which may have origins from childhood, it will ease the effect of the depression. However, there is another factor that has to be considered, which is your age. Depression at this age is a sign that there is something from the past that needs resolution. Also due to your age I suspect that the adolescent issues with regard to hormones may be affecting your ability to concentrate and remember. When the hormones play up, it lasts for a period of close to two years and during that time you could be influenced by three signs directly impacted by the chemical: you will tend to become aggressive and rebellious, you will become sexually active, and you will have acne and pimple problems. The hormonal imbalances may not only impact your memory because of the chemical but also bring some distractions that come with it. But you may work on the following even if the hormones kick in: Daily exercise of at least half an hour is a must. Even if you go to a gym, ask for aerobic and/or callisthenic exercises with whatever else you are doing. A healthy body harbors a healthy mind. With regard to memory, it is very important that your brain and body is ideally rested to be able to recall whatever is required, rather comfortably. Puzzles pose problems to the brain that help it to use new pathways and neurons, which give the brain considerable exercise. It taxes the left brain to use logic to solve the myriad possibilities which other activities do not stimulate. Crosswords are excellent for vocabulary learning and use. Jigsaws and Rubik cube stimulate different permutations to finally settle on the most likely one. Picture completion and anagrams help approach problem solving from several angles. Do Sudoku, and memory co-relation activities and skills. Have a good night’s sleep, have a good breakfast of more proteins, meditate often, remain free of stress, eat a lot of fiber (whole grains, fruits and vegetables), nuts, avocado, eat dark chocolate, consume less of fat and use olive oil instead, do Yoga meditation exercises, etc. You need to check out if you are stronger visual or auditory. The visual is a better mode than the auditory. However, if you combine the two modes, you will get the best concentration. Have a special place of learning, which should be well lit, with soft painted walls, well-ventilated, with no distractions. When you get bored, study by writing. If you repeat learning at least five to seven times, you will apparently remember for a longer time. Sit comfortably but do not slouch. The reading material should be of a fairly large print. Study at small intervals of about 40 minutes and then take a break or change the subject. Short-term memory is a faculty of the left brain, and long-term memory is a feature of the right brain. When people are stressed, they tend to favor the right brain and abandon the left brain, where short-term memory resides. So, it is really very simple: deal with the stress and activate left brain functions. Here are a few suggestions to activate left brain function: shut your left nostril and breathe, move your eyes from right to left and vice versa for at least half a minute at a time, and do callisthenic exercises with some form of counting, regularly. There is a new exercise called Super Brain Yoga, which is done by holding the right earlobe with your left thumb and index finger, and the left earlobe with your right hand’s thumb and index finger. In this position you must squat down and rise up and do this for five minutes every day. There are some memory enhancing techniques and study methods that your teacher will be able to guide you with. If your home life is full of distractions and stress, it is likely to affect your memory, adversely. In that case, I suggest that the family goes for counseling too. The following foods do help too: Blueberries, walnuts, turmeric, Spinach, tomatoes, broccoli, acorn squash, green tea, oily fish, boiled egg, turkey, apples, oatmeal, leafy greens, lentils, pumpkin seeds, avocado, cinnamon, thyme, sunflower seeds, and red wine. Avoid sugar and junk food.
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How can avoid negative thoughts,anxiety, tiredness and to give natural smiles to everybody?

BHARAT JYOTI, MRACGP, INCEPTOR, MD-PhD, MD - Psychiatry, FIPS, Fellow of Academy of General Education (FAGE), DPM, MBBS
Psychiatrist, Bangalore
You can avoid negative thoughts by practising looking forwards and focusing on strength and not weakness/ solutions and not problems/ looking after others and not own and responsible to all around.This comes by practice. Anxiety disappears if you think and solve any conflict immediately. If not you will be in a fix. You need to exercise daily meditate for few minutes do power yoga and breathing exercises slowly and yoga nidra. Try these and you will be laughing.
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