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Dr. Vilas Gaikwad

General Physician, Pune

100 at clinic
Dr. Vilas Gaikwad General Physician, Pune
100 at clinic
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Personal Statement

To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Vilas Gaikwad
Dr. Vilas Gaikwad is a trusted General Physician in Hadapsar, Pune. You can meet Dr. Vilas Gaikwad personally at Ushakiran Hospital in Hadapsar, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Vilas Gaikwad on Lybrate.com.

Lybrate.com has top trusted General Physicians from across India. You will find General Physicians with more than 40 years of experience on Lybrate.com. You can find General Physicians 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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Hindi

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Sr No 229/A 1, Manthri Mraket, Hadapsar. Landmark:-Kamdhenu Estate, PunePune Get Directions
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Frequent headache. What is the problem.?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist,
Frequent headache. What is the problem.?
are you currently taking any medications for your headache? a strong headache can be a symptom of a serious condition, such as a stroke, migrane, meningitis or encephalitis. I am a doctor and registered dietitian who will prescribe a customized diet plan and medications to help in headaches. Do reply back for private consultation for a detailed treatment plan including dietary therapy.
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What are reasons for drowiseness in the morning when one wakes up?

M.B;B.S, P.G.(FAMILY MEDICINE), D.O.H.
General Physician,
1.Lack of sound sleep in the night 2.Effects of drugs like alprozalom / anti histamines like citrizen 3.Use of diuretics to reduce B.P (medicines) 4.Severe stress 5.Most of the times LAZYNESS 6.DEPRESSION Treatment depends on the root cause of the problem
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I have wrist pain almost from 3 months. I consult a Ortho doctor and I took exray for wrist and he said there no damage in my wrist area bone. And I am biker I almost did not drive for three months. Recently, I started driving now again I am feeling same pain in wrist. Please which doctor I should consult, I was thinking for neurology. Please advise.

MPTh/MPT, BPTh/BPT
Physiotherapist, Pune
I have wrist pain almost from 3 months. I consult a Ortho doctor and I took exray for wrist and he said there no dama...
Hello you can consult a physiotherapist personally. They will teach you few wrist strengthening exercises and perform mobilisation if needed. Meanwhile you can do cold and hot water immersion for your wrist like 3 mins in hot n one min in cold with sponge ball squeezing it in water. Make sure you start with hot water and end with hot water till temprature of both water is equal. Do use wrist band. It could be because of overuse.
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Hello when I do sexual intercourse I become tired within 5 mins and my penis becomes loose within 5 mins, please tell me what should I do.

BAMS, MD Ayurveda
Sexologist, Lonavala
Hello when I do sexual intercourse I become tired within 5 mins and my penis becomes loose within 5 mins, please tell...
The best ayurveda herb for your case is Saffron is a mild aphrodisiac 1. Soak 10 almonds in water overnight 2. Peel off the skin and crush them the next morning 3. Take 1 cup hot cow's milk 4. Add the crushed almonds 5. Add a pinch of ginger powder 6. Add a pinch of cardamom powder 7. Add a pinch of saffron 8. Mix well 9. Drink this every morning Causes: • Anxiety • Incorrect diet • Unhealthy lifestyle This remedy will be helpful.
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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

Once or twice In a month I have severe headache for the whole day. Is it something serious?

MBBS, MBA (Healthcare)
General Physician, Delhi
Once or twice In a month I have severe headache for the whole day. Is it something serious?
check your BP.. Check your eye sight. take crocin pain relief one sos for severe headache. take rest and good sleep, avoid stress. inform if not ok.
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I am suffering from PCOS and my weight is simply out of control. Please advise.

Gynaecologist,
The first most important thing is to loose weight.We can start medicines but your physical activity is must.
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Hi, Drinking milk with full cream is better for health or not. Currently I am boiling milk for 2 times , take out cream and after that I drink. So Does taking out cream leads to less benefits ?

L L. B..,, M.Sc psychy,, N L P, P.G.D.G.C, M.S psychotherapy,, M.A child care, M A, clinical psy, M.A,social psychiatry,, M.Phil., psychology., Ph.D .,psychology
Psychologist, Vijayawada
Hi,
Drinking milk with full cream is better for health or not. Currently I am boiling milk for 2 times , take out cre...
no problem it is your like. it is not all a problem. without cream it is better. with cream you will get additional fat and cholesterol problem. you are lean take with cream. you have additional fat. it is better to take with out cream.at this stage dont think about small problems. concentrate on your studies. it is better to do some physical exercises. better to share your internal feelings and problems with your closed once. be friendly all of them. be sociable. be happy all the time. be enjoy every movement of life. ok all the best.
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What are the symptoms for malaria.

MBBS
General Physician,
What are the symptoms for malaria.
Fever, Body aches, Severe headahe, Fatigue, Sweats, Chills, Nausea and Vomting These are just some of the common symptoms of malaria. Some of the other symptoms include dry cough and muscle pain.Thank you
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I have Beau's lines on my nails and I'm too thin and I have problems breathing through my nose. I also have loss of appetite, I can't eat even when I'm hungry. My complexion is also bad like I'm really sick. What's wrong with me?

DHMS (Hons.)
Homeopath, Patna
I have Beau's lines on my nails and I'm too thin and I have problems breathing through my nose. I also have loss of a...
Hello, * take @ cina 30-6 pills, thrice a day. @ lycopodium 30-6 pill, thrice a day. Maintain intake of 1000-12 calories. * avoid, sweet, irritant food. Take, care.
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Hi I am 27 yrs of age. I have bilateral varicocele. Having pain sometimes. What are the possible treatments and do this affect testosterone count. Will this make me infertile. Please let me know as I am too tensed about this.

MS
General Surgeon, Mumbai
You have varicocele. For varicocele cdvl tech gives best results. Varicocele can lead to infertility.
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ENLARGE OF PROSTATE GLANDS 34 SIZE.

MBBS
General Physician,
Normal weight is 20 gm. Take tablet tamsulosin daily after consulting your doctor,depend on difficulty in urination. Thanks Dr B M GUPTA BP, SUGAR & THYROID CLINIC DELHI
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Hi I am pregnant now 33th week is running, I had severe cough problem I am worried about that, Is it risk or not and can I take cough syrup is it safe?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Hi I am pregnant now 33th week is running, I had severe cough problem I am worried about that, Is it risk or not and ...
Cough medicines are usually safe during pregnancy. At 33 weeks pregnancy you have already crossed the harmful period for the fetus. Most of the time normal cough does not require any medicines. Conservative treatment like steam inhalation is usually sufficient, only if there is fever it may need antibiotics.
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Dear sir/madam, my age is 23yrs Male. My beard and mustache is not growing and muscle is also not good. So I consult endocrinologist, he told me to test testosterone hormone, My testosterone level is 730ng/dl. Is it Normal or lower. Please help me.

BHMS
Homeopath, Faridabad
Hello, this is around normal range, so don't worry.For beard and moustache growth follow the below:- You should take a homeopathic tincture called Arnica Montana and mix 1 tsp in 1/2 cup of water and apply upon the face on the beard and the mustache area with a cotton swab. Then use the razor movement technique. Take Sulphur 200, 5 drops once in a week. Take pituitarinum 1x, 1 tablet daily for 15 days. Repeat the process every third day . Revert me after 1 month.
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Hi I am manasa working for an MNC. I am 26 year old now. I do not get sleep in the night till 1 or 2 AM. Because of this I am getting dark circles and gastritis. SO kindly suggest me some tips or solutions.

BHMS
Homeopath, Thane
Hi I am manasa working for an MNC. I am 26 year old now. I do not get sleep in the night till 1 or 2 AM. Because of t...
Hi, sleeping problem can be solved with homoeopathic medicines. Take medicines as prescribed and your problem will be solved. Tab tranquil (sbl) 4tabs to be chewed thrice a day 1/2 an hour after meals. Coffea cruda 200 4pills to be taken in the evening at 7 pm, then after dinner and again before sleep. Daily. Revert back for further treatment.
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I haven't been able to sleep since 2 days and I am having a severe headache, tried multiple home remedies, but didn't work, what to do? Please help me!

MBBS
General Physician, Cuttack
I haven't been able to sleep since 2 days and I am having a severe headache, tried multiple home remedies, but didn't...
1. Take one tablet of crocin advance as and when required after food up to a maximum of 3 tablets daily, 2. Drink plenty of water 3. Take adequate rest 4. Avoid stress and anxiety.
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मै २१ साल का हु और जब मै अपनी साथी कै साथ सैक्स करता हु तो बहुत जल्दी समाप्त हो जाता हु मै क्या करु् जिससे मेरा समय बढे और वो satisfy हो.

MBBS
General Physician, Cuttack
मै २१ साल का हु और जब मै अपनी साथी कै साथ सैक्स करता हु तो बहुत जल्दी समाप्त हो जाता हु मै क्या करु् जिससे मेरा समय ब...
You are having premature ejaculation. It may be due to 1. Anxiety, depression 2. Fatigue, stress 3. Relationship issues, performance anxiety, 4. Consumption of alcohol, tobacco etc 5you can take the following measures a) avoid stress, anxiety, depression b) avoid alcohol and tobacco consumption c) go for regular exercise d) lead a healthy living style e) practice relaxation technique by deep breathing exercise (take deep full breath for 5 seconds, hold it for 3 seconds, exhale slowly for 5 seconds). Do it for 5 minutes without breaking the rhythm. It controls arousals and tension that lead to early ejaculation. F) use condom to reduce sensation g) take foods to increase testosterone like eggs /asparagus/dark chocolate/carrots/oats/ashwagandha/avocado/blue berries/ banana/walnut/cereals/onion/garlic/almonds/bean/ mushroom h) consult sex therapist/sexologist for advice.
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My mother is suffering from choking and asphyxiation (breathlessness) while coughing. It doesn't happen normally, only when she has cough. Please suggest how to remedy this as choking becomes very serious. Only after bending forward and continuous patting on the back choking comes under control. Please help.

BHMS
Homeopath, Faridabad
Hi, as per the condition of your mother, give her homoeopathic medicines which are very effective and safe to take - aspidosperma q/ 10 drops in 1/2 cup of water and arsenic alb. 30 - both 3 times a day daily for a week first, then revert.
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