DOXYCYCLINE
Read on to learn the latest case reports and research on Doxycycline
Most commonly used antibiotic since last 40years in varied indications Encouraged by successful use in rickettosis and meningitis Yes known drug to cause oesophagitis and spasm if pt takes it at bed time and with minimum water hence pt is to be informed and advise to take with plenty of water Recently it is used in covid19 pneumonitis instead of azithromycin with hcqs and ivermectin Thus broadly applicable antibiotic But idiosyncrasies and FDE should be cared
DOXYCYCLINE HAS MANY UESES USED IN GENITOURINARY URINARY TRACT INFECTIONS RESPIRATORY TRACT INFECTIONS TICK Q FEVER TYPHUS GROUP TYPHUS FEVER RICKTESEAL INFECTIONS@
With the advent of new antibiotics, old antibiotics are almost forgotten. Many old antibiotics r still , very effective & useful even today, & doxycycline is one of them. With research , so many new information r now available . From ophthalmic point of view , one of them is anticollagenolytic effect of doxycycline, which helps in preventing corneal thinning & risk of corneal perforation, especially in pts with chemical burns of eye & persistent epithelial defects of cornea. One more use of doxycycline is its effectiveness to improve dryness of corneal & conjunctival surfaces in pts with diseases like ocular pemphigoid , & ocular rosacea.
Commonly used most informative and educative drug post.
Measles. Watch the progress. Two dose of Vitamin A, may not require any tt. Symptomatic only. If complications treat accordingly.
To be avoided in pediatric , especially below the age group of 8years, and during the period of organogenesis ,as it causes permanent dental dental discolouration, pregnancy. Long term use causes , enterocolitis, diarrhoea.
Very good information There are many good things to know Thank you doctor
Only 5days course ! Some texts says 21day, will like to confirm as incomplete course will hamper complete recovery
Nice information
In 4mative post
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Pt has h/o fever Cough and cold for 3-4 days An episode of loose motion yesterday And rashes today over face neck n torso.. No any h/o drug allergy/bt/other medical illness Her sister too had such rashes 15 days back over face and neck.
Dr. Abhijeet Vankudre12 Likes129 Answers - Login to View the image
Resp.AYUSH & HOMOEOPATH Bretheren , Let review DULCAMARA SOLANUM A superb sheet anchor for weather change variation like NS Aranea weathercock like PULS LAC-CAN etc...It is this drug that brought HOMOEOPATHY to INDIA Taxonomy-Plantae-Magnoliophyta-Magnoliopsida-Asteriadae-Solanaceae Common name -Bittersweet Fevertwig Snakeberry Woody Nightshade..Bella is Deadly Nightshade-A type of tomato....If you eat you are gone so only leaves and stem b4 flowering are used as remedy. Therapeutics: Adhesions, Addeniitis Blepharospasm Ptosis ( Gels) TRI hayfever catarrh snuffles <cold& rain mucolytic, Crusts Lactea, Summer IBS Diarrhoea Dysentry( Colch) Headache < cold damp,emaciation exostoses,growth wart nodes tumours fibroids,hemorrhoids Flu (Gels) Unquenchable thirst...Gels-thirstless Measles mononeucleosis backpain lumbagoMigraine Meningitis,Fibromyalgia R/A/G Opthalmia Myelitis, Bodyache Dropsy TONSILS GLANDS, HEMIP.icy cold.. Main modality and criteria :-<-cold damp change of season celler damp ground, Hot days cold nights...esp- close to summer.. ☆Rashes pimples b4 mc -Cimi Kb Ast . *I used in TINEA CRURIS, Herpes Renal HT witth GN..s-creat >, Cerv spine with DM Cerv.Lymphadenitis@AKT, Bodyache CHIKUN...Leucopenia urticaria * Alcoholism -W/S...Scolds everyone withut anger Restless imatience...needed HYOS later... MIND- Restless Mental Confusion Lack of confidence concentration coordination Speeach-Stammering stuttering dearth of words fullness of senses Benumbed, Dominating Haughty Egotism,Curt Anger < Interruption conversation, Asks collects things at night...reject /throws in morn...I conv. to mental and used in * ☆Startled bruxism on falling asleep ( KB) Roses And Brickbats Welcome!!
Dr. Rajan N. Iyer7 Likes16 Answers - Login to View the image
4yr old..fever since 8 days with altered sensorium
Dr. Parth Dalal1 Like15 Answers - Login to View the image
World Immunization Week World Immunization Week, 24-30 April 2018 World Immunization Week is celebrated in the last week of April. It aims to highlight the collective action needed to ensure that every person is protected from vaccine-preventable diseases. Immunization saves millions of lives and is widely recognized as one of the world’s most successful and cost-effective health interventions. Expanding access to immunization is crucial to achieving the Sustainable Development Goals. This year’s theme is: “Protected Together, #VaccinesWork”. It encourages people at every level from donors to the general public to go further in their efforts to increase immunization coverage for the greater good. To do so, health care officials must invest in immunization efforts, health workers must make vaccines a priority, and people must get themselves and their families vaccinated. Key facts Immunization prevents illness, disability and death from vaccine-preventable diseases including cervical cancer, diphtheria, hepatitis B, measles, mumps, pertussis (whooping cough), pneumonia, polio, rotavirus diarrhoea, rubella and tetanus. There are more than 19 million unvaccinated or under-vaccinated children in the world, putting them at serious risk of these potentially fatal diseases. There was 84% drop in measles deaths between 2000 and 2016 worldwide, due to measles vaccination. Polio cases have decreased by over 99% since 1988. Today, only 3 countries (Afghanistan, Nigeria and Pakistan) remain polio-endemic, down from more than 125 in 1988. India was declared polio free by World Health Organization in 2014. In India 62% of children in the age group 12-23 months were found to be fully immunized ((BCG, measles, and 3 doses each of polio and DPT) ) during NFHS-4(national family health survey 2015-2016). Immunisation programmes in India: Universal Immunisation Programme(UIP): Government of India is providing vaccination free of cost against vaccine preventable diseases include diphtheria, pertussis, tetanus, polio, measles, severe form of childhood tuberculosis, hepatitis B, meningitis and pneumonia (Hemophilus influenza type B infections), Japanese encephalitis (JE) in JE endemic districts and newer vaccines such as rotavirus vaccine, IPV, adult JE vaccine, pneumococcal conjugate vaccine (PCV) and measles-rubella (MR) vaccine under UIP. Mission Indradhanush: To strengthen and re-energize the UIP and achieve full immunization coverage for all children and pregnant women at a rapid pace, the Government of India launched “Mission Indradhanush” in December 2014. Earlier the increase in full immunization coverage was 1% per year which has increased to 6.7% per year through the first two phases of Mission Indradhanush. Intensified Mission Indradhanush (IMI): To further intensify the immunization programme, Prime Minister Shri Narendra Modi launched the Intensified Mission Indradhanush (IMI) on October 8, 2017. Through this programme, Government of India aims to reach each and every child up to two years of age and all those pregnant women who have been left uncovered under the routine immunization programme to ensure full immunisation to more than 90% by December 2018. NHP Indradhanush Immunization (mobile application): Ministry of Health and Family Welfare (MoHFW), Government of India had launched a mobile application to make parents and guardian aware about the immunization schedule of their children and for tracking their immunization status. Application can be downloaded from Google play store. “Through childhood, adolescence and into adulthood vaccination protects health at every stage of life no matter where you live”. Source : NHP
Dr. Hemant Adhikari11 Likes14 Answers - Login to View the image
22 years female, cook by occupation, with history of rashes for 1 month, fever for 25 days, headache for ,25 days, urinary incontinence and bilateral lower limb weakness for 10 days. Initially rashes appeared on neck and forehead, papulovesicular, later ruptured to give black crusts. Fever was present after 5 days of apperance of rashes. No history of vomiting. on examination, patient was drowsy, disoriented, pupils b/l reactive to light, power 1/5 in b/l lower limbs. neck rigidity was absent, kernigs sign, brudzwinski sign absent, rashes as seen on photograph above. Possible d/d?
Dipesh Poudel7 Likes13 Answers
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