after effects of dengue

I was attacked by Dengue fever two months back. Joints pain was there for nearly 25 days after Dengue and I was alright for couple of days thereafter but now for the past one month I have been suffering from sever pain in the shoulders, feet and fingers of both the hands. I was advised to drink the powder of a herb called "NILAVENBU" in hot water twice a day, which I am consuming for the past one week with out much avail. please suggest some remedy to get over this problem. more  

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Take Homoeopathy Carbo Veg 30 four pills three times a day. It works wonders. more  
Thanks to Shri Ravikumar for giving such an exhaustive guidance. more  
-Use plenty of CAL GEL or GEM FUL,&DINCERIN Tablets[hair and bone strength]use contineous for 3 months-leave 3 months gap. more  
Try Ortho Fit oil. A 30 ml bottles costs only Rs 99/-. I am using it daily for pain in joints. more  
Although I am not a doctor, but I have encountered people recovering from Dengue... Giloy juice plus aloe vera juice will enhance your recovery and overcome these effects gradually more  
Eat kiwi fruits to over come the pain in the joints and alternatively take caripill tablets for early recovery. S. Ravikumar more  
Caripill is a formulation of Tablets & Syrup containing papaya (Carica papaya) leaf extract.
Each Caripill tablet contains 1100 mg of Carica papaya leaf extract and Caripill Syrup contains 275 mg / 5 ml Carica papaya leaf extract
The extract in Caripill is found to be useful in increasing the platelet count.
This medicinal use of Caripill is proven through clinical studies in patients in India & other parts of the world with low platelet count associated with dengue.
Caripill
Indications:

Thrombocytopenia (low platelet count) associated with Dengue.

Dosage

One tablet of Caripill (1100mg) should be taken three times a day, for five days.
For children more than 1 year and less than 5 years: 275mg (5ml) three times a day for 5 days.
For children more than 5 years and less than 18 years: 550mg (10ml) three times a day for 5 days
Drug Interactions & Side Effects:

Precautions and Interactions: Should be used with caution in individuals with bleeding disorders or those taking blood thinning medications such as aspirin or warfarin. Co administration of extracts of Carica papaya with oral hypoglycemic may lead to very low blood glucose as observed in one of the experimental animal study. Thus it is important to closely monitor the blood glucose levels regularly to avoid hypoglycemia.

It has been found to increase the bioavailablity of amiodarone and therefore the dose should be adjusted accordingly when coadministered with carica papaya leaf extract.

In vitro study demonstrated potentiating the action of various antibiotics like penicillin G , ampicillin, amoxyclav, cephalothin,polymyxin B, rifampicin, amikacin, nalidixic acid, gentamycin, cholarmphenicol, oflxacin when co administered with C.Papaya .The extract of C. papaya with antimicrobial agents possesses synergistic properties which act against the pathogenic organisms.

Adverse effects: Nausea, Vomiting, Abdominal pain, Heartburn, Dyspepsia.

Prescribing Information

Name & Composition: Carica Papaya Leaf Extract; each tablet contains 1100 mg strength & Syrup contains 275 mg / 5 ml

Therapeutic Indications: As an adjuvant for increasing the thrombocytes associated with dengue fever. In thrombocytopenia for treatment and/or prevention of bleeding.

Mechanism of Action: The ALOX 12 gene and PTAFR genes are strongly expressed in megakaryocytes . ALOX-12 has been known to be responsible for the 12-Hydroxyeicosatetraenoic acid (12-HETE) production of platelets. Carica papaya leaf extract has been found to increase the ALOX 12 activity by 15 fold and 13.42 fold increase in PTFAR activity which increases the platelet production.

Dosage & Administration:

Adult :One Tablet to be taken 3 times daily for 5 days.
Children aged 6 to 12 years : 10 ml 3 times daily for 5 days

Contra-indications: Hypersensitivity, Pregnancy.

In males with prostate dysfunction, such as BPH or prostate cancer, C. papaya should be avoided as it increases the iron absorption. Excess iron may increase oxidative stress, especially in the aging male. Iron overload may increase the risk of developing prostate cancer.

Precautions and Interactions: Should be used with caution in individuals with bleeding disorders or those taking blood thinning medications such as aspirin or warfarin. Co administration of extracts of Carica papaya with oral hypoglycemic may lead to very low blood glucose as observed in one of the experimental animal study. Thus it is important to closely monitor the blood glucose levels regularly to avoid hypoglycemia.

It has been found to increase the bioavailablity of amiodarone and therefore the dose should eb adjusted accordingly when coadministered with carica papaya leaf extract.

In vitro study demonstrated potentiating the action of various antibiotics like penicillin G , ampicillin, amoxyclav, cephalothin,polymyxin B, rifampicin, amikacin, nalidixic acid, gentamycin, cholarmphenicol, oflxacin when co administered with C.Papaya .The extract of C. papaya with antimicrobial agents possesses synergistic properties which act against the pathogenic organisms.

Adverse effects: Nausea,Vomiting, Abdominal pain, Heartburn, Dyspepsia.

Further information for the physicians is available upon request in the Medical Department of Micro Labs; 27 Race Course road, Bangalore-560001. Phone: (080) 22370451; Email:medicalservices@microlabs.in

S. Ravikumar more  
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