Ibuprofen is a dummy and No Better Than Placebo for Back Pain

Ibuprofen and Naproxen they are used to treat Pain and they also used to treat back pain. But the researcher from the University of Sydney conducted a meta-analysis on 6,000 people in 35 randomized trials and concluded, NSAID like ibuprofen works no better than placebo when it is used to treat back pain.

One statistics say back pain is a leading cause of being disabled and nearly about 80% of total population in Australia suffer this problem at some point in their lives.

Opium derivatives (eg: tramadol ) are not normally prescribed by a doctor for the simple back pain.The people often chose the NSAID (eg: Naproxen and Ibuprofen ) drug class as an alternative but researcher found that they work no better than placebo, at the same time they are increasing the risk of gastrointestinal problem like ulceration and bleeding in the stomach.They found 1 in 6 people can reduce their symptom with NSAID, these findings were published in Annals of the Rheumatic Diseases.

The leader of the research team, Ferreira said we need to develop alternative therapies to treat back pain ."Back pain is the leading cause of disability worldwide and is commonly managed by prescribing medicines such as anti-inflammatories," said Ferreira.

The co-researcher said “Millions of Australians are taking drugs that not only do not work very well but are also causing harm. We need treatments that will actually provide substantial relief of these people’s symptoms,”

The nonpharmacologic therapy like exercise ,physio–therapy and chiropractic care were not evaluated by this study.Although this study make the NSAID users , more conscious about the use of NSAID like Ibuprofen for back pain purpose  

Source: ANI
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Fact about Zika Virus : What's it and Zika virus symptoms

Virus zika is mainly carried and transmitted by a mosquito called Aedes the mosquito which is responsible for Dengue fever.In the year of 1947 zika virus was first identified and from 2007 it spread to the south pacific region and until 2007 zika virus did not occur outside of African region.In early 2015 it became an epidemic in the Brazil and the race is still going on between scientist to find out the zika vaccine for zika virus prevention.

Zika virus symptoms

1.Fever (Zika fever)

2.Rash

3.Headache

4.Pain in joint.

5. Muscle ache

6. Conjunctivitis(red eye)

7. Vomiting.

Pan American Health Organization (PAHO) figured only 1 out of 4 zika virus infected person developed zika virus symptoms, on the other hand, Center for Disease control figure this as 1 in 5.

It has been reported by a researcher that Guillain-Barré syndrome a very rare autoimmune disorder that affects the CNS may develop by zika virus.

  

These symptoms of  zika disease normally appeared between 3 to 14 days of first bite and that can last 1 week confirmed  Center for Disease control.

How To Lower High Blood Sugar Fast , 5 natural Ways To Reduce Blood Sugar 2017

Glucose in the blood plays a vital role for our normal body function . Cell utilizes Glucose as a fuel and maintains our normal body function.But your blood glucose level will become high when you have diabetic or the pre-diabetic condition . WHO has been reported there are 8.5% of adults aged 18 years and older had diabetes in the year of 2014 .

Here are some tips about how will you keep your blood glucose level within normal range naturally .

Regular exercise at home 

 Exercise on a regular basis  will help you to maintain your normal blood glucose level .It will keep you fit and increase the blood supply to the vascular organ .It will burn your extra sugar from your bloodstream and maintain normal blood glucose levels.

Avoid Junk Food 

Junk food contains a very high level of sugar and it is one of the major causes of high sugar level in the bloodstream so we can consider it as diabetic food.They also contain cholesterol and LDL levels in a high amount  which is very much  harmful to our blood vessel .Their excessive ingestion is a passive cause of different vascular organ failure .

Fibrous Food 

The fibrous food contains the high level of fiber and it has also a lower level of carbohydrate, which is helpful for maintaining our normal blood glucose level.Broccoli, asparagus, the carrot which contains fiber in high amount .These all food items often prevent vascular damage which is often a consequence of diabetic .

Take water and stay hydrated

Our blood contains 83% of water ,When we lose water from our body the concentration of sugar within our bloodstream has usually become high as a result, we get more concentrated blood where the blood glucose level is extremely .When we drink more water it comes to its normal concentration.

Control your stress levels

Stress act as a trigger to release two hormones called epinephrine and cortisol, which can also increase blood glucose level .So adequate exercise in yoga and meditation practice can give you relief from stress.This will also lower blood glucose level and the blood glucose monitor should be done on regular basis.

How to stop premature ejaculation and lasting longer in bed (Ayurvedic home remedies)

Premature ejaculation is a condition when a man ejaculated too soon during sexual intercourse with his partner.During premature ejaculation men ejaculating during 30sec to 4 min into sex, as a result, the partner remain unsatisfied.There are mainly two types of  Premature ejaculation (PE) first one is lifelong Premature ejaculation(PE) and acquired  Premature ejaculation (PE). The study says about 30% of men can not lasting longer in bed due to premature ejaculation at some point in their life. The cause of premature ejaculation many but among them, some most important fact are anxiety, incorrect diet and unhealthy lifestyle.

  Here is some Ayurvedic home remedies recipe for the ejaculation treatment and helps you lasting long in bed during sexual intercourse with your partner.

 Ayurvedic home remedies recipes no.1 

         Ingredient: 1. Two tsf of  asparagus powder 
                             2. One cup of milk


Procedure: Frist take one cup of milk and add two tsf of asparagus powder in it and boil it for 5min. Take this remedy two times daily after the meal.

 Ayurvedic home remedies recipes no.2
  

           Ingredient:1. Ten almond 

                              2.One glass of hot cows milk.

                              3. Giner Powder

                              4.Cardamon Powder

                              5. Saffron

Procedure: Frist of all soak 10 almond in water for overnight and peel off them and grind them in a blender. Take one glass of milk and add grid almond in it.After that add a pinch of ginger powder, a pinch of cardamom powder and a pinch of saffron. Now mix them very well and drink this every morning.

 Ayurvedic home remedies recipes no.3

            Ingredient: 1.Nine Date Palms

                                2.Two glass of milk

                                3. Four almond 

Procedure: Take two glass of fresh cow milk and add nine date palms and four almond in it.Now boil this milk on a mild heat Properly and drink this milk every day

Beside this remedy, practise Yoga or mild exercise and avoid unhealthy foods.

These all Ayurvedic home remedies for premature ejaculation treatment will stop your premature ejaculation and make you potent for lasting longer in bed during your sexual intercourse.

How to reconstitute cytotoxic drugs

Calculation: First of all, Perform all necessary calculation before entering the chemo safety hood.

And follow proper garbing procedure ( Proper PPE) and ensure proper aseptic technique is performed for the preparation of chemotherapy.

Set Up: All required material including like isopropyl alcohol swab, the needle, the drug vial, the re constituent medium (WFI) and the sealing materials set up right to left to minimise air flow disturbance.

Disinfecting: Remove the plastic cap of the desired cytotoxic drugs vial and disinfect the stopper bypass with the alcohol swabs as well as the recontituent medium (WFI)'s top ,you may keep the alcohol swab on the top of saline bags although it's not necessary.

Assembly : Unwrap the syringe and hold the syringe barrel  with one hand keeping in mind not to block air  in the Luer-Lock.Then unwrap the needle with the other hand and assemble hub of  the needle with Luer –lock  by twisting either needle or syringe with it .Now remove the cap by pulling the cap and barrel in the opposite direction.

Air : Take the volume of air into the syringe because the cytotoxic drugs vial is a close system container .To correctly read a syringe  the edge of   plunger must be lined up with the calibration barrel.

The non coring method of needle insertation : The bevel should be  placed on the stopper at the 40-degree angel  when  the bavel lines up with the stopper , pierces the stopper with bevel tip first and press downward as the needle is inserted .

Holding the system : Use Your index and middle finger to hold the vial and two other fingers on the syringe barrel, when you are done flip the assemble system clockwise.After that inject air slowly by pushing on the plunger ,it can be done at once ,if the volume the volume is smaller.

Removing the air bubble :Firmly tap the barrel with finger or knuckles so the air bubbles clinging to the side are freed and float to the top of the syringe or expel all the air in the syringe by slowly pushing up the plunger until the solution fully primed the attached needle.Then flip the assembly counterclockwise downward and place it on the surface while still holding it and remove the needle.

Drug powder reconstitution: Perform the non-coring technique of needle insertion to avoid pouring fragment out of rubber stopper.While the drug vial sat down to inject the reconstitute fluid slowly and then shake the vial gently  until you get a homogenous mixture .

Drawing up the reconstient drug dose: Frist of all ,draw air into the syringe to the desired volume of reconstituted drug to be administered for one dose and inject air into the drug vial and adjust the dose by watching the reading of the barrel of the syringe  .Now remove the needle from the vial and push it into the saline bag and mix drug with the normal saline or DA by pushing the plunger slowly  .Now recap the syringe using Sccop method and dispose all needles and syringe in the cytotoxic waste bins (yellow color bin) when you are done .The proper disposal of cytotoxic waste is very important.

Now inspect the saline bag very well for any drug particle inside it . If found any shake gently until it come into homogenous form .

The Asclepieia: How to be a registered pharmacist in Sweden (Degre...

The Asclepieia: How to be a registered pharmacist in Sweden (Degre...: If you are a pharmacist, thinking to work as a pharmacist in Sweden and your degree is from outside the EEA or EU, this article is for you....

How to be a registered pharmacist in Sweden (Degree outside the EU or EEA)

If you are a pharmacist, thinking to work as a pharmacist in Sweden and your degree is from outside the EEA or EU, this article is for you.Sweden is an economically developed country and one of least crime country in the world. The scope for a pharmacist in Sweden is great but you need to be registered first.My this article is for those people who want to be a registered pharmacist in Sweden.I will try my best to give you step by step information about the total process.

If you have a bachelor degree, apply for prescriptionist license and the master's degree holder can apply for pharmacist license.The whole process will be conducted Swedish National Board of Health and Welfare, they are the licensing authority for pharmacist and others health science professional in Sweden.

1.Frist of all you need to apply for an assessment application for recognition of your degree, in this section you need to submit all your educational document and training document that you have received from your home country or abroad.The board will check your document and give you a result whether you need any further training or not.

2.Once the board will notify you about their completion, you need a seat for an exam for your assessment.  The exam comprises both theoretical and practical part.you need to pass that successfully

3.When you get a positive result from the assessment test, then you can apply for course for

Swedish laws and regulations from local university or institutions.You need to successfully complete this course.

4. You need to also undergo a practical training under a registered clinical pharmacist in hospital or community level. 


5. Once your education has been assessed by the authority, you need to apply for language proficiency test, practice in community level you need to be fluent in the Swedish language.So it is better to do a Swedish language course up to at least B2 level.Then apply for the proficiency test.

6.When you have successfully completed all these steps, you are ready to apply for registration.

For further info. click here

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The Asclepieia: How to treat insomnia by herbs

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The Asclepieia: Avoid food with TB Drugs

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Avoid food with TB Drugs

According to WHO, tuberculosis is one of top ten cause of death around the world. The statics  says  there were 10.4 million people fell ill with tuberculosis in the year of 2015 and  1.8 million people was died .The first line and second line of the tubercular drug is used treat tuberculosis .There are more than 12 drugs has been developed that ensure 100% cure for tuberculosis. But if the tubercular drug is taken with food the drug plasma concentration and it’s bioavailability is reduced .Dr. Saktiawati presented a study result at European respiratory society in 2014, the study was done  on 20 patient among them 8 were woman .They were receiving the standard combination of  isoniazid, rifampicin, pyrazinamide, and ethambutol (EMB).On day 1 all drugs are administered intravenously expect pyrazinamide .The pyrazinamide was given orally The study continued up to 3 days using same dosage regimen .When the drug was given the patient were fasting after the treatment they were given meal with high carbohydrate .The researcher collected their blood sample and analyzed those sample in the mass spectroscopy to calculate the maximum plasma concentration curve.The researcher concluded with  plasma centration was lower when the medicine was taken together with food.

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I am S. Goswami .I am a clinical pharmacist .I have completed my M.sc in the section of clinical pharmacy and now I am practicing in my home country .

6 Natural Remedy to Sleep , Better than Sleeping Pills

Insomnia is a most common type of sleep disorders which is rapidly growing among us because of our busy lifestyle. The people who have insomnia usually pass a sleepless night.The national sleep foundation says there several medical conditions that are responsible for insomnia like nasal allergies , GERD, narcolepsy , endocrine problem , sleep apnea and so on. But  The most common cause of insomnia is anxiety and depression where the normal serotonin level of our body is imbalanced. Tryptophan is a derivative from amino acids which convert into serotonin in a biological process.So foods and herbs containing tryptophan can be a good choice as an herbal medicine for treating insomnia because it helps to maintain the balance of serotonin level.

Herbs for the treatment of insomnia 

The following herbs will help you to fall asleep within 30-40 min so always take this before bedtime.

Chamomile

Chamomile belongs to the family of Asteraceae, a daisy likes plants which are found in Europe and north America.Its tea is used as sedative in countries like south Africa, Mexico, and Europe. Chamomile oil can be also used to treat pain and inflammation.

Dose: 1 cup chamomile tea  3 times daily

Lavender 

Lavender belong's to the family of Lamiaceae and found in the canary island, eastern Europe, and Africa. Lavender oil is widely used as a tonic for mild strengthing of the nervous system.It is also recommended to treat insomnia.

Dose :Tea, 1 cup 2-3 times daily and 3-10 drops of lavender oil added to the bath.

Valerian 

It is widely used to treat nervousness, restlessness and insomnia.It has no side-effect.It gives better action if it is used together with other herbs such as skullcaps,  hopes, and passion flower.

Dose: Tea 1 cup as needed and Tincture, 3-5 droppers full 2-3 times.

Hopes

Hopes are the flower which is collected from hops plants. It is widely used as a flavouring agent in the beer industry. But it has also some medicinal use, it is used to treat sleeplessness, restless and nervousness.It is also a very good medicine for insomnia.

Dose: Tea,1cup 2-3 times daily and tincture, 30-40 drops 2-3 times daily.

Californian poppy 

One of the best herbal remedies and widely used herbal remedy in the USA.It has also mild action on anxiety and it is safe for child use because its action is mild on nervous system

Dose : Tea,1 cup 2-3 times and Tincture, 30-40 drops 2-3 times daily

Passionflower Passion flower is a flowering plant which is from family Passifloraceae it has more than 500 species which are the flowering plant.It is widely used for the sleeping problem, insomnia, GI upset, nervousness and so on.The chemical which contains passion flower has a alming effect ,sl eeping and muscle spasm .

Dose :45 drops of passionflower extract daily on a regular basis