What is Folliculitis?

Folliculitis, a skin condition characterized by inflammation of the pores. Body parts where it occurs include: beard, arms, back, hips and legs. Folliculitis initially appears as red bumps or pimples. However, this problem can also spread to other parts of the body.

Folliculitis is not very serious, but it can cause itching and dryness of the skin. Also, it can make you feel uncomfortable. In severe cases of this disease, hair loss and deterioration also starts.

How common is folliculitis?

Folliculitis is a very common disease. This disease can affect children and adults. The things that cause this disease can be prevented by controlling it. 

What are the symptoms of folliculitis?

• Red bumps or pimples with hair in the middle,
• If this bulge bursts, blood or pus comes out of it,
• Redness and infected skin becomes,
• There may be burning, swelling and itching of the skin,
• The skin becomes more tender or it hurts.

Some of the above symptoms are not given. If you have any problem due to which symptom, then discuss it with your doctor immediately.

When should I see my doctor?

If the disease is not severe, it will get better in two weeks without any treatment. You can compress the affected skin. You can use medicated shampoos for skin care.

Talk to a doctor if the affected skin becomes red, swollen, hot or more painful, or if the pimples last for more than two weeks. Everyone’s body functions differently. Therefore it is advisable to consult your doctor.

What are the causes of folliculitis?

Folliculitis can be caused by a number of infections or by any other skin condition. Some common reasons include:

• Other skin conditions such as dermatitis and acne,
• Due to a virus or hair break in the skin
• Accidental or surgical injury,
• Blocked or damaged follicles: this can be caused by the friction of a cloth on the skin or by shaving.

The common cause of folliculitis is also some bacteria, which is always present on your skin, called Staphylococcus aureus.

What factors increase the risk of developing this disease?

• Things that can increase the risk include:
• Other skin conditions, such as dermatitis and acne
• Certain medicines, such as steroid creams or long-lasting antibiotics for acne,
• Due to obesity
• Wearing clothes that do not allow sweat and heat to escape
• Unsafe shaving,
• Medical conditions such as diabetes, chronic leukemia, or HIV/AIDS that lower immunity.

Diagnosis and treatment

Your doctor will first examine your skin. Also, you will get information about your health or what medicines you are using. The doctor may take a fluid sample from the pimple to detect infection. A lab test may be done to identify which bacteria or fungus is causing the infection.

How is this disease treated in allopathy?

Depending on the severity of your condition and its causes, prescribed treatments are given:

Medications: Your doctor may prescribe certain creams and medicines to prevent infections. Some may suggest specific pills or skin creams to reduce inflammation.

Your doctor may suggest photodynamic therapy, also known as light therapy.

Minor surgery: If the lump is very large, the doctor may have to do minor surgery to drain the pus, which will help in reducing the pain. This helps in getting well soon.

Hair removal with laser treatment.

Some of the following home remedies and changes will prove to be helpful in curing your disease:

• Keep your body clean with a mild soap, especially after exercise.
• Do not share personal items such as towels.
• Use over-the-counter (OTC) antibiotics.
• Avoid scratching the bumps.
• Drinking more water is good for health in every way. Drinking more water keeps the skin healthy and folliculitis will not be a problem.
• Avoid using products due to oily skin. The oil can cause folliculitis in the pores from bacteria.
• Do not repeatedly touch the places with folliculitis with your hands. When cleaning the affected area, only touch the skin.
• Do not try to burst the bumps in folliculitis at all. Get him treated or let him get better on his own. Because, if it is broken, it can become infected, due to which its redness and swelling can also increase.
• If there is folliculitis on the face, then men should not shave. At the same time, if women do face waxing, then they should also stop waxing.
• There are many such cosmetics, which are used to hide the blemishes on the face. However, keep in mind that cosmetic can also be one of the reasons for getting folliculitis. Therefore, do not apply any kind of makeup until the folliculitis is cured. Apply the prescribed cream on folliculitis only as per the advice of the doctor.

DESCRIPTION

• Friction blisters are small pockets of fluid 
• It develop in the upper layers of the skin by irritation from continuous rubbing or pressure. 
• It is most commonly occur on the palms, fingers, soles, and sides of the feet or toes. 
• The irritation causes minor damage to the skin and the tissue just under the skin and fluid accumulates the outermost layer of skin.
• If the irritation damage small blood vessels, the blister also may contain blood then it is called a blood blister.
  

CAUSES

The following factors can make a person to have a friction blister:

• Wearing ill-fitting clothes or shoes that rub the skin during movement
• Excessively sweating or spending time in a damp climate, 
• Frequently exercise 
• Having an occupation that is very physical
• Carrying extra weight while moving
• Wearing tight, uncomfortable shoes, or new shoes which may rub the feet skin 
• Wearing thin socks do not absorb the moisture
• Wearing rough or hard fabric

Certain health conditions, skin conditions, and medications also make the skin more prone to blistering. These include:

• Epidermolysis bullosa – A group of diseases that result in blisters on the skin, which may be due to friction.
• Porphyria cutanea tarda – A metabolic condition that makes the skin more photosensitive means sun exposure can lead to blistering.
• Certain drugs – An adverse reaction of medications may form blisters.
  

SYMPTOMS

• Small pocket of puffy and raised skin that containing clear fluid. 
• Painful when touched. 
• Appear anywhere.
  

PEOPLE WHO GETS FRICTION BLISTERS

It can occur from time to time in nearly males and females of all ages. Exacerbating factors include:

• Heat – particularly prevalent in tropical climates.
• Prolonged exercise – common in athletes and soldiers
• Carrying a heavy things increases the risk of blisters.
• Excessive sweating 
• Tight, uncomfortable or new shoes repetitively rub one or two areas of skin.
• Unabsorbent socks – do not absorb moisture and do not protect the skin from damage by shoes or boots.
• Rough or hard fabrics may cause blisters on other sites such as armpits or groin.
• Blisters also arise on pressure areas such as the hip.

There are some specific diseases that make the skin more fragile and cause blisters in response to friction or injury.

• Genetic disposition
• Immunobullous disease 
• Metabolic disease 
• Sun damage 
• Certain medications such as non-steroidal anti-inflammatories or antibiotics (doxycycline).
  

COMPLICATIONS OF FRICTION BLISTER

• Pain impeding performance
• Wound infection
• Pyogenic granuloma occasionally arise at the site of a blister 
• Scarring due to infection or deeper injury.
  

CAN WE PREVENT FRICTION BLISTERS

The following measures may be useful:-

• Well-fitting boots and shoes
• Use orthotics to reduce pressure points.
• Neoprene insoles
• Moisture absorbent sock
• wear stockings to prevent gravel and plant materials entering the footwear
• Lamb’s wool padding over and around areas prone to blister.
  

CAC TREATMENT FOR FRICTION BLISTERS 

• Detox premium powder – these are herbo-mineral sachets which are purely Ayurvedic formulation. These sachets mainly detox the body and eliminate toxic substances and helps in proper metabolism of all the functions. This formulation act at the level of the nervous system and facilitate proper conduction of signal impulse from the nerves to the muscles. These sachets have anti-inflammatory, antioxidant, and anti-bacterial, anti-fungal, and immune-modulator. The ingredients present in it are moti pishti, parwal pishti, shukta pishti, Giloy satv, kamdudha ras, Jahar Mohra, akik pishti, gandhak rasayan, sutshekhar ras, etc. These ingredients balances all the three doshas (Vata, Pitta & Kapha) and helps in blood purification, reduces burning sensation, weakness, and hot flashes in ulcerative colitis patients. It reduces the level of high uric acid in the body. The powder is very beneficial in relieving discomfort, numbness, muscle ache, and reduces swelling of the pelvic region. This powder provides a cooling & calming effect on the mouth ulcers. It is very beneficial in reducing the swelling, redness, stiffness, and improves the movements of joints.

Dosage – Take 1 sachet twice daily with normal water.

• Panchatikta ghrita guggulu – It is a herbo-mineral ayurvedic formulation of CAC consist of herbs specifically designed to treat drying, inflammation, and deadening of tissue and skin, particularly of the rectum area. The main ingredient is Neem which is best for treatment of ailments of the blood and plasma, most effective against many skin diseases which is caused due to harmful toxins and vitiation of the blood. It has antiseptic and anti-inflammatory effects which makes it useful in treating piles, and fissures. In addition, this blend contains many ingredients which shows cleansing action on the liver and kidneys, which further helps to detox the skin and post-digestive functioning. The herbs added shows rejuvenating and soothing action on the circulatory and digestive systems. It is used to treat a variety of skin conditions including, but not limited to, rectal bleeding and inflammation.
  

Dosage – 1 tablet twice a day.

• Skin care tablet – this is herbo mineral and purely ayurvedic formulation. It help to maintain the texture of your skin depending on the type of skin you have. It contains various herbs like Haridra khand, Panchnimb churna, Khadir chahal, Chirayta, Mulethi, Chopchini, Gandhak, Ajmoda that work very effectively on all skin types. Skin care is a blood purifying tablet. It cools and detoxifies the blood, removes stagnant blood and dissolves obstructions in the blood flow that further increase blood circulation of the skin. It minimizes the blemishes, lighten sun tan, delay ageing of skin and heal skin problems.
  

Dosage – Take 1-2 tablets twice daily.

• Twak Tailam – this is the herbal oil and is purely Ayurvedic preparation. CAC Twak Tailam provides relief from various skin problems such as pimples, blemishes, scars, ulcers, wounds, skin rashes, dry patches, itching, skin irritation, reduces redness, etc. It is composed of natural herbs that pacifies all three doshas and provides healthy skin. This oil is made up of pure herbs such as yashtimadhu (Glycyrrhiza glabra), manjistha (Rubia cordifolia). Twak tailam supports skin health, helps in reducing uneven pigments, delays the process of ageing, improves complexion, and helps in deep detoxification, blood purification without any side effects. This oil moisturizes your skin, and makes your skin spotless and glowing naturally.
  

Method of Application – Apply over the affected area of the skin.

Menopause is a significant event that every women experience in their lifetime. Menopause is the natural part of aging. After menopause significant physiological changes occur or symptoms noticed which affect the normal functioning of women, are referred to as postmenopausal syndrome. These symptoms adversely affect the quality of life. 

What is menopause?

Menopause is defined as the condition in which there is  permanent cessation of menstrual cycle occur. Menopause is diagnosed when menstruation is absent for 12 months. Mostly menopause occurs between the age of 45 to 55years the average age among women is 51 years.

Premature menopause

If Menopause occurs before the age of 40 years is defined as premature menopause. This occurs due to primary ovarian failure where there is a depletion of ovarian follicles (that are primary source of estrogen). The majority of symptoms  after menopause are due to lack of estrogen levels.

How Menopause affects health?

• Menopause affects almost every system of women as menopausal women faces vasomotor symptoms, urogenital atrophy, osteoporosis, cardiovascular disease, cancer, psychiatric symptoms, cognitive decline, and sexual problems. 
• It is important to understand the risk factors associated with menopause, its clinical presentation, and the management of common menopausal symptoms for better health. The four main symptoms in post-menopausal syndrome – 

1. Hot flashes, 
2. Poor sleep, 
3. Genitourinary symptoms/sexual dysfunction
4. Mood changes 

These are the most commonly symptoms seen among menopausal women are referred to as postmenopausal syndrome.

Pathophysiology of post-menopausal syndrome

Postmenopausal symptoms are mainly occurring due to the decreased level of estrogen. Hot flashes, sexual dysfunction and vulvovaginal atrophy result from the complex changes that occur around menopause. At the level of the ovary, there is reduction of ovarian follicles, mainly the granulosa cells. There is increase in Follicle-stimulating hormone (FSH) and luteinizing hormone (LH) level due to lack of feedback inhibition, and ovarian estrogen, progesterone, and inhibin production cease. However, the production of androgen hormone continues in the remaining ovarian theca cells and adrenal gland, which gets converted to estrogen through peripheral aromatization.

Effect of menopause on other systems

• Heart/Cardiovascular System

Estrogens help to regulate blood flow , as estrogens  have a positive effect on the inner layer of artery wall. Due to this reason , decline in estrogen after menopause may increase the chances of  in heart disease among post-menopausal women. 

• Bone/Skeletal System

Decrease in levels of estrogen directly affects the musculoskeletal system. Musculoskeletal symptoms include backache, fractures on minimal injury, osteoporosis. Women after menopause at high risk of developing osteoporosis. It is a condition in which bones become very weak and brittle.

• Urinary System

Lower levels of estrogen cause the thinning of the urethra lining. Also, weakness of the pelvic muscles those are present around the urethra. Muscular weakness occurs due to aging or vaginal childbirth.  Due to weakness in muscles there is increased risk of urinary tract infections, urinary incontinence (bladder leakage) and many other problems. 

• Sexual Dysfunction

Natural lubrication in the walls of the vagina is maintained by estrogen levels. After menopause low levels of estrogen  causes the vaginal tissues to become thinner and more easily irritated during sex—or dryness of the vagina occur. Due to this there is  an increased risk of urinary tract infections and genitourinary syndrome of menopause, also known as atrophic vaginitis or vaginal atrophy.

• Metabolism

Reduced estrogen may lower your metabolic rate, due to which body start to store fat instead of burning it. Other factors like aging , lower physical activity may also contribute to lower metabolic rate

Hormone replacement therapy

• As Menopause is caused by a decrease in estrogen and progesterone, so hormone replacement therapy (HRT) is an option to treat the health issues.  For many women this therapy is helpful to lower the health risks that increase during their postmenopausal years. 

Benefits of hormone replacement therapy: Estrogen therapy (with or without progesterone) may relieve night sweats, hot flashes, osteoporosis and vaginal dryness 

Risks of this therapy: Estrogen-only therapy may increases the risk of breast and uterine cancer, heart disease, stroke and deep vein thrombosis. 

Combine use of estrogen and progesterone also increase the risk of many diseases like DVT, Breast cancer etc.

Dosage & Age

Most experts recommend start taking from the lowest dose HRT for the shortest duration. Risk increase with the age.  Lower the age lesser will be the risk of this therapy.

Topical or Oral use

• It’s also important to use the right type of estrogen for you. In vaginal dryness or menopause-related urinary tract infections or issues, a topical use of estrogen that is applied directly to the vagina could be the best choice. 
• But if varieties of symptoms are present related to body systems then oral estrogen should be preferred. 

Bioidentical or Traditional Hormone Therapy

Traditional hormone therapy uses man made hormones that are derived from plant or hormones found in the urine of pregnant horses. This can be taken orally, via patch, or topically to the genital area.

Chandigarh Ayurved centre provides complete treatment for post-menopausal syndrome. CAC provides a kit named ‘Essential for women health’. This kit contains medications that are very effective for women strengthening. 

Description of medicines

1. Asthi Shakti Tablet:

Asthi shakti of CAC is a blend of amazing herbs with therapeutic benefits. Bones are most rigid organs of body which constituent part of endoskeleton. The main function of bones is to protect various organs of body. The structure of bone is complex both internally and externally. Bones give right shape and support to your body, also help in locomotion. To have strong bones one should prevent bone loss in older age. To get strong bones one need calcium, vitamin D and exercise too.

2. Triphla Syrup:

Triphala Syrup ancient herbal remedy contains equal parts of three herbs like T. Chebula, T.bellirica rox, and E. officinalis. These ingredients are very beneficial for digestive system, maintain bowel wellness, helps in abdominal bloating, and flatulence. Triphala Syrup is tridosha hara. It is used to detoxify the body and support the immune system. It is known for its antibacterial, antioxidant, and antiviral abilities. It is prescribed for treating fatigue and gastric distress, pneumonia, constipation, vaginal infections, and piles.

3. Femine care tablet:

It is a pure and natural remedy that contains various herbs extract that works on the female reproductive system and make it healthy. These tablets show antioxidant properties, anti inflammatory and immuno modulater properties. It contains Ghritkumari , Muramakki, Sonth. It works in various diseases like pcod, bulky uterus, endometriosis, general female health, irregular menses, and uterine fibroids. It affects on Tridosha- balances Vata and Kapha.

4. Women Power Plus Tablet:

CAC woman power tablet is a complete health supplement for women which  is best for female health and vital energy. It helps to build up the immunity. This is a pure herbo mineral product of the best quality herbs. The herbs used are Ashoka, Shatavari, anatmool, etc. These are herbs used since ancient times to maintain female health metabolism.

Essential for women health

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DESCRIPTION

• It is upper layers skin infection.
• The most common cause is streptococcal bacteria, especially Streptococcus pyogenes. 
• It cause fiery red rash with raised edges that can easily be differentiate from the skin around it.
• The affected part of skin warm to touch. 
• Erysipelas mostly affect the face, but it also suggest the inflammation also involved legs almost 70- 80% of cases. 
• Rash also appear on the arms or trunk.
• Erysipelas begins with minor trauma such as a bruise, burn, wound, or incision.
  

CAUSES

This infection develops when bacteria enter the skin through cuts or sores. The skin injuries that increase the chances of erysipelas include:

• Cuts to the skin, ulcers, or bed sores
• Insect or animal bites
• Wounds from surgery

Pre-existing skin conditions that cut the surface of the skin and increase the chances of getting erysipelas. These conditions include:

• Eczema
• Impetigo
• Fungal infections
• Other conditions can also increase the risk of a person getting erysipelas include:
• Veins and lymphatic vessels not working as they should
• Obesity
• Alcoholism
• Poorly controlled diabetes
• Circulation problems
• Weakened immune system
• Some medications can weaken the immune system and lead to erysipelas such as cancer drugs.
  Erysipelas can affect every people but most commonly affects infants and adults over the age of 60.
• Erysipelas is not hereditary or contagious.
  

SYMPTOMS

• Swollen and shiny
• Redness
• Warm and tender to the touch
• Blisters in severe cases
• Fever, shivering, chills, fatigue, headaches, and vomiting.
• Sharp edges between the affected areas 
• Red streaks above the affected area
• Can turn purple or black in severe cases.
  

WHO GETS ERYSIPELAS

• Previous episode of erysipelas
• Insect bites, ulcers and chronic skin conditions such as psoriasis, athlete’s foot and eczema.
• Current injury such as trauma, surgical wounds, radiotherapy.
• Exposure of the umbilical cord and vaccination site injury in newborn.
• Nasopharyngeal infection
• Venous disease such as gravitational eczema, leg ulceration and lymphedema
• Immuno-deficiency disease such as Diabetes, Alcoholism, Obesity, Human immunodeficiency virus (HIV)
• Nephrotic syndrome
• Pregnancy.
  

COMPLICATIONS OF ERYSIPELAS

• Persistence of risk factors
• Lymphatic damage
  Complications are rare but can include:
• Abscess
• Gangrene
• Thrombophlebitis
• Chronic leg swelling
• Infections distant to the site of erysipelas
• Post-streptococcal glomerulonephritis (a kidney condition affecting children)
• Cavernous sinus thrombosis (dangerous blood clots that can spread to the brain)
• Streptococcal toxic shock syndrome
  

GENERAL TREATMENT FOR ERYSIPELAS

• Cold packs and analgesics to relieve local discomfort
• Elevate infected limb to reduce local swelling
• Compression stockings
• Proper dressings of wound with saline that are frequently changed with time.

Antibiotics

• Oral or intravenous penicillin is the first choice of antibiotic.
• Erythromycin, roxithromycin used in patients with penicillin allergy.
• Vancomycin
  

CAC TREATMENT FOR ERYSIPELAS

• Detox Premium Powder – This is a herbo-mineral preparation that contains ingredients like Parwal Pishti, Giloy satv, Shukta Pishti, Kamdudha Ras, Gandhak Rasayan, etc.
• Parwal Pishti – This Pishti reduces inflammation, flaking, itching of the skin. The Pishti is composed of natural coral calcium processed with rose water.
• Shukta Pishti – It helps to balance the Pitta dosha in the body. All signs and symptoms related to Psoriasis patients are managed with this article.
• Giloy Satv – This satv is prepared from the herb Giloy (Tinospora cordifolia). The anti-inflammatory, antioxidant, and analgesic properties of this herb deal with psoriasis easily.
• Kamdudha Ras – This herbal-mineral classical preparation balances Pitta dosha in the body.
• Gandhak Rasayana – This herbal preparation is used since ancient times for all types of skin disorders.
• Tal Sindoor – It contains ingredients like Shuddh parad, Aloe vera, Gandhak, etc that relieve redness in psoriasis patients.
• Akik Pishti – This Pishti reduces all types of Pitta related disorder hence it gives good results in psoriasis.
  Recommended Dosage – Take 1 sachet twice daily with plain water.
• Blood Purifier Syrup – It is ayurvedic syrup that consists of various natural ingredients such as Khadir Chall (Acacia catechu), Manjistha (Rubia cordifolia), Neem (Azadirachta indica), Giloy (Tinospora cordifolia), Harad (Terminalia bellirica), Baheda (Terminalia chebula), Amla (Emblica officinalis), etc. As the syrup purifies the blood by removing excess toxins it is very beneficial in maintaining proper circulation and improves the skin naturally.
  Recommended Dosage – Take 2 teaspoonful twice daily.
• Skin Care Plus tablet – Skin care tablet is a pure ayurvedic formulation. It help to maintain the texture of your skin depending on the type of skin you have. It contains various herbs like Haridra khand, Panchnimb churna, Khadir chahal, Chirayta, Mulethi, Chopchini, Gandhak, Ajmoda that work very effectively on all skin types. Skin care is a blood purifying tablet. It cools and detoxifies the blood, increase blood circulation of the skin. It minimizes the blemishes, lighten sun tan, delay ageing of skin and heal skin problems.
  Recommended Dosage – Take 1 tablet twice daily.
• Panchatikta Ghrita Guggulu – Panchatikta Ghrita Guggulu is an ayurvedic preparation mainly used for skin diseases. This tablet contains pure herbal ingredients such as Nimba(Azadirachta indica), Patola(Cucumis acutangulus), Guduchi(Tinospora cordifolia), Vasa(Adhatoda vasica), etc. This tablet promotes detoxification and rejuvenation. Panchatikta Ghrita Guggulu tablet is a natural source of anti – oxidant. It promotes engender vibrant and healthy skin.
  Recommended Dosage – Take 1 tablets twice a day with normal water.
• Twak Tailam – this is the herbal oil and is purely Ayurvedic preparation. CAC Twak Tailam provides relief from various skin problems such as pimples, blemishes, scars, ulcers, wounds, skin rashes, dry patches, itching, skin irritation, reduces redness, etc. It is composed of natural herbs that pacifies all three doshas and provides healthy skin. This oil is made up of pure herbs such as yashtimadhu (Glycyrrhiza glabra), manjistha (Rubia cordifolia). Twak tailam supports skin health, helps in reducing uneven pigments, delays the process of ageing, improves complexion, and helps in deep detoxification, blood purification without any side effects. This oil moisturizes your skin, and makes your skin spotless and glowing naturally.
  Method of Application – Apply over the affected area of the skin.

What is a drug eruption?

Drug eruption is adverse drug reaction of the skin. Any kind of acute or sub-acute adverse cutaneous reactions to a drug or medicine include drug eruptions.

Drug eruption may range from unnoticed mild rash to severe cutaneous adverse reaction (SCAR) that may be life-threatening.

Types of drug eruption

There are many types of drug eruption . The most common drug eruptions include 

• Morbilliform or exanthematous drug eruption
• Urticaria and/or angioedema (which rarely leads to anaphylaxis).

SCARs are rare:

• Drug hypersensitivity syndrome
• Stevens–Johnson syndrome / toxic epidermal necrolysis (SJS/TEN).

Many other cutaneous adverse reactions include :

• Acute generalised exanthematous pustulosis (AGEP) (pustular psoriasis-like)
• Serum sickness (urticaria, fever, arthralgia, lymphadenopathy)
• Hypersensitivity vasculitis (palpable purpura)
• Fixed drug eruption 
• Lichenoid drug eruption  in which lichen planus-like reaction is seen.
• Drug-induced sensitivity: Sunburn or eczema in sun exposed sites due to phototoxicity or photoallergy 
• Bullous drug eruptions 
• Lupus erythematosus that is induced by drug

Sometimes cutaneous drug eruption is another name used for drug eruption. Drug eruption  sometimes affects  hairs and nails also.

Some drugs can also cause drug eruption :

• Skin pigmentation induced by drug
• Skin problems which are not commonly caused by a drug For eg. Eczema triggered by retinoids ,  psoriasis triggered by lithium etc.
• Systemic contact dermatitis
• Allergic contact dermatitis and photocontact dermatitis
• Hair loss or increase in hair (hypertrichosis)
• Nail dystrophy , changes or pigmentation.

Some drugs that are commonly responsible for causing reactions, include

• Hormones such as antiandrogens
• Chemotherapy drugs
• Anticoagulants
• Topical and systemic corticosteroids
• Calcineurin inhibitors
• Epidermal growth factor inhibitors and targeted cancer therapies.

Who gets drug eruptions?

• On average, new medications prescribed leads to a drug eruption in some people.
• Allergic reactions to some drugs are more commonly seen in females than in males.
• Genetic factors also play a role in causing drug eruptions. 
• Various kinds of viral infections and diseases can influence reactions.
• Any kind of allergic drug reaction that occur previously  or drug intolerance increases the risk of reaction to another drug. 
• Cross-reactions can occur due to sensitivity to certain sunscreens, cosmetics, foods or insect bites.

Causative factors for drug eruptions

There are several factors that cause drug eruptions which are

• True allergy: occur due to immunological mechanism
• Immediate reactions occur within an hour of drug exposure and are mediated by IgE antibodies (urticaria, anaphylaxis).
• Delayed reactions occur after 6 hours or after several weeks of exposure to drug . They may be due to  IgG antibody, immune complex, or cytotoxic T cells.
• Drug intolerance (i.e, dose-related reactions)
• Pseudo allergy i.e. a reaction that is assumed to be an allergy but is actually occur due to release of mast cell mediators by the drug [opioids, NSAIDs].

What are the clinical features of drug eruptions?

Other symptoms that are seen in Drug eruption other than the allergic reaction are

• Fever
• Malaise
• Involvement of other organs like in SCAR

Diagnosis of drug eruptions

• Diagnosis of drug eruptions can be made by taking careful history and by doing general physical examination of patient.
• Some investigations like blood test, liver function and kidney function test are helpful
• Skin intradermal/prick tests are helpful to check immediate reactions to penicillin and few other drugs. 
• Sometimes it become difficult to determine responsible drug for rash . As very few drug reactions have a confirmatory test.

Treatment options for drug eruptions

• Most appropriate way to treat the condition is to detect and stop the responsible medication.
• If rash or allergic reaction is severe   then use of systemic steroids for drug eruptions can be done. Topical use of corticosteroids is helpful and helps to reduce the symptoms.
• Drug-induced urtic area can be treated with antihistamines.  

Prevention of drug eruptions

• Drug eruptions are commonly due to antibiotics, so avoid use of antibiotics or use should be limited.
• A medical record of drug allergies of patients should be maintained.  Patients should remain alert and should remind of their previous allergic reaction that occurred in past.

Chandigarh Ayurved centre provides effective Ayurvedic  treatment for drug eruptions . CAC provides a kit named ‘Allergy care kit’. This kit contains medications that are very effective to treat any kind of allergic reaction. 

Description of medicines

1. Detox Premium Powder

The powder is very beneficial to cure any kind of body pain as it removes excess toxins from the body and balances the aggravated pitta and vata dosha. It consists of several herbs and bhasmas such as shukta pishti, giloy satv, parwal pishti, kamdudha rasa, moti pishti, gandhak rasayan, akik pishti, etc. The ingredients help in reducing swelling, redness, shrinkage of tear lining in the anus, burning sensation, etc.

2. Nerve up tablet

Nerve up tablets help in balancing the vata doshas. It reduces kapha dosha, and acts as nervine stimulant. It shows effective results in improving the central nervous system. It contains natural ingredients like shudha kuchala, shudha shilajeet, abhrak bhasma, praval pishti, shankh bhasma etc. This tablet helps in the symptoms related to Allergy.

3. Curcumin Capsule

Curcumin Capsule helps in pacifying all three doshas. Curcumin Capsule is beneficial for variety of skin conditions like Acne, Eczema, Psoriasis, and Dermatitis. This Capsule contains standardized extract of the herb Curcumin (Curcuma longa). Curcumin is the active ingredient in Turmeric having powerful Anti-inflammatory, Antibacterial, Antifungal, Anti-microbial and Antioxidant properties.

4. Amrit Tulsi Ras

This herbal preparation is in drops form prepared from five types of Tulsi. Shama Tulsi (Ocimum sanctum), Rama Tulsi (Ocimum gratissimum), Kapoor Tulsi (Ocimum canum), Shwet Tulsi (Ocimum basilicum), Nimba Tulsi (Ocimum citriodorum) that provides good result in all allergic reactions.

5. Immuno Booster Tablet

It is a pure herbal combination that helps to build up immunity. It consists of effective levels of antioxidants. vitamin C and E circulate in the body to protect it against the damage caused by free radicals. It has natural immunity-boosting properties to prevent and ease cough, cold, headache, and infections. it provides quick relief from early signs of running nose, itching throat, body ache, and weakness.