Pseudoephedrine in India

#16 Mar 13th, 2018, 23:42
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#16
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Otrivine in the UK may be a substitute for rhinitis/bad colds. Don't know if it's available in India
Otrivin? If so, yes.

Allegra-M --- antihistamine plus something that reduces inflammation.

Sinarest --- paracetamol + something for sinuses.

These are a few of my favourite things /soundofmusic

Actually, they are a couple of things that have helped me to have a head that didn't feel like a lead weight. Whilst they should be easily available, I did originally have them prescribed by an ENT specialist. That's the route I'd recommend!
~
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#17 Mar 15th, 2018, 05:18
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#17
Pseudoephedrine (decongestant) is available in pharmacies without a prescription. Iam not sure of the availability of Avil the brand name per se now, but the ingredient, pheniramine maleate, is widely available there as well. In fact, all the 'cold' medications sold in rest of the world are easily accessible there. So relax. The key is to find out the name of the main ingredient (search by google) and ask the pharmacist for the same.All nasal sprays are also available at a much lower cost
#18 Mar 15th, 2018, 05:58
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#18

Pseudoephedrine in India

Avil got banned, Surya. Heard that both from pharmacist and, recently, from my doc. I guess that means also the same stuff under different brands... Or my doc could have prescribed an alternative name.

But, as you say, there are plenty of available medicines for these conditions.
#19 Mar 15th, 2018, 06:46
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#19
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Originally Posted by Nick-H View Post Avil got banned, Surya. Heard that both from pharmacist and, recently, from my doc. I guess that means also the same stuff under different brands... Or my doc could have prescribed an alternative name.

But, as you say, there are plenty of available medicines for these conditions.
Ya, I meant to write Diphenhydramine, which is Benadryl here, that is available there and everywhere. Avil is not available here as well anymore, in the past it was super popular in India. I used to take Avil to beat jetlag related insomnia, on my first day of return from overseas. Sedation is its side effect. Now Benadryl would serve the same purpose, very harmless and definitely non habit forming medicine.
#20 Mar 15th, 2018, 16:03
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Benadryl would serve the same purpose, very harmless and definitely non habit forming medicine.
I'd have to google to check, but I recall, in my youth, people who would drink cough mixture by the bottle. If it is this same stuff, I never understood why people "enjoy" what used to be called "downers." And I think it is potentially addictive. The people I knew seemed to be addicted. I'll have to check with google.

I also think that I once threw away a whole bottle of this (shock horror from wife!) because just one dose made me feel suicidally depressed! Really extreme and very unpleasant!

(Then there is codeine linctus, which every doctor I meet says do not take, and which has a serious addiction problem. But I am perfectly able to take it at nights to prevent a cough keeping me awake, and then forget about it until the next dry cough)

My first encounter with Avil was as a sleep inducer too. These days, for jet lag, there is melatonin, which is available over-the-counter in many places. Have you every tried to get it in India? Mostly I got, "not available," but it is and some pharmacists will give. Otherwise... Amazon/etc!

The govt seems to issue lists of newly banned drugs on a regular basis. Some of them are obviously dangeous, or nonsense combinations (which the pharma industry worldwide seems to do well out of). Some of them, it is hard to know why it should be banned. Well, hard for me, as a complete layman!

There was one thing that was prescribed for my wife. Side effect was also like getting drunk and falling asleep. I do not remember the name, but it turned out that this was a very dangerous drug that youngsters inject, causing themselves considerable harm in the process. This was a few years ago, now: I wonder if that one got banned!

Anyway, general medicine chat aside, the message of this, and other similar threads, is that almost everything is available in India. The problems begin with the major pain-control drugs. Apparently, we are one of the world's major producers of morphine, but even those in dying in agony often have a problem getting it prescribed.
#21 Mar 15th, 2018, 22:58
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I do not take sleeping pills. It was a passing mention I made that antihistamines like Benadryl (previously Avil) can be used to reset the messed up diurnal rhythm (like we see in jet lag induced insomnia). Sleeping pills are liberally prescribed by doctors nowadays in India, no? So why bother with cold medicine for sleep then!

Codeine is addictive and is a prescription medicine when it is given in combination with pain medicine like acetaminophen. Linctus codein was used in cough syrups, bottles of which some people consume for recreational purposes, I think the dose was very small and hence the regulations weren’t that strict on them. But all that changed now: ”… Codeine was an active ingredient in a number of over-the-counter medicines until recently. From 1 February 2018 all medicines containing codeine require a prescription. …”

On the other hand Benadryl is merely an antihistamine that has a side effect of sedation, but without any euphoria, hallucinations etc. positive psychological effects with it. Besides it dries up nose and throat and makes one uncomfortable, so much so no one uses it for sleep on a regular basis.

Melatonin is available very freely over the counter here and also is dirt cheap. It is not popular with the sleep deprived people, they say it is not reliable and messes up the sleep rhythm.

Sadly, prescription pain meds are very hard to get in India. Only a few highly qualified doctors, like cancer specialists, do help out the needy sufferers. The reasons are obvious: Opioid crisis is currently a huge hot topic in the States. Genuine pain patients are the real victims of these strict regulations, especially in India. Overall pain is under treated in the world, the experts say. In India it is not treated at all, over the counter pain meds are all they got there which do a poor job for serious pain like fracture and cancer pain.
#22 Mar 15th, 2018, 23:16
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#22
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”… Codeine was an active ingredient in a number of over-the-counter medicines until recently. From 1 February 2018 all medicines containing codeine require a prescription. …”
Thanks. I've had one bottle, lasting me a long time. Might not be so easy to get the next.
Quote:
The reasons are obvious: Opioid crisis is currently a huge hot topic in the States. Genuine pain patients are the real victims of these strict regulations, especially in India.
The reasons are not so obvious... especially for the terminally ill, for whom addiction is completely irrelevant.

But the opioid crisis in the USA is certainly very real. Real enough to have lessened the average life expectancy of an American citizen .

Sadly, (and badly) there is more to this than meets the eye. It seems that it is the pharma industry that has been pushing doctors to inappropriately prescribe opioids. Long story, which I have followed on some news sites, but not so much as to be able to quote. You probably know about it anyway.

We have come a long way from getting something to clear a stuffed head!
#23 Mar 17th, 2018, 09:43
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Originally Posted by Nick-H View Post Thanks. I've had one bottle, lasting me a long time. Might not be so easy to get the next.The reasons are not so obvious... especially for the terminally ill, for whom addiction is completely irrelevant.

But the opioid crisis in the USA is certainly very real. Real enough to have lessened the average life expectancy of an American citizen .

Sadly, (and badly) there is more to this than meets the eye. It seems that it is the pharma industry that has been pushing doctors to inappropriately prescribe opioids. Long story, which I have followed on some news sites, but not so much as to be able to quote. You probably know about it anyway.

We have come a long way from getting something to clear a stuffed head!
Just curious.. What do dentists prescribe after a root canal, or similar procedures?

I read recently that an American woman in Germany was terrified when told that she would be given Tylenol, after a minor piece of surgery.. The German doctors believed that your body is telling you to rest and heal, not pop pills and get into full action the very next day.

I was reminded of a TV jingle from many years ago, for a pain killer that went : " I haven't got time for the pain, I haven't got room for the pain...." An ad based on Carly Simon's song...
#24 Mar 17th, 2018, 13:33
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Ooph, some confusion up above in this thread!

Benadryl is the brand name in the US for Diphenhydramine. It is sold both as an antihistamine and in exactly the same dosage and forms as a "sleep aid" to help with insomnia. It doesn't cause uncomfortable side effects such as dry mouth for me and I use it fairly frequently for insomnia. I haven't seen it in cough syrup, though to be honest I don't use cough syrup, and I'm pretty sure the cough syrup that Nick heard of being misused would have contained codeine.

Here's WebMD:
Quote:
What Conditions does Diphenhydramine Hcl Treat?
Allergic Conjunctivitis
Chronic Trouble Sleeping
Sneezing
extrapyramidal reaction
Nausea and Vomiting
Feel Like Throwing Up
Life Threatening Allergic Reaction
Itching
Welt from Pressure on Skin
Hives
Motion Sickness
reaction due to an allergen
Throwing Up
Stuffy Nose
Cough
Parkinson Symptoms
Parkinson's Disease
Inflammation of the Nose due to an Allergy
Sensation of Spinning or Whirling
I don't believe Avil ever had Diphenhydramine in it, because I've been looking for Diphenhydramine in India for years and have seen Avil but never found Diphenhydramine. Currently Avil seems to contain pheniramine maleate, and Avil NU seems to contain cetirizine, and both seem to require a prescription (though haha in India).
#25 Mar 17th, 2018, 13:50
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I took an antihistamine in India a few years ago. I don't remember its name. It was prescribed for me by a friend ! I had a terrible itchy allergic rash on my arms and face and unable to sleep, a rash caused by trekking in the jungle, by some unknown plant(s). It did cure it. However, it also made me temporarily paranoid and angry. I remember walking down the street in Kolkata shouting "I want to go home now". After stopping the pills I felt normal again and continued to love the trip.
#26 Mar 17th, 2018, 14:32
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Pseudoephedrine in India

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Originally Posted by Boston123 View Post Just curious.. What do dentists prescribe after a root canal, or similar procedures?
]
Root canal removal is not, in my experience (and I could wish that was less!) painful after the event. They took the nerve away: there can no longer be pain from that tooth, ever! Maybe you still have inflammation around the root, if there was an abscess, and that might need continued treatment.

In my life, and especially if it was bad and painful, the root infection and abscess will have been treated before the procedure. If not, we might not be able to stand even the injections.

I have usually left the dentist after such such experiences not in pain, but with a huge sense of relief.

The same is true of extractions! On many occasions, I have had relief rather than pain.

Dentists in my life, both in UK and India, have prescribed anti-inflammatory drugs, usually common ones but a larger dose for a day or two.

This includes implants, and this is quite serious surgery.

As I have mentioned recently, I've asked for codeine for sense of security, but not taken it. On the other hand, I have taken it for the dreadful pain before the tooth got yanked!

I am not a dentist, but I have plenty of experience of being on the receiving end. Of course there will be exceptions, but I don't think, supported by that experience, that heavyweight painkillers are necessary after extractions, root canal, or even implant: the most heavyweight dental procedures most of us will ever experience. But I bet a lot of people do. And I wonder to what extent that supposition, in some places, is supported and encouraged by the drug industry.

By the way, I am no toughie. In fact I am a big, big baby when it comes to pain.
#27 Mar 18th, 2018, 01:16
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#27
Avil and Benadryl have different ingredients. No contest or confusion there.
Long-term regular use of Benedryl for sleep is not recommended (Google). Physicians oftentimes fail to link the side effects and complications to the medication usage. So what to do then. If a new problem is experienced the drug should be avoided for a few weeks and see if the symptoms or conditions resolve by themselves.

Quote:
Originally Posted by NonIndianResident View Post Ooph, some confusion up above in this thread! Benadryl is the brand name in the US for Diphenhydramine. It is sold both as an antihistamine and in exactly the same dosage and forms as a "sleep aid" to help with insomnia. It doesn't cause uncomfortable side effects such as dry mouth for me and I use it fairly frequently for insomnia.I don't believe Avil ever had Diphenhydramine in it, because I've been looking for Diphenhydramine in India for years and have seen Avil but never found Diphenhydramine.
#28 Mar 18th, 2018, 01:22
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But I am perfectly able to take it at nights to prevent a cough keeping me awake, and then forget about it until the next dry cough)
Me too, got a small case sent to me by a friend in the business.

Quote:
Genuine pain patients are the real victims of these strict regulations,
Sadly true, everything swings from one extreme to another in simple minds..
#29 Mar 18th, 2018, 01:47
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Originally Posted by edwardseco View Post
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But I am perfectly able to take it at nights to prevent a cough keeping me awake, and then forget about it until the next dry cough)

Me too, got a small case sent to me by a friend in the business.
For dry cough many people use what we call Karakkaya, which is available in regular grocery stores in India as well as in Indian groceries here in the States. It is the only herbal medicine I ever used and I strongly recommend it to others. You have to keep a piece of it in your cheek, suck on it and spit it out. Within a few minutes the juice alleviates the irritation in the throat. Iam not sure if it is a nut or dried fruit. No need to see the Ayurvedic doctor for this. Most Indian (moms and) grandmas would know what Iam talking about. We all should make an effort to keep this herbal medication going, needless to say it is very inexpensive.
#30 Mar 18th, 2018, 05:24
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#30

Pseudoephedrine in India

There is something that I use which is like chewing a piece of wood! I don't know its name offhand. But it is effective.

I like to use herbal medicines if they work!

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