Aluminium Tips

The festival of Holi is around the corner and while you might be excited to have a get together and play with colors, it is a Go Organic, This Holi! Go Organic, This Holi! Go Organic, This Holi! Is so important to avoid any hassle. We can’t imagine Holi without beautiful colors. As per Indian mythology, God Krishna started the custom of playing with colors which turned out as a full-fledged fest later. There is no doubt in the fact, we all eagerly wait for Holi Skin & Hair Care.

Clothes you can wear to protect your skin this HoliHoli every year. However, it is very difficult to get rid of these colors from the body afterwards, especially when holi color powder is made from chemicals. The essence of this festival can be maintained by using herbal holi colors as an alternative since synthetic one damages hair & leaves the upper layer of skin dull and dry. Kids are more prone of getting harm from these artificial holi color powder and can end up getting skin rash or allergy. The herbal holi colors made up of flower extracts are more eco-friendly, pleasant and doesn’t cause much trouble to skin and eyes.

Harsh chemicals like copper sulfate, mercury sulphite, chromium iodide and aluminium bromide are used to prepare synthetic holi color powder. All of these compounds are not safe and cause eye allergies, skin cancer, blindness and respiratory infections. These colors also include fine glass pieces that causes several other skin issues. Instead, herbal holi colors are made from natural extracts of fruits, leaves, flowers and barks. 

They also smell amazing and do not cause suffocation. Dwellers preparing these natural colors mix maize flour or cornstarch powder to make it child friendly and biodegradable. So, a better way to celebrate this festival is to ditch toxic colors and go organic.

Apart from the herbal holi colors available in the market, you can also prepare natural colors at home. Below are few ways to make 100% organic holi color powder with little efforts. These colors are totally safe, natural and adds more delight to the celebration. They are also great for your skin and offer exceptional benefits.

1. Green color

You can prepare green color at home by mixing henna powder, gulmohar leaves powder and any flour. A little amount of water can be added to make a nice paste of green color. Spinach, Coriander or Mint leaves can also be blended together to obtain a deep green color paste. Another alternative is to use neem leaves which is also known to have antibacterial properties. The freshly prepared green paste will not just add color to your celebration but would also be great for your skin.

2. Red color

Red color is almost everyone’s favourite and there are a variety of ways to prepare it at home. The dried rose petal can be grinded to make a fine red powder. You can also mix red sandalwood powder and water to make natural ‘gulaal’ at home. Kumkum soaked in water overnight also gives a deep red color. Another method is to soak hibiscus flowers in hot water to get a pretty red color.

3. Yellow color

Yellow color can be prepared at home using turmeric and dried marigold petals powder. You can also mix it with gram flour to make aromatic herbal holi color powder. The color is also great for skin since it has healing properties.

4. Saffron color

Saffron is already known for giving a natural glow to the skin and using it to make your own herbal Holi colors is just a bonus. One can soak saffron in water for few hours and then grind it to form a paste to obtain the right color. This soft color can also be made by crushing dried tesu flowers to a powder or boiling it in water. The lovely color obtained can be used for playing Holi.

5. Pink color

The lovely pink color is made using beetroot that has been soaked overnight in water.  A bright and vibrant pink wet color is obtained using this method. Another way is to soak pomegranate seeds in water overnight to obtain a similar kind of color.

6. Black color

It should not come as a surprise that even black herbal color can be prepared at home easily. It is made by drying small pieces of gooseberry fruit. The dried pieces will turn black if kept overnight and powdered to obtain black color. This powder can also be mixed with water to obtain a wet black color.

The above DIY methods for preparing herbal Holi colors are totally safe for skin & hair and also gives an instant glow to the skin. You can still watch out for skin infections since there are some who might be allergic to any of these natural ingredients. So, this year, say goodbye to synthetic colors and make a convention to go Organic. 

Have a safe and healthy Holi!

Also, check Manipal Hospital Dwarka - Best Hospital in Delhi. Book Appointment, View Doctor List, Contact no, Address, Visiting Hours, Health Checkup Reviews, Lab Report Online.

Gastroesophageal reflux disease (GERD) is also called as acid reflux. It is a long-term digestive disorder that affects the lower esophageal sphincter, the ring of muscle between the esophagus and stomach which causes the stomach contents to come back up into the esophagus resulting in either symptoms or complications. Gastroesophageal reflux disease is mild acid reflux that occurs at least twice a week or moderate-to-severe acid reflux which occurs at least once a week.

Epidemiology

In western populations, GERD affects approximately 10% to 20% of the population and 0.4% newly develop the condition. In developed nations, the prevalence rate of GERD is associated with age; with adults aged 60 to 70 being the most commonly affected.

Signs and Symptoms

Esophageal symptoms include:

• Heartburn
• Regurgitation of food or sour liquid
• Dysphagia
• Sensation of a lump in the throat

Extraesophageal symptoms include:

• Coughing and/or wheezing
• Hoarseness, sore throat, or laryngitis
• Otitis media
• Noncardiac chest pain
• Enamel erosion or other dental manifestations
• New or worsening asthma
• Disrupted sleep

Risk Factors

1. Obesity
2. Pregnancy
3. Hiatus hernia
4. Scleroderma and systemic sclerosis
5. The use of medicines such as prednisolone
6. Delayed stomach emptying Zollinger-Ellison syndrome which can show an increase in gastric acidity because of gastrin production
7. A high blood calcium level which can increase gastrin production, leading to increased acidity
8. Visceroptosis or Glénard syndrome, in which the stomach has sunk in the abdomen upsetting the motility and acid secretion of the stomach.

Factors that can increase acid reflux involve:

• Smoking habit
• Eating heavy meals or eating late at night
• Eating fatty or fried foods
• Drinking certain beverages, such as alcohol or coffee
• Medications, such as aspirin
• Tight clothes
• Increased intra-abdominal pressure

Differential Diagnosis

1. Heart disease causing chest pain
2. Laryngopharyngeal reflux OR extraesophageal reflux disease
3. Infection
4. Peptic ulcer
5. Esophageal spasm

Complications

1. Narrowing of the esophagus (esophageal stricture): Stomach acid causes the formation of a scar tissue which narrows the food pathway.
2. An open sore in the esophagus (esophageal ulcer): Acid causes an open sore which bleeds, causes pain, and makes swallowing difficult.
3. Precancerous changes in the esophagus (Barrett's esophagus): Damage from acid can cause changes in the tissue lining the lower esophagus
4. Anemia

How to arrive at the diagnosis?

1. Upper gastrointestinal endoscopy/esophagogastroduodenoscopy
2. Esophageal manometry
3. Ambulatory 24-hour pH monitoring

Treatment

The goals of treatment are controlling symptoms, healing esophagitis, and prevention of recurrent esophagitis or other complications.

Lifestyle modifications include the following:

1. Losing weight (if overweight)
2. Eating small and frequent meals instead of large meals
3. Waiting 3 hours after a meal to lie down
4. Elevating the head end of the bed by 8 inches
5. Avoiding bending or stooping positions

Medications

• H2 receptor antagonists (ranitidine, cimetidine)
• Proton pump inhibitors (omeprazole, pantoprazole)
• Prokinetic agents (aluminium hydroxide)
• Antacids (magnesium hydroxide)

Surgery

• Transthoracic and transabdominal fundoplication
• Placement of a device to augment the lower esophageal sphincter

Gastroesophageal reflux disease (GERD) is also called as acid reflux. It is a long-term digestive disorder that affects the lower esophageal sphincter, the ring of muscle between the esophagus and stomach which causes the stomach contents to come back up into the esophagus resulting in either symptoms or complications. Gastroesophageal reflux disease is mild acid reflux that occurs at least twice a week or moderate-to-severe acid reflux which occurs at least once a week.

Epidemiology

In western populations, GERD affects approximately 10% to 20% of the population and 0.4% newly develop the condition. In developed nations, the prevalence rate of GERD is associated with age; with adults aged 60 to 70 being the most commonly affected.

Signs and Symptoms

Esophageal symptoms include:

• Heartburn
• Regurgitation of food or sour liquid
• Dysphagia
• Sensation of a lump in the throat

Extraesophageal symptoms include:

1. Coughing and/or wheezing
2. Hoarseness, sore throat, or
3. Otitis media
4. Noncardiac chest pain
5. Enamel erosion or other dental manifestations
6. New or worsening asthma
7. Disrupted sleep

Risk Factors

1. Obesity
2. Pregnancy
3. Hiatus hernia
4. Scleroderma and systemic sclerosis
5. The use of medicines such as prednisolone
6. Delayed stomach emptying Zollinger-Ellison syndrome which can show an increase in gastric acidity because of gastrin production
7. A high blood calcium level which can increase gastrin production, leading to increased acidity
8. Visceroptosis or Glénard syndrome, in which the stomach has sunk in the abdomen upsetting the motility and acid secretion of the stomach.

Factors that can increase acid reflux involve:

1. Smoking habit
2. Eating heavy meals or eating late at night
3. Eating fatty or fried foods
4. Drinking certain beverages, such as alcohol or coffee
5. Medications, such as aspirin
6. Tight clothes
7. Increased intra-abdominal pressure

Differential Diagnosis

1. Heart disease causing chest pain
2. Laryngopharyngeal reflux OR extraesophageal reflux disease
3. Infection
4. Peptic ulcer
5. Esophageal spasm

Complications

1. Narrowing of the esophagus (esophageal stricture): Stomach acid causes the formation of a scar tissue which narrows the food pathway.
2. An open sore in the esophagus (esophageal ulcer): Acid causes an open sore which bleeds, causes pain, and makes swallowing difficult.
3. Precancerous changes in the esophagus (Barrett's esophagus): Damage from acid can cause changes in the tissue lining the lower esophagus
4. Anemia

How to arrive at the diagnosis?

• Upper gastrointestinal endoscopy/esophagogastroduodenoscopy
• Esophageal manometry
• Ambulatory 24-hour pH monitoring

Treatment

The goals of treatment are controlling symptoms, healing esophagitis, and prevention of recurrent esophagitis or other complications. Lifestyle modifications include the following:

• Losing weight (if overweight)
• Eating small and frequent meals instead of large meals
• Waiting 3 hours after a meal to lie down
• Elevating the head end of the bed by 8 inches
• Avoiding bending or stooping positions

Medications

1. H2 receptor antagonists (ranitidine, cimetidine)
2. Proton pump inhibitors (omeprazole, pantoprazole)
3. Prokinetic agents (aluminium hydroxide)
4. Antacids (magnesium hydroxide)

Surgery

1. Transthoracic and transabdominal fundoplication
2. Placement of a device to augment the lower esophageal sphincter

It's the month of Phagun again and time to prepare for the most colourful and vibrant festival of India - Holi. As the festive cheer spreads and people get ready to paint the town red with colours, dance to rocking beats at Holi bashes, and gorge on Gujiya and Thandaai, it’s good to remember that you need to play it safely and naturally. The biggest reason for this is the synthetic agents, which are used to make the colours of Holi. What used to be a festival played with flowers, natural dyes and herbs have now transformed into a celebration of colours made from chemicals that are harmful for our body.

Apart from the allergies to the skin, there is also the risk of increased blood pressure after the Holi festivities due to the high intake of bhaang, the official Holi drink. To avoid the harmful effects of such materials used during the festival, here are some must-follow health tips for you.

Tips to care for your skin -

1. Use organic colours: Skin is the most sensitive body part and synthetic colours are a big no-no for it, as they can lead to rashes and other skin allergies. Therefore, it is advisable that you opt for organic colours, considering they are not only chemical free but are made from natural ingredients. Organic colours are safe for children too, as they are softer on the skin and easy to wash off. It is crucial that you protect kids from synthetic colours as they contain lead oxide, mercury sulphide and aluminium bromide, chemicals which not only damage the skin but can also cause various health issues.
2. Skin and sun protection: To avoid any kind of damage to the skin from colours, apply a good amount of Vaseline, any other petroleum jelly or mustard oil to your skin. You can also apply this to your child’s skin as it is completely safe for their sensitive skin. When playing outdoors, opt for a waterproof sunscreen to protect your skin against sun damage.
3. Choose the right clothes: Wear long pants and full-sleeved shirts. This will help you stay safe from the harmful effects of colours. 

Tips to care for your hair -

1. Oil your hair: You can apply a generous amount of oil to your hair, this will not only moisturize your hair but also safeguard the scalp and hair from the chemicals in the colours.
2. Cover your hair: Tie a ponytail and cover your hair with a shower cap to prevent your hair from dreadful damage. For a trendy look, you can also tie a bandana over your hair and safeguard them at the same time. 

Tips to care for your eyes -

1. Wear sunglasses: Synthetic or organic, colours can be harsh on your eyes. You can protect your eyes by wearing sunglasses as they will help in preventing your eyes against any sort of damage. If your eyes come in contact with the colour, rinse them immediately to avoid infections. 
2. Moisturize around the eyes: Applying a good cream around your eyes will shield them from getting the colour into your eyes.
3. Avoid wearing contact lenses: You should refrain from wearing contact lenses while playing Holi. In case you cannot do without them, wear the eyeglasses. 
4. Use rose water: Rose water is known for its antiseptic and antibacterial properties and can do a great job in removing colour from the eyes. It can also be used to reduce irritation cause by the chemicals present in the colours.

Other health tips -

1. Stay hydrated: Drink plenty of water before, during and after the festivities. Staying hydrated will not only keep you energetic but will also prevent your skin against the absorption of harmful chemicals. Drinking fluids will also ensure that all the toxins are flushed out of the body. 
2. Check your sweets for purity: Adulteration is at all-time high during the festive season. Therefore, make sure you buy your sweets from a reputed brand. In case, you are preparing your own sweets, buy your ingredients from a reputed shop, especially in case of products like khoya or if you can even make that at home.
3. Keep your hands clean: Keeping your hands clean during the festivities can be a daunting task but since the colours used during Holi come as a fine powder and can easily get mixed with food, they can lead to different health problems. Make arrangements for snacks and drinks away from the festivity area. Make sure you wash your hands every time you touch the food.
4. Preventing asthma attacks: If you are an asthmatic patient, you must avoid playing with dry colours as they can aggravate breathing problems. The particles can enter your lungs and trigger an asthma attack. Asthmatic patients are also advised to carry inhalers, in order to avoid complications.

Apart from the above mentioned problems, these synthetic colors can also cause health problems like nausea, headache and vomiting in many people. Follow these tips and enjoy the festival to the fullest, while steering clear of all the harmful effects. So, forget all your worries and storm in the riot of colours. Be safe and be healthy! Have a great Holi!

In case you have a concern or query you can always consult an expert & get answers to your questions!

Health issues related to noise, chemical and soil pollution can be resolved, provided we maintain hygiene and take appropriate medication at the right time.

Industrialisation has led to three major types of pollutions: noise, chemical, and soil pollution. According to a 2007 estimate by World Health Organisation, almost six per cent people in India suffer from hearing loss. In the recent times we have also witnessed a sharp increase in chemical pollution due to excessive use of insecticides and pesticides, vehicular traffic, and a range of human activities, adversely affecting our environment, particularly air, water, and soil. Pollution and exposure to pollutants has become inevitable, however, with certain precautions and apt medical intervention we can stay healthy.

Noise pollution

Automobiles, heavy industries, air planes, loud speakers and many such sources create excessive noise around us. Constant buzzing and whistling sounds of machines may lead to further prolonged effects like deafness or temporary or permanent hearing loss. Prolonged exposure to noise pollution leads to high blood pressure, increased heart rate, giddiness and fatigue. However, these ill effects of noise pollution can be avoided by using ear plugs while being exposed to high-decibel noise. Ultimately, educating the public and spreading awareness about the ill-effects of noise pollution can improve the conditions in general.

A 27-year-old, who started his recent job in a factory, faced constant giddiness and fatigue. He was working in a very noisy workplace. His blood pressure was noted at 170/100 mmHg at the clinic. To help him I prescribed some medicines and advised him to use ear plugs at the workplace. I also advised him to practice regular meditation at home. He is monitored regularly for blood pressure, however, he is leading a much better life now.

Chemical Pollution

From organic pollutants to chemical compounds, that travel miles through air or from the surrounding areas may affect us. High levels of such persistent organic pollutants may lead to infertility, impaired cognitive function and endocrine disruption. Exposure to chemical pollution would lead to respiratory tract infections, fatigue, headache and inability to concentrate and irritability. At times, these problems can be due to heavy metal poisoning as well.

A lady visited my clinic with complaints of dry and scaly skin on the palms, much like her colleagues. Coming in contact with certain chemicals that were used for cleaning at her workplace caused the dry and scaly palms. I prescribed her Graphites 30CH and Calendula ointment. After a follow up for six months, she was cured.

A 34-year-old person complained of his cough and sudden hoarseness in the voice. He refrained himself from consuming any kinds of oily or cold food; he thought these foods would worsen his condition. In reality, his exposure to fumes and aluminium in his factory lead to the cough. I prescribed him Phosphorous and advised him to use a mask while working. After taking the precautionary measures and regular medicines, his cough gradually reduced and following the dosage for three months, he was symptom free.

Soil pollution

The ever increasing use of pesticides and insecticides in the agriculture, pathogens from the human faeces, and pathogens like amoeba and helminths lead to soil pollution, affecting us through direct contact or indirectly, through the food and the water we consume. Amoebiasis, worm infestations and other parasitic infections are common health issues due to soil pollution; other diseases include ‘plumbism’ (due to lead poisoning), Arsenicosis (happens due to elevated levels of arsenic in the body), cancer, and neuromuscular disorders.

Helminthiasis or worm infestation can lead to the actual passage of worms through the stools, boring of nose and itching of the anus. Children get affected and present with complaints such as irritated behaviour and white patches on their skin. Do not worry; homoeopathic remedies like Cina, Chenopodium and Spigelia are there to resolve the issue.

Like helminths, amoebaisis is another problem. The symptoms are watery stools or passage of blood via stools, abdominal pain and severe pain in the abdomen prior to stools. Homeopathic medicines like Nux-Vom, Merc Sol are useful in case of ameobaisis. As a primary guard against soil-pollution-related diseases, we must wash our hands clean after gardening and each time before preparing and having each meal.

A 5-year-old child visited my clinic with abdominal pain and watery stools. He neither had fever nor any other symptom. His clinical history led to the diagnosis of amoebiasis. I prescribed him Merc Sol 200CH for three days, and he was cured with the medicines.

A 12-year-old girl came to my clinic with similar complaint: repeated abdominal pain. On examination, her gums showed a blue line that indicated the presence of lead in her body. She underwent blood tests which showed presence of lead. She was then prescribed Alumina based on her clinical history; and after regular examination for about a year, she now remains symptom free.

Govt bans 344 drugs, including phensedyl, corex
Sr. No. Product name (irrational fdc) 
1 aceclofenac + paracetamol + rabeprazole
2 nimesulide + diclofenac
3 nimesulide + cetirizine + caffeine
4 nimesulide + tizanidine
5 paracetamol + cetirizine + caffeine
6 diclofenac + tramadol + chlorzoxazone
7 dicyclomine + paracetamol + domperidone
8 nimesulide + paracetamol
9 paracetamol + phenylephrine + caffeine
10 diclofenac+ tramadol + paracetamol
11 diclofenac + paracetamol + chlorzoxazone + famotidine
12 naproxen + paracetamol
13 nimesulide + serratiopeptidase
14 paracetamol + diclofenac + famotidine
15 nimesulide + pifofenone + fenpiverinium + benzyl alcohol
16 omeprazole + paracetamol + diclofenac
17 nimesulide + paracetamol injection
18 tamsulosin + diclofenac
19 paracetamol + phenylephrine + chlorpheniramine + dextromethorphan + caffeine
20 diclofenac + zinc carnosine
21 diclofenac + paracetamol + chlorpheniramine maleate + magnesium trisillicate
22 paracetamol + pseudoephedrine + cetrizine
23 phenylbutazone + sodium salicylate
24 lornoxicam + paracetamol + trypsin
25 paracetamol + mefenamic acid + ranitidine + dicylomine
26 nimesulide + dicyclomine
27 heparin + diclofenac
28 glucosamine + methyl sulfonyl methane + vitamini d3 + maganese + boron + copper + zinc
29 paracetamol + tapentadol
30 tranexamic acid + proanthocyanidin
31 benzoxonium chloride + lidocaine
32 lornoxicam + paracetamol + tramadol
33 lornoxicam + paracetamol + serratiopeptidase
34 diclofenac + paracetamol + magnesium trisilicate
35 paracetamol + domperidone + caffeine
36 ammonium chloride + sodium citrate + chlorpheniramine maleate + menthol
37 paracetamol + prochlorperazine maleate
38 serratiopeptidase (enteric coated 20000 units) + diclofenac potassium & 2 tablets of doxycycline
39 nimesulide + paracetamol suspension
40 aceclofenac + paracetamol + famotidine
41 aceclofenac + zinc carnosine
42 paracetamol + disodium hydrogen citrate + caffeine
43 paracetamol + dl methionine
44 disodium hydrogen citrate + paracetamol
45 paracetamol + caffeine + codeine
46 aceclofenac (sr) + paracetamol
47 diclofenac + paracetamol injection
48 azithromycin + cefixime
49 amoxicillin + dicloxacillin
50 amoxicillin 250 mg + potassium clavulanate diluted 62.5 mg
51 azithromycin + levofloxacin
52 cefixime + linezolid
53 amoxicillin + cefixime + potassium clavulanic acid
54 ofloxacin + nitazoxanide
55 cefpodoxime proxetil + levofloxacin
56 azithromycin, secnidazole and fluconazole kit
57 levofloxacin + ornidazole + alpha tocopherol acetate
58 nimorazole + ofloxacin
59 azithromycin + ofloxacin
60 amoxycillin + tinidazole
61 doxycycline + serratiopeptidase
62 cefixime + levofloxacin
63 ofloxacin + metronidazole + zinc acetate
64 diphenoxylate + atropine + furazolidonee
65 fluconazole tablet, azithromycin tablet and ornidazole tablets
66 ciprofloxacin + phenazopyridine
67 amoxycillin + dicloxacillin + serratiopeptidase
68 azithromycin + cefpodoxime
69 lignocaine + clotrimazole + ofloxacin + beclomethasone
70 cefuroxime + linezolid
71 ofloxacin + ornidazole + zinc bisglycinate
72 metronidazole + norfloxacin
73 amoxicillin + bromhexine
74 ciprofloxacin + fluticasone + clotrimazole + neomycin is
75 metronidazole + tetracycline
76 cephalexin + neomycin + prednisolone
77 azithromycin + ambroxol
78 cilnidipine + metoprolol succinate + metoprolol tartrate
79 l-arginine + sildenafil
80 atorvastatin + vitamin d3 + folic acid + vitamin b12 + pyridoxine
81 metformin + atorvastatin
82 clindamycin + telmisartan
83 olmesartan + hydrochlorothiazide + chlorthalidone
84 l-5-methyltetrahydrofolate calcium + escitalopram
85 pholcodine + promethazine
86 paracetamol + promethazine
87 betahistine + ginkgo biloba extract + vinpocetine + piracetam
88 cetirizine + diethyl carbamazine
89 doxylamine + pyridoxine + mefenamic acid + paracetamol
90 drotaverine + clidinium + chlordiazepoxide
91 imipramine + diazepam
92 flupentixol + escitalopram
93 paracetamol + prochloperazine
94 gabapentin + mecobalamin + pyridoxine + thiamine
95 imipramine + chlordiazepoxide + trifluoperazine + trihexyphenidyl
96 chlorpromazine + trihexyphenidyl
97 ursodeoxycholic acid + silymarin
98 metformin 1000/1000/500/500mg + pioglitazone 7.5/7.5/7.5/7.5mg + glimepiride
99 gliclazide 80 mg + metformin 325 mg
100 voglibose+ metformin + chromium picolinate
101 pioglitazone 7.5/7.5mg + metformin 500/1000mg
102 glimepiride 1mg/2mg/3mg + pioglitazone 15mg/15mg/15mg + metformin 1000mg/1000mg/1000mg
103 glimepiride 1mg/2mg+ pioglitazone 15mg/15mg + metformin 850mg/850mg
104 metformin 850mg + pioglitazone 7.5 mg + glimepiride 2mg
105 metformin 850mg + pioglitazone 7.5 mg + glimepiride 1mg
106 metformin 500mg/500mg+gliclazide sr 30mg/60mg + pioglitazone 7.5mg/7.5mg
107 voglibose + pioglitazone + metformin
108 metformin + bromocriptine
109 metformin + glimepiride + methylcobalamin
110 pioglitazone 30 mg + metformin 500 mg
111 glimepiride + pioglitazone + metformin
112 glipizide 2.5mg + metformin 400 mg
113 pioglitazone 15mg + metformin 850 mg
114 metformin er + gliclazide Mr. + voglibose
115 chromium polynicotinate + metformin
116 metformin + gliclazide + piogllitazone + chromium polynicotinate
117 metformin + gliclazide + chromium polynicotinate
118 glibenclamide + metformin (sr)+ pioglitazone
119 metformin (sustainded release) 500mg + pioglitazone 15 mg + glimepiride 3mg
120 metformin (sr) 500mg + pioglitazone 5mg
121 chloramphenicol + beclomethasone + clomitrimazole + lignocaine
122 of clotrimazole + ofloxaxin + lignocaine + glycerine and propylene glycol
123 chloramphennicol + lignocaine + betamethasone + clotrimazole + ofloxacin + antipyrine
124 ofloxacin + clotrimazole + betamethasone + lignocaine
125 gentamicin sulphate + clotrimazole + betamethasone + lignocaine
126 clotrimazole + beclomethasone + ofloxacin + lignocaine
127 becloemthasone + clotrimazole + chloramphenicol + gentamycin + lignocaine ear
128 flunarizine + paracetamole + domperidone
129 rabeprazole + zinc carnosine
130 magaldrate + famotidine + simethicone
131 cyproheptadine + thiamine
132 magaldrate + ranitidine + pancreatin + domperidone
133 ranitidine + magaldrate + simethicone
134 magaldrate + papain + fungul diastase + simethicone
135 rabeprazole + zinc + domperidone
136 famotidine + oxytacaine + magaldrate
137 ranitidine + domperidone + simethicone
138 alginic acid + sodium bicarbonate + dried aluminium hydroxide + magnesium hydroxide
139 clidinium + paracetamol + dicyclomine + activated dimethicone
140 furazolidone + metronidazole + loperamide
141 rabeprazole + diclofenac + paracetamol
142 ranitidine + magaldrate
143 norfloxacin+ metronidazole + zinc acetate
144 zinc carnosine + oxetacaine
145 oxetacaine + magaldrate + famotidine
146 pantoprazole (as enteric coated tablet) + zinc carnosine (as film coated tablets)
147 zinc carnosine + magnesium hydroxide + dried aluminium hydroxide + simethicone
148 zinc carnosine + sucralfate
149 mebeverine & inner hpmc capsule (streptococcus faecalis + clostridium butyricum + bacillus
Mesentricus + lactic acid bacillus)
150 clindamycin + clotrimazole + lactic acid bacillus

151 sildenafil + estradiol valerate
152 clomifene citrate + ubidecarenone + zinc + folic acid + methylcobalamin + pyridoxine + lycopene
+ selenium + levocarnitine tartrate + l-arginine
153 thyroxine + pyridoxine + folic acid
154 gentamycin + dexamethasone + chloramphenicol + tobramycin + ofloxacin
155 dextromethorphan + levocetirizine + phenylephrine + zinc
156 nimesulide + loratadine + phenylephrine + ambroxol
157 bromhexine + phenylephrine + chlorepheniramine maleate
158 dextromethorphan + bromhexine + guaiphenesin
159 paracetamol + loratadine + phenylephrine + dextromethorphan + caffeine
160 nimesulide + phenylephrine + caffeine + levocetirizine
161 azithromycin + acebrophylline
162 diphenhydramine + terpine + ammonium chloride + sodium chloride + menthol
163 nimesulide + paracetamol + cetirizine + phenylephrine
164 paracetamol + loratadine + dextromethophan + pseudoepheridine + caffeine
165 chlorpheniramine maleate + dextromethorphan + dextromethophan + guaiphenesin + ammonium
Chloride + menthol
166 chlorpheniramine maleate + ammonium chloride + sodium citrate
167 cetirizine + phenylephrine + paracetamol + zinc gluconate
168 ambroxol
+ guaiphenesin + ammonium chloride + phenylephrine + chlorpheniramine maleate + menthol
169 dextromethorphen + bromhexine + chlorpheniramine maleate + guaiphenesin
170 levocetirizine + ambroxol + phenylephrine + guaiphenesin
171 dextromethorphan + chlorpheniramine + chlorpheniramine maleate 
172 cetirizine + ambroxol + guaiphenesin + ammonium chloride + phenylephrine +
Menthol
173 hlorpheniramine + phenylephrine + caffeine
174 dextromethorphan + triprolidine + phenylephrine
175 dextromethorphan + phenylephrine + zinc gluconate + menthol
176 chlorpheniramine + codeine + sodium citrate + menthol syrup
177 enrofloxacin + bromhexin
178 bromhexine + dextromethorphan + phenylephrine + menthol
179 levofloxacin + bromhexine
180 levocetirizine + phenylephrine + ambroxol + guaiphenesin + paracetamol
181 cetirizine + dextromethorphan + phenylephrine + zinc gluconate + paracetamol + menthol
182 paracetamol + pseudoephedrine + dextromethorphan+cetirizine
183 diphenhydramine + guaiphenesin + ammonium chloride + bromhexine
184 chlorpheniramine + dextromethorphan + phenylephrine + paracetamol
185 dextromethorphen + promethazine
186 diethylcabamazine citrate + cetirizine + guaiphenesin
187 chlorpheniramine + phenylephrine + dextromethophan + menthol
188 ambroxol + terbutaline + dextromethorphan
189 dextromethorphan + chlorpheniramine + guaiphenesin
190 terbutaline + bromhexine + guaiphenesin + dextromethorphan
191 dextromethorphan + tripolidine + phenylephirine
192 paracetamol + dextromethorphan + chlorpheniramine
193 codeine + levocetirizine + menthol
194 dextromethorphan + ambroxol + guaifenesin + phenylephrine + chlorpheniramine
195 cetirizine + phenylephrine + dextromethorphan + menthol
196 roxithromycin + serratiopeptidase
197 paracetamol + phenylephrine + triprolidine
198 cetirizine + acetaminophen + dextromethorphan + phenyephrine + zinc gluconate 
199 diphenhydramine + guaifenesin + bromhexine + ammonium chloride + menthol
200 chlopheniramine maleate + codeine syrup
201 cetirizine + dextromethorphan + zinc gluconate + menthol
202 paracetamol + phenylephrine + desloratadine + zinc gluconate + ambroxol
203 levocetirizine + montelukast + acebrophylline
204 dextromethorphan + phenylephrine + ammonium chloride + menthol
205 acrivastine + paracetamol + caffeine + phenylephrine
206 naphazoline + carboxy methyl cellulose + menthol + camphor + phenylephrine
207 dextromethorphan + cetirizine
208 nimesulide + paracetamol + levocetirizine + phenylephrine + caffeine
209 terbutaline + ambroxol + guaiphenesin + zinc + menthol
210 dextromethorphan + phenylephrine + guaifenesin + triprolidine
211 ammomium chloride + bromhexine + dextromethorphan 
212 diethylcarbamazine + cetirizine + ambroxol
213 ethylmorphine + noscapine + chlorpheniramine
214 cetirizine + dextromethorphan + ambroxol
215 ambroxol + guaifenesin + phenylephrine + chlorpheniramine
216 paracetamol + phenylephrine + chlorpheniramine + zinc gluconate
217 dextromethorphan + phenylephrine + cetirizine + paracetamol + caffeine
218 dextromethophan + chlorpheniramine + guaifenesin + ammonium chloride
219 levocetirizine + dextromethorphan + zinc
220 paracetamol + phenylephrine + levocetirizine + caffeine
221 chlorphaniramine + ammonium chloride + sodium chloride
222 paracetamol + dextromethorphan + bromhexine + phenylephrine + diphenhydramine
223 salbutamol + bromhexine + guaiphenesin + menthol
224 cetirizine + dextromethorphan + bromhexine + guaifenesin
225 diethyl carbamazine + chlorpheniramine + guaifenesin
226 ketotifen + cetirizine
227 terbutaline + bromhexine + etofylline
228 ketotifen + theophylline
229 ambroxol + salbutamol + theophylline
230 cetririzine + nimesulide + phenylephrine
231 chlorpheniramine + phenylephrine + paracetamol + zink gluconate
232 acetaminophen + guaifenesin + dextromethorphan + chlorpheniramine
233 cetirizine + dextromethorphan + phenylephrine + tulsi
234 cetirizine + phenylephrine + paracetamol + ambroxol + caffeine
235 guaifenesin + dextromethorphan
236 levocetirizine + paracetamol + phenylephirine + caffeine
237 caffeine + paracetamol + phenylephrine + chlorpheniramine
238 levocetirizine + paracetamol + phenylephirine + caffeine
239 caffeine + paracetamol + phenylephrine + chlorpheniramine
240 ketotifen + levocetrizine
241 paracetamol + levocetirizine + phenylephirine + zink gluconate
242 paracetamol + phenylephrine + triprolidine + caffeine
243 caffeine + paracetamol + phenylephrine + cetirizine
244 caffeine + paracetamol + chlorpheniramine
245 ammonium chloride + dextromethorphan + cetirizine + menthol
246 dextromethorphan + paracetamol + cetirizine + phenylephrine
247 chlorpheniramine + terpin + antimony potassium tartrate + ammonium chloride + sodium
Citrate + menthol
248 terbutaline + etofylline + ambroxol
249 paracetamol + codeine + chlorpheniramine
250 paracetamol+pseudoephedrine+certirizine+caffeine
251 chlorpheniramine+ammonium chloride + menthol
252 n-acetyl cysteine + ambroxol + phenylephrine + levocertirizine
253 dextromethorphan + phenylephrine + tripolidine + menthol
254 salbutamol + certirizine + ambroxol
255 dextromethorphan + phenylephrine + bromhexine + guaifenesin + chlorpheniramine
256 nimesulide + certirizine + phenylephrine
257 naphazoline + chlorpheniramine + zinc sulphate + boric acid + sodium chloride + chlorobutol
258 paracetamol + bromhexine + phenylephrine + chlorpheniramine + guaifenesin
259 salbutamol + bromhexine
260 dextromethorphan + phenylephrine + guaifenesin + certirizine + acetaminophen
261 guaifenesin + bromhexine + chlorpheniramine + paracetamo
262 chlorpheniramine + ammonium chloride + chloroform + menthol
263 salbutamol + choline theophylinate + ambroxol
264 chlorpheniramine + codeine phosphate + menthol syrup
265 pseudoephedrine + bromhexine
266 certirizine + phenylephrine + paracetamol + caffeine + nimesulide
267 dextromethorphan + cetirizine + guaifenesin + ammonium chloride
268 dextromethorphan + cetirizine + guaifenesin + ammonium chloride
269 ambroxol + salbutamol + choline theophyllinate + menthol
270 paracetamol + chlorpheniramine + ambroxol + guaifenesin + phenylephrine
271 chlorpheniramine + vasaka + tolubalsm + ammonium chloride + sodium citrate + menthol
272 bromhexine + cetrizine + phenylephrine ip+guaifenesin + menthol
273 dextromethorphan + ambroxol + ammonium chloride + chlorpheniramine + menthol
274 dextromethorphan + phenylephrine + cetirizine + zinc + menthol
275 terbutaline + n-acetyl l-cysteine + guaifenesin
276 calcium gluconate + levocetirizine
277 paracetamol + levocetirizine + pseudoephedrine
278 salbutamol + choline theophylinate + carbocisteine
279 chlorpheniramine + vitamin c
280 calcium gluconate + chlorpheniramine + vitamin c
281 chlorpheniramine + paracetamol + pseudoephedrine + caffeine
282 guaifenesin + bromhexine + chlorpheniramine + phenylephrine + paracetamol + serratiopeptidase
(as enteric coated granules) 10000 sp units
283 paracetamol + pheniramine
284 betamethasone + fusidic acid + gentamycin + tolnaftate + lodochlorhydroxyquinoline (ichq
285 clobetasol + ofloxacin + miconazole + zinc sulphate
286 clobetasole + gentamicin + miconazole + zinc sulphate
287 levocetirizine + ambroxol + phenylephrine + paracetamol
288 permethrin + cetrimide + menthol
289 beclomethasone + clotimazole + neomycin + lodochlorohydroxyquinone
290 neomycin + doxycycline
291 ciprofloxacin + fluocinolone + clotrimazole + neomycin + chlorocresol
292 clobetasol + ofloxacin + ketoconazol + zinc sulphate
293 betamethasone + gentamicin + tolnaftate + lodochlorhydroxyquinoline
294 clobetasol + gentamicin + tolnaftate + lodochlorhydroxyquinone + ketoconazole
295 allantoin + dimethieone + urea + propylene + glycerin + liquid paraffin
296 acriflavine + thymol + cetrimide
297 betamethasone + neomycin + tolnaftate + lodochlorohydroxyquinoline + cholorocresol
298 clobetasol + neomycin + miconazole + clotrimazole
299 ketoconazole + tea tree oil + allantion + zinc oxide + aloe vera + jojoba oil +
Lavander oil + soa noodels
300 clobetasol propionate + ofloxacin + ornidazole + terbinafine
301 clobetasol + neomycin + miconazole + zinc sulphate
302 beclomethasone diproprionate + neomycin + tolnaftate + lodochlorhydroxyquinoline +
Chlorocresol
303 betamethasone + gentamycin + zinc sulphate + clotrimoazole + chlorocresol
304 borax + boric acid + naphazoline + menthol + camphor + methyl hydroxy benzoate
305 bromhexine + dextromethorphan
306 dextromethophan + chlopheniramine + bromhexine
307 menthol + anesthetic ether
308 dextrometharphan + chlopheniramine + ammonium + sodium citrate + menthol
309 ergotamine tartrate + belladona dry extarct+caffeine + paracetamol
310 phenytoin + phenobarbitone
311 gliclazide 40mg + metformin 400mg
312 paracetamol + ambroxol + phenylephrine + chlorpheniramine
313 oflaxacin + ornidazole suspension
314 albuterol + etofylline + bromhexine + menthol
315 albuterol + bromhexine + theophylline
316 salbutamol+hydroxyethyltheophylline (etofylline) + bromhexine
317 paracetamol+phenylephrine+levocetirizine+sodium citrate
318 paracetamol + propyphenazone + caffeine
319 guaifenesin + diphenhydramine + bromhexine + phenylephrine
320 dried alumnium hydroxie gel + prophantheline + diazepam
321 bromhenxine + phenylephrine + chlorpheniramine + paracetamol
322 beclomethasone + clotrimazole + gentamicin + lodochlorhydroxyquinoline
323 telmisartan + metformin
324 ammonium citrate + vitamin b 12 + folic acid + zinc sulphate
325 levothyroxine + phyridoxine + nicotinamide
326 benfotiamine + metformin
327 thyroid + thiamine + riboflavin + phyridoxine + calcium pantothenate + tocopheryl acetate +
Nicotinamide
328 ascorbic acid + manadione sodium bisulphate + rutin + dibasic calcium phosphate +
Adrenochrome mono semicarbazone
329 phenylephrine + chlorpheniramine + paracetamol + bromhexine + caffeine
330 clotrimazole + beclomethasone + lignocaine + ofloxacin + acetic aicd + sodium methyl paraben +
Propyl paraben

Avoid this combinations and be safe.