Sunday, August 22, 2010

Alternate therapies and HIV

http://aidssupport.aarogya.com/index.php
AIDS INDIA site has some interesting ongoing debate on alternate pathies in HIV management---here are some excerpts

e: http://health.groups.yahoo.com/group/AIDS-INDIA/message/11844

Mizoram Drugs Control issues warning

Some Ayurvedic medicines have been found to contain allopathic drugs.

Published on 08/17/2010

Aizawl, August 17: Mizoram Drugs Control Administration on Tuesday has issued a warning on the use of some Ayurvedic medicines meant for remedies of erectile dysfunction called by some doctors as the Indian Viagra which have been found to contain allopathic drugs.

A recent study conducted by the Delhi Institute of Pharmaceutical Sciences and Research (DIPSAR) has found the presence of allopathic drugs in many formulations commonly marketed as Ayurvedic or Unani remedies for people having erectile problems, an official statement issued by the state drugs control administration said.

The statement said that Slidenafil and Tadalafil, which are prescription drugs, as well as allopathic medicines are found in Ayurvedic medicines like supersonic, titanic K2, Sikander-e-Azam and 2much Gold.

It warned, "Slidenafil can be fatal for someone who is already taking medicines that contain nitrates and it can also cause coma and hypertension if not taken judiciously.

"The DIPSAR also found nicotine in tooth powder of Vicco and Muska Gul and also toothpaste like Dabur Red, Arodent, Dentobac and IPCO," the statement added.

http://igovernment.in/site/mizoram-drugs-control-issues-warning-38222-

Ayurveda hindering HIV therapy, dump it'

Published: Thursday, Aug 19, 2010, 0:34 IST

By Jyoti Shelar
Friends,

Re: http://health.groups.yahoo.com/group/AIDS-INDIA/message/11844

No one can doubt or question any "Pathy" including Ayurveda.

This is not the pathy but its practitioner who can be doubted--my area of concern (as I stated in some earlier mail too) is that such studies should be well designed and not that in the name of Ayurveda we get carried away and allow all sorts of trial that too on human beings (Including PLHWA).

We in Amritsar rejected one such ill designed trial based on false notions--had we done that the persons concerned would have started selling their medicines on the pretext that the trial is approved by NACO ( as they could manipulate NACO-to give it to ethical committee for approval,of which I was a member).

I agree with our distinguished teachers Dr.Alka and Dr.Maniar that we should encourage such trials,but I will like to add "with Caution".
Advocates and practitioners of Ayurveda may be claiming that the centuries-old system has a solution for the dreaded AIDS, but the National Aids Control Organisation (Naco) is not prepared to buy any of it. It has asked all medical colleges to stop experimenting with Ayurvedic treatment on HIV patients.

The organsation feels that the alternate treatment is destroying the importance of antiretroviral therapy (ART) and other therapeutic drugs for HIV. Acting on its order, the Mumbai District Aids Control Society (MDACS) has already stalled all such ongoing studies by students and doctors at various medical colleges in the city.

"Ayurvedic treatment or any other kind of immune boosters is not the mandate of Naco," said Dr SS Kudalkar, project director, MDACS, adding that Naco's letter clearly stated that the HIV patients underestimate the importance of ART and other prescribed drugs when they are put on alternate treatments.

According to Kudalkar, Naco has specified that any HIV patient, whether under the ART or not, should not be included in any such research papers.

"Very often the patients start thinking that Ayurvedic treatment is curing them but they suddenly find that they have reached an advanced stage of the disease. This is mainly because they start ignoring ART while taking the other line of treatment," said Kudalkar.

This is the reason why a student from Nair Hospital, who had recently applied for a research paper on 'Ayurvedic treatment as an immune booster' for HIV patients, was discouraged from proceeding with her work. The ethical committee set up by the college asked her to switch to another topic.

"The student's research was on neem, tulsi, haldi, cloves and other such harmless items as immune boosters for HIV patients. If the life span of an HIV patient can be increased through such easy techniques, then such studies should be promoted by Naco instead of discontinuing them," said a senior professor from the hospital, who refused to be named.

Another study by consultant physician and professor of medicine, Dr AR Pazare, from KEM was discontinued after Naco's order. The study which had completed one year, used an Ayurvedic drug as an immune booster for HIV patients. It had yielded positive results in increasing the CD4 count in the patients. The CD4 cells indicate the health of a person. The researchers are now seeking permission from the Centre to re-start the study.

http://www.dnaindia.com/health/report_ayurveda-hindering-hiv-therapy-dump-it_1425452

Friends,

Once again I reiterate that there is no "pathy" which is good or bad--it is their practitioners.

I want to highlight one case. This man in his late thirties presented with Cd4 less than 200 five years ago and was advised to start a combination of AZT+3TC+NVP, he did so also,but because of side effects (nausea and vomitting) decided to switch over to homeopathy on the assurances of a local homeopath of repute (he is considered the best in Amritsar).

His wife also started the same .Good thing was despite being under homeopathy ,the couple kept me in the loop. Two years ago when the wife had Herpes zoster with dissemination and started loosing weight and started showing rapid decline in Cd4, she started the ARV's and doing fine and is off Homeopathy. But the husband continued the same till the beginning of this year, when he presented to me with some fulminating skin infections and Cd4 below 100.

The skin infection refused to go despite best and suitable (after culture and sensitivity) antibiotics and Cd4 kept declining and the homeopath kept reassuring and thus distracting patient from starting ARV's.

The patient and homeopaths arguments were that his weight is not falling,so he can not be a candidate still for ARV's.Refusing to go to ART center,this man kept getting his Cd4 tested every week almost from different labs in the hope that there is something wrong with the labs.

Result today after confirming a Cd4 below 50 from atleast three different labs, he reluctantly agreed to start the ARV and after a good counseling session lasting for more than an hour-he purchased the medicines.

Lo behold your breath,he still went to the homeopath and again postponed the therapy.God save this man.

Moral--

1. I would love to even educate practitioner of other pathies and convince them that till they really have a breakthrough (proven by scientific research,as is done with allopathic medicines)tehy should not give false hopes to PLHWA.

2. The idea of treating PLHWA is not only increasing the Cd4,the ARV's kill the virus too and only problem is that the ARV can not fight the HIV army to finish.

Rakesh

Dr.Rakesh Bharti,

Bharti Derma Care and Research center,
27-D,Sant Avenue,The Mall,
Amritsar143001,Punjab INDIA
Email-rakesh.bharti1@gmail.com
9814044213 / 01832277822 /01832278522

Saturday, May 08, 2010

comments by an ophthalmologist

http://aidssupport.aarogya.com/index.php
Dear All,
I am an Ophthalmologist and am a member of your group also, because I am interested in the Ophthalmic complications of HIV and we in our hospital go to any extent to help the victim if he has any Ophthalmic problem free of cost.
Dr. Bharti's views which He has written to day and the way he has posted ,it apperas that you all will not be interested in posting your comments. Like many problems ,HIV too need a humane element.
These patients need love ,encouragement and proper guidance and councelling as Bharti has aptly put.
Don't give them cold shoulder. Your expertise and more so your love and care can help them lead normal, healthy and fruiteful lives. I hope ,the experts come on this debate and enlighten us how best we can make their lives fruiteful .Let us give them hope.
Regards,
Arun Verma

Thursday, May 06, 2010

HIV Discordant Coupling

http://aidssupport.aarogya.com/index.php
Dear FORUM,

Re: http://health.groups.yahoo.com/group/AIDS-INDIA/message/11428

At Bharti Derma Care Center, Amritsar, I have quite a few such examples--

1.L, an HIV widow married his brother's HIV negative servant after n number of counseling sessions for both four years ago--following the counseled way of protection,they are as happy as any other four year married couple. Waiting for the success of science to eliminate virus from wife,M ,is not spoiling his today--they are both enjoying it.

2. V, married his fiancée without informing his own HIV status, when
compelled to have a baby after one year, he followed the route of assisted reproduction and is a father of HIV negative son today. Today the wife also knows his status but is content with one son and happy to be in his company without asking for more.

3. This lady medical representative divorced by first husband was forced by an HIV positive person on grounds of love to marry--no amount of counsel could deter them from their determination to be one and today in first year of their married life,they are a happy couple.

4. This dental surgeon (lady) was accepted by her veterinary surgeon
bridegroom despite her HIV status, the couple moved to Canada, has a HIV positive daughter and a HIV negative son after seven years or so of marriage. The husband is still negative.

5. R,the lady lecturer became a HIV widow with a HIV positive son. One of her widower relation married her,so that he and his three sons do not die of hunger and she gets a place to live/die on the condition that HIV positive son will not come to live with the new family. The son is taken care off by maternal grand parents and the couple is into sixth year of their marriage.

I can go on narrating more real life stories, but the question raised by Mr. Shaligram remains unanswered till we look at the whole situation from various angles.

We have to understand why some one wants to marry--the institution of
marriage-- There can be no quick fix solutions to human problems surrounded by diseases like HIV--the answers ought to be custom made.

Every situation has different angle and we have to understand all the
angles.

Our experience clearly tells us that despite isolation of worst nature in cases of leprosy, we have seen lepers marrying each other after being abandoned by the society. I am of firm belief that we should not allow today's HIV victims become like lepers of tomorrow--we have to learn from past.

Marriage is good, should be allowed--but not child marriage(as in the case presented by Mr.Shaligram) only after fullest counselling and ensuring happiness of future,ensuring that misery will stop surrounding such needy persons(today n number of HIV people approach us for finding partners, success of positivesaathi.com is a proof).

We must accept the challenges thrown after the survival of HIV disease and will have to look beyond just saving lives or preventing death--we have to give them life--scientists will have to work hard in this direction.

Dr.Rakesh Bharti,
Amritsar
--
Rakesh Bharti MD, AAHIVS,
BDC Research center,
27-D,Sant Avenue,The Mall, Amritsar.
Punjab,INDIA143001.
TEl-91-183-2277822;91-183-2278522
e-mail: