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Nervous System Disorders
Question #11670
45 days ago
210

detailsmentioned below pls respond - #11670

Bhumi

My question is about ayurvedic medicines started. I have started taking Brahmi vati 1 dailyafter food in afternoon Saraswatarist 20 ml after dinner (1 time) Prasham tablet 1 tablet after dinner Kalyanak ghrita in the evening with milk 1 teaspoon my symptoms were brain fog, dullness, difficulty communicating (alogia term), some hormonal issues like problems during and before periods like irritation, heavy periods, stomach pain, etc. i have mood swings & lack of concentration absentiism issues too Should i continue with these medicines? What if they get heaviness cause drowsiness ?

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Doctors’ responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
45 days ago
5

Hello dear See the medications you are taking are excellent and rarely cause any side-effects However the mechanism is comparatively slower so it will take time for proper development So i request you to be patient and wait for atleast 2 -3 years for improvement Regards

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Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
45 days ago
5

Hi Bhumi,

The medicines you’re taking are appropriate for your symptoms.

Mild drowsiness / heaviness can happen, especially if taken together at night. So i think you change the timing of medicine and observe for a week.

Afternoon (after lunch) Brahmi Vati – 1 tablet

Evening (around 6–7 pm, with warm milk or light snack) Ghrita

After dinner (not too late) Saraswatarishta

Bedtime(only if needed)Prasham Tablet – 1 😊This way, Brahmi works for focus in the day, and Saraswatarishta + Prasham calm your mind at night, while Ghrita balances hormones without causing late-night heaviness.

KINDLY NOTE THAT YOU HAVE TO DISCUSS WITH THIS YOUR AYURVEDIC DOCTOR ALSO before practising.

Also please check your; Thyroid profile Hb

I trust this answers your question Thank you dear

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Dr. Abhishek Gill
I am a doctor with 5 years total experience, mostly split between Emergency and Obstetrics & Gynaecology—and honestly both keep you on your toes in totally different ways. In the ER, you don’t get time to second-guess much. Things come at you fast—trauma, active bleeding, breathlessness, collapsed vitals—and you learn to think, act, then think again. But in Obs/Gyn, it’s more layered. One moment you’re handling routine antenatal care, the next you're managing obstructed labour at 3am with everything depending on timing. I try not to treat anyone like "just another case." I take proper history—like actual, detailed listening—and then move step by step. Exam, investigations only if needed (not just because), and explaining things clearly to the patient and attenders. Not gonna lie, sometimes I do repeat myself twice or thrice. People are stressed, they don’t hear it all the first time. Communication I’d say is one of my stronger areas, but not in some fancy textbook way. Just knowing *how* to talk, when to pause, when not to overload info. Like with a first-time mother in pain who doesn’t care about medical terms—she just wants to know if her baby’s okay. Those moments taught me more about medicine than most of my exams. I handle postpartum issues, early pregnancy complications, PCOD, menstrual complaints, emergency contraception consults too—bit of everything. And in casualty shifts, I’ve done everything from inserting Ryle’s tubes to managing hypertensive crises. You have to stay sharp. But also know when to slow down and re-evalutate something that doesn’t fit right. Counselling’s part of the job too. Sometimes patients need reassurance more than a prescription. Sometimes they just need honesty, even if the answer isn't simple. I don’t pretend to have all the answers, but I do care enough to find them. Bit by bit. Every single day.
39 days ago
5

Hello These ayurvedic medicines rarely cause any side effects. Still if you have any problem related to mensus and drowsiness, consult a GYNAECOLOGIST in person for better management. You can share the reports also.

Take care

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Dr. Omprakash
I am working as an Assistant professor at Srinivasan Medical College in Trichy since 2021 and over these years I got to see both the clinical and academic sides of medicine in a way that keeps me learning every single day. Teaching is not only about standing infront of a class, for me it is more about shaping how young doctors think about diagnosis, patient care, surgery skills, and even the ethics part that sometimes get lost when ur rushing through rounds. I handle a mix of lecturing, supervising in clinics, and being part of ward duties, which means I balance between being a teacher and a practicing clinician. At times it feels hectic but then again, that’s also the place where u grow. My role gives me a chance to work closely with students, interns and residents, guiding them not only in theory but also while managing real patients with complex medical needs. The exposure at the college and hospital has kept me updated with new protocols, evolving medical technology, and better treatment approaches that directly improve patient outcomes. I deal with a variety of cases, routine and emergency, and that makes me more confident in taking tough calls when needed. Academic research, case discussions, CME programs, all of these are regular part of my work and help me push beyond just routine teaching. Patient care still stays the center for me. I try to keep communication clear, making sure patients and families understand what’s happening, which is sometimes harder than doing a procedure. Over the years I feel that bridging that gap of understanding is as important as writing the right prescription. Working in Trichy also let me serve people from varied backgrounds, urban and rural, which teaches you humility and practical solutions when resources are not unlimited. I don’t think of myself as just an academic doctor or just a clinician, it’s a blend. Some days I feel like I am doing more paperwork than medicine, some days I feel proud seeing a student handle a case confidently. This balance is what keeps me steady and keeps reminding me why I joined this field.
45 days ago
5

Hi Mam Based on your symptoms what ur experiencing is premenstural syndrome.drowsiness ,Dullness are due to anaemia because of heavy periods. First let us check hemoglobin and thyroid .If your hb is low we need to start you on some tablets or syrup .If ur having too low hb below 5 then you may need blood transfusion . Tab .Livogen 1 tablet at night time For pms you can take tab.evion 400mg If thyroid is high or low need to correct that also . Thank you Mam

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Dr. Omprakash
I am working as an Assistant professor at Srinivasan Medical College in Trichy since 2021 and over these years I got to see both the clinical and academic sides of medicine in a way that keeps me learning every single day. Teaching is not only about standing infront of a class, for me it is more about shaping how young doctors think about diagnosis, patient care, surgery skills, and even the ethics part that sometimes get lost when ur rushing through rounds. I handle a mix of lecturing, supervising in clinics, and being part of ward duties, which means I balance between being a teacher and a practicing clinician. At times it feels hectic but then again, that’s also the place where u grow. My role gives me a chance to work closely with students, interns and residents, guiding them not only in theory but also while managing real patients with complex medical needs. The exposure at the college and hospital has kept me updated with new protocols, evolving medical technology, and better treatment approaches that directly improve patient outcomes. I deal with a variety of cases, routine and emergency, and that makes me more confident in taking tough calls when needed. Academic research, case discussions, CME programs, all of these are regular part of my work and help me push beyond just routine teaching. Patient care still stays the center for me. I try to keep communication clear, making sure patients and families understand what’s happening, which is sometimes harder than doing a procedure. Over the years I feel that bridging that gap of understanding is as important as writing the right prescription. Working in Trichy also let me serve people from varied backgrounds, urban and rural, which teaches you humility and practical solutions when resources are not unlimited. I don’t think of myself as just an academic doctor or just a clinician, it’s a blend. Some days I feel like I am doing more paperwork than medicine, some days I feel proud seeing a student handle a case confidently. This balance is what keeps me steady and keeps reminding me why I joined this field.
45 days ago
5

Mam you can take Tab.Livogen at night time for 1 month … along with it take lot of spinach ,Beetroot and liver .After 1 month we can check ur hb Again.Get soon well Mam .

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Bhumi
Client
45 days ago

thankyou for your reply sir. my thyroid was normal in the last report so stopped thyroid medication. hb was less, it was around 8. i took iron medicine for 10 days. should i stop taking all the above medicines ?brahmi/prasham etc?

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
45 days ago
5

The ayurvedic medicines you’re taking are generally safe for your symptoms, but drowsiness/heaviness is possible. Best strategy = shift sedating ones to evening/night, reduce ghrita if digestion feels heavy

Better visit a nearby physician. Thank you

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Dr. Perambalur Ayyadurai Rohith
I am a general physician with more than 10 yr of clinical experiance, and in this time I worked with patients from all age groups, from young kids to elderly with multiple chronic issues. My practice has been wide, but I gradually developed deeper intrest in diabetology. I spend much of my day focusing on prevention, early diagnosis and management of diabetes, using lifestyle modification, medical therapy and regular monitoring. Many patients come worried about complications, and I try to explain things in simple language, whether it is diet, excercise, or understanding lab reports, so they dont feel lost. I also conduct detailed diagnostic evaluation and use evidence based protocols to make sure treatment is reliable and updated, even if sometimes I double check myself when results dont match the clinical picture. Apart from regular OPD practice, I gained strong experiance in occupational health. Over years I worked with multiple companies handling pre employment checks, annual medical exams, workplace wellness programs, and ensuring compliance with industrial health and safety standards. It is diffrent from hospital practice, but equally important, because healthy workers mean safe and productive workplace. I run medical surveillance programs and health awareness sessions in collaboration with corporates, and this also gave me exposure to preventive strategies on a large scale. For me, patient care is not just treatment but building trust. My career revolve around preventive medicine, ethical clinical practice, and continuous learning. I keep myself updated with modern medical protocols, but I also value listening to patient worries, since medicine is not only about lab values but also about how a person feels in daily life. I make mistakes in words sometimes, but in my work I try to be very precise. At end of day, my aim is to provide care that is accessible, evidence based and truly centered on patient well being.
45 days ago
5

1. The Ayurvedic medicines you mentioned are generally used for stress, brain fog, and hormonal balance.

2. Feeling heaviness or mild drowsiness can happen, especially with Brahmi vati or Prasham, as they calm the mind.

3. If the drowsiness is too much, you may reduce the dose or take them in the evening instead of daytime.

4. It is important to monitor your periods, mood swings, and concentration to see if there is real improvement.

5. Since you also have hormonal and heavy period issues, do not rely only on Ayurveda – a gynecologist checkup is advised.

6. Continue only under guidance of a qualified doctor, and if symptoms worsen, get evaluated for thyroid, anemia, and PCOS.

Ayurvedic medicines can help, but do not ignore proper medical evaluation. Please consult both an Ayurvedic and gynecologist/physician for safe and balanced treatment.

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Dr. Nirav Jain
I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.
45 days ago
5

Hello Bhumi,

The Ayurvedic medicines you are taking (Brahmi vati, Saraswatarishta, Prasham, Kalyanak ghrita) are generally used for concentration, mood balance, and hormonal support. They are usually safe, but in some people may cause heaviness or drowsiness, especially if taken together.

If you feel excessive sleepiness, reduce or stop one medicine at a time and observe.

I recommend taking them only under guidance of an Ayurvedic doctor.

Since you have heavy painful periods and mood swings, please also get a check-up with a gynecologist to rule out anemia, thyroid issues, or hormonal imbalance.

Lifestyle measures like regular sleep, iron-rich diet, yoga/meditation, and exercise will also help alongside medicines.

Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Med

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Dr. Alan Reji
I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.
43 days ago
5

The ayurvedic medicines you listed (Brahmi vati, Saraswatarist, Prasham tablet, Kalyanak ghrita) are traditionally used for stress, anxiety, memory, and hormonal balance, but their effects vary from person to person. Some of them, especially Brahmi-based and Prasham, can cause drowsiness or a feeling of heaviness in some individuals. Please continue only under the supervision of an ayurvedic physician, and if you feel worsening drowsiness or discomfort, consult them promptly for dose adjustment or alternative options.

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When it comes to using ayurvedic treatments alongside or instead of conventional medicine, its important to approach with caution, particularly when addressing complex symptoms like brain fog, hormonal imbalances, mood swings, and concentration issues. While Ayurveda can offer some benefits, it is crucial to consider evidence-based treatments to effectively address the underlying causes of your symptoms. Your symptoms could be indicative of conditions such as hormonal dysregulation, mental health disorders, or nutritional deficiencies, all of which require an accurate diagnosis and a well-rounded treatment plan. If your current regimen, which involves Brahmi vati, Saraswatarishta, Prasham tablets, and Kalyanak ghrita, is leading to heaviness or drowsiness, it might suggest that some components are not well-suited to your body’s needs or the doses might need adjustment. It’s essential to monitor how you feel on these medications closely. Sudden changes like drowsiness or increased heaviness should be promptly discussed with a healthcare provider who is knowledgeable about both conventional and alternative medicine. They can help ensure the chosen treatments do not interact negatively or overshadow more effective approaches needed for your issues. I strongly recommend you consult with a licensed practitioner who can review your entire symptomatic history, possibly consider hormonal profiles, look into conditions affecting neurotransmitter function, and guide you on the best integrated treatment path, balancing both ayurvedic elements with necessary conventional actions. Regular follow-up and assessment of your symptoms will be pivotal to ensure adjustments can be made as needed, and risk-monitoring should always be a priority.

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