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  <h2 class='date-header'><span>Sunday, September 14, 2025</span></h2>
  
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  <a href='https://www.liyanacommunitypharmacy.com.np/2025/09/b-pharmacy-tu-pharmacotherapeutics-old.html'>B. pharmacy TU Pharmacotherapeutics old question paper/ 2081/2082</a>
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  <a href='https://www.liyanacommunitypharmacy.com.np/2025/09/medicine-to-delay-periods-how-to-take.html'> Medicine to Delay Periods &#8211; How to Take? Side Effects</a>
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  <p data-end="439" data-start="117" style="text-align: justify;">Hello, with festivals approaching, one of the common concerns for many women is their period. Even when planning a long journey, periods often become a worry. Many wish if periods could be postponed for a while. There are certain medicines that can delay periods, but they should not be used unless absolutely necessary.</p>
  <p data-end="647" data-start="441" style="text-align: justify;">&#10003; First, for women already using contraceptive pills: if you finish 21 days of pills and instead of taking the usual 7-day break you directly start the next month&#8217;s pack, then your period will be delayed.</p>
  <p data-end="865" data-start="649" style="text-align: justify;">&#10003; Second, for women not using contraceptive pills: there is a medicine called <strong data-end="745" data-start="727">Norethisterone</strong>. In Nepal, it is available under different brand names such as <em data-end="858" data-start="809">Femitrone, Norgest, Feminine, Primount, Noreth,</em> etc.</p>
  <hr data-end="870" data-start="867" style="text-align: justify;" />
  <p data-end="1320" data-start="872"></p><div style="text-align: justify;"><strong data-end="893" data-start="872">How does it work?</strong></div><div style="text-align: justify;">Norethisterone tablets work like the natural hormone progesterone in women. As long as you continue taking the medicine, your period will be stopped. You need to take one tablet three times a day, starting at least three days before your expected period. It should not be taken for more than 17 days. While on the medicine, periods will be delayed, and once you stop taking it, your period usually comes within three days.</div><div style="text-align: justify;"><div class="separator" style="clear: both; text-align: center;"><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/a/AVvXsEjcDuX04MVQy7Q_8aahwajAqq5FJeDkItJnDLO3rhKEJ58isYM2yMOEs8P2IMcyi-dpjF9mxJNwdlj74_ppPbrATfDSvt1V_dc2wfmfWY1tHHPY0yH5VPPO0rtLqUjEccFvzqikuv7pwXUg7-xCOcK7IipZ2CxYmXyQdgZQfA6e8jMaZbd20LGB023dfCoh" style="margin-left: 1em; margin-right: 1em;"><img alt="" data-original-height="477" data-original-width="477" height="240" src="https://blogger.googleusercontent.com/img/a/AVvXsEjcDuX04MVQy7Q_8aahwajAqq5FJeDkItJnDLO3rhKEJ58isYM2yMOEs8P2IMcyi-dpjF9mxJNwdlj74_ppPbrATfDSvt1V_dc2wfmfWY1tHHPY0yH5VPPO0rtLqUjEccFvzqikuv7pwXUg7-xCOcK7IipZ2CxYmXyQdgZQfA6e8jMaZbd20LGB023dfCoh" width="240" /></a></div><br /><br /></div><br /><br /></div><p></p>
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  <p data-end="1640" data-start="1327"></p><div style="text-align: justify;"><strong data-end="1356" data-start="1327">What does this tablet do?</strong></div><div style="text-align: justify;">Norethisterone is a synthetic form of the hormone progesterone. It prevents the lining of the uterus (endometrium) from breaking down. Normally, when this lining sheds, bleeding (period) starts. The tablets usually come in 5 mg doses, taken three times daily to postpone periods.</div><p></p>
  <hr data-end="1645" data-start="1642" style="text-align: justify;" />
  <p data-end="1846" data-start="1647"></p><div style="text-align: justify;"><strong data-end="1676" data-start="1647">How long can it be taken?</strong></div><div style="text-align: justify;">It can be taken for up to 17 days at most. It should not be taken longer than this because side effects may increase, and it can disturb the body&#8217;s hormonal balance.</div><p></p>
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  <p data-end="1964" data-start="1853"></p><div style="text-align: justify;"><strong data-end="1882" data-start="1853">How to take the medicine?</strong></div><div style="text-align: justify;">Take a 5 mg Norethisterone tablet three times a day, always at the same time.</div><p></p>
  <hr data-end="1969" data-start="1966" style="text-align: justify;" />
  <p data-end="2184" data-start="1971"></p><div style="text-align: justify;"><strong data-end="1996" data-start="1971">Possible side effects</strong></div><div style="text-align: justify;">Since it is only used for a short time, major side effects are uncommon. However, some women may experience nausea, dizziness, headache, irregular periods later, or breast tenderness.</div><p></p>
  <hr data-end="2189" data-start="2186" style="text-align: justify;" />
  <p data-end="2275" data-start="2191"></p><div style="text-align: justify;"><strong data-end="2221" data-start="2191">Does it prevent pregnancy?</strong></div><div style="text-align: justify;">No, this medicine does <strong data-end="2254" data-start="2247">not</strong> prevent pregnancy.</div><p></p>
  <hr data-end="2280" data-start="2277" style="text-align: justify;" />
  <p data-end="2527" data-start="2282"></p><div style="text-align: justify;"><strong data-end="2353" data-start="2282">What if the period does not start even after stopping the medicine?</strong></div><div style="text-align: justify;">Normally, periods occur within 2&#8211;3 days after stopping the medicine, sometimes it may take 3&#8211;4 days longer. If periods do not occur, a <strong data-end="2524" data-start="2491">pregnancy test should be done</strong>.</div><p></p>
  <hr data-end="2532" data-start="2529" style="text-align: justify;" />
  <p data-end="2574" data-start="2534" style="text-align: justify;"><strong data-end="2572" data-start="2534">Who should not take this medicine?</strong></p>
  <ul data-end="2840" data-start="2575">
  <li data-end="2610" data-start="2575">
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  <p data-end="2668" data-start="2632" style="text-align: justify;">Women with blood clotting problems</p>
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  <p data-end="2710" data-start="2671" style="text-align: justify;">Those with deep vein thrombosis (DVT)</p>
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  <p data-end="2766" data-start="2713" style="text-align: justify;">Those with heart disease or history of heart attack</p>
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  <li data-end="2796" data-start="2767">
  <p data-end="2796" data-start="2769" style="text-align: justify;">Women with liver problems</p>
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  <li data-end="2840" data-start="2797">
  <p data-end="2840" data-start="2799" style="text-align: justify;">Women who had jaundice during pregnancy</p></li></ul>
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  <h2 class='date-header'><span>Wednesday, September 3, 2025</span></h2>
  
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  <a href='https://www.liyanacommunitypharmacy.com.np/2025/09/how-to-get-rid-of-dandruff-home.html'>🌿 How to Get Rid of Dandruff: Home Remedies & Best Medicated Anti-Dandruff Shampoos</a>
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  <p style="text-align: justify;"><span style="font-size: large;">&nbsp;Dandruff is a common issue that most people experience. Some have dandruff only during winter, while others face it in both winter and summer. It often causes intense itching and discomfort, making people eager to find a solution.</span></p><p style="text-align: justify;"><span style="font-size: large;">Today, I will be discussing <strong>how to get rid of dandruff.</strong></span></p><p style="text-align: justify;"><span style="font-size: large;">Dandruff is not a severe medical condition, but for young people, <strong>it can be embarrassing</strong> to have visible flakes in their hair. It causes <strong>itchiness</strong> and results in <strong>white flakes</strong> appearing on the scalp.</span></p><p style="text-align: justify;"><span style="font-size: large;"><br /></span></p><h3 style="text-align: justify;"><strong><span style="font-size: large;">Causes of Dandruff</span></strong></h3><p style="text-align: justify;"><span style="font-size: large;">Dandruff can occur due to various reasons, including:</span></p><ul><li style="text-align: justify;"><span style="font-size: large;"><strong>Oily scalp</strong>: People with excessive oil production on their scalp are more prone to dandruff.</span></li><li style="text-align: justify;"><span style="font-size: large;"><strong>Fungal infection</strong>: A type of fungus called <strong>Malassezia</strong> can infect the scalp, leading to dandruff.</span></li><li style="text-align: justify;"><span style="font-size: large;"><strong>Skin conditions</strong>: Issues like <strong>psoriasis, eczema, or contact dermatitis</strong> can cause dandruff.</span></li><li style="text-align: justify;"><span style="font-size: large;"><strong>Hair products</strong>: Some hair products can trigger dandruff in certain individuals.</span></li><li style="text-align: justify;"><span style="font-size: large;"><strong>Poor hygiene</strong>: <strong>Not washing hair regularly</strong> or maintaining <strong>poor personal hygiene</strong> is one of the most common causes.</span></li></ul><div style="text-align: justify;"><span style="font-size: large;"><br /></span></div><h3 style="text-align: justify;"><strong><span style="font-size: large;">Home Remedies for Dandruff</span></strong></h3><p style="text-align: justify;"><span style="font-size: large;">There are several <strong>home remedies</strong> as well as <strong>medicated shampoos</strong> for treating dandruff. My recommendation is to <strong>try home remedies first</strong>, and if they do not work, you can opt for <strong>medicated treatments.</strong></span></p><h4 style="text-align: justify;"><strong><span style="font-size: large;">1. Maintain Proper Hygiene</span></strong></h4><ul><li style="text-align: justify;"><span style="font-size: large;">Use a good <strong>anti-dandruff shampoo</strong> and wash your hair <strong>every other day</strong>.</span></li><li style="text-align: justify;"><span style="font-size: large;">If you have <strong>an oily scalp</strong>, you need to take extra care and <strong>wash your hair more frequently.</strong></span></li></ul><h4 style="text-align: justify;"><strong><span style="font-size: large;">2. Aloe Vera (Ghieu Kumari)</span></strong></h4><ul><li style="text-align: justify;"><span style="font-size: large;">Apply <strong>aloe vera gel</strong> to your scalp <strong>2-3 hours before washing your hair</strong>.</span></li><li style="text-align: justify;"><span style="font-size: large;"><strong>Consistent use</strong> every time you wash your hair can help eliminate dandruff.</span></li></ul><h4 style="text-align: justify;"><strong><span style="font-size: large;">3. Coconut Oil</span></strong></h4><ul><li style="text-align: justify;"><span style="font-size: large;">Avoid using other oils when you have dandruff.</span></li><li style="text-align: justify;"><span style="font-size: large;">However, applying <strong>4-5 teaspoons of coconut oil</strong> to your scalp <strong>one hour before washing</strong> can help reduce dandruff.</span></li><li style="text-align: justify;"><span style="font-size: large;">Studies suggest that coconut oil has <strong>antibacterial and antifungal properties.</strong></span></li></ul><h4 style="text-align: justify;"><strong><span style="font-size: large;">4. Apple Cider Vinegar, Baking Soda, and Lemon Water</span></strong></h4><ul><li style="text-align: justify;"><span style="font-size: large;">Applying any of these <strong>to the scalp for a few minutes before washing</strong> can help reduce dandruff.</span></li><li style="text-align: justify;"><span style="font-size: large;">However, these remedies <strong>may cause hair fall</strong> if used excessively.</span></li></ul><h3 style="text-align: justify;"><strong><span style="font-size: large;">Medicated Shampoos for Dandruff</span></strong></h3><p style="text-align: justify;"><span style="font-size: large;">If home remedies do not work, you can use <strong>medicated shampoos</strong> to treat dandruff. The most effective shampoos contain <strong>antifungal properties</strong> that help eliminate dandruff.</span></p><h4 style="text-align: justify;"><strong><span style="font-size: large;">Common Medicated Shampoos</span></strong></h4><ul><li style="text-align: justify;"><span style="font-size: large;"><strong>Ketoconazole shampoo</strong> (most widely used)</span></li><li style="text-align: justify;"><strong><span style="font-size: large;">Salicylic acid-based shampoo</span></strong></li><li style="text-align: justify;"><strong><span style="font-size: large;">Pyrithione zinc shampoo</span></strong></li><li style="text-align: justify;"><strong><span style="font-size: large;">Coal tar shampoo</span></strong></li><li style="text-align: justify;"><strong><span style="font-size: large;">Selenium sulfide shampoo</span></strong></li></ul><p style="text-align: justify;"><span style="font-size: large;">These shampoos are <strong>readily available at pharmacies.</strong> Among them, <strong>Ketoconazole shampoo</strong> is the most commonly used.</span></p><h3 style="text-align: justify;"><strong><span style="font-size: large;">How to Use Ketoconazole Shampoo?</span></strong></h3><ol><li style="text-align: justify;"><span style="font-size: large;">Wet your hair with water.</span></li><li style="text-align: justify;"><span style="font-size: large;">Apply the shampoo <strong>to the scalp</strong> and massage gently.</span></li><li style="text-align: justify;"><span style="font-size: large;">Leave it on for <strong>10 minutes</strong> before rinsing.</span></li></ol><ul><li style="text-align: justify;"><span style="font-size: large;">If you have <strong>an oily scalp</strong>, <strong>wash your hair daily</strong> and use <strong>Ketoconazole shampoo twice a week.</strong></span></li><li style="text-align: justify;"><span style="font-size: large;">If your hair is <strong>dry or frizzy</strong>, using <strong>Ketoconazole shampoo once a week</strong> is sufficient.</span></li><li style="text-align: justify;"><span style="font-size: large;"><strong>Apply the medicated shampoo only to the scalp</strong> and use your <strong>regular shampoo</strong> for the rest of your hair.</span></li><li style="text-align: justify;"><strong><span style="font-size: large;">Stop using Ketoconazole shampoo once your dandruff disappears (after 2-4 weeks).</span></strong></li></ul><h3 style="text-align: justify;"><strong><span style="font-size: large;">How to Prevent Dandruff?</span></strong></h3><ul><li style="text-align: justify;"><span style="font-size: large;"><strong>Eat a balanced diet</strong> rich in vitamins and nutrients.</span></li><li style="text-align: justify;"><span style="font-size: large;"><strong>Maintain scalp hygiene</strong> by washing your hair regularly.</span></li><li style="text-align: justify;"><span style="font-size: large;"><strong>Allow your hair to dry in natural sunlight</strong> after washing.</span></li><li style="text-align: justify;"><span style="font-size: large;"><strong>Avoid excessive use of hair styling products</strong> containing chemicals.</span></li></ul><p style="text-align: justify;"><span style="font-size: large;">By following these simple steps, you can <strong>effectively prevent and treat dandruff</strong>.</span></p><p style="text-align: justify;"><span style="font-size: large;">Let me know if you need any modifications or further improvements! 😊</span></p>
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  <h2 class='date-header'><span>Monday, September 1, 2025</span></h2>
  
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  <a href='https://www.liyanacommunitypharmacy.com.np/2025/09/how-to-take-abortion-pills-what-is.html'>How to Take Abortion Pills? What is Medical Abortion?</a>
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  <p>&nbsp;Many women take abortion pills at home without proper guidance, which has even resulted in loss of lives. To prevent such risks and to save women&#8217;s lives, I have tried to provide some advice and information regarding this medicine.</p>
  <hr data-end="408" data-start="405" />
  <h3 data-end="441" data-start="410">What is Medical Abortion?</h3>
  <p data-end="856" data-start="442">&#10003; Medical abortion means terminating a pregnancy by taking medicines.<br data-end="514" data-start="511" />
  &#10003; In medical abortion, surgery is not required. It can be done at home under the supervision of a trained health worker.<br data-end="637" data-start="634" />
  &#10003; This method is safe within the first <strong data-end="688" data-start="676">10 weeks</strong> of pregnancy (or within <strong data-end="724" data-start="713">70 days</strong> from the last menstrual period).<br data-end="760" data-start="757" />
  However, it is very important to get detailed information before proceeding with this process.</p>
  <hr data-end="861" data-start="858" />
  <h3 data-end="900" data-start="863">Information About the Medicines</h3>
  <ol data-end="1010" data-start="901">
  <li data-end="941" data-start="901">
  <p data-end="941" data-start="904"><strong data-end="939" data-start="904">1 tablet 💊 Mifepristone 200 mg</strong></p>
  </li>
  <li data-end="1010" data-start="942">
  <p data-end="1010" data-start="945"><strong data-end="1008" data-start="945">4 tablets 💊💊💊💊 Misoprostol 200 mcg each (total 800 mcg)</strong></p>
  </li>
  </ol>
  <ul data-end="1187" data-start="1012">
  <li data-end="1115" data-start="1012">
  <p data-end="1115" data-start="1014"><strong data-end="1030" data-start="1014">Mifepristone</strong> blocks the effect of the hormone <em data-end="1078" data-start="1064">progesterone</em>, which is necessary for pregnancy.</p>
  </li>
  <li data-end="1187" data-start="1116">
  <p data-end="1187" data-start="1118"><strong data-end="1133" data-start="1118">Misoprostol</strong> causes the uterus to contract, leading to abortion.</p></li><li data-end="1187" data-start="1116"><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi4rt2F-2H6f791YIDBy9IRCkBuB1Pu6JGD2VQEILLPJB-igKULyfcfyEDB32SuMKbJT8R3ZDikk3ZBrpPqA8FMybeumoEGK6XY8_gsRC_RDZKqGkF2FUEZ4EN3O4i8P5xoAq1LK6qw8Myd3mMVcMFfBztwbMFxfNRAu4DdNXfdjBGnoHr5TPMqBMKVlNkI/s989/1000036002.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="989" data-original-width="971" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi4rt2F-2H6f791YIDBy9IRCkBuB1Pu6JGD2VQEILLPJB-igKULyfcfyEDB32SuMKbJT8R3ZDikk3ZBrpPqA8FMybeumoEGK6XY8_gsRC_RDZKqGkF2FUEZ4EN3O4i8P5xoAq1LK6qw8Myd3mMVcMFfBztwbMFxfNRAu4DdNXfdjBGnoHr5TPMqBMKVlNkI/s320/1000036002.jpg" width="314" /></a></div><br /><p data-end="1187" data-start="1118"><br /></p></li>
  </ul>
  <hr data-end="1192" data-start="1189" />
  <h3 data-end="1230" data-start="1194">Method of Taking the Medicines</h3>
  <ol data-end="1611" data-start="1231">
  <li data-end="1279" data-start="1231">
  <p data-end="1279" data-start="1234">First, swallow <strong data-end="1265" data-start="1249">Mifepristone</strong> with water.</p>
  </li>
  <li data-end="1337" data-start="1280">
  <p data-end="1337" data-start="1283">After taking Mifepristone, wait for <strong data-end="1334" data-start="1319">24&#8211;48 hours</strong>.</p>
  </li>
  <li data-end="1611" data-start="1338">
  <p data-end="1369" data-start="1341">Then take <strong data-end="1366" data-start="1351">Misoprostol</strong>:</p>
  <ul data-end="1611" data-start="1373">
  <li data-end="1487" data-start="1373">
  <p data-end="1487" data-start="1375">Place 4 tablets either under the tongue (sublingual) or 2 on the right cheek and 2 on the left cheek (buccal).</p>
  </li>
  <li data-end="1543" data-start="1491">
  <p data-end="1543" data-start="1493">Keep them for <strong data-end="1521" data-start="1507">30 minutes</strong> without swallowing.</p>
  </li>
  <li data-end="1611" data-start="1547">
  <p data-end="1611" data-start="1549">After 30 minutes, swallow the remaining medicine with water.</p>
  </li>
  </ul>
  </li>
  </ol>
  <hr data-end="1616" data-start="1613" />
  <h3 data-end="1664" data-start="1618">What Happens After Taking the Medicines?</h3>
  <ul data-end="2018" data-start="1665">
  <li data-end="1771" data-start="1665">
  <p data-end="1771" data-start="1667">After taking <strong data-end="1696" data-start="1680">Mifepristone</strong>, some women may start bleeding, while others may not notice any changes.</p>
  </li>
  <li data-end="1841" data-start="1772">
  <p data-end="1841" data-start="1774">After <strong data-end="1815" data-start="1780">Misoprostol (24&#8211;48 hours later)</strong>, bleeding should occur.</p>
  </li>
  <li data-end="1904" data-start="1842">
  <p data-end="1904" data-start="1844">Abdominal pain, cramping, nausea, and vomiting are common.</p>
  </li>
  <li data-end="2018" data-start="1905">
  <p data-end="2018" data-start="1907">Bleeding may be heavier than a normal period. Each woman experiences bleeding and abdominal pain differently.</p>
  </li>
  </ul>
  <hr data-end="2023" data-start="2020" />
  <h3 data-end="2064" data-start="2025">What to Do if Side Effects Occur?</h3>
  <p data-end="2450" data-start="2065">&#10003; If nausea/vomiting occurs &#8594; take antiemetics like <strong data-end="2132" data-start="2117">Ondansetron</strong><br data-end="2135" data-start="2132" />
  &#10003; If abdominal pain occurs &#8594; take painkillers like <strong data-e
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