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en:misc:dosage-guidelines-homeopathic-remedies [2014/02/05 10:04]
legatum
en:misc:dosage-guidelines-homeopathic-remedies [2014/03/09 20:26] (current)
195.80.163.82 [Repeating the dose]
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 Apart from the right choice of a suitable homeopathic medicine, optimal dosage is **very important** in order to achieve the best possible result. Dosage of a homeopathic medicine is optimal, if the following conditions are met:  Apart from the right choice of a suitable homeopathic medicine, optimal dosage is **very important** in order to achieve the best possible result. Dosage of a homeopathic medicine is optimal, if the following conditions are met: 
  
-  * There is minimal or no worsening ​of symptoms after administration of the remedy. ​+  * There is minimal or no aggravation ​of symptoms after administration of the remedy. ​
   * Symptoms are steadily improving. Depending on many factors, the improvement may be slow or quick, but the essential factor is a **steady pace of improvement**,​ not its speed. ​   * Symptoms are steadily improving. Depending on many factors, the improvement may be slow or quick, but the essential factor is a **steady pace of improvement**,​ not its speed. ​
  
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 ===== Methods of taking homeopathic remedies ===== ===== Methods of taking homeopathic remedies =====
  
-Homeopathic medicines are usually available in form of sucrose-lactose globules (of various sizes), but for the purpose of taking the medicine, dissolving the drug in water (hereinafter referred to as "water dose") is generally preferable method of use. In cases when there is a sufficient time and a suitable container for preparation for administration in water, this method is preferable to the direct use of globules (hereinafter referred to as "dry dose"​). Compared to dry dose, water dose method posseses the following advantages: ​+Homeopathic medicines are usually available in form of sucrose-lactose globules (of various sizes), but for the purpose of taking the medicine, dissolving the remedy ​in water (hereinafter referred to as "water dose") is generally preferable method of use. In cases when there is a sufficient time and a suitable container for preparation for administration in water, this method is preferable to the direct use of globules (hereinafter referred to as "dry dose"​). Compared to dry dose, water dose method posseses the following advantages: ​
  
   * The possibility of a more precise control of dose rate and thus the intensity of the effect. ​   * The possibility of a more precise control of dose rate and thus the intensity of the effect. ​
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   * The amount of water depends on the expected frequency of use. Make sure the bottle **is not completely filled with water**, max. to three-quarters of the total volume of the bottle. About 300 ml of water in half-liter bottles are satisfactory. 30 ml of water in 50 ml glass vial is also suitable. Of course, a larger volume of fluid will provide a greater number of doses.   * The amount of water depends on the expected frequency of use. Make sure the bottle **is not completely filled with water**, max. to three-quarters of the total volume of the bottle. About 300 ml of water in half-liter bottles are satisfactory. 30 ml of water in 50 ml glass vial is also suitable. Of course, a larger volume of fluid will provide a greater number of doses.
   * Clean unused glass vials (volumes ranging from 50 ml to 500 ml, depending on the expected frequency of use) are eminently suitable for the purpose. These can be purchased from pharmacies or medical supplies stores.   * Clean unused glass vials (volumes ranging from 50 ml to 500 ml, depending on the expected frequency of use) are eminently suitable for the purpose. These can be purchased from pharmacies or medical supplies stores.
-  * Regarding the quality of water -- still table water, uncarbonated mineral water (without bubbles) or filtered water are suitable. Do not use chlorinated tap water (unless as a last resort). Highly mineralized waters ​and not suitable.+  * Regarding the quality of water -- still table water, uncarbonated mineral water (without bubbles) or filtered water are suitable. Do not use chlorinated tap water (unless as a last resort). Highly mineralized waters ​are not suitable.
   * Medicinal bottle should be stored in a refrigerator (otherwise the water will soon be spoiled). If not possible, store it in a dry and relatively cool place. You can add a little high-proof food-grade unflavoured alcohol for the purposes of preservation. It is useful to label the bottle, noting the remedy name and date of preparation. ** One bottle should only be used to prepare one remedy, and should be discarded after the use! **   * Medicinal bottle should be stored in a refrigerator (otherwise the water will soon be spoiled). If not possible, store it in a dry and relatively cool place. You can add a little high-proof food-grade unflavoured alcohol for the purposes of preservation. It is useful to label the bottle, noting the remedy name and date of preparation. ** One bottle should only be used to prepare one remedy, and should be discarded after the use! **
   * Make sure not to expose the medicinal solution to direct sunlight, temperatures above 50 degrees Celsius, strong electromagnetic radiation (cell phones, televisions,​ computers, loudspeakers,​ wireless routers, microwave oven, electric appliances etc.) - otherwise you may lose efficiency.   * Make sure not to expose the medicinal solution to direct sunlight, temperatures above 50 degrees Celsius, strong electromagnetic radiation (cell phones, televisions,​ computers, loudspeakers,​ wireless routers, microwave oven, electric appliances etc.) - otherwise you may lose efficiency.
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 <WRAP tip round > <WRAP tip round >
 3. Take a small sip, about a teaspoonful. Hold the liquid in mouth for several seconds, then swallow. As far as possible, do not eat or drink (except clean water) at least 10 minutes before and after taking the dose. 3. Take a small sip, about a teaspoonful. Hold the liquid in mouth for several seconds, then swallow. As far as possible, do not eat or drink (except clean water) at least 10 minutes before and after taking the dose.
-If oral administration is not appropriate or practical (eg.in cases of painful swallowing) or in very sensitive persons, the remedy can be taken by olfaction -- just place the bottle very close to the nostril and breathe in vigorously. Do not inhale the liquid, just the vapors!+If oral administration is not appropriate or practical (e.g. in cases of painful swallowing) or in very sensitive persons, the remedy can be taken by olfaction -- just place the bottle very close to the nostril and breathe in vigorously. Do not inhale the liquid, just the vapors!
 It is also possible to apply the medicinal solution under the nose -- for example, you can soak a pure cotton wool with the medicinal solution and rub it under the nose. It is also possible to apply the medicinal solution under the nose -- for example, you can soak a pure cotton wool with the medicinal solution and rub it under the nose.
 </​WRAP>​ </​WRAP>​
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 Let 2 or 3 globules of the remedy dissolve in mouth. As far as possible, do not eat or drink (except clean water) at least 10 minutes before and after taking the dose. Let 2 or 3 globules of the remedy dissolve in mouth. As far as possible, do not eat or drink (except clean water) at least 10 minutes before and after taking the dose.
  
-===== Repeating ​the dose =====+===== Repetition of the dose =====
  
 This section should answer the question of whether, and if so, when, the dose may be repeated. This section should answer the question of whether, and if so, when, the dose may be repeated.
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 The following table shows the proposed indicative value according to two criteria. The following table shows the proposed indicative value according to two criteria.
-Intensity of symptoms is on a scale of 1 to 5, where 1 means "​symptoms of mild intensity",​ 3 means "​moderately intense or moderately painful symptoms",​ 5 means "​life-threatening symptoms or unbearable pain." If the table cell contains no value , it means the administration of the remedy and is either undesirable or it is not possible to recommend an appropriate evaluation time interval.+Intensity of symptoms is on a scale of 1 to 5, where 1 means "​symptoms of mild intensity",​ 3 means "​moderately intense or moderately painful symptoms",​ 5 means "​life-threatening symptoms or unbearable pain." If the table cell contains no value, it means the administration of the remedy and is either undesirable or it is not possible to recommend an appropriate evaluation time interval.
  
-The time interval in the table **does not indicate** the time interval, at which the dose may be repeated, but rather the time when it is **desirable to evaluate the course of the symptoms**! Whether it is appropriate for an dose to be repeated, wholly depends on the direction of the evolving state (see text below the table). ​+The time interval in the table **does not indicate** the time interval, at which the dose may be repeated, but rather the time when it is **desirable to evaluate the course of the symptoms**! Whether it is appropriate for the dose to be repeated, wholly depends on the direction of the evolving state (see text below the table). ​
  
 ^ Duration of symptoms ^Intensity of symptoms^^^^| ^ Duration of symptoms ^Intensity of symptoms^^^^|
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   - There is a worsening of the character or intensity of symptoms after the last dose and the aggravation still persists.   - There is a worsening of the character or intensity of symptoms after the last dose and the aggravation still persists.
   - There is an exceptionally marked improvement in the character and / or intensity of symptoms after the last dose and the process of improvement of the condition still persists.   - There is an exceptionally marked improvement in the character and / or intensity of symptoms after the last dose and the process of improvement of the condition still persists.
 +  - There has been a substantial change in the character of symptoms (hereinafter referred to as "image change"​ of a disease state).
  
-**Note to item 1:** It is necessary to distinguish between aggravation after the remedy administration and aggravation of symptoms caused by the natural evolution of the disease state. Homeopathic aggravation is caused by administering **too much** of the homeopathic medicine and a subsequent overstimulation of the body, so in case we decide to repeat the dose (when the aggravation subsides), it should be proportionally reduced. If the homeopathic aggravation is too intense, it is necessary to wait until the "​shock"​ settles and the gradually ​improvement of the condition is started. If the aggravation is too intense, the remedy should be antidoted (in order to cancel its impact on the life force), by using coffee, camphor, another homeopathic medicine or other medicinal substance with a strong physiological effect.+**Note to item 1:** It is necessary to distinguish between aggravation after the remedy administration and aggravation of symptoms caused by the natural evolution of the disease state. Homeopathic aggravation is caused by administering **too much** of the homeopathic medicine and a subsequent overstimulation of the life force, so in case we decide to repeat the dose (when the aggravation subsides), it should be proportionally reduced. If the homeopathic aggravation is too intense, it is necessary to wait until the "​shock"​ settles and a gradual ​improvement of the condition is started. If the aggravation is too intense, the remedy should be antidoted (in order to cancel its impact on the life force), by using coffee, camphor, another homeopathic medicine or other medicinal substance with a strong physiological effect.
  
 If the aggravation of symptoms is a result of a natural progression of the disease state, the administered medicine was clearly not homeopathic to the state and it is therefore necessary to identify and give a more suitable remedy. Distinguishing between homeopathic and non-homeopathic worsening of the symptoms may not always be easy in practice, but homeopathic aggravations are typically characterized by **sudden** and **unexpected** intensification of the symptoms, considering the present course of the disease. If the aggravation of symptoms is a result of a natural progression of the disease state, the administered medicine was clearly not homeopathic to the state and it is therefore necessary to identify and give a more suitable remedy. Distinguishing between homeopathic and non-homeopathic worsening of the symptoms may not always be easy in practice, but homeopathic aggravations are typically characterized by **sudden** and **unexpected** intensification of the symptoms, considering the present course of the disease.
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 **Note to item 3: ** In case of a substantial change in the image of the disease state, it is necessary to **wait** until this state is **stabilized and then** identify and give a new remedy that reflects the new image of the disease condition. **Note to item 3: ** In case of a substantial change in the image of the disease state, it is necessary to **wait** until this state is **stabilized and then** identify and give a new remedy that reflects the new image of the disease condition.
 +
 +==== Circumstances requiring a repetition of the dose ==== 
 +
 +The dose should be repeated if:
 +
 +  - An improvement in the character or intensity of the symptoms occurred after the last dose of the remedy, but the improvement has slowed down, stopped or a re-intensification of the symptoms occurred (relapse).
 +  - There was no significant change in the character or intensity of the symptoms after the last dose and the character of the symptoms is very acute (e.g. severe pain) or life-threatening. If, after 5 times the upper limit of the recommended interval for the evaluation of symptoms has passed, there is still no change, there is a high probability the selected remedy was inappropriate (not homeopathic) and a more suitable one should be determined.
 +
 +**Note to item 1:** When repeating the dose, we strive to achieve an optimal dosing with minimal or no aggravations,​ in other words a stability in the improvent of the disease condition. This is more easily achieved by administering the remedy in water -- the effect of the dose being regulated by changing the volume of the dose, the greater dilution with water, and adjusting the number of strokes / shakes before use. When repeating a dry dose in the same potency, there is a higher risk of **cumulative effects** of single doses of the remedy and of subsequent aggravations.
 +
 +**Note to item 2:** In very acute conditions, repeated doses do not typically result in a homeopathic aggravation since the state is already aggravated almost to the maximum extent possible. Selected remedy should be repeated in order to achieve sufficient stimulation of the life force of the body. If after a reasonable period of time (5 times the upper limit of the recommended interval for evaluation of symptoms) there is no positive improvement,​ it is necessary to determine a more suitable medicine.
 +
 +==== Circumstances permitting a repetition of the dose ====
 +
 +The dose may be, after duly considering the circumstances,​ repeated if:
 +
 +  - After the last dose, there was a mild to moderate improvement in the nature or intensity of symptoms.
 +  - After the last dose, there was no radical change in the nature or intensity of symptoms.
 +
 +Under these circumstances,​ a repetition should only be considered when using water dose and at a suitable dosage / time intervals. The aim is to achieve a stable improvement without undue aggravations. ​
 +
 +A repetition of low to medium potencies (9 CH to 30 CH) is generally better tolerated than a repetition of higher potencies (CH 200 and above), very low potencies (5 CH, CH 3 and below) or mother tinctures / crude substances.
 +
 +==== Prophylactic use of remedies ====
 +
 +In prophylactic use of remedies (i.e. which are not indicated by their corresponding symptoms, but only serve as prevention),​ it is better to choose a single dose of medium-high potency (30 or 200 CH) and not repeat the remedy frequently, in order to avoid overdose and a subsequent formation of undesirable effects (proving). If there is an irresistible desire to repeat the dose (some people just do not believe that a single dose may be sufficient),​ 30 CH weekly or 200 CH once every two weeks appears to be relatively safe interval of repetition. If any new symptoms appear or are suspected, any further repetition of the dose is excluded!
 +
 +<WRAP important >
 +Homeopathic remedies are indicated on the basis of specific symptoms and if symptoms are not present, it is not possible (by methods of classical homeopathy) to determine a suitable remedy. Exceptions are conditions the presence of which can be **assumed to occur** with certain probability,​ for example, various post-operative,​ post-traumatic,​ prenatal and obstetric conditions, etc., when a prophylactic use of homeopathic medicine appropriately selected can alleviate the condition or completely prevent its occurrence. Another possibility is an epidemic of a disease, when the disease image is known to a sufficient extent and therefore a suitable homeopathic remedy may be determined and recommended.
 +</​WRAP>​
 +
 +====== DOCUMENT DESCRIPTOR ======
 +
 +^ Description:​ | Dosage Guidelines for homeopathic remedies. |
 +^ Author: | Bezemek, P. |
 +^ Year: | 2014 |
 +^ Editing: | errors only; interlinks; formatting |
 +^ Attribution:​ | Legatum Homeopathicum |
en/misc/dosage-guidelines-homeopathic-remedies.1391594653.txt.gz · Last modified: 2014/02/05 10:04 by legatum