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Dehydration, giddiness and fainting can happen, if the patient is not provided with enough water. Re-hydrate the patient with glucose water, salted rice water or ORS
If the dosage is incorrect, excess purgation may occur. If happens so, give a teaspoon of nutmeg seed Paste (Sanskrit name jati, Hindi name jayphal, Botanical name Myristica fragrans Houtt). This can be repeated for to 2 - 3 times in every half an hour, according to the condition. Any preparation of Kutaja seed (decoction, paste, tablets, and powder) can also be given (Sanskrit name Indrayava, Hindi name Indrayav). Black coffee and lemon juice with salt is also a preferred alternative for excess purgation.
If the dosage & the handling of the medicine are correct, the only hassle will be a stomachache, which is unavoidable, since this is an effect of the expulsion of the toxins present in the body. Inform the patient about this pain before the medicine is given.
Before starting the treatment, a clear idea about the nature of its effects should be given to the patient, especially regarding vomiting, purgation and stomach pain. Precautionary measures to avoid vomiting in the early hours, re-hydrating techniques, diet after the treatment etc. should be explained thoroughly. This helps to avoid complications.
It should be considered that no other remedies should be taken for the stomachache, because all those factors play a major role in reducing the efficacy of the treatment.