Gynaecology Drug Handbook AK Debdas
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1Gynaecology Drug Handbook
2Disclaimer
The author has used his best efforts to provide information that is upto date and accurate and is generally accepted within medical standards at the time of publication. However, as the medical science is constantly changing and human error is always possible, neither the author nor the others involved with the publication of this book warrant that the information presented here are absolutely accurate or complete, nor they are responsible for omission or errors in this book or the results of using this information.
Readers are advised to confirm the information contained in this book with other sources.
3Gynaecology Drug Handbook
Second Edition
AK Debdas MD(Cal) FRCOG (Lond) FRCS (Edin) FICOG Honorary Associate Professor MGM Medical College, Jamshedpur Visiting consultant, Tinplate Hospital, Jamshedpur, India Member of Representative Committee Royal College of Obst and Gynae, London, Four terms Chairman, Practical Obstetric Committee, FOGSI (1999-2004) Vice President Federation of Obst and Gynae Societies of India (FOGSI) (2006) President Indian Society of Perinatology and Reproductive Biology (2004-2006) Peer Reviewer, Indian Journal of Obst and Gynae Peer Reviewer, International Journal of Obst and Gynae Member, Governing Council, Indian College of Obst and Gynae
4Published by
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
B-3 EMCA House, 23/23B Ansari Road, Daryaganj, New Delhi 110 002 India
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Gynaecology Drug Handbook
©2008, Jaypee Brothers Medical Publishers
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the author and the publisher.
First Edition: 2001
Second Edition: 2008
9788184483260
Typeset at JPBMP typesetting unit
Printed at Ajanta Offset
5to my dedicated colleagues for No-hassle Gynaecology6
7PREFACE TO THE SECOND EDITION
The first edition has been a great hit and I am grateful to all for this.
Yes, every line of this book has been critically revised and every reference has been replaced by the latest.
Dear Raz (my wife), Meeca and Warsha (my two daughters) my official apology for troubling you so much for the preparation of this book.
Let me conclude with this universal ‘mantra’ of all Gynaecologists.
So that flowers remain flowers,
remain flowers,
remain flowers
at ease,
at will,
at pleasure
Oh let us
let us
let us.
Best wishes
Jamshedpur
January, 2008
AK Debdas8
9PREFACE TO THE FIRST EDITION
Treatment of Gynaecological disorders is essentially drug dependent and recently there has been explosion in Gynaecological pharmacology. Besides, with the increasing availability of ultraprecise sophisticated investigation and monitoring facility the medical options of treatment for Gyane disorders are also increasing, e.g. ectopics now can be treated medically, first trimester abortion can be achieved by drugs alone, fibroids can be made to shrink by drugs, medical curettage even medical hysterectomy (Mirena) can be done by potent newer progestogen, etc. With the establishment of down regulation and up regulation regimes hypothalmus and pituitary have now become the toys in the hands of gynaecologists though, of course, highly sophisticated ones (made extremely simple in this book).
This ready reckoner has been designed to cope with all the above and more and instantly. The greatest beneficiary of this book will be the busy specialists and postgraduates with a ready answer for the most difficult problem. This book will also be extremely helpful for General Practitioners.
The book is based on the latest references.
Any suggestion will be most welcome.
Happy practice !
Jamshedpur
A K Debdas
January, 2001