Ksheerabala 101 Thailam is an Ayurvedic oil used in the treatment of Vata disorders causing neuro muscular pains, sciatica, spondylosis, paralysis etc. This oil is also available in capsule form.
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(Caution: This product should strictly be used under medical supervision. Buy and use this product only if your doctor has advised it to you.)
Benefits
Ksheerabala 101 Thailam uses:
It helps to relieve pain and inflammation. It is used in arthritis, sciatica, myalgia, spondylosis, spinal cord injury, etc.
It is used in pain due to neurological origin – neuralgia.
This oil on oral intake in form of Ksheerabala 101 capsule is believed to bring about nerve regeneration
It is used in all types of arthritis – RA, Osteo-arthritis, knee pain, meniscus tear, repair of torn ligaments and gout.
It brings about rejuvenation, nourishing in nature and improves quality of voice.
Being a nerve tonic, it can be useful in myasthenia gravis, stroke, cervical spondylosis, lumbar spondylosis, developmental delay, brachial plexus injury and hypotonia.
Post viral fever, when the patient complains of body, muscle and joint pains
Bursitis,
Bursitis trochanterica,
Shoulder dislocation pain
Spondyloarthritis
Many ailments like cataract, earache, head ache, suryavartta, gulma, vaginal disorders and colic are relieved by this.
Usage in gynecological disorders:
In gynaecological disorders associated with pain and irregular periods, Ksheerabala is orally used.
In painful periods, local injury, inflammation also, ksheerabala is very useful, orally.
Useful in intercostal neuropathy
Application on feet
Oil application over feet
Precaution if you apply this oil over feet:
If you apply this oil on feet, make sure to wash off thoroughly with water or wipe off with cloth. The oil can make you slippery while walking.
After applying, make sure there are no oil spills on the floor. This can make the floor slippery.
Indications
Premature ejaculation
Anxiety, panic attacks
Depression, sleep problems – It balances Vata and Pitta Dosha very efficiently. Hence, very useful to improve brain and nerve function. It has soothing effect on the brain.
Hypothyroidism treatment
Peripheral hypotonia and low muscle tone
Partially useful in
Myasthenia gravis, foot drop
Not useful in
Cold and cough – Rather, it can increase the symptoms, especially in case of productive cough.
Mode of Usage
It is used for massage, Ayurvedic enema therapy, Dhara, Seka etc.
It is also used for mouth gargling, oil pulling, nasya therapy (nasal instillation of drops) etc.
Oil pulling is useful for the treatment of trigeminal neuralgia, nerve end gum pain, to heal the gum bleeding, mouth ulcers quickly.
Nasya therapy is useful in treating migraine, tension headache, to induce sleep in cases of insomnia etc.
Another treatment with this, called Shiropichu, where pieces of cotton, dipped in the oil is placed over the scalp for a few minutes time. This is useful in treating many neurological problems such as migraine, neuropathy etc.
Dose
For oral intake, if capsule, the usual dose is 2 capsule 2 times a day before food. It is usually administered along with hot water, which helps in quick absorption.
If it is plain oil and indicated for oral intake, it is given in a dose of 5 – 10 drops once or twice a day, usually before food. Patient is asked to drink a glass of warm water following the oil.
6-10 drops for Nasya.
In vata this is to be applied warm, not so in rheumatism.
With western medicines
Seek your doctor’s advice if you are taking this product along with other western (allopathic/modern) medicines. Some Ayurvedic herbs can interact with modern medicine.
If both Ayurvedic and allopathic medicines are advised together, then it is best to take allopathic medicine first, wait for 30 minutes and then, after a gap of 15 – 30 minutes, take Ayurvedic medicine or as directed by the physician.
Can this be used while taking Homeopathic medicine?
Yes. This product does not react with homeopathic medicine.
With supplements like multivitamin tablets, Omega 3 fatty acids etc?
Yes. Generally, this product goes well with most of the dietary supplements. However, if you are taking more than one product per day, please consult your doctor for an opinion.
Before food or after food?
It can be consumed before or after food, as per doctor’s advice. There can be 15 minutes gap between meals and this medicine.
Other Uses
How is Ksheerabala 101 useful in Sleep disturbances?
– Sleep problems are mainly caused due high Vata and Pitta Dosha. Ksheerbala taila, oral intake balances both these two Doshas. It calms the mind and nerves. Hence, very useful for a relaxing sleep.
Can Ksheerbala 101 oil cause weight gain?
Principle
In this herbal oil, the herbs are infused in the medium of sesame oil along with herb water decotion. Then the solid waste herb materials are filtered out. Thus, this oil contains oil soluble and water soluble phyto-active principles of medicinal herbs.
Side Effects
- There are no known side effects of this oil on external application.
- People with high cholesterol and BP should take extra precaution while taking high dosage of this medicine, orally. In normal dose, it does not increase cholesterol.
- Frozen food should be avoided soon after, or before taking this, orally.
- Hot water should be taken after taking this.
- Over-dosage may lead to indigestion.
- It can be given to pregnant mother or children, under medical supervision.
Can cause joint stiffness
Ksheerabala taila is a very good rejuvenating medicine that can strengthen the bones and joints. In wear and tear caused due to osteo arthritis, in elders, it can improve joint flexibility and movement and reduce pain.
But in people with joint stiffness Ama – altered digestion and metabolism, when the digestion process is not in order, if Ksheerabala is administered in higher dose, it can worsen the joint stiffness. This is mainly due to the Kapha increasing coolant effect of milk and Bala herb.
But in some joint degeneration disorders with weak digestion, we may need to use Ksheerabala. In such circumstances, it is administered along with other anti inflammatory herbs that are hot in nature, such as Yogaraja Guggulu, Trayodashanga guggulu etc.
Does Ksheerabala taila 101 decrease blood pressure? My pressure is 100/70
Dr JV Hebbar
Ksheerabala taila 101 is an Ayurvedic medicine used extensively in the treatment of neurological diseases such as neuropathy, trigeminal neuralgia etc.
It contains Sida cordifolia. It does not decrease blood pressure. In fact Sida cordifolia (Bala) is useful to maintain healthy blood pressure.
Is it used for coughs and colds in children?
No. It is not used for coughs and colds. Bala herb is a coolant and milk is also a coolant. Hence, this medicine is not useful.
Can it be used for Shirodhara procedure?
Ksheerabala 101 oil is a concentrated and highly processed oil, used for oral intake and as nasal drops. For external procedures like Shirodhara, oil massage etc., plain Ksheerabala oil, which is processed just for one time is used.
Read related: Shirodhara: Procedure, Benefits, Mode Of Action, Limitations
“This oil on oral intake in the form of Ksheerabala 101 capsule is believed to bring about nerve regeneration” — is this mentioned in the Ayurveda texts, or is this claim based on contemporary observation?
Yes. It is extensively used in the treatment of ligament tear, neuralgia, neuropathy etc. by 1000s of Ayurvedic doctors across the world.
Can it cause vertigo?
It actually is quite a tricky question. It is an oil preparation. Hence, if it is used in a patient with indigestion (Ama), without using appetizer medicines having ginger, black pepper etc., then it may worsen vertigo.
But if used in an indigestion patient, after correcting the digestion problem, it actually is useful to relieve vertigo.
read: Vertigo Causes, How To prevent, Ayurvedic Treatment
How to Use Ksheerabala in Paralysis Treatment? Does Ksheerabala cause Gluten Allergy?
Contents
Ksheerabala oil ingredients:
Ksheerbala 101 is the oil, which is processed for 101 times. Usually it is used only for internal administration.
Processed means, each time, the liquid part of the ingredients (other than oil) are added to the oil and heated till total water content is evaporated. It is done for 101 times.
Ksheerabala taila – name suggests that it is processed only for one time. Usually this oil is used for external application, as in massage, Panchakarma treatment (enema) etc. However, this version of the oil can also e taken internally.
- Ksheera means cow milk
- Bala means an herb called Sida cordifolia
- Taila means – sesame oil
The oil is formulated as follows –
- Bala – Sida cordifolia 10 grams
- Bala – water decoction – 160 ml
- Ksheera – Milk – 160 ml
- Taila – Sesame oil – 40 ml
Reference
Ashtanga Hrudayam Vatarakta Chikitsa 22/45-46, Charaka Samhita Chikitsa Sthana 29th Chapter (Vatarakta)
Bala Taila Reference
Sahasrapaka and Shatapaka Bala Taila:
बला कषाय कल्काभ्यां तैलं क्षीर समं पचेत्|
सहस्रं शतवारं वा वातासृग्वात रोगनुत्||११९||
रसायनमिदं श्रेष्ठमिन्द्रियाणां प्रसादनम्|
जीवनं बृंहणं स्वर्यं शुक्रासृग्दोष नाशनम्||१२०||
इति सहस्र पाकं शत पाकं वा बलातैलम्|
Oil is cooked by adding the decoction of bala (4 times in quantity of oil), paste of Bala – Country mallow (root) (1/4th in quantity of oil), and milk (in equal quantity of oil) for the 1000 or 100 times.
This medicated oil does both the rejuvenation of the body, promotion of clarity of sense perception, longevity, robustness and voice. It cures morbidities in semen and menstruation.
Can Ksheerabala 101 Oil Open Up Blockages?
Expiry date
3 years from the date of manufacture. Once you open the seal, it is better to use it within an year.
Shelf life of capsule – 3 years
Manufacturers
Swadeshi, Kottakkal, Kerala Ayurveda,
Nagarjuna – Ksheerabala 101 Aavarthi
Cholesterol, hypertension
Can ksheerabala capsules be consumed in case if high cholesterol ?
It is not directly related with high cholesterol treatment.
But if a person has high cholesterol problem, with some neurological issues, then Ksheerabala capsule can surely be used.
Can kshirbala taila be used when one has sinusitis or high BP?
It can be safely used even if the person has sinusitis or hypertension.
Anxiety, phobia, ADHD
Ksheerabala taila balances Vata dosha effective. Bala – Sida cordifolia, being a coolant is very useful to keep the mind calm. In anxiety, phobia and excessive thoughts, less sleep, Vata dosha is excessive aggravated. Here, ksheerabala taila is very useful to counter these symptoms.
Because it can counter the excess activities of mind and body, Ksheerabala Avarthi is an ideal choice of medicine in treating ADHD, sensory disorder, hyperactivity etc.
Use in sleep problems
Sleep disturbances are caused to Vata Dosha. Vata means activity. The mind becomes excessively active and indulges in various thought processes, not allowing you to sleep. Here, the herb Bala, milk and sesame oil – all the three components are very effective in balancing Vata Dosha and helps the person to sleep well.
Earache, tinnitus
Ear is a natural place for Vata dominance. Ksheerabala is very effective in Vata balance, hence used extensively in relieving earache and tinnitus.
For this purpose, apart from using ksheerabala capsule orally, the oil is also used as ear drops.
As nasal drops
In case of headache, migraine, burning sensation in the head, trigeminal neuralgia, nerve and brain related disorders, Ksheerabala is used as nasal drops, as part of nasya treatment. Here, after oil massage and mild fomentation, 2 – 10 drops of the oil is poured into each nostril. This procedure is done strictly under medical supervision.
Dandruff, dry scalp, hair loss
Ksheerabala oil is useful to improve oiliness of scalp skin and dry hair. On oral intake, it naturally moisturizes the scalp hair, relieves dry scalp, dandruff, adds shine and luster to hair and promotes hair growth.
Vertigo
Ksheerabala 101 Avarthy oil is used as ear drops, for Nasya and for oral intake to treat vertigo, tinnitus and trigeminal neuralgia.
Oil Vs Capsule
Ksheerabala tailam oil and capsule both are available in the market.
Oil is packed in the form of soft gel capsule. This is made to fix the dose of the oil easily and also to help in easy consumption. The oil and capsule both are same.
If you are vegetarian conscious, then it is better to go with the oil.
If you are dose conscious, and taking 10-15 drops accurately everyday is a problem, then capsule can be taken.
Ksheerabala DS Capsule
It is the double strength capsule of Ksheerabala oil. The manufacturers of this, claim that the oil is fortified. The quantity of the oil within the capsule is more, compared to the plain Ksheerabala capsule. Some people find it difficult to swallow. If that is the case, then it is best to switch to Ksheerabala 101 oil – direct intake.
This will also save you from unnecessary ingestion of gelatin capsule.
The dose of the oil depends on the doctor. However, a dose of 2 ml of the Ksheerabala 101 oil is equal to the dose of the oil contained in the Ksheerabala DS capsule.
During pregnancy, lactation
If
you were using this oil before pregnancy without any allergic reaction, you can
continue using this oil even during pregnancy.
If you have not used this product before and wish to use it during pregnancy,
better to consult a doctor because it can cause skin allergy in some rare
cases.
It is generally considered as safe to use during lactation, however consult
your doctor for the right advice.
Can this product be applied after steam therapy?
No. Oil is best applied before steam therapy. This is as per basic Ayurvedic principles.
Click to buy Ksheerabala 101 Soft Gel Capsules
Click the below button to buy from within India
(Caution: This product should strictly be used under medical supervision. Buy and use this product only if your doctor has advised it to you.)
Please consult your doctor before taking this medicine.
This article is written by Dr. Janardhana V Hebbar BAMS, MD (Ayu), PGDPSM, Managing Director, Easy Ayurveda Hospital.
It is reviewed by Dr. Shilpa Ramdas BAMS, MD (Ayu), Chief Ayurvedic Physician, Easy Ayurveda Hospital
163 thoughts on “Ksheerabala 101 Thailam Benefits, Dose, Ingredients, Side Effects”
can 2 capsule be given 3 times a day i.e 2-2-2 for multiple system ataxia or parkinsonism
symptoms, of dysarthria & gait imbalancing problem
Hi, this can be used for upto 2 – 3 months.
Hi, after stopping this, after usage of 6 -8 weeks, usually symptoms do not come back.
respected sirk, i have knee pains since from last 1 year, and my age is 37 weight is 60 kgs and i am regular traveller , my profession is medical representative and all my cultural reports were good RA FACTOR, AND BLOOD TESTS AND HB AND ALSO MRI OF KNEES were fine but pain is not under control as i am using ksheerabala-101 since from 2 months, and also (madhushuhi, rasna, nirgundi, punarnava, sallaki,guggulu) as ingreidients, 4 capsules daily , and ( aswagandha,amalaki,vidarikanda,satavari)as ingredients 4 capsules daily so please let me know all these were related to knee pains
i have a ksheerabala 101 avarthi,10g..,from vaidyaratnam.. how cani know wether it is for oral use or external use ?
Dear Dr.Hebbar,
Can you please tell me what are all the side effects of Sheerabala thailam (101) and its contraindications? Who should not take this? I came to learn that it should be avoided in people with high cholesterol and high blood pressure. Is that right? Can people with mild hypertension take this? Does it have any gastrointestinal side effects like indigestion or diarrhoea? Can it be taken by people with lactose intolerance? Generally who will benefit by this medicine? Kindly advise. I am a medical doctor practising allopathy and a few patients come to me taking this medicine too. Kindly enlighten me on this subject. Thanks.
Dear Dr Shajahan,
It should only be avoided in people with very high cholesterol. In mild high lipid conditions, it can be prescribed.
Same is also true with blood pressure.
It is usually is well tolerated by stomach and intestine. However, it is good to drink a cup of luke warm water after taking this medicine.
If someone is gluten allergic / milk allergic, then he can also show some gastritis symptoms with this medicine, because of milk ingredient.
Sir,
Now I am following your AUY. medicine from Dr.Preeven kumar perambur. How long I have to take .If cured will the problem comes again& again.cost verse it is little .Is there concession for ……
I have not seen its usage as eye drop. It is in stead used as nasal drop (Nasya) to improve eye sight. Hence, I suggest to avoid it and consult an Ayurveda doctor.
My son Is 4 years has severe eczema. Could I be able to use that?
Dear Sir,
I have Spondylitis and have been using Sheerabala 101 Thailam Capsules for an year now. This is as prescribed by the Ayu doctor. However, I have weight issue. Is there an alterantive to this? Pls advise.
Hi, long term usage of Ksheerabala can result in weight gain. If you have used this for an year, it is good to give a gap of 2 – 3 months. Resort to cervical color, (neck belt), application of pain relief oil like Sahacharadi taila, Kottamchukkadi taila.
Read more about Khseerabala oil –
Hi, it also helps in improving blood circulation. You can take it.
can ksheerbala 101 capsule(kottakattal) be used in Parkinsonism, patient has slurred speech, gait imbalance,choking in gulping liquid
With what dose shud we start…and for how mujch time shud it be comsumed/ continue for.
Will it be prove effective in such neurological disease
I have been advised to use the Ksheerbala 101 oil , 10 drops externally after bath and to rub it off to treat my thyroid disorder(Hypothyroidism- TSH value 5). Is this helpful , is there any side effects as i am trying to conceive also.Many thanks for your reply in advance.
Hi, Ksheerabala 101 is usually prescribed for oral intake. 10 drops is the usually prescribed oral dose. I think there is a confusion. Please check it with your doctor.
My father in law has been diagnosed with mild lateral wall ischemia. An Ayurveda practitioner has advised him to apply Ksheerabala (101) over the chest 2 times daily followed with warm water bath. Will this have any benefit at all Dr? Will Ksheerabala help in lateral wall ischemia or in heart problems? An early reply is solicited. Krishnan
It helps to some extent. But some oral medicines will also be required.
Hi, if you have taken it for upto 1 year, it is best to stop it now.
can ksheerabala thailam be used for uttarbasti treatment for urethral stricture and whether uttarbasti will effectively cure stricture urethra ??
I have heard from many doctors that Uttarabasti can cure stricture. But I personally have not seen any such success first hand. Ksheerabala tailam can be used for Uttarabsti.
Does ksheerabala capsules have any side effects on pregnant women
Hi, it is best to avoid using it during pregnancy, unless advised by a doctor.
Sir ksheerbala oil can be use for hairfall/regrowth of hair?
Helllo Dr,
I have been taking Ksheerabala head massage as part of my infertility treatment. Will it be helpful for female infertility????
Call plz
Mob. 7503474674
sir
my son (24 yrs) is recovering from transverse mylietis. will this oil be effective in his case.when should this oil be used ? before or after bath.
Hi, you can use Ksheerabala oil for massage, 10 minutes before bath everyday.
Its capsule – 1 capsule 2 times a day after food. or 2 ml of oil, twice a day after food with water is good to use.
Hello,
Ksheerabhala prescribed to me to oral intake ,once in day in liquid form . This is part of eye treatment to improve eye nervous system. I have been using for a month and now days a i am feeling burning in my stomach. Is there any such side effect reported ..?
Shefeeq
Hi, Ksheerabala is quite soothing to the stomach. Hence I can confidently say that the burning feeling in stomach is not due to it. If you were taking it before food, try taking it 30 minutes after food.
Hi, it can be given in a small dose of 1 capsule per day, to him, for 3 months time. In such a small dose, it will not cause increase of cholesterol or worsening of bronchiectasis.
Hi, it can be taken 2 months after delivery by the mother.
Please read my articles on post delivery care of the mother – http://easyayurveda.com/2012/02/17/after-delivery-care-of-mother-for-first-three-months-by-ayurveda/
Hiii sir…. can ksheera bala oil is used in uttara vasti treatment ?
Hi Doctor,
my age is 32 and can you please tell me this oil or capsule can help me to stop grey hairs and grey beards?
Thanks,
Shashank
Hi, theoretically, it can stop grey hairs, although a confirmed promise cannot be made.
Kshirabalatailam oil by Kottakkal co. was very effective in treating nummular dermatitis on my legs. I massaged the oil onto the affected areas after bathing, and it was absorbed readily. For some reason, Desoximetasone cream 0.25% prescribed by my very fine US medical professionals was not controlling the outbreak while I was traveling in India. I was fortunate to be prescribed this product by the ayurvedic doctor at Ananda in the Himalayas.
Thanks for sharing your experience. 🙂
Sir
I have B.P 140/ 95 and suffer with severe pain in the neck due to tissue degeneration between C5-C6. Would like to know if I can take Ksheerabala101. I get severe pain when there is over exertion, missing meals, and consumption of more carbs. I have read about Arjunarishta for BP. Could you please advise me on this. My BP fluctuates throughout the day being around 130/92 in the morning and 140/95 at the end of the day.
You can take Ksheerabala 101. For BP management, consult a doctor directly.
SIR, ENTE KALINTE MUTTINE VEDANAYUM NEERUM UND. NJAN Ksheerabala 101 CAPSUL KAZHICHAL ENTE MUTTINTE VEDANAYUM NEERUM MARUMO? NJAN EPPOL KOTTAN CHUKATI TAILAM, MAHANARAYANA TAILAM, UPAYOGIKUNNUND. SIR PLEASE ADVICE ME
ye, you can take kheerabala 101 either for external or internal use.
Hello Doctor,
My name is Ajith and am 28 yrs old. I am a multiple sclerosis Patient due to which i have numbness in my hands and knee. So i am having imbalance in walking and problems holding something for long time with my hands. I am in ayurvedic medication from past one year and consulting doctor every 2 months. Now am having ashwagandha arista & maharasnadi kashaya as doctor prescribed. Since am finding difficulties in walking and felt a little numbness in my mouth, doctor asked me to take Ksheerabala 101 capsules twice a day.
Kindly advise me weather it will give solutions to my numbness and is there any side effects having this?
Thank you and awaiting your reply..
Hi, it is useful in treating numbness.
Iam taking it as tablets with warm water in the morning and night..i hve leg pain..whether this will help me to cure my leg pain…?
Hi it’s capsule r from gelatine is it halal or not
Hi, the capsule is made from gelatin.
is Ksheerbala is useful in parkinsonism types symptoms likes slowness and gait balancing
i mean symptoms like gait imbalancing, choking in gulping liquids, dysarthriatic speech
Welcome!
It is safe to apply for white discharge. It is safe.
sir kindly tell is ksheerbala capsule of kottakattal is helpful in parkinsonism and gait imbalancing symptoms,….
Is kshirabala can be taken with pathyakshadhatryadi kashyam
for external application you can use this no problem. but for oral intake dose and duration must be confirmed by your doctor.
hello…,
it is better to take advice of an Ayurveda doctor in person, so that he may decide the dose and duration of treatment. you can go with external application of oils like murivenna, kottamchukkadi tailam or mahanarayana tailam.
Hello sir…..i m experiencing my left eye lower lid twitching since one month….when visited eye doctor,she says its due to stress nd nerves weakness. So kindly suggest me some remedy. .
you can go with ksheerabala 101 capsules. and also can try akshi tharpana therapy by an efficient Ayurveda doctor.
Dear Dr, my left eyelid twitches constantly. My ayur Dr suggested this product (Ksheerabala 101x) to be lightly applied on the eyelid. Would you agree? Thanks very much.
Siva
Dear Dr, could you please give an account about the pathyam (restrictions) to be observed while using this medicine for nervous disorders. both physical and diet vice. Thank you
pathyas are different for different medicine. but sure we will right about it as general.
it may affect your lipid profile if you take it internally. please discontinue it. you can apply the same oil externally over the affected area.
Sir, please suggest for chronics migrain treatment
there are many medicines to treat migraine head ache. please consult an Ayurveda doctor directly so that he could advice you according to the nature of your body and condition of your disease.
it can be used for massaging the head or also dhara, nasya etc which will help to reduce head ache. for the suitable treatment please consult Ayurveda doctor in person.
Can it use for krasha
Sir, we did not get which disease or symptom you are specifying here.
Sir,
Me and my mother were prescribed ksheerabala 101 for different reasons. I was taking because I was diagnosed with chronic fatigue and my mother has vertigo and knee pain. We experience heavy drowsiness after taking the capsule. Sleep is prolonged for over 12 hours. The dosage is 1 capsule after food, with warm water. Will the drowsiness pass over time? Right now she is taking only 1 capsule per day and I have stopped because of this.
Hi, if it is causing drowsiness for 12 hours, then it is better to reduce its dose to just one capsule per day. Try it for 2 weeks time. If there are no improvements, ask your doctor for alternatives.
Hi dr..i have read somewhere that ksheerbala capsule is habit forming. Kindly confirm. Thanks
Hi sir, I am using kshirabala taila for ptosis of left eye. What’s your suggestion’s further. Will this heal ptosis.
Ptosis is very hard to treat with Ayurveda. Ksheerabala taila is useful. Please continue.
Does this oil massage really help in weight gain ?
No madam it doesn’t.
Hello sir is it good ksheerbala 101 for nasya i tried anutailam but no cough came out with ksherrbala 101 quiet cough came out so is it better for nasyam
Hello Sir/ Madam,
I had panchakarma ayurvedic treatment with massage two days ago. The doctor said i have too many problems with circulation and am of kapha type. I enjoyed the treatment and they suggested i need 28 days of treatment. I kept the kshirabala oil on my head, did not wash my hair all day. But in the night i started having hives all over my neck and behind my ears with terrible itching. Now i am in two mins as to whether to continue treatment or not. Please advise.
Thanks, veena