Ayurvedic management of adverse drug reactions with Shvitrahara Varti
A 58-year-old, male patient visited the out-patient department (OPD) of Rasa Shastra and Bhaishajya Kalpana during the month of November, 2012 presenting with symptoms of non-segmental vitiligo spreading over elbow and knee joint. History revealed that patient is non-hypertensive, non-diabetic and did not have any symptoms of endocrinal or immunological disorders. He worked in brass industry for the last 5 years and retired recently. On analysis, his Prakriti is found to have Pitta dominance. The lesions were non-itchy without any discharge.\nPatient was prescribed Shvitrahara Varti [] as a local applicant along with internal drugs []. It is advised to convert Varti into a paste by levigating in the presence of Gomutra and apply as a thin layer over the affected area (elbow and knee) followed by exposure to sun rays in the morning.\nAfter three consecutive topical applications, patient started feeling a burning sensation over the parts affected. Burning sensation became intense followed by pain, blister formation and mild inflammation. He stopped application of Shvitrahara Varti from day 3. On consecutive days, the blisters became extensive, dark red in color with purple margins and the blisters bursted of their own with watery discharge. Patient attended the OPD for treatment on 7th day [].