The risk of mosquito-borne diseases increases significantly during the monsoon and the months that follow. From August through October-November, the threat of dengue, malaria, and chikungunya is particularly high in Delhi-NCR and several other states. In a report published earlier we highlighted how dengue is wreaking havoc in regions ranging from Delhi to Gujarat and Tamil Nadu.

Dengue is transmitted through the bite of the *Aedes aegypti* mosquito. The infection can cause symptoms such as high fever, headaches, body and joint pain, and weakness. In severe cases, platelet counts may drop, which poses serious health risks. To find relief from these symptoms, people often resort to taking painkillers or fever-reducing medications available at home.

However, not all painkillers are safe when it comes to dengue. Some medications can interfere with the blood-clotting process and increase the risk of bleeding. Taking the wrong medication can rapidly worsen a patient's condition; this is why health experts strongly advise exercising extreme caution regarding the use of medication during a dengue infection.

Dengue and Its Associated Risks

Health experts note that in severe cases of dengue, platelet counts can plummet rapidly, and complications—such as the leakage of fluids from blood vessels—may occur. In such a scenario, taking the wrong medication can further increase these risks.

It is also important to understand that there is no specific antiviral treatment for dengue. Managing the condition involves ensuring adequate fluid intake and seeking regular medical advice. Doctors emphasize that being cautious about the use of medication is crucial when dealing with dengue.

Let us look at which medications can potentially increase risks if taken during a dengue infection. Risks Associated with Aspirin and Ibuprofen

Health experts explain that medications like aspirin and ibuprofen belong to a group known as non-steroidal anti-inflammatory drugs (NSAIDs). While they help reduce pain and fever, they can affect platelet counts and increase the risk of bleeding.

Aspirin interferes with the functioning of platelets.
NSAIDs, such as ibuprofen and naproxen, can also increase the risk of bleeding in cases of dengue.
Some combination medicines for the common cold may also contain such compounds. Do not self-medicate with these drugs if you suspect you have dengue.
If you are already taking aspirin or blood thinners for an existing medical condition, it is essential to consult your doctor.

What to Do in Case of Pain and Fever?

Paracetamol is used to manage fever and pain in dengue; however, it is still important to seek medical advice regarding its use.

Always take paracetamol strictly as advised by your doctor. Avoid taking multiple medications simultaneously that may contain paracetamol.
Exceeding the prescribed dosage can lead to liver damage.
Do not start taking steroids, antibiotics, or any other medications on your own if you have dengue.

In a previous report, we highlighted a case where an individual passed away due to an excessive intake of paracetamol.

When Should You Be Alert?

Health experts note that, in cases of dengue, the danger often arises when the fever begins to subside. Some patients may develop serious complications during this phase. Therefore, monitor your symptoms closely and consult a doctor immediately if your condition worsens.

Be alert and seek immediate medical advice if you experience bleeding from the nose or gums, or if you notice blood in your vomit or stool. Be alert and contact a doctor immediately if you experience severe abdominal pain or persistent vomiting, accompanied by extreme lethargy, restlessness, or difficulty breathing.

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