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Homeopathic Dosing & Posology:

Excerpts from a 7-part series

I was inspired to this series of blog posts by a recent extended email dialog I had with a patient. This patient not only asked me to answer several detailed questions around the specifics of homeopathic dosing called posology, but also indicated specifically that they wished me to answer by email, rather than by phone or in person, such that they could save my responses for future reference.

As I typed on and evening faded into morning, I ended up asking a few questions of my own:
  1. What if all my patients have similar questions that go unasked?
  2. Why not present all of this in a public forum for everyone's future reference!
Keep the following principle in mind throughout the following discussion - you're an individual, so you naturally need individualized treatment, and that extends to dosage frequency, timing, and effects. Thus, the simple fact is that neither of us can know when - or even if - you need to redose the remedy until you've taken it and experienced any changes (or lack thereof).

Consequently, none of the following generic guidelines are universally applicable, and the need for an individualized dosing schedule cannot be overemphasized. Please do not take these guidelines as gospel.

With that caveat in mind:  

1) How often should I be taking my remedy? Hourly? Daily? Weekly?

In general, if you're improving with the remedy, no more doses are needed

In general, the only times when you'd need to re-dose are:

1. If you felt you were getting better since taking the remedy, but now feel that either no more changes are occurring, or that you are actually slipping back toward the same state of dis-ease. For example,
if your chief complaint begins to improve gradually but continually for several weeks after you take the first dose, but then begins to get worse again, you'd need to take another dose. If it at this point again starts to improve, then wait.

2. If you've not felt any change (positive or negative) in any area of your life. "Change" can really be anything, some examples of common reactions being increased sleep quality, emotional catharsis (outburst or upheaval, followed by increased sense of peace), skin eruptions, increased urine or stool volume resurfacing of old concerns or interests, and naturally any shift in your chief complaints. If you don't notice any of these, your subconscious may simply need another reminder of the message that the remedy provides, so we might want to give it a gentle nudge with another dose. I'd wait for at least a week after the first dose before doing this, however, as the changes can occur quite gradually. Again, don't take another dose if you feel things are "changing".  Also, make sure to consider the opinions of people around you, as well as weird synchronicities that seem to occur in your life, when evaluating "changes".  It's like when you see a casual acquaintance that you don't often bump into, and they say something like, "wow, you've lost weight", or "I like your new look" ... when you hadn't even noticed your gradual - but, over time, significant - weight loss or changing fashion sense!

3. You're having an acute attack of your chief complaint, and you haven't yet taken the remedy. I do not advise you to discontinue any drugs you were prescribed without the consent of the prescribing physician. However, with that caveat in mind, please try to take your homeopathic remedy without the interference of Tylenol, Aspirin, or another acute suppressive drug you might normally use in this type of scenario. A suppressive drug can generally be identified by the prefix anti (anti-inflammatory) or an (analgesic = no pain) in that it stops a natural body process from occurring.  Suppressive drugs work to suppress the body's natural reaction, while the remedy works to make your body more aware of this reaction. Once your subconscious is aware of the problem, it is able to direct energy towards solving the problem. The only reason the problem is even there is because the conscious can experience it, while the subconscious cannot, so the pain is consciously experienced without the reason for the pain being subconsciously addressed and solved. 

My case experiences support the belief that a good homeopathic prescription can act through almost any degree of suppression, although the response may be at a slower pace.

Aggravations may occur during the initial stages as the person works through suppression, which I have approximate at 10% in my clinic. The aggravation appears as the chief complaint briefly worsens, while the body becomes more aware of symptoms and finds ways to handle them. After this short initial response, the progress shows increased improvements. Many people become tired and sleepy, with increased vivid dreams as a first response to a well chosen remedy.

4. You're having an acute attack of your chief complaint, and you've taken the remedy one or more times, but feel it has produced only very minor changes, or none at all, please wait at least a few minutes between doses to give your body a chance to experience a change. In my experience, typically the more acute something comes on, the faster it should respond to a remedy and leave. If you've had a chronic condition of gradual onset since childhood, I wouldn't be expecting sudden rapid changes, but instead equally gradual, long-term healing. Basically, the only danger with redosing too often is that you'll push the healing too quickly, which is one of the reasons someone might have a slight aggravation.

It's like when you bump your arm and get a bruise, with the associated inflammation and swelling. On one hand, it's extremely important for that inflammation and swelling to occur, since the inflammatory process is really the same thing as the healing process. On the other hand, if you were to take the homeopathic remedy and eliminate any of these suppressive agents, you would likely start to see the problem resolve as rapidly as it potentially could. Of course, under the stimulation of the homeopathic remedy, and without the suppressive agents there to mask the problem, this healing process might create a bit of an 'inflammation' because it is simply healing so fast. If you were then to push this healing process even further by taking repeated doses (even though your systems were already reacting as fast as they could), you could essentially 'force' the body to heal faster than is humanly possible, thereby creating more inflammation and aggravation. I often find that a truly well-prescribed homeopathic can completely eliminate the pain and speed up the healing process, and that the ideal remedy can be repeated as often as is desired without any ill effect.

In homeopathy, like everything else in life, some level of moderation is important. If you're healing has already been stimulated and is moving along smoothly, there's probably no need to take another dose.


The Homeopathic Treatment of Depression and Anxiety

and Other Mental and Emotional Problems

by Judyth Reichenberg-Ullman and Robert Ullman

Homeopathic medicine is often able to help even the most severe cases of mental illness, as convincingly demonstrated by the popular and respected homeopathic doctors Judyth Reichenberg-Ullman and Robert Ullman in this book. They show alternatives to the widely used antidepressants, which often have side effects, and which are unable to satisfactorily resolve the underlying problems.
Using examples from their own practice, they describe impressive long-term, successful treatments for depression, anxiety, bipolar disorder, and other types of mental illness.
Homeopaths will also find this book, a revision of Prozac Free, exceptionally helpful as the authors present many unusual remedies such as Bismuth, Chocolate, and Hydrogen. Psychiatrists, psychologists, and other therapists can find here a truly promising alternative to the use of conventional psychopharmaceuticals.
A book to inspire and motivate.


“I know Judyth and Robert Ullman as my colleagues, and as very experienced and dedicated homeopaths, well-grounded in classical homeopathy, and very open to the recent advances in the system.
They are also very good writers, give a true picture of the process of homeopathic treatment, and of how it is effective in mental and emotional problems. I recommend this book to all those who are interested in homeopathy and health.” ~ Rajan Sankaran


“A must-read for anyone who is considering antidepressant medication.” ~ Jennifer Jacobs, M.D., MPHH, Past President, American Institute of Homeopathy, co-author of “Healing with Homeopathy”


“The authors give hope to patients and families searching for a natural alternative to antidepressant drugs.”
~ Roger Morrison, M.D., Author of the “Desktop Guide” and “Desktop Companion”

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Comment by Dr. Ghanshyam Kalathia on August 19, 2011 at 7:16am

Very very informative study of posology.

I'm practicing sensation method of Dr.Rajan Sankaran so usually I decide the dose according to patient's level of experience. But I believe your understanding and mine had not many difference.

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