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Dosing In Acute Cases: How Often to Take the Remedy and in What Potency?

Hpathy Ezine, January, 2005 | Print This Post Print This Post |

Questions answered about acute prescribing.

This is a tough one because there is no formula per se; nonetheless, we do have a few guidelines: Take the indicated remedy in a 30C potency 3 or 4 times a day for two or three days, and here’s how to do that: 

Drop one or two pellets of the remedy into a small bottle of spring water (pour some of the water off the top first for the sake of succussion), succuss (pound the bottle into your opposite palm) five times before each dose; a dose is a sip; OR, you can pour water into a disposable cup, drop a remedy pellet in, and stir vigorously with a plastic spoon or straw before each dose/sip.  Don’t use the good silverware.  Here is a youtube video showing how to do the things I just described:

(P.S., no need to wait for the pellets to melt before dosing).  

Now, here come all the “buts”!


1. If after an hour or two there is no indication that the remedy has had any effect whatsoever, it’s probably either the wrong remedy or too low a potency.  If you’re pretty sure you have the right remedy and it’s not working, try the 200C.  If the complaint is recent and intense, the correct remedy should work within half an hour and maybe even in less than 15 minutes.  I really hesitate to give a time table.  I remember taking one dose Nat-mur 30C for a painful herpes rash, and I didn’t notice the difference until the next day.  I just don’t think there is a hard-and-fast rule about when you will start feeling better, other than what I said about recent and intense occurrences responding to the remedy rather quickly, sometimes within minutes. 

2. As soon as the remedy starts to work in a significant way, which may be as soon as 5 minutes, Stop Dosing!!!!!  

The homeopathic remedy is like the ignition key that starts your car, once you’re moving there’s no need to start your car again, that’s not going to make it go any faster!

 Unless, of course, you stall; in which case, yes, repeat your remedy.

3. If you’ve taken the remedy and have gotten only slight improvement, continue to dose three or four times a day.  Always succuss the bottle five times before each dose or stir the cup before taking a sip.

4. As I said before, if your complaint has come on suddenly, you should see the remedy work fast.

5. If you’re in a very severe state, don’t think you have to wait 24 hours after a taking a remedy. The acute remedy should work in roughly 15 minutes.  (And the more severe your situation, the more likely you are to need the 200C.  If all you have are 30C’s you might want to think about getting a 200C Emergency Kit and having it ready.)  Let’s take an injury, for example. Within 15 minutes, some relief should be felt, if only in the sense of feeling relaxed and centered.  That’s enough of a sign that the remedy was correctly chosen, is working, and you simply need to wait, don’t repeat it.  Repeat only on an as-needed basis, meaning whenever you start to relapse.

6. Let’s say you’ve had a cold for 2 weeks. We would not expect you to be better in 15 minutes!  This situation is better suited to the “4 times a day for 2 or 3 days” guideline.  Here is a range of responses I get from people who have been helped in this way: “In 6 hours my sore throat was better!” “By the next day I knew I was getting better.” “I only took one dose, because I forgot to take the remedy after that, and the next day I was better anyway, I couldn’t believe it!”

7. Whenever you’re repeating a remedy, it’s OK to take the first dose “dry” (not in water), but try to take subsequent doses in water as explained above. This protects you from accidental “provings” (a kind of aggravation) and accidentally antidoting your remedy.

8. If your symptoms get worse (aggravation) after taking a remedy, don’t despair. This has happened to me.  It only means that the potency was higher than necessary, but the good news is that this is almost always a sign that the remedy chosen was correct and an improvement is sure to follow.  Just make sure you stop taking it!  Give the case about half an hour to settle down and don’t repeat the remedy unless an improvement follows and then relapses.  Don’t repeat the remedy during an aggravation, the aggravation is a sign that the remedy has acted, which is all you can ask of a remedy!  Meanwhile, if an aggravation is troublesome and distressing, you can zap it.  Read “The Aggravation Zapper”, which is here:

9. The wrong remedy: The wrong remedy generally will do absolutely nothing, meaning you’ll have to check your acute prescribing book (like the one below)

and make another choice, or tell your homeopath that the remedy did nothing. However, sometimes the wrong remedy may cause an unsettling feeling, not the same as when the right remedy causes a temporary worsening (aggravation) of the symptoms in the case. The way to antidote any disturbing remedy reaction is to do the Aggravation Zapper (see above).  But remember this, when you say a remedy didn’t “work”, you have to look at your whole case, not just the local complaint.  Are you better mentally and emotionally?  Are you feeling more “centered”, more calm and relaxed?  Then the remedy did work!  You just have to wait and the physical complaint will no doubt follow.

Elaine Lewis

Elaine Lewis, D.Hom., C.Hom. Elaine is a passionate homeopath, helping people offline as well as online. Contact her at Elaine is a graduate of Robin Murphy's Hahnemann Academy of North America and author of many articles on homeopathy including her monthly feature in the Hpathy ezine, "The Quiz". Visit her website at: and


  1. Dr.Md.Kasim S.Shaikhpatil

    October 3, 2012

    useful artical

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