It’s important to decide the correct dosage for Pilex tablets based on your specific situation. Typically, for adults, the prescribed dosage can range from two to four tablets per day, usually taken after meals. However, it seems you might need something a bit more tailored, given you’re still experiencing discomfort.
In Ayurveda, the key is understanding your body constitution, or prakriti, alongside any imbalances in the doshas, particularly pitta and kapha, which are often associated with inflammatory and digestive conditions like piles. You mentioned having a fiber-rich diet, which is great for managing piles. Ensure you’re maintaining regularity without straining, as this is crucial in Ayurvedic management of such conditions.
Before increasing your dosage to three tablets, I’d recommend assessing other areas that might contribute to your symptoms. Are you stressed or rushing meals, as these can aggravate doshas? Practices like regular exercise and adequate hydration support doha balance and may influence how the body is reacting to treatment.
It might be a good idea to review this with your healthcare provider—particularly an Ayurvedic practitioner—who can assess whether upping the dose is appropriate, or whether other supportive treatments are needed. They might suggest localized treatments or other herbal formulations to balance your agni, or digestive fire, to help resolve this root cause, rather than just masking the symptoms.
Don’t push too quickly to increase dosage without checking in with a professional because overuse might not be beneficial, and monitoring for potential side effects is wise as well. Priority is to find a sustainable treatment that aligns with your whole body function and supports long-term healing.


