Tiktakam Kashayam is an Ayurvedic medicine used to treatment of skin diseases and blood detoxification. It is herbal decoction. It is also available in Kashayam tablet form. 
Tiktakam kashayam benefits:
It is used in skin diseases like herpes, psoriasis, infective skin conditions, dermatitis, abscess, sinuses.
It is also used to treat fistula tracts, non healing wounds.
It is used in infection of digestive system.
It is also used to treat leucorrhoea.
Burning sensation in stomach, thirst, giddiness, anemia and insanity.
Doctors also prescribe this for the treatment of Hemorrhoids, especially when there is infection.
Tiktakam kashayam Side effects:
There are no known side effects of this medicine.
People with diabetes should take this medicine under medical supervision.
Tiktakam kashayam dosage: 
This medicine is formulated based on the herbs of a ghee preparation called as Tiktakam ghritam.
5 – 10 ml, before food, or on empty stomach, once or twice a day or as directed by Ayurvedic doctor.
If the kashayam is concentrated, then it needs to be mixed with equal quantity of water and should be taken.
Kashayam tablet dosage is – 2 tablets 2 times a day before food or as directed by doctor.
Adjuvant:Honey or Katukarohini (Picrorrhiza kurroa)
Tiktakam Kwatham ingredients:
Herbal decoction is prepared from 10 grams of each of
Patola – Trichosanthes cucumerina
Nimba – Neem – Azadirachta indica
Katuka – Picrorhiza kurroa
Darvi – Berberis aristata
Patha – Cyclea peltata
Duralabha – Tragia involucrata
Parpata – Fumaria indica
Trayamana – Gentiana kurroo
Musta – Cyperus rotundus
Bhunimba – Andrographis paniculata
Kalinga – Holarrhena antidysenterica|
Kana – Long pepper – Piper longum
Chandana – Sandalwood – Santalum album