Objective:To compare the pattern, efficacy, and tolerability of self-medicated drugs and to assess the adequacy of their dose in primary dysmenorrhea (PD).Materials and Methods:A survey using a self-developed, validated, objective, and structured questionnaire as a tool was conducted among subjects with PD. Statistical analysis was carried out using Chi-square test and ANOVA with post-hoc Tuckey's test.Results:Out of 641 respondents, 42% were self-medicated. The pattern of drugs used was: Dicyclomine, an unknown drug, mefenamic acid, mefenamic acid + dicyclomine, and metamizole by 35%, 29%, 26%, 9%, and 1% of respondents, respectively. Mefenamic acid + dicyclomine, the combination was the most efficacious in comparison to other drugs in moderate to severe dysmenorrhea. There was better tolerability with mefenamic acid + dicyclomine group compared to other drugs. Sub-therapeutic doses were used by 86% of self-medicating respondents.Conclusions:The prevailing self-medication practices were inappropriate in a substantial proportion of women with inadequate knowledge regarding appropriate drug choice, therapeutic doses, and their associated side effects.

Wastewaters from the dye baths of a non-formal textile-dyeing unit containing C.I. Acid Orange 7 and C.I. Reactive Red 2 were subjected to degradation in a sequential anaerobic-aerobic treatment process based on mixed culture of bacteria. The technical samples of the dyestuffs and the dye bath wastes were treated in an anaerobic reactor, using an adapted mixed culture of anaerobic microorganisms. The dyestuffs were biotransformed into colourless substituted amine metabolites in the reactor. The biotransformation was assisted by co-metabolic process. The amine metabolites did not undergo further degradation in the anaerobic reactor. The effluent from the anaerobic reactor was treated in an aerobic rotating biological contactor and the amine metabolites were found to undergo complete mineralization. This two stage treatment resulted in 94% elimination of dissolved organic carbon. In addition, 85% of organic nitrogen was converted into nitrate in the aerobic reactor during nitrification process.

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