Women reported a significant improvement in sexual function 4 months after surgery for incontinence and prolapse.

Chawla, et al.: Drug Utilization Study of Psychotropic DrugsAvailability and utilization of a wide variety of psychotropic drugs is associated with a wide spectrum of adverse drug reactions. To ensure the rational use of psychotropic drugs, it is imperative to monitor their pattern of use. The present study mainly focuses on the pattern of utilization of psychotropic drugs among psychiatric outpatients in a tertiary care hospital. A hospital based cross sectional study was carried out in the psychiatry outpatient department from January to December 2012. A total of 600 cases were studied. Demographic and drug related information was collected. With respect to the psychotropic drug utilization, sedative-hypnotics (42.9 %) were the most commonly prescribed group of psychotropic drugs followed by antidepressants (31.8 %), antipsychotics (19.6 %) and mood stabilizers (5.6 %). Among the sedative hypnotics, clonazepam (51.1 %) and amongst antidepressants, sertraline (28.9 %) and fluoxetine (17.3 %) were the most frequently utilized. The prescription of atypical antipsychotics like risperidone (41 %) and olanzapine (39.8 %) was predominant (95.4 %) over the typical ones. Valproate (54.7 %) was observed to have surpassed the use of lithium (32 %) as a mood stabilizer in bipolar disorders. A substantial increase in the use of anticonvulsants as mood stabilizers was observed. The use of the psychotropic drugs for different indications was in accordance to the current recommendations and guidelines. Newer drugs were being prescribed more often as compared to the conventional medications owing to their better safety and tolerability profiles. The psychotropic drug use in the health facility was a combination of rational and effective practice.

A study was conducted to gather data regarding drug buying practices in Delhi to compare the same in rural pharmacies in surrounding area. A cross sectional study was conducted as exit interviews using pretested Performa with customers visiting randomly selected pharmacies of Delhi and rural Haryana. Out of 280 consumers interviewed 140 belonged to urban areas and 140 to rural areas. In both areas male and younger consumers are significantly high. Most consumers in both set ups took medication after physician’s prescription in comparison to self medication. Source of information for self medication was media in urban and friends in rural areas. Alteration in brand name was more in rural areas. Antimicrobials and NSAIDs in rural areas and drugs for cardiovascular diseases and oral hypoglycemic drugs in urban areas are major purchased drug groups. [Int J Basic Clin Pharmacol 2013; 2(3.000): 326-329

Reports on advice about exercise for women with hypertensive disorders of pregnancy are reviewed and how exercise could influence long-term cardiovascular risk is assessed. Exercise in pregnancy seems to be beneficial in pregnancies complicated by hypertension. However, the intensity of the exercise to be recommended remains unclear. Further research is required to inform national and international guidelines for women who develop hypertension during pregnancy.

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