Roshi

Abstract

Menopause is an important physiological process in a female's life. It is not free from different variety of symptoms affecting day to day life. With increasing life expectancy, female spends many years with menopausal symptoms. Having knowledge about these symptoms provides us a guide about treatment for various symptoms to be introduced into postmenopausal health guidelines. Materials and Methods: The present study was undertaken in Medicine OPD of Govt. Medical College Jammu. Total 60 patients were divided into two groups and were given tab gabapentin and nortryptiline. The readings were taken at 0 week, 4 weeks and 8 weeks after noting the demographic profile. Results: Most of the females in both the groups were from rural areas, housewives and with natural menopause. Both the study drug were effective in decreasing the postmenopausal symptoms were none was better than the other. Conclusion: both nortryptiline and gabapentin have potential to be used as drugs in postmenopausal symptoms besides other treatment options. Keywords: Nortryptiline, Menopausal.

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Abstract

Introduction: Hypertension is a common chronic health condition, very common globally. It is associated with many complications. Different treatment options are available for hypertension which, may be in the form of medicines, meditation, yoga, salt restriction and dietary change. A medication’s success in producing the desired benefit depends on a person’s adherence with the therapeutic regimen. The World Health Organization (WHO) describes poor adherence as the most important cause of uncontrolled blood pressure and estimates that 50% of people do not take their antihypertensive medication as prescribed. Objectives of this study were to assess the adherence to antihypertensive therapy and also to elicit the determinants of poor adherence among hypertensives in Indian population. Materials and Methods: An observational, cross-sectional, descriptive study was conducted among hypertensive patients attending the OPD during the study period in Govt. Medical College, Jammu, India Results: Total 130 hypertensive patients were included in study. Out of 130 patients 76(58.46) were females and rest 54(41.53%) were males. Out of 130 patients, 80(61.53%) patients were taking multiple drug therapy and 50(38.46%) patients were taking monotherapy. Only 30(23.07%) patients were using antihypertensive medicine regularly while rest 100(76.92%) patients were irregularly using the medicines. Different patients expressed different reasons for not taking the medicines regularly. 12% of the patients said that lack of money to buy medicine was the reason for not taking it regularly, another 11% said that dissatisfaction with the treatment was the reason for same, 13% experienced side effects and said that is the reason for irregular use of medicine, 6% said busy schedule is the reason for the same. 10% of the patients said disbelief in efficacy of drug was the reason for irregular use, another 10% were using alternative therapy for same purpose and irregularly used the drug. 15% of the patients told polypharmacy was the reason, 7% of the patients told that they don’t think it’s important to take medicine and 2% said that the same salt of medicine is sometimes unavailable in the market and they miss their daily dose of drug. Conclusion: Advocacy of adherence to antihypertensive drugs should be inculcated in each and every hypertensive patient along with regular and uninterrupted drug supply and high quality health care service in all health care organisations where health education and counselling gets the highest priority. Keywords: Hypertension, Adherence, Antihypertensive drugs.

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