Knowledge, attitude and practice of pharmacists and health-care workers regarding oral contraceptives correct usage, side-effects and contraindications

Despite the success of the Iranian family planning programme, the number of unwanted pregnancies remains high. To investigate whether health workers in Tabriz are providing correct information and counselling about OCP use, the current study was planned to examine the level of knowledge, attitude and practice of OCP providers. A sample of 150 health-care workers in health houses and 150 community/hospital pharmacists answered a questionnaire about knowledge of correct use of OCP, side-effects, contraindications, danger signs/symptoms and non-contraceptive benefits, and whether they counselled patients about these subjects. Knowledge of pharmacists and health workers was not as high as expected and in many topics they were counselling patients even when they had incorrect knowledge and in other areas they were not providing information to patients despite having the correct knowledge. Better continuing education for OCP providers and especially for pharmacists seems necessary

influence of active transport systems on morphine -6-ghicuronide transport in MDCKII and MDCK-PGP cells

Morphine-6-glucuronide [M6G] is a potent metabolite of morphine which has high penetration into the brain despite its high polarity, which could be the result of an active transport system involved in M6G transport through blood brain barrier. Examples of such transporters are p-glycoprotein [POP], probenecid-sensitive transport mechanism, multidrug resistance related protein 1-3, the organic anion transporter family, and the organic anion transporter polypeptide family. The aim of present study was to elucidate the mechanisms involved in transporting morphine's potent metabolite, M6G. M6G permeability via two cell lines; MDCKII and MDCK-PGP, was compared with that of sucrose. M6G transport was examined in different concentrations and in the presence-of inhibitors of different transport systems such as cyclosporine, digoxin and probenecid. M6G concentration was measured using ELISA assay. The method was sensitive, reliable and reproducible. The results confirmed that M6G could cross a layer of MDCK II or MDR-PGP cells more than sucrose could. It was also observed that M6G is a PGP transporter substrate. Its permeability was increased by the use of a PGP expressed cell line, and also in the presence of a strong PGP inhibitor. Digoxin related transporters such as Oatp2 may also involved in transport of M6G. M6G seemed to be a glucose transporter 1 substrate, but was not a substrate to probenecid sensitive transporters. It is concluded that different transporters are responsible for M6G transports via different membrane, which could have effects on its pharmacokinetics or pharmacodynamics

Beliefs and practices of Iranian pregnant mothers regarding vitamins and minerals

The objective of this descriptive study was to examine the vitamin and mineral supplements safety beliefs and practices of Iranian pregnant women. Data were collected from 400 randomly chosen women. More than 50% of the participants believed that taking vitamins and minerals during pregnancy was safe; 87% reported taking iron during pregnancy; of which 71.7% reported their doctor as the main recommender; 21.8% reported first trimester as the most beneficial time for iron supplementation, 13.0% second trimester and 3.0% third trimester. Although an appropriate intake of vitamins and minerals can assure health in pregnancy, excess can be harmful. Educational programmes for women of childbearing age are necessary

Patients' report of statins use and side-effects in a sample of hospitalized cardiac patients in the Islamic Republic of Iran

We aimed to study the prevalence of the side-effects of statins among Iranians patients admitted to a cardiac-specialized hospital and had taken statins prior to hospitalization. Data was collected between September 2007 and March 2008 and 200 patients were enrolled. A questionnaire was completed using the patients' records and by interviewing the patients. The mean age of the participants was 61.5 [SD 12.3] years and 63% were males. The most commonly used statins was atrovastatin [99% of the patients]. In all, 63.5% of the participants reported experiencing side-effects due to statins. The reported side-effects were respiratory [4%]] and gastrointestinal effect [18.5%], headache [16.5%], rash [0.5%] and allergic reactions [5%]; 9.5% reported muscle-related side-effects such as myalgia. Although, the clinical benefits outweigh the small risk of liver failure and myopathy, clinicians should be aware of the side-effects of statins