A comparison of four analgesics in post-episiotomy pain.

This study was conducted to compare the analgesic efficacy of four commonly used analgesics namely ibuprofen, analgin, paracetamol and aspirin in post-episiotomy pain. The subjects were healthy postpartum women on the obstetric service of Goa Medical College, each of whom received only one experimental medication. Subjective reports were used as indices of pain intensity or relief. Ibuprofen was found to be the most effective analgesic in post-episiotomy pain followed by analgin and paracetamol in that order. Surprisingly, aspirin was found to be no better than placebo.

Dual action of zinc on ileal smooth muscle--zinc-calcium interaction.

Effect of zinc sulphate was studied on histamine-induced contractions on guinea-pig ileum. In doses of 1.72 X 10(-7)M or less no effects were observed. Zinc sulphate in doses of 3.44 X 10(-7)M, 6.88 X 10(-7)M and 1.72 X 10(-6)M produced dual effect. Short exposure of tissue for 10 min to zinc sulphate resulted in significant dose dependent potentiation of histamine effect whereas after washing the tissue of zinc sulphate, histamine response was inhibited significantly and in a dose dependent manner. Higher concentrations of zinc sulphate of 3.44 X 10(-6)M and above produced irreversible inhibition of histamine response. The above observations have been explained in terms of zinc-calcium interaction. It is hypothesized that interaction of zinc with calcium may take place extracellularly at membrane level and intracellularly.