Self-medication is defined as the use of medications to treat self-diagnosed disorders or symptoms, or the intermittent or ongoing use of a prescribed substance for chronic or recurrent diseases or symptoms. Despite its many advantages, self-medication increases the risk of drug abuse and addiction. It also obscures the signs and symptoms of underlying disorders, aggravating the situation, causing treatment resistance, and delaying diagnosis. The aim of this study is to investigate the perception of self-medication practices among general population and to assess the pattern, influencing factors and commonly preferred drug for self-medication. A crosssectional study was conducted online among general population. Data were collected using a self-administered questionnaire and analyzed using Microsoft excel. Descriptive statistical methods, frequencies, mean, standard deviations and percentages were used to summarize the data. A total of 504 respondents participated in the study. Fever 361 (72%) headache 318(63.6%), and cough and cold 311(62.2%) were the most common symptoms for which self-medication was practiced. Analgesics and antipyretics were the most common group of drugs opted for self-medication by the respondents. Convenient and easy to buy (21.8%) followed by low cost (20.2%) and previous experience of treating a similar illness (15.6%) were found to be the purpose of self-practicing of medication. Self-medication is a common practice among general population. The study results revealed that, the safety aspects among the general population were found to be good. The attitude on self-medication practice depends on their knowledge which was found to be good and the practice was fair enough towards self-medication.

Neuromyelitis Optica spectrum disorder (NMOSD), also known as Devic disease, is a chronic disorder of the brain and spinal cord dominated by inflammation of the optic nerve (optic neuritis) and inflammation of the spinal cord (myelitis). We present the case of a 25-year-old female patient who presented with complaints of lower back ache, decreased vision and double vision, generalized body pain, neck pain and vomiting. On examination, Extraocular Movement (EOM) showed right gaze restriction with nystagmus; her serum Neuromyelitis Optica (NMO) result was positive; and her MRI showed lesions in the brain. Insight of her presenting illness and investigations, she was successfully treated with IV steroids, plasmapheresis, and immunosuppressive therapy and was neurologically stable. We present this rare case to clinically enlighten the diagnosis and treatment of NMOSD.