Background: Adverse drug reactions (ADRs) are most common among cancer patients receiving treatment. AC therapy which is a combination protocol of Adriamycin (doxorubicin) and Cyclophosphamide are the common therapies used for breast cancer treatment due to their effectiveness and cost of therapy breast cancer. AC combination is administered every 3 weeks, and 4 cycles are given. Objectives: To assess various ADRs reported by patients on AC combination therapy and their severity to ensure safe and effective treatment. Design: Prospective observational. Setting: Cancer hospital Jamshoro Pakistan. Patients and Methods: A hospital based observational study included 160 female patients suffering from breast cancer and receiving AC combination for treatment by purposive sampling method from June 2015- January 2018 at cancer hospital Jamshoro Pakistan. ADRs reported were compared against international standard references of drug literature such as British National Formulary (BNF) 2017 and ADR severity assessment scale (Modified Hartwig and Siegel scale). Main Outcome Measures: Frequency and severity of ADRs. Results: The common ADRs reported were, nausea and vomiting, acidity, fatigue, hair fall as common non-hematologic and leukopenia among hematologic ADRs. Those patients reported high severity ADRs according to severity scale persist for longer duration and required antidote for management with medical intervention. Conclusion: The present study shows that a patient’s response towards AC therapy is critical and therefore each patient must be monitored and those at high risk of developing ADRs from this therapy must be provided additional care.

Aims: The purpose of this study was to examine level of awareness about proper disposal of unused medicine. It is a growing problem. People directly dispose unused medicines into waste or flush into sink. Finally, these improperly disposed medicines mix with wastewater leach out into sea water, ground water, drinking water and effect human and other forms of life and develop microbial resistance and accidental poising and various societal repercussion. Confusion exists in people about proper disposal of unused medicine. Despite of already available guidelines people very rarely follow proper disposal methods. Particularly in developing countries situation is very alarming. It is well established fact that knowledge and level of awareness play pivotal role for practice of proper disposal methods. Study Design: This study was a descriptive cross-sectional study. Methodology: This study was conducted in Nawab Shah and its vicinities: Sakrand, Kaziahamed, Bachalpur, during September 2019 to May 2020. The number of participants were included in the study according Slovin's Formula. The simple random sampling method was used to select participants. The level of awareness about proper disposal of unused medicine of 400 participants was assessed through a well-designed questionnaire. The questionnaires were distributed to the participants at their homes with the help of volunteers. The descriptive statistics were analyzed through latest version of MS excel 2016. Results: Out of 400, 320 (80%) of the participants admitted have no knowledge for proper disposal of unused medicines. 185 (46.25%) of the participants viewed throwing unused medicines into waste was correct. Whereas 176 (44%) of the participants believed improperly thrown medicines has no effect on environment. Conclusion: The level of knowledge about proper disposal of unused medicine was found very low in study participants. It is suggested government should incorporate guidelines about the harmful effects of improper disposal of unused medicines in curriculum at primary level of education.

Objective: The primary focus of this research is to ascertain that these different generic drug products from national and multinational companies competing in the local market are equivalent in quality. Material and Methods: A comparative quality analysis was executed on national and multinational brands of glimepiride tablets obtained from local pharmacies of Hyderabad. A cumulative of 6 glimepiride brands were selected and internationally accepted in-vitro tests were carried out at Industrial pharmacy laboratory of Department of Pharmaceutics, Faculty of Pharmacy, University of Sindh, Jamshoro, during time period August 2021 to August 2022 to compare with Pharmacopoeia standards. Results: All the drug products (Glimepiride tablets) obtained from local market were meeting the standards laid by BP for tests of weight uniformity, diameter, thickness, hardness, friability, disintegration, and content uniformity/assay. Conclusion: Every generic of glimepiride tablets from various local and multinational manufacturers are pharmaceutical equivalents and can be prescribed interchangeably. Keywords: National, International, Brand, Glimepiride, Quality, Pharmaceutical Equivalents

A fast, simple and valued method is developed to observe the quality and quantity of different pharmaceutical brands of cefixime. A spectrophotometric method has been developed for analysis of cefixime (CFX) by reacting with 4-dimethylamino benzaldehyde (DAB) as derivatizing agent. The molar absorptivity of CFX-DAB, newly synthesized derivative was calculated as 3.2 x 105 L.mole-1cm-1 and λ maximum was 393 nm. The calibration curve was developed in range of 5-25 µg.mL-1as this concentration followed beers law. The derivatization reaction is stable and didn’t show any difference in absorbance with radiation interaction for up to one day. The percentage recovery of CFX was checked and calculated in different pharmaceuticals was within 95 to 99.5% with RSD value calculated in between RSD 0.69-0.96% (n=3), respectively. This newly developed and validated procedure was proved to be accurate and precise for the analysis of CFX. This method was successfully applied to check amount of CFX from 7 different brands of pharmaceutical preparations commercially available in Pakistan.

Metal oxide nanoparticles have found numerous applications in different fields. In this paper, the preparation of nickel oxide nanostructures is given. The nanostructures were synthesized by using the hydrothermal method. The characterization was done with X-ray diffraction (XRD) and scanning electron microscopy (SEM). The newly synthesized nanostructures were utilized as a modifier of the working electrode, i.e., glassy carbon electrode (GCE). The modified GCE exhibited an excellent response towards methotrexate (MTX) anticancer drug. The modified GCE, as compared to bare GCE, showed an increased response towards MTX. In this study, BrittonRobinson buffer (BRB) was selected as a supporting electrolyte having pH 5. By using electrochemical impedance spectroscopy (EIS), the method was found linear in the range of 5-40 µM with a limit of detection and quantification values of 2.4 µM and 7.28 µM, respectively. The method developed by this way was successfully applied for the analysis of MTX from injection formulations. The interference studies were also carried out to check the method's selectivity.