Pharmacologic misuse for spiritual gain

Ali Niksirat,1,* Abdolreza ghoreishy,2 Mehdi maghbooli,3 Masoudasadi khiavi,4

1. Internist, Tehran University of Medical Sciences
2. Department of Neurology, School of Medicine, Zanjan University of Medical Sciences
3. Department of Neurology, School of Medicine, Zanjan University of Medical Sciences
4. Department of Pharmacotherapy, School of Pharmacy, Zanjan University of Medical Sciences



Muslim women have not opportunity to perform religious rituals during their menstrual period. however, some of them use oral contraceptive pills (ocp) to holdup menstruation and it gives rise to the brain thrombosis particularly cerebral venous-sinus thrombosis (cvst). this study was been designed to evaluate the brain thrombosis among muslim women


This cross sectional study was conducted on 32 female cvst patients admitted in a university hospital in zanjan province of iran from august 2010 (ramadan 1431 in islamic calendar) to september 2011(ramadan 1432), including two consecutive ramadan. the history of ocp consumption and the quantity of estrogen (ethynil estradiol) in last used ocp pack(remaining pills at the time of admission) were be highlighted to discover using high-performance liquid chromatography (hplc) to make the issue more clear


Of 32 admitted cvst patients, 27 cases had a history of ocp consumption. a total number of 24 cases claimed low dose (ld) pills use and analysis of last used ld pills by mentioned patients revealed standard amount of ethynil estradiol in pills that used by participants except of one case


Accumulation of cvst rate among muslim women despite of using standard contraceptive products for delay of menstruation should considered as a case of drug abusing. it strongly recommends that women should avoid the use of ocps to delay menstruation


Brain thrombosis, oral contraceptives, estrogen