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1.
Pak J Pharm Sci ; 32(1(Supplementary)): 339-343, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30829213

RESUMO

Cough is the common disease condition which affects patients of every age. Numerous OTC medications available in community pharmacies however no antiviral treatment and even antibiotics has been shown to be effective without pre-existing lung infection. The treatment approach of medicinal herbs has been recognized for many decades and even longer for the treatment and prevention of cough. The aim of this study was to evaluate the safety and efficacy of Mukalbion poly herbal chewable tablets for the treatment of cough with improved palatability against a marketed brand (Poly herbal). For the formulation development of test group, the herbs were supplied by the Procurement department of Herbion Pakistan Pvt. Ltd. Althea officinalis (roots), Hedera helix (leaves) and Sisymbrium irio (seeds) were used for the manufacturing of Mukalbion (poly herbal, test group) chewable tablet. The comparative control clinical trial was carried out during a time frame of 07 months with sample size of 70 patients as per epidemiological software for sample size and each group contained 35 (±5) patients. Chewable tablets were administered and evaluated for effectiveness after 15 days of treatment. The data were collected by the patients through clinical trial questionnaire. The validated quality of life questionnaire (LCQ) was also used for assessment. The results were analyzed by applying paired sample T test by using IBM SPSS version 20.00. The p value was <0.005 at 95% confidence interval for cough variables including cough bouts, viscosity of sputum, chest congestion, sore throat and shortness of breath. The LCQ cough scale score was higher in test group as compared to control group. The test group also showed well tolerated in term of palatability. None of the patient claimed any of the side effects and no compliance were observed against the marketed brand.


Assuntos
Antitussígenos/farmacologia , Tosse/tratamento farmacológico , Preparações de Plantas/farmacologia , Adolescente , Adulto , Antitussígenos/efeitos adversos , Criança , Feminino , Humanos , Masculino , Mastigação , Pessoa de Meia-Idade , Preparações de Plantas/efeitos adversos , Comprimidos , Paladar , Resultado do Tratamento
2.
Pak J Pharm Sci ; 31(6 (Supplementary): 2635-2638, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30587472

RESUMO

Free radicals are partially reduced form of metabolites of Nitrogen and Oxygen. These are highly reactive and potentially toxic compounds which are contributing factors in different chronic disease. The present study was aimed to determine antioxidant capability and reducing ability of coded polyherbal capsules (Arthitec 1 & Arthitec 2). DPPH (2,2'-diphenyl-1-picryl hydrazyl) assay is most commonly used method for gauging antioxidant capability of natural compounds. In this assay DPPH act as stable free radical which react with an antioxidant. For measuring reducing ability suspected antioxidant react with ferric tripyridyltriazine (Fe3± TPTZ) complex and convert ferric into ferrous. Results are evident that both capsule formulations Arthitec 1 & Arthitec 2 have promising antioxidant activity and reducing potential. Antioxidant potential of both coded capsules with varied concentrations (10, 50 and 100 µg/ml) were compared and in both cases scavenging activity and as well as reducing ability raised in a dose dependent manner just like standard Butylated hydroxyanisole (BHA).


Assuntos
Antioxidantes/isolamento & purificação , Antioxidantes/farmacologia , Extratos Vegetais/isolamento & purificação , Extratos Vegetais/farmacologia , Antioxidantes/metabolismo , Cápsulas , Relação Dose-Resposta a Droga , Avaliação Pré-Clínica de Medicamentos/métodos , Sequestradores de Radicais Livres/isolamento & purificação , Sequestradores de Radicais Livres/metabolismo , Sequestradores de Radicais Livres/farmacologia , Radicais Livres/antagonistas & inibidores , Radicais Livres/metabolismo , Extratos Vegetais/metabolismo , Preparações de Plantas
3.
Pak J Pharm Sci ; 31(1(Suppl.)): 291-297, 2018 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-29386156

RESUMO

Plasmodium falciparum is the most well-known reason for extreme and life-debilitating malaria. Falciparum malaria causes more than 1 million deaths annually. Malaria remains a noteworthy reason for major morbidity and mortality in the tropics, with Plasmodium falciparum accountable for the mainstream of the disease weight and Plasmodium vivax being the geologically greatest broadly dispersed cause of malaria. The controlling of severe malaria comprises quick direction of suitable parenteral anti-malarial agents and initial acknowledgement and treatment of the complications. This clinical trial was piloted in 100 patients, in which 50 received the test drug (Malarina) and 50 received the control drug (Quinine Bisulphate). The age range of patients was 12 years to above 50 years. The sample paired t-test was applied to evaluate the significant level. Malarina was very effective in treating malaria sign and symptoms. The new treatment Malarina was safe and well tolerated in all patients.


Assuntos
Antimaláricos/uso terapêutico , Malária Falciparum/tratamento farmacológico , Preparações de Plantas/uso terapêutico , Adolescente , Adulto , Antimaláricos/efeitos adversos , Criança , Feminino , Cefaleia/tratamento farmacológico , Humanos , Malária Falciparum/etiologia , Masculino , Pessoa de Meia-Idade , Mialgia/tratamento farmacológico , Náusea/tratamento farmacológico , Preparações de Plantas/efeitos adversos , Quinina/uso terapêutico , Resultado do Tratamento , Vômito/tratamento farmacológico
4.
Pak J Pharm Sci ; 31(1): 69-73, 2018 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-29348086

RESUMO

The aim of study is to establish pharmaceutical equivalence of different brands of Metformin tablets available in Karachi, Pakistan. The quality control parameters which are studied are weight variation test, hardness test, thickness, friability, disintegration and dissolution specified by BP/USP (British and United State Pharmacopoeia). Weight variation and hardness value requirement was complied by all brands. Disintegration time for all brands was within range i.e. 15 minutes and also complies with the BP/USP recommendation. All brands showed more than 90% drug release within forty five minutes. The present conclusion suggests that almost all the brands of Metformin that are available in Karachi meet the specification for quality control analysis. Assay performed by HPLC by keeping flow rate of 1.0 ml/min of the mobile phase and the quantitative evaluation at 225 nm was performed. The retention time of Metformin was found to be 2.5min. Method suitability for the quantitative determination of the drugs was proved by validation according to the International Conference on Harmonization (ICH) guidelines.


Assuntos
Hipoglicemiantes/química , Hipoglicemiantes/normas , Metformina/química , Metformina/normas , Estabilidade de Medicamentos , Dureza , Testes de Dureza , Humanos , Paquistão , Controle de Qualidade , Solubilidade , Comprimidos , Equivalência Terapêutica
5.
Pak J Pharm Sci ; 31(6 (Supplementary): 2679-2682, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30587479

RESUMO

The highly oriented modern detection techniques provide a precise and definite tool for investigation in natural medicines. Current study directed the standardization of eminent biomarker Vasicine in a natural cough syrup. A highly accurate and precise method of High-performance thin layer chromatography (HPTLC) has been developed to certify the quantity of vasicine inside the syrup. Ethyl acetate, chloroform, ethanol and ammonia (6:3:1: 1 v/v) were mobile phase for the study. The TLC plate silica gel G60F254 was used with CAMAG Scanner III and CAMAG Linomate 5. The detected Rf value was 0.51 in both sample and reference standard at 254 nm. International conference of Harmonization (ICH) guidelines were followed for the validation of the developed method. Linearity was achieved in the range of 200µg to 1600µg with co-efficient correlation r2=0.9995. Accuracy was found in between 98.9 to 101.4% however precision was good at both inter and intra-day. As per the standardization of ICH, the developed method was found to be reproducible and showed sharp similar peak with high resolution.


Assuntos
Alcaloides/análise , Antitussígenos/análise , Densitometria/normas , Compostos Fitoquímicos/análise , Quinazolinas/análise , Alcaloides/química , Antitussígenos/química , Cromatografia Líquida de Alta Pressão/métodos , Cromatografia Líquida de Alta Pressão/normas , Cromatografia em Camada Fina/métodos , Cromatografia em Camada Fina/normas , Densitometria/métodos , Compostos Fitoquímicos/química , Quinazolinas/química , Padrões de Referência
6.
Pak J Pharm Sci ; 31(5(Supplementary)): 2033-2040, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30393209

RESUMO

Interminable arthritis issue, for example, osteoarthritis (OA) and rheumatoid arthritis (RA) have in like manner an upsurge of aggravation, and oxidative anxiety, bringing about dynamic histological modifications and incapacitating indications. As of now utilized allopathic prescription (extending from painkiller executioners to natural operators) is intense, yet regularly connected with genuine, even dangerous symptoms. Utilized for centuries in customary herbalism, restorative plants are a promising option, with bring down rate of unfavorable occasions and productivity every now and again tantamount with that of traditional medications. In any case, their instrument of activity is as a rule smooth and additionally indeterminate. Despite the fact that a large number of them have been demonstrated powerful in ponders done in vitro or on creature models, there is a shortage of human clinical proof. This clinical trial was conducted at Liaquat National Hospital, Karachi, Pakistan. This was a single blind, placebo control phase II clinical trial. Total 200 patients were enrolled in the study, in which 110 received the CartiNovex plus tablet and 90 received the placebo. The age range of patients was 40 years to above 70 years. The sample paired t-test was applied to evaluate the significant level. Different parameters like pain on sitting or lying, morning stiffness, pain on walking, stiffness in sitting, lying or resting later in the day, getting on/off toilet, light domestic duties (such as tidying room, dusting, cooking), WOMAC score % were tested for both group i.e. CartiNovex plus group and placebo group in all parameters CartiNovex plus show significant improvement in all parameters. CartiNovex plus tablet was very effective in the management of OA and RA. The CartiNovex plus tablet was safe and well tolerated in all patients and side effects are non-significant.


Assuntos
Antirreumáticos/uso terapêutico , Artrite Reumatoide/tratamento farmacológico , Osteoartrite/tratamento farmacológico , Preparações de Plantas/uso terapêutico , Adulto , Idoso , Antirreumáticos/farmacologia , Artrite Reumatoide/diagnóstico , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Osteoartrite/diagnóstico , Medição da Dor/efeitos dos fármacos , Medição da Dor/métodos , Preparações de Plantas/farmacologia , Método Simples-Cego , Comprimidos , Resultado do Tratamento
7.
Pak J Pharm Sci ; 31(1): 137-141, 2018 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-29348095

RESUMO

Sensitive, simple, reliable and rapid HPLC technique for the estimation of simvastatin (SMV) and cetirizine has been designed in this study. The chromatographic conditions were set using Shimadzu LC-10 AT VP pump, with UV detector (SPD-10 AV-VP). System integration was performed with CBM-102 (Bus Module). Partitioning of components was attained with pre-packed C-18 column of Purospher Star (5 µm, 250 x 4.6 mm) at ambient conditions. Injected volume of sample was 10 µl. Mobile phase was composed of 50:50 v/v ratio of Acetonitrile/water (pH 3.0 adjusted with ortho-phosphoric acid) having 2 ml/minutes rate of flow. Compounds were detected in UV region at 225 nm. Percent Recovery of simvastatin was observed in the range of 98-102%. All results were found in accept table range of specification. The projected method is consistent, specific, precise, and rapid, that can be employed to quantitate the SMV along with cetirizine HCl. It was estimated by 3 successive cycles of freeze and thaw stability. Results of FT samples were found within accept table limits the method was developed and validated in raw materials, bulk formulations and final drug products.


Assuntos
Cetirizina/análise , Sinvastatina/análise , Tecnologia Farmacêutica/métodos , Cetirizina/química , Cromatografia Líquida de Alta Pressão , Estabilidade de Medicamentos , Limite de Detecção , Estrutura Molecular , Reprodutibilidade dos Testes , Sinvastatina/química , Comprimidos , Tecnologia Farmacêutica/instrumentação
8.
Pak J Pharm Sci ; 31(6 (Supplementary): 2617-2622, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30587469

RESUMO

Ivy leaf is used for the treatment of respiratory diseases with the intensive mucus formation, respiratory infections, and irritating cough coming from the common cold. Conferring to clinical trials, the efficacy, and tolerability of ivy leaf is good. The main compounds accountable for biological activity are triterpene and saponins. Ivy leaves show convulsive/antispasmodic, anti-inflammatory, antimicrobial, analgesic, anthelmintic and anti-thrombin activity. Not only ivy but also marshmallow and mustard seeds are used for these indications. This study was conducted to evaluate the efficacy and safety of Cough (EMA; European Medicines Agency) granules used for upper respiratory disorders. This clinical trial was conducted on 150 patients, out of which 75received the Cough (EMA) granules and 75received the placebo. The age range of patients was 3 years to above 15 years. The sample paired t-test was applied to evaluate the significant level. Cough (EMA) granules were found effective in the treatment of cough, cold, and flu symptoms. The new treatment Cough (EMA) granules were safe and well tolerated in patient at given specific age group. The study recommends that Cough (EMA) granules can be used effectively in the treatment of upper respiratory tract infection.


Assuntos
Althaea , Tosse/tratamento farmacológico , Hedera , Extratos Vegetais/uso terapêutico , Infecções Respiratórias/tratamento farmacológico , Adolescente , Criança , Pré-Escolar , Tosse/diagnóstico , Feminino , Humanos , Masculino , Extratos Vegetais/isolamento & purificação , Infecções Respiratórias/diagnóstico , Método Simples-Cego , Resultado do Tratamento
9.
Pak J Pharm Sci ; 30(3(Suppl.)): 961-966, 2017 May.
Artigo em Inglês | MEDLINE | ID: mdl-28655692

RESUMO

The aim of the study is to determine the efficacy of polyherbal linkus with the other pharmaceutical marketed syrup having Acefyllin Piperazine, Diphenhydramine group and Aminophylline Diphenhydramine group on the basis of interquartile ranges on children. It was open label multi centric randomize control trial. The study was conducted on different private schools of East and West Malir, Karachi Pakistan with the special approval from the school's honors .informed consent and assents were taking before the enrollment of the study subjects .The study enrolled participants were 147 who evaluate on cough. Participants were divided into 3 interventional group according to the treatment regimen .One group of participant received Linkus Syrup however the 2nd group received Acefyllin Piperazine and 3rd group received Aminophylline Diphenhydramine group. The frequency of the cough on linkus syrup was considered to be achieved on the basis of interquartile relationship and impact has been observed on child and parent sleep and found significant (p <0.01).Poly herbal Linkus Syrup has the significant impact on cough frequency and associated problem on children and parent's sleep with minimum side effects (p<0.01) however the pharmacological treatments are considered to be more unwanted effects on human subjects.


Assuntos
Antitussígenos/uso terapêutico , Tosse/tratamento farmacológico , Extratos Vegetais/uso terapêutico , Aminofilina/administração & dosagem , Aminofilina/uso terapêutico , Antitussígenos/administração & dosagem , Antitussígenos/isolamento & purificação , Criança , Difenidramina/administração & dosagem , Difenidramina/uso terapêutico , Feminino , Humanos , Masculino , Paquistão , Extratos Vegetais/isolamento & purificação , Índice de Gravidade de Doença , Comprimidos , Resultado do Tratamento
10.
Pak J Pharm Sci ; 30(1): 49-54, 2017 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-28603112

RESUMO

The hepatitis B is most prevalent diseases (along with morbidities) in Asian countries. This research study has been conducted to provide an alternative treatment which is safe, effective and cost-effective to comprehend relations of disease, symptoms, patients response and the clinical response via better management of hepatitis B. The goal of this research is to evaluate efficacy and safety of herbal medicine as compared to allopathic medicine in patients suffering from hepatitis B. This was a single blind, randomized controlled clinical trial conducted at Shifa-ul-Mulk Memorial Hospital Hamdard University, Karachi and Dar ul Shifa Unani Dawakhana Karachi, Pakistan. The patients of both genders ranging from 25 to 50 years with symptoms and diagnosed for hepatitis B that fulfilled the criteria for membership, and consented for participation were registered. Ethical committee clearance and permission was obtained from the concerned committee at Faculty of Eastern Medicine, Hamdard University, Karachi, Pakistan. No significant difference was identified after treatment and it was found that the efficacy of Alpha (Control drug) is same as Safoof akseer e jigar (Test drug). The data offered support to the null hypothesis and therefore research hypothesis was rejected. According to the statistical analysis by chi square, hepatitis B was recorded as negative in 26 patients (57.77%) out of 45 patients by the use of Interferon Alpha (control therapy) and in 27 patients (64.28%) out of 42 patients by the use of Safoof akseer e jigar (test drug). Comparison of the data recorded of the patients was determined as both drugs showed significant improvement and p value>0.05. The efficacy response is equal in both drugs while test drug showed more safety response. It is concluded that Safoof akseer e jigar possesses as effective a therapeutic value in treating hepatitis B as allopathic medicine.


Assuntos
Antivirais/uso terapêutico , Hepatite B/tratamento farmacológico , Interferon-alfa/uso terapêutico , Preparações de Plantas/uso terapêutico , Adulto , Antivirais/efeitos adversos , Biomarcadores/sangue , Feminino , Hepatite B/sangue , Hepatite B/diagnóstico , Humanos , Interferon-alfa/efeitos adversos , Masculino , Pessoa de Meia-Idade , Paquistão , Fitoterapia , Preparações de Plantas/efeitos adversos , Plantas Medicinais , Método Simples-Cego , Equivalência Terapêutica , Fatores de Tempo , Resultado do Tratamento
11.
Pak J Pharm Sci ; 30(1 Suppl): 289-293, 2017 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-28625956

RESUMO

Benign prostatic hyperplasia (BPH) is a disease of senile age, usually occurring> 60 years of age. BPH is a disease that involves cell proliferation of the prostate. Pathological hyperplasia affects the elements of the glandular and connective tissue of the prostate. This study is designed to scrutinize the efficacy and tolerability of herbal drug Anti BPH capsule for the management of benign prostate hyperplasia (BPH), in this study we select the 100 patients in which 50 received the Anti BPH capsule and 50 received the Terazosin HCl. We use the American Urological Association BPH Symptom Score Index Questionnaire to measure the quality of life of the patients. We compare the before treatment and after treatment results for each symptom. We record the following symptoms, incomplete emptying of bladder, Frequency, Intermittency, Urgency, Weak stream, Straining, Nocturia and weight of prostate gland by USG. We compare the both drug by using paired sample t-test. The level of significance of incomplete emptying of bladder before treatment and after treatment is 0.013 in test group and 0.032 in control group. Similarly the level of significance of Frequency before treatment and after treatment in test groups in, intermittency, Urgency, Weak stream, staining, Nocturia and mean weight of prostate gland are 0.007, 0.015, 0.044, 0.012, 0.017, 0.004 and 0.020; where as in control group afford as 0.031, 0.044, 0.044, 0.032, 0.024, 0.009 and 0.035 respectively. The herbal drug Anti BPH capsule is more effective in the treatment of BPH than Allopathic medicine Terazosin HCl.


Assuntos
Cápsulas/uso terapêutico , Extratos Vegetais/uso terapêutico , Preparações de Plantas/uso terapêutico , Prazosina/análogos & derivados , Hiperplasia Prostática/tratamento farmacológico , Adulto , Idoso , Idoso de 80 Anos ou mais , Humanos , Masculino , Pessoa de Meia-Idade , Prazosina/uso terapêutico , Próstata/efeitos dos fármacos , Qualidade de Vida , Inquéritos e Questionários
12.
Pak J Pharm Sci ; 30(1): 195-198, 2017 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-28603131

RESUMO

The antipyretic effect of the aqueous extract of herbal coded formulation containing equal amount of Salix alba, Emblica officinalis, Glycyrrhiza glabra, Adhatoda vasica, Viola odorata, Thea sinensis, Veleriana officinalis, Foeniculum vulgare, Sisymbrium irrio and Achillea millefolium was investigated using the yeast induced pyrexia model in rabbits. Paracetamol was used as a control group. Rectal temperatures of all rabbits were recorded immediately before the administration of the extract or paracetamol and again at 1 hour, after this, temperature was noted at 1 hrs interval for 5 hrs using digital thermometer. At 240mg/kg dose the extract showed significant reduction in yeast-induced elevated temperature as compared with that of standard drug paracetamol (150mg/kg). It is concluded that herbal coded medicine at a dose of 240mg/kg has marked antipyretic activity in animal models and this strongly supports the ethno pharmacological uses of medicinal plants of this formulation.


Assuntos
Antipiréticos/farmacologia , Regulação da Temperatura Corporal/efeitos dos fármacos , Febre/prevenção & controle , Extratos Vegetais/farmacologia , Acetaminofen/farmacologia , Animais , Antipiréticos/isolamento & purificação , Antipiréticos/toxicidade , Modelos Animais de Doenças , Feminino , Febre/microbiologia , Febre/fisiopatologia , Dose Letal Mediana , Masculino , Fitoterapia , Extratos Vegetais/isolamento & purificação , Extratos Vegetais/toxicidade , Plantas Medicinais , Coelhos , Fatores de Tempo , Leveduras
13.
Pak J Pharm Sci ; 30(2(Suppl.)): 591-596, 2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-28650326

RESUMO

The cough and cold are very widespread conditions and a common purpose for advice in general practice. Utmost often the sign and symptoms of cough are produced by acute viral airway infection and the course is frequently benign. But it can be converted into bacterial super-infection and can cause acute bronchitis. Herbal medicines are used to treat symptoms of the cough and cold, and among these medicines Ivy leaf is used to treat mucous discharge and irritation in throat due to the cough and cold. In addition to synthetic substances such as acetylcysteine, carbocisteins, ambroxol and bromhexine, herbal medicines contain saponins, which are used in these indications. Not just Ivy, but also the marshmallow and mustard seeds used for these indications. This clinical trial was conducted in 220 patients, in which 110 receive the CofNovex plus European Medicines Agency (EMA) syrup and 110 receive the placebo. The age range of patients was 3 years to above 15 years. The sample paired t-test was applied to evaluate the significant level. CofNovex plus (EMA) syrup was very effective in treating cough and cold symptoms. The new treatment CofNovex plus (EMA) syrup was safe and well tolerated in patient at given specific age group.


Assuntos
Althaea , Brassicaceae , Tosse/tratamento farmacológico , Hedera , Fitoterapia/métodos , Extratos Vegetais/uso terapêutico , Preparações de Plantas/uso terapêutico , Adolescente , Antitussígenos/administração & dosagem , Antitussígenos/efeitos adversos , Antitussígenos/uso terapêutico , Criança , Pré-Escolar , Feminino , Medicina Herbária , Humanos , Masculino , Extratos Vegetais/administração & dosagem , Extratos Vegetais/efeitos adversos , Preparações de Plantas/administração & dosagem , Preparações de Plantas/efeitos adversos , Método Simples-Cego
14.
Pak J Pharm Sci ; 29(3 Suppl): 1027-32, 2016 May.
Artigo em Inglês | MEDLINE | ID: mdl-27383495

RESUMO

To evaluate the safety and efficacy of Linkus, Aminophylline with Diphenhydramine group and Acefyllin Piperazine with Diphenhydramine cough syrup on children having cough and sleep difficulty associated with cough. To determine the effects of Linkus polyherbal syrup (group A) and compared with other parallel allopathic groups (Group B and C) for cough on children and associated sleep quality and improvement. 360 children having cough inducted in 3 different groups randomly selected. Three parallel groups were the part of the study. The first study group was the herbal syrup Linkus, second group of children were taking a syrup of multinational pharmaceutical industry having Aminophylline plus Diphenhydramine however the third group received another famous brand having Acefyllin Piperazine with Diphenhydramine. Informed assent and informed consent have taken from the study subjects and their parents. Subjects with acute cough were included in the study however the subjects with chronic cough considered to be excluded. Every group of individual in the study was informed about the investigational drugs provided. Ethnic groups, frequency of cough and diseases illness (<0.05) were determine on every group on the investigational syrup. Cough impact on child and its sleep of three different syrups (every group) were assessed on day1 and day 14(p<0.001) via a likert scale. For the evaluation of pain assessment Wong baker face scale were used and level of significance in each group (p<0.001). Significant results were observed in the Linkus Group as compared to the other parallel groups including Aminophylline plus Diphenhydramine and Acefyllin Piperazine with Diphenhydramine on day 14 (p<0.001). Side effects on group B and group C (Aminophylline with Diphenhydramine and Acefyllin Piperazine with Diphenhydramine) were almost similar in number however Linkus syrup has minimum side effects on study duration. Polyherbal syrup Linkus shows better results in treatment of cough including side effects as compare to the other parallel groups B and C (Aminophylline with Diphenhydramine and Acefyllin Piperazine with Diphenhydramine). For nocturnal sleep Linkus providing better results in cough and associated problems. Pain were significantly reduce on day 14 with the herbal Linkus syrup group A (<0.001). Group B and C found less effective with more side effects as compared to Linkus syrup. Poly herbal Linkus syrup could substantially improve the clinical effect and relieves coughs and benefit lung functions and better sleep facilitation.


Assuntos
Aminofilina/uso terapêutico , Antitussígenos/uso terapêutico , Broncodilatadores/uso terapêutico , Tosse/tratamento farmacológico , Difenidramina/uso terapêutico , Hipnóticos e Sedativos/uso terapêutico , Faringite/tratamento farmacológico , Transtornos do Sono-Vigília/tratamento farmacológico , Sono/efeitos dos fármacos , Teofilina/análogos & derivados , Fatores Etários , Aminofilina/efeitos adversos , Antitussígenos/efeitos adversos , Broncodilatadores/efeitos adversos , Criança , Pré-Escolar , Tosse/complicações , Tosse/fisiopatologia , Difenidramina/efeitos adversos , Quimioterapia Combinada , Feminino , Humanos , Hipnóticos e Sedativos/efeitos adversos , Masculino , Paquistão , Faringite/etiologia , Faringite/fisiopatologia , Transtornos do Sono-Vigília/etiologia , Transtornos do Sono-Vigília/fisiopatologia , Teofilina/efeitos adversos , Teofilina/uso terapêutico , Fatores de Tempo , Resultado do Tratamento
15.
Pak J Pharm Sci ; 29(6): 1937-1943, 2016 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-28375108

RESUMO

Nausea and vomiting is the common problem disturbing almost 80% of the females in initial three months of conception and later sometime throughout pregnancy. To find out the efficacy and safety of herbal coded test drug Gingocap in comparison with the control drug Pyridoxine, a randomized clinical case control study was conducted at the OPD of Yusra Medical Centre, Karachi and Amir Habib Medical Center and Maternity Home, Karachi. After administration of test and control drug the frequency of nausea and vomiting was noted after every 2 weeks on 2nd, 4th, 6th and 8th weeks during 60 days of the course of study. The percentage of reduction of nausea and vomiting symptoms from the baseline in cases treated with test Gingocap compared to control drug Pyridoxine was recorded. Overall 35 and 30 patients were administered Gingocap and Pyridoxine between 6-16 weeks conception respectively. The data analyzed through T-test using SPSS version 18.0. It was concluded that Gingocap has the potential to relieve the symptoms of nausea and vomiting and exhibited no side effects and this drug was acceptable by maximum number of the patients.


Assuntos
Antieméticos/uso terapêutico , Êmese Gravídica/prevenção & controle , Extratos Vegetais/uso terapêutico , Piridoxina/uso terapêutico , Zingiber officinale/química , Adulto , Idoso , Antieméticos/efeitos adversos , Antieméticos/isolamento & purificação , Feminino , Humanos , Pessoa de Meia-Idade , Êmese Gravídica/diagnóstico , Paquistão , Fitoterapia , Extratos Vegetais/efeitos adversos , Extratos Vegetais/isolamento & purificação , Plantas Medicinais , Gravidez , Piridoxina/efeitos adversos , Rizoma/química , Fatores de Tempo , Resultado do Tratamento
16.
Pak J Pharm Sci ; 29(1): 157-64, 2016 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-26826829

RESUMO

The wide spread reason of anemia is Iron deficiency in Pakistan and even worldwide. A clinical trial was undertaken to assess the efficacy of Irocbin formulation for the treatment of iron deficiency anemia as compared to Sherbat Faulad. The curative evaluations of these medicines were recorded in clinically and biochemically identified cases of iron deficiency anemia. The therapeutic evaluation of the different drugs both test and control drug were conducted on the bases of improvement in the subjective signs and symptoms, clinical observations and biochemical investigations at periodic intervals during the course of therapy. This data was collected in the period November 2010 to November 2012 and completed the clinical trials. According to the statistical analysis comparison of data recorded by patients concerning to different variables, showed significant results between test and control groups (p<0.05). By applying ANOVA test, the p values for multiple comparisons of the levels of improvement of Hemoglobin after treatment exhibited significant difference as compared Sherbat Faulad and Irocbin. The control drug Sherbat Faulad with only iron component improves Hemoglobin level and the sign and symptoms but associated with side adverse effects.


Assuntos
Anemia Ferropriva/tratamento farmacológico , Fitoterapia , Anemia Ferropriva/sangue , Ferritinas/sangue , Humanos , Fitoterapia/efeitos adversos
17.
Pak J Pharm Sci ; 29(6 Suppl): 2349-2353, 2016 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-28167477

RESUMO

The current randomized clinical trial was conducted to assess the safety and effectiveness of Entoban for treating patients of chronic diarrhea. The study enrolled 150 patients fulfilling the inclusion criteria, among them 95 were males and 55 were females. Written informed consent was obtained from all study participants. Metronidazole tablets (400 mg) were used in a control group for 7-10 days. The test group received Entoban capsule 400mg every 8 hours for five days. Primary outcome of the study was daily bowel frequency evaluation; the secondary outcome was evaluation of clinical symptoms including abdominal pain, distention, stool consistency and sensation of incomplete evacuation. The study is registered at (https://register.clinicaltrials.gov) having registration number NCT02642250. In an intention-to-treat (ITT) analysis, it has been observed that 39(84.78%) in test group and 37(78.72%) in control group showed complete improvement. Participants in the test group exhibited a marked reduction in symptoms; the symptom score was decreased from 3 (maximum) to 1 (minimum) or 0 (absent) in most of participants. Major difference was observed regarding side effects reported between two treatment groups (p value <0.0001). Entoban possesses considerable therapeutic efficacy for the treatment of chronic diarrhea analogous with the conventional Metronidazole therapy.


Assuntos
Antidiarreicos/uso terapêutico , Defecação/efeitos dos fármacos , Diarreia/tratamento farmacológico , Metronidazol/uso terapêutico , Extratos Vegetais/uso terapêutico , Preparações de Plantas/uso terapêutico , Adolescente , Adulto , Antidiarreicos/efeitos adversos , Criança , Doença Crônica , Diarreia/diagnóstico , Diarreia/fisiopatologia , Feminino , Humanos , Masculino , Metronidazol/efeitos adversos , Paquistão , Extratos Vegetais/efeitos adversos , Preparações de Plantas/efeitos adversos , Fatores de Tempo , Resultado do Tratamento , Adulto Jovem
18.
Pak J Pharm Sci ; 29(4 Suppl): 1379-82, 2016 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-27592475

RESUMO

To estimate the effects of using hormonal contraceptives on serum lipoprotein levels. Lipid profile was measured at baseline and afterward at 3, 6, 9 and 12 months. 1391 Pakistani females taking COCs, DMPA, or non hormonal (NH) contraceptives. The results were calculated by repeated measure ANOVA subsequent to tukey's post hoc test for the multiple comparisons. Statistical examination revealed that differences in lipid profile were significant (p <0.001) among all treated group in comparison with control. DMPA also caused significant rise in Castelli index-I and Castelli index-II as compared to COCs group and control group. This study demonstrated raise in total cholesterol (TC) and triglycerides (TG) as well as very low density lipoprotein (VLDL-C) and low density lipoprotein cholesterol (LDL-C). Whereas, an obvious decrease was observed in high density-lipoprotein cholesterol (HDL-C) in the DMPA-treated group. We concluded that, this inductive study specifies atherogenic cardiovascular risk in women using DMPA on long term basis.


Assuntos
Anticoncepcionais Orais Hormonais/efeitos adversos , Lipídeos/sangue , Adulto , Estudos de Casos e Controles , Colesterol/sangue , HDL-Colesterol/sangue , LDL-Colesterol/sangue , VLDL-Colesterol/sangue , Feminino , Humanos , Medroxiprogesterona/efeitos adversos , Pessoa de Meia-Idade , Estudos Prospectivos , Triglicerídeos/sangue , Adulto Jovem
19.
Pak J Pharm Sci ; 29(4 Suppl): 1443-9, 2016 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-27592478

RESUMO

Type 2 diabetes mellitus (T2D) is a chronic metabolic disease regarded as insulin resistance and progressive failure of ß cells. Beta cells secretagogues are useful to reach satisfactory glycemic control. Glimepiride is a second-generation sulfonylurea excites pancreatic beta cells to discharge insulin. Glimepiride may be safer to use in patients with cardiovascular disease due to lack of destructive effects on ischemic preconditioning. It is effective in dropping fasting plasma glucose (FPG), postprandial glucose and glycated hemoglobin levels and is a useful and cost-effective option treatment for the management of T2D. Total 40 patients were selected from OPD setting at RSNPMTS Endocrinology center Ministry of Health Republic of Uzbekistan, and corresponding to criteria for inclusion / exclusion. 10 patients with T2D switched from receiving other forms of Glimepiride (Amaryl) on an identical dose of GlucoNovax in combination with biguanides (Metformin) denoted as group 1. At the same time the dose of biguanides (Metformin) was not altered for the period of the study. 10 patients with T2D switched from receiving other forms of Glimepiride (Amaryl) on an identical dose of GlucoNovax denoted as group 2.10 patients with T2D switched to the drug GlucoNovax from the drug Glibenclamide denoted as group 3. The control group received monotherapy with Amaryl it consist of 10 patients with T2D denoted as group 4. The severity of diabetic complaints in patients receiving the combination drug GlucoNovax with metformin significantly decreased by the end of the observation period and had an inclination to reduction in the 2nd and 3rd groups, along with the control group. 30 patients, receiving the drug Gluco Novax, 7 achieved blood glucose level parameters that corresponding to the high effectiveness of the drug (4 of them from 1st group (GlucoNovax+ Metformin), 1 in the 2nd group, 2 in the 3rd group). 6 patients achieved blood glucose levels parameters, meeting the criteria of moderate effectiveness of the drug (4 of them from 1st group, 1 patient in the 2nd and 1 patient in the 3rd groups). The given result may be, associated with initially high levels of compensation of carbohydrate metabolism, as well as a more effective influence on combination treatment with Metformin. The drug GlucoNovax appears to be an effective hypoglycemic agent in the treatment of T2D with good tolerability.


Assuntos
Diabetes Mellitus Tipo 2/tratamento farmacológico , Hipoglicemiantes/uso terapêutico , Adulto , Idoso , Glicemia/análise , Diabetes Mellitus Tipo 2/psicologia , Quimioterapia Combinada , Feminino , Glibureto/administração & dosagem , Glibureto/efeitos adversos , Glibureto/uso terapêutico , Humanos , Hipoglicemiantes/administração & dosagem , Hipoglicemiantes/efeitos adversos , Masculino , Metformina/administração & dosagem , Metformina/efeitos adversos , Metformina/uso terapêutico , Pessoa de Meia-Idade , Qualidade de Vida , Compostos de Sulfonilureia/administração & dosagem , Compostos de Sulfonilureia/efeitos adversos , Compostos de Sulfonilureia/uso terapêutico , Comprimidos , Resultado do Tratamento
20.
Pak J Pharm Sci ; 29(5 Suppl): 1749-1753, 2016 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-28476697

RESUMO

Antioxidants are used as an influential counteractive measure in opposing the generation of reactive oxygen species. The current study was carried out to investigate antioxidant potential and reducing capability of developed weight reducing tablet formulation. When tablets were evaluated at concentrations of 50, 100 and 500µ/ml, antioxidant activity improved in a dose depending way just similar to standard Butylated hydroxyl anisol (BHA). For evaluation of reducing ability the formulation under test evaluated at concentrations of 50, 100 and 500µ/ml and it was observed that formulation contain good reducing capability and possess considerable activity to scavenge super oxide radicals. In-vitro analysis of weight reducing tablets formulation showed considerable antioxidant and reducing capacity that will be supportive in averting the development of a variety of oxidative stress-related diseases.


Assuntos
Fármacos Antiobesidade/farmacologia , Antioxidantes/farmacologia , Comprimidos , Técnicas In Vitro
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