Development of microparticles and microparticulated tablets containing piperine

Abstract Piper nigrum (black pepper) is used in Indian traditional medicine and its main alkaloid, Piperine (PIP), presents antioxidant, antitumor and neuroprotective pharmacological properties. This substance is insoluble in aqueous media and can irritate the gastrointestinal tract. Aiming to avoid these inconvenient characteristics and enable PIP oral administration, this study suggested the PIP microencapsulation through the emulsion-solvent evaporation method and the preparation of microparticulated tablets by direct compression. An UV-spectroscopy method was validated to quantify PIP. Microparticles and microparticulated tablets were successfully obtained and the microparticles exhibited excellent flow. The scanning electron microscopy images showed that PIP microparticles were intact after compression. The in vitro release showed a controlled release of PIP from microparticles and PIP microparticles from tablets in comparison to PIP and PIP tablets. The release profiles of PIP microparticles and the microparticulated tablets were similar. Therefore, tablets containing PIP microparticles are promising multiparticulated dosage forms because a tablet allows microparticles administration and the intact ones promote a controlled release, decreasing its irritating potential on the mucosa.

A brief illustration of the official national standards for the safe use of cupping therapy (Hijama) in Saudi Arabia.

Cupping therapy (Hijama in Arabic) is a popular traditional treatment especially in Asia, the Middle East and Central Europe. Traditionally, cupping therapy has been one of the most used practices in Saudi Arabia. Standardization of the practice of cupping therapy is a very important step to eliminate or reduce any adverse events related to cupping. This article gives a brief illustration and highlights the important points of the first accredited Saudi Arabian standards for the safe use of cupping equipment and its applications.

Plantas do Gênero Xylopia: Composição Química e Potencial Farmacológico / Plants of the Xylopia Genus: Chemical Composition and Pharmacological Potential

RESUMO A família Annonaceae possui representantes de grande interesse medicinal e o gênero Xylopia é um dos que merecem destaque. Composta por aproximadamente 160 espécies distribuídas na América do Sul, América central, África e Ásia, as espécies desse gênero podem ser arbustivas ou arbóreas. No Brasil são encontradas nas regiões Norte, Nordeste, Centro-Oeste e Centro Sul. Este gênero produz uma variedade de metabólitos incluindo alcalóides, amidas, lignóides, acetogeninas e terpenóides e têm sido investigados como fonte potencial de acetogeninas, compostos esses que apresentam uma ampla variedade de propriedades biológicas com destaque para: citotóxica, antitumoral, antiparasitária, antimicrobial, inseticida e antimalarial. Neste estudo, efetuou-se uma revisão das principais espécies de Xylopiaencontradas no Brasil, já estudadas e descritas na literatura, abordando os aspectos químico-farmacológicos, destacando os constituintes químicos isolados bem como a ação farmacológica evidenciada.

ABSTRACT The family Annonaceae has representatives of great medical interest, and the Xylopia species deserves attention. The Xylopia genus is composed by approximately 160 species, with geographic distribution in tropical and subtropical regions of America, Africa and Asia. This genus can present shrubs or trees. In Brazil, they can be found at the North, North-west, Central-West and Central-South Regions. The phytochemical investigations resulted mainly in the isolation of alkaloids, diterpenos, quinolines and acetogenins, with the latter presenting very interesting biological properties such as the cytotoxic, antiprotozoal and the insecticide activities.This study aimed to review the botanical, chemical and pharmacological aspects of the Xylopia genus found in Brazil, highlighting the chemical components, as the well-known pharmacological effect .

A tale of Persian cupping therapy: 1001 potential applications and avenues for research.

Cupping therapy (CT) is one of the oldest medical techniques available, and is still used in several cultures instead of or as an adjunct or complement to 'western academic' medicine. Moreover, CT (wet or dry) is claimed to have therapeutic effects in many types of disorders which do not fully respond to conventional medicine or for which no effective treatment is available. However, no recent reviews of the clinical practice of cupping are available to the best of our knowledge. We describe the applications of CT as used in Traditional Iranian Medicine (TIM). Several databases were searched for relevant literature. In addition, we studied the main traditional treatises on TIM regarding the history and practice of CT. Information about current practices was obtained from a systematic survey among practitioners. Our results suggest that CT is currently prescribed for up to 120 diseases and disorders that are difficult to treat, including cutaneous (21.7%), musculoskeletal (15%), and central nervous system (13.3%) disorders. Moreover, TIM treatises note 25 specific sites on the body surface which correspond to certain diseases, and on which wet-cupping therapy has therapeutic effects. Additional clinical studies of CT may lead to findings on new therapeutic methods and may shed light on mechanisms of disease and illness that are not fully understood in conventional medicine.

Hijamat in traditional Persian medicine: risks and benefits.

Traditional Persian medicine is based on humoral medical concepts. In the case of abundant blood in the body, tabi'at (body nature) deals with this imbalance by elimination of the morbid substances via some controlling mechanisms. If tabi'at could not react properly, the physician should prescribe an intervention to let the extra blood out. This can be done through phlebotomy, wet cupping, and the use of leech or scarification of the ears. Cupping with scarification may eliminate the morbid substance through the scarified skin, and cupping without scarification evacuates the morbid materials from the compromised organs. Wet cupping in health state is meant to be applied for preventing the blood humor dominance in susceptible individuals. In disease condition, wet cupping is defined as a treatment in which the patients confront the abundance of blood. Wet cupping may have harmful complications in extremely thin or obese patients. Wet cupping should be postponed in patients compromised by diseases especially in the thick phlegm abundance. In Asia, Iranian people, because of religious beliefs, are very interested in cupping therapy. Many unsupervised cupping procedures are performed in Iran, whereas benefits and risks of these procedures are undetermined by providers and clients. In this study, the most important indications and contraindications of wet cupping have been reviewed based on the traditional Persian medicine resources.

Armenian bole: a historical medicinal clay.

The medical use of earths and minerals is probably as old as the history of mankind. Particular types of clays and earths are still being used worldwide as therapeutic agents in the folk medicine of different countries. From the 19th century, the medicaments included in countries' pharmacopeias whose exact pharmacological activity or the chemistry of their active components was not known gradually decreased in number, despite their popularity among patients. With today's analytical armamentarium it may be time to reconsider returning some of those compounds to pharmacopeias. By using modern techniques in the past two decades, researchers have studied the active components of healing clays and their pharmacological properties. Many of them possess valuable therapeutic properties which could be used in modern medicine in pharmaceutical dosage forms. Our knowledge about the medical substances that our ancestors used through centuries could be used today as an evidence base for further clinical and pharmacological research. One of these substances is Armenian bole. In this work we studied the historical perspective of its therapeutic use in different countries. Also a sample sold in the market in Iran was purchased and X-ray diffraction analysis was performed on it to find out its chemical composition.

Estudo Etnobotânico de plantas medicinais utilizadas pela Comunidade do Sisal no município de Catu, Bahia, Brasil / Ethnobotanical study of medicinal plants used by the Sisal Community in the city of Catu, Bahia, Brazil

A utilização de plantas medicinais é instintiva nos animais, visto que alguns destes buscam raízes, cascas, folhas ou frutos na tentativa de resolver seus males. O homem, por sua vez, aprendeu a utilizar estas informações empiricamente para fazer uso destes vegetais. A medicina popular é uma importante alternativa, provavelmente, a mais usada para a cura de doenças por parte de populações indígenas, quilombolas ou rurais. A Etnobotânica, por sua vez, encarrega-se de estudar e interpretar essa relação dos homens com o mundo vegetal. Devido ao seu grande potencial biológico e cultural, o Brasil apresenta uma infinidade de conhecimentos tradicionais e espécies vegetais importantes, o que torna esse país uma grande fonte de pesquisa na área. Visando avaliar o conhecimento tradicional da população rural do Sisal, Catu/Bahia, relacionado ao uso de plantas medicinais, este trabalho iniciou-se em julho de 2009, constando de entrevistas semi-estruturadas e estruturadas, gravações, registros fotográficos, coleta do material botânico indicado nas entrevistas com os informantes, tratamento do material coletado e incorporação ao Herbário da Universidade do Estado da Bahia (HUNEB). Foram identificadas e coletadas 54 espécies distribuídas em 46 gêneros e 28 famílias, sendo Lamiacaeae e Asteraceae as mais representativas. A maioria das plantas é constituída de ervas e cultivada nos quintais dos moradores. O estudo revelou que a comunidade apresenta uma medicina popular bastante rica, com grande diversidade de espécies vegetais e usos por parte da população.

The use of medicinal plants is instinctive in animals, since some of these seek roots, bark, leaves or fruits in an attempt to cure their diseases. Man, in turn, learned to use this information on the use of these plants empirically. Folk medicine is an important alternative, probably the most used to cure diseases by indigenous peoples, Afro-descendants and rural populations. Ethnobotany, in turn, undertakes to study and interpret the relationship of men with the plant world. Because of its great biological and cultural potential, Brazil has a wealth of traditional knowledge and important plant species, what makes this country a great source of research in the area. To evaluate the traditional knowledge of the rural population of Sisal, city of Catu, state of Bahia, Brazil, related to use of medicinal plants, this work began in July 2009, consisting of semi-structured and structured interviews, recordings, photographs, collection of botanical material indicated in the interviews with informants, treatment of the collected material and incorporation into the Herbarium of the University of Bahia (HUNEB). We identified and collected 54 species in 46 genera and 28 families, being Asteraceae and Lamiacaeae the most representative. Most plants are herbs grown in the backyards of the residents. The study revealed that the community has a very rich folk medicine, with a great diversity of plant species and uses by the population.

Susuk charms? A case report.

This case report describes an interesting incidental finding on an orthopantomogram: bilateral radio-opaque objects in the mandibular rami region. The origin of the objects remains unidentified; however, the authors have tentatively identified these as being susuk by a process of exclusion of other possibilities.

Diversidade e uso de recursos medicinais do carrasco na APA da Serra da Ibiapaba, Piauí, Nordeste do Brasil / Diversity and use of medicinal resources of "carrasco" in the EPA of Serra da Ibiapaba, Piauí, Northeast Brazil

O presente estudo foi realizado na Área de Proteção Ambiental da Serra da Ibiapaba no município de Cocal, Piauí. Objetivou-se realizar o levantamento das plantas utilizadas pela comunidade, das partes usadas, das indicações, das formas de uso e de administração dessas plantas. Foram realizadas 80 entrevistas com 100% dos moradores de notório saber, residentes no município que utilizavam e/ou comercializavam plantas de uso medicinal. Para definição da amostra utilizou-se o método de bola de neve. Em incursões guiadas por membros da comunidade, foram coletadas as etnoespécies citadas. Após essa etapa, as espécies foram identificadas em laboratório e calculado o Fator de Consenso dos Informantes (FCI) para cada categoria de doença. O material foi incorporado ao acervo do Herbário Graziela Barroso (TEPB/UFPI). Foram identificadas 76 espécies, distribuídas em 61 gêneros e 36 famílias. Sobresairam-se Leguminosae com 22 espécies (28,9%), seguida por Euphorbiaceae com 6 (7,8%), e Solanaceae 4 (5,2%). Os gêneros Croton L. e Hymenaea L. obtiveram o maior destaque, somando 8 (10,5%) do total de espécies. As espécies mais presentes nas indicações de uso foram Ximenia americana com 14 (5,9%), Tabebuia impetiginosa com 9 (3,9%) e Anacardium occidentale com 7 (2,9%). Observou-se que 80,5% dos entrevistados tinham mais de 50 anos e residiam no município a mais de 20 anos, sendo que 70% possuíam apenas ensino fundamental incompleto e 20 % eram analfabetos. Houve maior consenso entre os informantes para tratamento das doenças do sistema respiratório (0,66) e do aparelho digestório (0,65). A maioria das indicações de usos 81 (34,17%) relatados para 28 (36,8%) das espécies visavam curar males do sistema respiratório, tais como asma, bronquite, gripe, inflamação na garganta, pneumonia e sinusite. Para o preparo dos remédios, as partes mais utilizadas foram as cascas (30,5%), as folhas (29,4%) e as raízes (12,6%). As preparações mais comuns foram os chás, garrafadas e lambedores, administrados por via oral. Os resultados sinalizaram para a importância do potencial bioativo da vegetação do carrasco.

The present study was carried out in the Environmental Protection Area of Serra da Ibiapaba, in Cocal Municipality, Piauí. The study aimed to perform a survey of the plants used by the community, including used parts, recommended use, forms of use and administration of these plants. A total of 80 interviews were done with 100% of denizens with noteworthy knowledge who lived in that municipality and used and/or commercialized plants of medicinal use. To define the sample the snowball method was adopted. In tours guided by members of the community, the cited ethnospecies were collected. After this stage, the species were identified in the laboratory and the Informant Consensus Factor (ICF) was calculated for each disease category. The material was incorporated in the collection of Herbarium Graziela Barroso (TEPB/UFPI). A total of 76 species were identified, distributed into 61 genera and 36 families. Leguminosae was the major family with 22 species (28.9%), followed by Euphorbiaceae with 6 (7.8%) and Solanaceae with 4 (5.2%). Croton L. and Hymenaea L. were the most important genera, comprising 8 (10.5%) of the total species. The species most commonly recommended for medicinal use were Ximenia americana with 14 (5.9%), Tabebuia impetiginosa with 9 (3.9%) and Anacardium occidentale with 7 (2.9%). The age of 80.5% of the interviewees was over 50 years and they had been living in the municipality for more than 20 years, while 70% had only incomplete elementary education and 20% were illiterate. There was greater consensus among the informants for treatment of respiratory diseases (0.66) and problems of the digestive system (0.65). The most common recommendation of use, 81 (34.17%), reported for 28 (36.8%) of the species, aimed to cure problems of the respiratory system, such as asthma, bronchitis, influenza, inflammation of the throat, pneumonia, and sinusitis. In the preparation of medicines, the parts most commonly used were the bark (30.5%), the leaves (29.4%) and the roots (12.6%). The most common preparations were tea, balm and lickers, administered orally. The results indicated the importance of the bioactive potential of "carrasco" vegetation.