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1.
J Pharm Biomed Anal ; 166: 371-378, 2019 Mar 20.
Artigo em Inglês | MEDLINE | ID: mdl-30711806

RESUMO

The aim of this study was to assess whether nanofibrous drug mats have potential as delivery systems for poorly water-soluble drugs. Amorphous nanofiber mats from a model poorly water-soluble active pharmaceutical ingredient (API), niflumic acid, together with the polymer excipient, polyvinyl pyrrolidine, were prepared by nozzle-free electrospinning. This technique offers a scalable way for drug formulation, and by increasing the surface area of the drug, the dissolution rate and therefore bioavailability of the API can be improved. In this study, both the amount of the dissolved active ingredient and the dissolution kinetics has been improved significantly when the nanofibrous mats were used in the drug formulation. A 15-fold increase in the dissolved amount of the produced amorphous niflumic acid nanofiber was observed compared to the dissolved amount of the raw drug within the first 15 min. Capsule formulation was made by mixing the electrospun nanofibers with a microcrystalline cellulose filler agent. When comparing the dissolution rate of the capsule formulation on the market with the nanofibrous capsules, a 14-fold increase was observed in the dissolved drug amount within the first 15 min.


Assuntos
Portadores de Fármacos/química , Nanofibras/química , Ácido Niflúmico/administração & dosagem , Tecnologia Farmacêutica/métodos , Cápsulas , Liberação Controlada de Fármacos , Ácido Niflúmico/química , Propriedades de Superfície
2.
Int J Clin Pharmacol Ther ; 55(1): 95-101, 2017 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-27841153

RESUMO

BACKGROUND: Morniflumate is a nonsteroid anti-inflammatory drug (NSAID) that inhibits cyclooxygenase-1, 2 (COX-1, 2). OBJECTIVE: This study aimed to compare the pharmacokinetics (PKs) and assess the bioequivalence of two different formulations of morniflumate 350-mg tablets in healthy Korean male subjects. METHODS: A randomized, single-dose, two-period, two-sequence crossover study was conducted with 38 subjects. Subjects received a single dose of two tablets of either a test or a reference formulation and the alternated formulation in the next period. Serial blood samples for the PK analysis were collected over 12 hours. PK parameters were determined by a noncompartment analysis. PK parameters, including the maximum concentration (Cmax) and the area under-the-concentration-time curve from time zero to the time of the last quantifiable concentration (AUClast) were compared in bioequivalence tests. RESULTS: The Cmax of the test and reference formulations were 985.72 ± 6.80 mg/L and 947.09 ± 6.73 mg/L, respectively, while the AUClast values were 2675.92 ± 7.84 mg×h/L and 2653.06 ± 7.78 mg×h/L, respectively. The geometric mean ratios (90% confidence interval) of the test formulation to the reference formulation for Cmax and AUClast were 1.0715 (0.9469 - 1.2124) and 1.0592 (0.9592 - 1.1695), respectively. CONCLUSIONS: The new formulation of morniflumate 350-mg tablet showed a PK profile similar to that of the marketed formulation, and the results of this study fell within in the conventional criteria of bioequivalence.
.


Assuntos
Anti-Inflamatórios não Esteroides/farmacocinética , Medicamentos Genéricos/farmacocinética , Ácido Niflúmico/análogos & derivados , Administração Oral , Adulto , Anti-Inflamatórios não Esteroides/administração & dosagem , Anti-Inflamatórios não Esteroides/sangue , Área Sob a Curva , Estudos Cross-Over , Composição de Medicamentos , Medicamentos Genéricos/administração & dosagem , Voluntários Saudáveis , Humanos , Masculino , Pessoa de Meia-Idade , Ácido Niflúmico/administração & dosagem , Ácido Niflúmico/sangue , Ácido Niflúmico/farmacocinética , Comprimidos , Equivalência Terapêutica , Adulto Jovem
3.
Mol Med Rep ; 14(5): 4083-4090, 2016 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-27748857

RESUMO

Niflumic acid (NFA) is a novel gap junction (GJ) inhibitor. The aim of the present study was to investigate the effect of NFA on GJ communication and the expression of connexin (Cx) in vascular smooth muscle cells (VSMCs) of mesenteric arterioles of spontaneously hypertensive rats (SHR). Whole­cell patch clamp recording demonstrated that NFA at 1x10­4 M significantly inhibited the inward current and its effect was reversible. The time for charging and discharging of cell membrane capacitance (Cinput) reduced from 9.73 to 0.48 ms (P<0.05; n=6). Pressure myograph measurement showed that NFA at 3x10­4 M fully neutralized the contraction caused by phenylephrine. The relaxation responses of normotensive control Wistar Kyoto (WKY) rats were significantly higher, compared with those of the SHRs (P<0.05; n=6). Western blot and reverse transcription­quantitative polymerase chain reaction analyses showed that the mRNA and protein expression levels of Cx43 of the third­level branch of mesenteric arterioles of the SHRs and WKY rats were higher, compared with those of the first­level branch. The mRNA and protein expression levels of Cx43 of the primary and third­level branches of the mesenteric arterioles in the SHRs were higher, compared with those in the WKY rats (P<0.05; n=6). The mRNA levels of Cx43 in the mesenteric arterioles were significantly downregulated by NFA in a concentration­dependent manner (P<0.01; n=6). The protein levels of Cx43 in primary cultured VSMCs isolated from the mesenteric arterioles were also significantly downregulated by NFA in a concentration­dependent manner (P<0.01; n=6). These results showed that the vasorelaxatory effects of GJ inhibitors were reduced in the SHRs, which was associated with a higher protein expression level of Cx43 in the mesenteric arterioles of the SHRs. NFA also relaxed the mesenteric arterioles by reducing the expression of Cx43, which decreased blood pressure. Therefore, regulation of the expression of GJs may be a therapeutic target for the treatment of hypertension.


Assuntos
Conexina 43/biossíntese , Hipertensão/tratamento farmacológico , Músculo Liso Vascular/efeitos dos fármacos , Ácido Niflúmico/administração & dosagem , Animais , Pressão Sanguínea/efeitos dos fármacos , Conexina 43/genética , Modelos Animais de Doenças , Junções Comunicantes/efeitos dos fármacos , Junções Comunicantes/patologia , Regulação da Expressão Gênica/efeitos dos fármacos , Humanos , Hipertensão/genética , Hipertensão/patologia , Artérias Mesentéricas/efeitos dos fármacos , Artérias Mesentéricas/patologia , Músculo Liso Vascular/patologia , Miócitos de Músculo Liso/efeitos dos fármacos , Miócitos de Músculo Liso/patologia , Técnicas de Patch-Clamp , Ratos
4.
Inflammopharmacology ; 24(6): 319-334, 2016 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-27757590

RESUMO

TRP channels have been discovered as a specialized group of somatosensory neurons involved in the detection of noxious stimuli. Desensitization of TRPV1 located on dorsal root and trigeminal ganglia exhibits analgesic effect and makes it potential therapeutic target for treatment of neuropathic pain. With this background, the present study was aimed to investigate the protective effect of niflumic acid, a TRPV1 modulator, on stavudine (STV)-induced neuropathic pain in rats. Stavudine (50 mg/kg) was administered intravenously via tail vein in rats to induce neuropathic pain. Various behavioral tests were performed to access neuropathic pain (hyperalgesia and allodynia) on 7th, 14th, 21st, and 28th days. Electrophysiology (motor nerve conduction velocity; MNCV) and biochemical estimations were conducted after 28th day. Niflumic acid (10, 15, and 20 mg/kg) was administered intraperitoneally and evaluated against behavioral, electrophysiological (MNCV), and biochemical alterations in stavudine-treated rats. Pregabalin (30 mg/kg) was taken as reference standard and administered intraperitoneally. Four weeks after stavudine injection, rats developed behavioral, electrophysiological (MNCV), and biochemical (oxidative, nitrosative stress, and inflammatory cytokines, TRPV1) alterations. Niflumic acid restored core and associated symptoms of peripheral neuropathy by suppressing oxidative-nitrosative stress, inflammatory cytokines (TNF-α, IL-1ß) and TRPV1 level in stavudine-induced neuropathic pain in rats. Pharmacological efficacy of niflumic acid (20 mg/kg) was equivalent to pregabalin (30 mg/kg). In conclusion, niflumic acid attenuates STV-induced behavioral, electrophysiological and biochemical alterations by manipulating TRP channel activity in two manners: (1) direct antagonistic action against TRPV1 channels and (2) indirect inhibition of TRP channels by blocking oxidative and inflammatory surge. Therefore, NA can be developed as a potential pharmacotherapeutic adjunct for antiretroviral drug-induced neuropathy.


Assuntos
Analgésicos/uso terapêutico , Neuralgia/tratamento farmacológico , Ácido Niflúmico/uso terapêutico , Estavudina/toxicidade , Canais de Cátion TRPV/antagonistas & inibidores , Analgésicos/administração & dosagem , Animais , Biomarcadores/sangue , Relação Dose-Resposta a Droga , Hiperalgesia/tratamento farmacológico , Hiperalgesia/metabolismo , Interleucina-1beta/sangue , Peroxidação de Lipídeos/efeitos dos fármacos , Masculino , Atividade Motora/efeitos dos fármacos , Condução Nervosa/efeitos dos fármacos , Neuralgia/induzido quimicamente , Neuralgia/metabolismo , Ácido Niflúmico/administração & dosagem , Nitritos/sangue , Estresse Oxidativo/efeitos dos fármacos , Ratos Sprague-Dawley , Fator de Necrose Tumoral alfa/sangue
5.
Int J Pharm ; 511(1): 253-261, 2016 Sep 10.
Artigo em Inglês | MEDLINE | ID: mdl-27374196

RESUMO

Uterine arteries embolization (UAE) is a recent technique that aims, by means of particles injected percutaneously, to stifle fibroids (leiomyomas). This treatment is non-invasive, compared with uterine ablation, but generates pelvic pain for a few days. A strategy to reduce the post-embolization pain would be to use calibrated embolization microspheres preloaded with a non-steroidal inflammatory drug (NSAID). In this study, we first compared four drugs, all active at low concentration on cyclooxygenase-2, i.e. ketoprofen, sodium diclofenac, flurbiprofen and niflumic acid (NFA), for their capacity to be loaded on resorbable embolization microspheres (REM) 500-700µm. NFA had the highest capacity of loading (5mg/mL) on resorbable microspheres. Then, we evaluated in vitro the NFA release profiles from REM having various degradation times of one, two or five days. NFA release was biphasic, with an initial burst (about 60% of the loading) followed by a sustained release that correlated significantly to REM's hydrolysis (rho=0.761, p<0.0001). For each group of beads, the size distribution was not modified by the loading of NFA and their delivery through microcatheter was not impaired by the drug. NFA eluted from REM inhibited the synthesis of prostaglandin E2 from rabbit uterus explants. In summary, NFA is loadable on REM in significant amount and its delivery can be tuned according to the degradation rate of REM to provide an antalgic effect for a few days after UAE.


Assuntos
Sistemas de Liberação de Medicamentos/métodos , Microesferas , Ácido Niflúmico/administração & dosagem , Embolização da Artéria Uterina/métodos , Útero/efeitos dos fármacos , Animais , Liberação Controlada de Fármacos , Feminino , Leiomioma/metabolismo , Leiomioma/terapia , Coelhos , Neoplasias Uterinas/metabolismo , Neoplasias Uterinas/terapia , Útero/irrigação sanguínea , Útero/metabolismo
6.
J Cardiovasc Pharmacol ; 66(4): 383-91, 2015 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-26132368

RESUMO

Calcium-activated chloride channels (CaCCs) play a vital role in regulating pulmonary artery tone during pulmonary arterial hypertension (PAH) induced by high blood flow. The role of CaCCs inhibitor niflumic acid (NFA) in vivo during this process requires further investigation. We established the PAH model by abdominal shunt surgery and treated with NFA in vivo. Fifty rats were randomly divided into normal, sham, shunt, NFA group 1 (0.2 mg/kg), and NFA group 2 (0.4 mg/kg). Pathological changes, right ventricle hypertrophy index, arterial wall area/vessel area, and arterial wall thickness/vessel external diameter were analyzed. Then contraction reactions of pulmonary arteries were measured. Finally, the electrophysiological characteristics of pulmonary arterial smooth muscle cells were investigated using patch-clamp technology. After 11 weeks of shunting, PAH developed, accompanied with increased right ventricle hypertrophy index, arterial wall area/vessel area, and arterial wall thickness/vessel external diameter. In the NFA treatment groups, the pressure and pathological changes were alleviated. The pulmonary artery tone in the shunt group increased, whereas it decreased after NFA treatment. The current density of CaCC was higher in the shunt group, and it was decreased in the NFA treatment groups. In conclusion, NFA attenuated pulmonary artery tone and structural remodeling in PAH induced by high pulmonary blood flow in vivo. CaCCs were involved and the augmented current density was alleviated by NFA treatment.


Assuntos
Hipertensão Pulmonar/tratamento farmacológico , Ácido Niflúmico/uso terapêutico , Artéria Pulmonar/efeitos dos fármacos , Circulação Pulmonar/fisiologia , Remodelação Vascular/efeitos dos fármacos , Animais , Arteríolas/efeitos dos fármacos , Arteríolas/patologia , Canais de Cloreto/antagonistas & inibidores , Modelos Animais de Doenças , Hipertensão Pulmonar/patologia , Hipertensão Pulmonar/fisiopatologia , Tono Muscular/efeitos dos fármacos , Músculo Liso Vascular/efeitos dos fármacos , Músculo Liso Vascular/patologia , Ácido Niflúmico/administração & dosagem , Ácido Niflúmico/farmacologia , Artéria Pulmonar/patologia , Artéria Pulmonar/fisiopatologia , Ratos Sprague-Dawley , Túnica Média/efeitos dos fármacos , Túnica Média/patologia
7.
J Cell Physiol ; 230(11): 2848-56, 2015 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-25899321

RESUMO

Calcium-activated chloride channel (CaCC) plays an important role in modulating epithelial secretion. It has been suggested that in salivary tissues, sustained fluid secretion is dependent on Ca(2+) influx that activates ion channels such as CaCC to initiate Cl(-) efflux. However direct evidence as well as the molecular identity of the Ca(2+) channel responsible for activating CaCC in salivary tissues is not yet identified. Here we provide evidence that in human salivary cells, an outward rectifying Cl(-) current was activated by increasing [Ca(2+)]i, which was inhibited by the addition of pharmacological agents niflumic acid (NFA), an antagonist of CaCC, or T16Ainh-A01, a specific TMEM16a inhibitor. Addition of thapsigargin (Tg), that induces store-depletion and activates TRPC1-mediated Ca(2+) entry, potentiated the Cl(-) current, which was inhibited by the addition of a non-specific TRPC channel blocker SKF96365 or removal of external Ca(2+). Stimulation with Tg also increased plasma membrane expression of TMEM16a protein, which was also dependent on Ca(2+) entry. Importantly, in salivary cells, TRPC1 silencing, but not that of TRPC3, inhibited CaCC especially upon store depletion. Moreover, primary acinar cells isolated from submandibular gland also showed outward rectifying Cl(-) currents upon increasing [Ca(2+)]i. These Cl(-) currents were again potentiated with the addition of Tg, but inhibited in the presence of T16Ainh-A01. Finally, acinar cells isolated from the submandibular glands of TRPC1 knockout mice showed significant inhibition of the outward Cl(-) currents without decreasing TMEM16a expression. Together the data suggests that Ca(2+) entry via the TRPC1 channels is essential for the activation of CaCC.


Assuntos
Sinalização do Cálcio/genética , Canais de Cloreto/metabolismo , Glândulas Salivares/metabolismo , Canais de Cátion TRPC/metabolismo , Animais , Anoctamina-1 , Cálcio/metabolismo , Sinalização do Cálcio/efeitos dos fármacos , Canais de Cloreto/antagonistas & inibidores , Canais de Cloreto/genética , Regulação da Expressão Gênica , Humanos , Camundongos , Camundongos Knockout , Proteínas de Neoplasias/antagonistas & inibidores , Ácido Niflúmico/administração & dosagem , Pirimidinas/administração & dosagem , Canais de Cátion TRPC/genética , Tiazóis/administração & dosagem
8.
Int J Immunopathol Pharmacol ; 26(1): 247-50, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23527729

RESUMO

Morniflumate is the morpholinoethyl ester of niflumic acid, a non-steroidal anti-inflammatory drug, derived from nicotinic acid. We studied 112 patients who had experienced cutaneous reactions after using non-steroidal anti-inflammatory drugs. Only two of all the patients who underwent an oral challenge with morniflumate had a positive result to the test. By demonstrating the low incidence of reactions to morniflumate through oral challenges, we suggest that patients with non-steroidal anti-inflammatory drug hypersensitivity may tolerate this drug which would therefore be a useful alternative.


Assuntos
Anti-Inflamatórios não Esteroides/administração & dosagem , Ácido Niflúmico/análogos & derivados , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Anti-Inflamatórios não Esteroides/efeitos adversos , Toxidermias/etiologia , Feminino , Humanos , Hipersensibilidade Imediata/etiologia , Masculino , Pessoa de Meia-Idade , Ácido Niflúmico/administração & dosagem , Adulto Jovem
9.
J Pharm Biomed Anal ; 76: 1-7, 2013 Mar 25.
Artigo em Inglês | MEDLINE | ID: mdl-23287488

RESUMO

Interest in submicron-sized drug particles has emerged from both laboratory and industrial perspectives in the last decade. Production of crystals in the nano size scale offers a novel way to particles for drug formulation solving formulation problems of drugs with low solubility in class II of the Biopharmaceutical Classification System. In this work niflumic acid nanoparticles with a size range of 200-800nm were produced by the novel crystallization method, electrospray crystallization. Their properties were compared to those from evaporative and anti-solvent crystallizations, using the same organic solvent, acetone. There is a remarkable difference in the product crystal size depending on the applied methods. The size and morphology were analyzed by scanning electron microscopy and laser diffraction. The structure of the samples was investigated using differential scanning calorimetry, Fourier-transformed infrared spectroscopy and X-ray powder diffraction. The particles produced using electrospray crystallization process were probably changing from amorphous to crystalline state after the procedure.


Assuntos
Anti-Inflamatórios não Esteroides/química , Composição de Medicamentos/métodos , Nanopartículas , Ácido Niflúmico/química , Acetona/química , Anti-Inflamatórios não Esteroides/administração & dosagem , Varredura Diferencial de Calorimetria , Cristalização , Microscopia Eletrônica de Varredura , Ácido Niflúmico/administração & dosagem , Tamanho da Partícula , Solubilidade , Solventes/química , Espectroscopia de Infravermelho com Transformada de Fourier , Difração de Raios X
10.
Life Sci ; 92(14-16): 815-20, 2013 May 02.
Artigo em Inglês | MEDLINE | ID: mdl-23123446

RESUMO

AIMS: Recently, we demonstrated that peripheral antinociception induced by δ opioid receptor is dependent of Ca(2+)-activated Cl(-) channels (CaCCs). Because opioid and cannabinoid receptors share some common mechanisms of action, our objective was to identify a possible relationship between CaCCs and the endocannabinoid system. MAIN METHODS: To induce hyperalgesia, rat paws were treated with intraplantar prostaglandin E2 (PGE2, 2µg). Nociceptive thresholds to pressure (grams) were measured using an algesimetric apparatus 3h following injection. Probabilities were calculated using ANOVA/Bonferroni's test, and values that were less than 5% were considered to be statistically significant. KEY FINDINGS: Administration of the cannabinoid agonist CB1 anandamide (12.5, 25 and 50µg/paw) and the cannabinoid agonist CB2 PEA (5, 10 and 20µg/paw) decreased the PGE2-induced hyperalgesia in a dose-dependent manner. The possibility of the higher doses of anandamide (50µg) and PEA (20µg) having a central or systemic effect was excluded because the administration of the drug into the contralateral paw did not elicit antinociception in the right paw. As expected, the antinociceptive effects induced by anandamide and PEA were blocked by the CB1 and CB2 receptor antagonists AM251 and AM630, respectively. The peripheral antinociception was induced by anandamide but not PEA and was dose-dependently inhibited by the CaCC blocker niflumic acid (8, 16 and 32µg). SIGNIFICANCE: These results provide the first evidence for the involvement of CaCCs in the peripheral antinociception induced by activation of the CB1 cannabinoid receptor.


Assuntos
Ácidos Araquidônicos/farmacologia , Agonistas de Receptores de Canabinoides/farmacologia , Canais de Cloreto/efeitos dos fármacos , Endocanabinoides/farmacologia , Etanolaminas/farmacologia , Ácidos Palmíticos/farmacologia , Alcamidas Poli-Insaturadas/farmacologia , Receptor CB1 de Canabinoide/agonistas , Amidas , Análise de Variância , Animais , Ácidos Araquidônicos/administração & dosagem , Bloqueadores dos Canais de Cálcio/administração & dosagem , Bloqueadores dos Canais de Cálcio/farmacologia , Agonistas de Receptores de Canabinoides/administração & dosagem , Canais de Cloreto/metabolismo , Dinoprostona , Modelos Animais de Doenças , Relação Dose-Resposta a Droga , Endocanabinoides/administração & dosagem , Etanolaminas/administração & dosagem , Hiperalgesia/tratamento farmacológico , Indóis/farmacologia , Masculino , Ácido Niflúmico/administração & dosagem , Ácido Niflúmico/farmacologia , Ácidos Palmíticos/administração & dosagem , Piperidinas/farmacologia , Alcamidas Poli-Insaturadas/administração & dosagem , Pirazóis/farmacologia , Ratos , Ratos Wistar , Receptor CB1 de Canabinoide/metabolismo , Receptor CB2 de Canabinoide/agonistas , Receptor CB2 de Canabinoide/metabolismo
11.
Anal Sci ; 25(4): 571-4, 2009 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-19359802

RESUMO

A simple and rapid quantification method was developed for determining both talniflumate and niflumic acid in human plasma. After simple protein precipitation with acetonitrile, the analytes were chromatographed on a reversed-phase C(18) column and detected by LC/MS/MS with electrospray ionization. The assay accuracy and precision were within the FDA guidance for the analytical method validation. This method was used to measure the plasma concentrations of both compounds from healthy subjects after a single oral dose of talniflumate, 740 mg.


Assuntos
Benzofuranos/sangue , Ácido Niflúmico/sangue , Piridinas/sangue , Benzofuranos/administração & dosagem , Benzofuranos/farmacocinética , Precipitação Química , Cromatografia Líquida , Humanos , Modelos Lineares , Ácido Niflúmico/administração & dosagem , Ácido Niflúmico/farmacocinética , Proteínas/química , Piridinas/administração & dosagem , Piridinas/farmacocinética , Sensibilidade e Especificidade , Solventes/química , Espectrometria de Massas em Tandem , Fatores de Tempo
12.
J Sex Med ; 6(3): 708-16, 2009 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-19175858

RESUMO

INTRODUCTION: Recent studies have identified the existence of outward, depolarizing chloride currents in isolated rat, rabbit, and human corpus cavernosum muscle cells. However, few articles have demonstrated the functional role of chloride channels in vivo in corpus cavernosum smooth muscle. Aim. To investigate the role of calcium-dependent chloride channels in erectile function of rat corpus cavernosum smooth muscle. METHODS: Adult male Wistar rats were used to perform an in vivo study in a rat model of erection. Both crura of the rats were isolated to in order to record intracavernosal pressure (ICP) during basal conditions and electrical stimulation of erection, with and without intracorporeal injection of norepinephrine, chloride transport inhibitors, and chloride channel blockers. MAIN OUTCOME MEASURE: ICP. RESULTS: ICP increased as the amplitude of electrical stimulation increased, and decreased in a dose-dependent manner (during electrical stimulation) as norepinephrine injection strength increased. Injection into the corpus cavernosum of the Cl(-) channel blockers, niflumic acid, anthracene-9-carboxylic acid, and 4,4'-diisothiocyano-2,2'-stilbene-disulfonic acid increased ICP. Injection into the corpus cavernosum of the Cl(-) channel transport inhibitors bumetanide, ethacrynic acid, and HCO(3)-free 4-(2-hydroxyethyl )-1-1- piperazine ethanesulphonic acid buffer, and also increase the ICP. The effects of both Cl(-) channel blockers and Cl(-) channel transport inhibitors on ICP were concentration-dependent. CONCLUSIONS: Our findings suggest that chloride channels play an important role in the regulation of corpus cavernous smooth muscle tone in vivo.


Assuntos
Canais de Cloreto/antagonistas & inibidores , Corpo Caloso/efeitos dos fármacos , Ácido Niflúmico/farmacologia , Ereção Peniana/efeitos dos fármacos , Animais , Relação Dose-Resposta a Droga , Estimulação Elétrica , Técnicas In Vitro , Injeções , Masculino , Contração Muscular/efeitos dos fármacos , Relaxamento Muscular/efeitos dos fármacos , Músculo Liso/efeitos dos fármacos , Ácido Niflúmico/administração & dosagem , Norepinefrina/administração & dosagem , Norepinefrina/farmacologia , Ratos , Ratos Wistar
13.
Tunis Med ; 85(1): 49-53, 2007 Jan.
Artigo em Francês | MEDLINE | ID: mdl-17424710

RESUMO

BACKGROUND: Sweet's syndrome is a dermatosis classically determined by painful erythematous plaques or nodules associated with fever, neutrophilia and dense neutrophilic dermal infiltrate. In most cases, Sweet's syndrome may occur in the absence of other diseases. However, it can be associated with an inflammatory disease and essentially with malignant conditions in 20% of cases requiring a careful investigation. AIM: We report herein, the epidemiological, clinical, therapeutic and evolutive features of a hospital serie. METHODS: We retrospectively reviewed all the files of patients conforming with the diagnosis of SS, seen at the dermatology departement of Habib Thameur hospital during a 7-year period (from 1997 to 2003). All patients fulfilled at least two major criteria and two minor criteria of Su et Liu's diagnostic criteria modified by Von Den Driesch. RESULTS: 8 cases of .Sweet's syndrome were diagnosed. All patients were females. The mean age was 51.62 years. The lesions occurred on the upper limbs in 7/8 cases. SS was isolated in 6 cases and para-inflammatory in one case corresponding to an associated Sjogren's syndrome. Besides the standard therapy using oral corticosteroids (3 patients), non steroidal inflammatory agents has been efficient in 4 cases. CONCLUSION: In our serie, we report an exclusive female involvement and a lower frequency of associated diseases compared with the relevant literature. Association of SS and Sjogren's syndrome is exceptional. To our knowledge, only 6 cases have already been reported.


Assuntos
Síndrome de Sweet , Administração Oral , Corticosteroides/administração & dosagem , Corticosteroides/uso terapêutico , Adulto , Fatores Etários , Idoso , Anti-Inflamatórios não Esteroides/administração & dosagem , Anti-Inflamatórios não Esteroides/uso terapêutico , Biópsia , Feminino , Humanos , Indometacina/administração & dosagem , Indometacina/uso terapêutico , Pessoa de Meia-Idade , Ácido Niflúmico/administração & dosagem , Ácido Niflúmico/uso terapêutico , Estudos Retrospectivos , Fatores Sexuais , Síndrome de Sjogren/complicações , Pele/patologia , Síndrome de Sweet/complicações , Síndrome de Sweet/diagnóstico , Síndrome de Sweet/tratamento farmacológico , Síndrome de Sweet/epidemiologia , Síndrome de Sweet/patologia , Fatores de Tempo , Resultado do Tratamento
14.
Clin Exp Immunol ; 144(2): 264-72, 2006 May.
Artigo em Inglês | MEDLINE | ID: mdl-16634800

RESUMO

Transforming growth factor-beta (TGF-beta) and prostaglandins (PG) regulate the cell-mediated immune response, so it has been proposed that they affect the progression of pulmonary tuberculosis. Here we report that the administration of soluble betaglycan, a potent TGF-beta antagonist, and niflumic acid, a PG synthesis inhibitor, during the chronic phase of experimental murine tuberculosis enhanced Th1 and decreased Th2 cytokines, increased the expression of iNOS and reduced pulmonary inflammation, fibrosis and bacillary load. This immunotherapeutic approach resulted in significant control of the disease comparable to that achieved by anti-microbial treatment alone. Importantly, the combination of immunotherapy and anti-microbials resulted in an accelerated clearance of bacilli from the lung. These results confirm that TGF-beta and PG have a central pathophysiological role in the progression of pulmonary tuberculosis in the mouse and suggest that the addition of immunotherapy to conventional anti-microbial drugs might result in improved treatment of the disease.


Assuntos
Inibidores de Ciclo-Oxigenase/administração & dosagem , Imunoterapia/métodos , Ácido Niflúmico/administração & dosagem , Proteoglicanas/administração & dosagem , Receptores de Fatores de Crescimento Transformadores beta/administração & dosagem , Fator de Crescimento Transformador beta/antagonistas & inibidores , Tuberculose Pulmonar/terapia , Animais , Antituberculosos/uso terapêutico , Contagem de Colônia Microbiana , Inibidores de Ciclo-Oxigenase/imunologia , Citocinas/imunologia , Modelos Animais de Doenças , Hipersensibilidade Tardia/imunologia , Pulmão/imunologia , Pulmão/microbiologia , Pulmão/patologia , Masculino , Camundongos , Camundongos Endogâmicos BALB C , Óxido Nítrico Sintase Tipo II/imunologia , Antagonistas de Prostaglandina/administração & dosagem , Antagonistas de Prostaglandina/imunologia , Proteoglicanas/imunologia , Receptores de Fatores de Crescimento Transformadores beta/imunologia , Células Th1/imunologia , Células Th2/imunologia , Fator de Crescimento Transformador beta/imunologia , Tuberculose Pulmonar/imunologia , Tuberculose Pulmonar/patologia
15.
Chin J Physiol ; 47(3): 129-35, 2004 Sep 30.
Artigo em Inglês | MEDLINE | ID: mdl-15612530

RESUMO

To characterize the activity of the Ca2+-activated Cl- channels in vascular smooth muscle (VSM) of the spontaneous hypertensive rats (SHR), the isolated mesenteric vascular beds and tail artery strips were preparated from SHR and Wistar rats aged 7-8 weeks. The changes in contractile response to norepinphrine (NE) were taken as an index of vascular mortion. Results showed that the contractile responses of mesenteric arteries and tail arteries to NE in SHR were significantly greater than that in Wistar rats. The inhibition magnitude of the contractile response by Ca2+-activated Cl- channel blocker, niflumic acid in SHR was significantly less than that in Wistar rats. Decreasing the extracellular Cl- concentration increased the contractile response to NE significantly, but the amplitude of enhanced contractile response in SHR was greater than that in Wistar rats. It can be concluded that NE-induced contraction was enhanced in SHR, which is partly due to an increase in Cl- efflux through the Ca2+-activated Cl- channels. The chloride channel activity may be increased in association with the elevation of blood pressure.


Assuntos
Cálcio/metabolismo , Canais de Cloreto/metabolismo , Hipertensão/metabolismo , Músculo Liso Vascular/metabolismo , Ratos Endogâmicos SHR/metabolismo , Animais , Artérias/efeitos dos fármacos , Bloqueadores dos Canais de Cálcio/administração & dosagem , Bloqueadores dos Canais de Cálcio/farmacologia , Cloretos/antagonistas & inibidores , Cloretos/metabolismo , Relação Dose-Resposta a Droga , Feminino , Técnicas In Vitro , Masculino , Artérias Mesentéricas/efeitos dos fármacos , Ácido Niflúmico/administração & dosagem , Ácido Niflúmico/farmacologia , Norepinefrina/farmacologia , Concentração Osmolar , Ratos , Ratos Wistar , Cauda/irrigação sanguínea , Vasoconstrição/efeitos dos fármacos , Vasoconstritores/farmacologia
16.
Fundam Clin Pharmacol ; 18(2): 201-6, 2004 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-15066135

RESUMO

Several nonsteroidal anti-inflammatory drugs (NSAIDs) have been withdrawn from the market because of hepatic adverse drug reactions (ADRs). Moreover, some cases of liver diseases have been reported in patients taking NSAIDs (arylcarboxylic NSAIDs, piroxicam, sulindac, nimesulide, etc.). Pharmacoepidemiological studies have shown a risk of hepatic ADRs with NSAIDs used in association with other hepatotoxic drugs. In contrast, other studies performed in hospitalized patients did not found any association. The aim of this study was to assess the hepatic risk associated with the use of NSAID in the setting of primary care. The study design was a case-control study where cases and controls were all recruited among patients seen in the context of medical community care. Eighty-eight cases and 178 controls were included between January 1998 and December 2000. Cases used more drugs than controls in the 15 days before index day (2.9 +/- 2.2 vs. 1.8 +/- 1.8 different consumed drugs; P < 10(-4)). After adjustment, we found a significant association between liver injury and NSAID exposure in women [odds ratio (OR) = 6.49 (1.67-25.16)] but not in men [OR = 1.06 (0.36-3.12)]. A total of 22 cases were exposed to NSAIDs. Of them, seven patients were exposed to salicylates, five to diclofenac, four to ibuprofen, four to ketoprofen, two to niflumic acid, one to flurbiprofen and one to meloxicam (two patients were simultaneously exposed to two different NSAIDs: salicylate + niflumic acid and salicylate + diclofenac). These patients suffered from hepatocellular (53.3%), cholestatic (20%) or mixed (26.7%) injury. In 18 cases, liver enzymes returned to normal values after discontinuation of drug. No case had a fatal outcome. This study shows the existence of a significant association between liver disturbances and NSAID use in women.


Assuntos
Anti-Inflamatórios não Esteroides/efeitos adversos , Estudos de Casos e Controles , Fígado/efeitos dos fármacos , Fígado/lesões , Anti-Inflamatórios não Esteroides/administração & dosagem , Anti-Inflamatórios não Esteroides/classificação , Colestase/induzido quimicamente , Colestase/patologia , Diclofenaco/administração & dosagem , Diclofenaco/efeitos adversos , Quimioterapia Combinada , Feminino , Flurbiprofeno/administração & dosagem , Flurbiprofeno/efeitos adversos , Hepatócitos/efeitos dos fármacos , Hepatócitos/patologia , Humanos , Ibuprofeno/administração & dosagem , Ibuprofeno/efeitos adversos , Cetoprofeno/administração & dosagem , Cetoprofeno/efeitos adversos , Fígado/enzimologia , Masculino , Meloxicam , Pessoa de Meia-Idade , Ácido Niflúmico/administração & dosagem , Ácido Niflúmico/efeitos adversos , Atenção Primária à Saúde/métodos , Salicilatos/administração & dosagem , Salicilatos/efeitos adversos , Distribuição por Sexo , Estatísticas não Paramétricas , Tiazinas/administração & dosagem , Tiazinas/efeitos adversos , Tiazóis/administração & dosagem , Tiazóis/efeitos adversos , Fatores de Tempo
17.
NMR Biomed ; 16(3): 144-51, 2003 May.
Artigo em Inglês | MEDLINE | ID: mdl-12884358

RESUMO

This study describes for the first time results of a (19)F-MRS study on humans exposed to the fluorinated non-steroidal anti-inflammatory drug niflumic acid. The accumulation and elimination of this commercially available selective prostaglandin synthase inhibitor is studied after an oral bolus in the human liver, in blood plasma and in urine samples. The in vivo spectra of the liver display two resonances with a similar increase in signal intensity during the investigation period of 240 min. One resonance refers to the parent compound niflumic acid (P), whereas the second resonance corresponds to a metabolite (M1) formed by the biotransformation by liver enzymes. The spectroscopic comparison with model compounds suggests 4'-hydroxyniflumic acid as the metabolite. During the entire experiment the concentration ratios of these resonances (P/M1) ranged between 0.7 and 0.9, indicating a high metabolite concentration most probably due to an efficient first pass metabolism. Both resonances (P, M1) were observed in the in vitro study of the blood plasma samples after plasma protein denaturation. However, in comparison to the liver spectra, the amount of the metabolite M1 is very small with a P/M1-ratio of 36.6 after 90 min and 16.1 after the end of measurement. This finding suggests an efficient biliary excretion of the metabolite M1, which bypasses the blood circulation system. Both resonances are also identified in the native urine samples. The signal intensity of the parent compound dominates the spectra of all urine samples, whereas the signal intensity of M1 increases slowly reaching a similar value to the parent compound P at the end of the measurement. This observation demonstrates an effective renal elimination of niflumic acid and suggests the existence of an enterohepatic circuit with a re-entry mechanism for the biliary excreted metabolite M1. In the urine spectra, an additional metabolite M2 is found. This resonance exhibits a low but constant signal intensity. The chemical origin of this metabolite is unclear.


Assuntos
Fígado/metabolismo , Espectroscopia de Ressonância Magnética/métodos , Ácido Niflúmico/sangue , Ácido Niflúmico/farmacocinética , Ácido Niflúmico/urina , Administração Oral , Adulto , Anti-Inflamatórios não Esteroides/administração & dosagem , Anti-Inflamatórios não Esteroides/sangue , Anti-Inflamatórios não Esteroides/farmacocinética , Anti-Inflamatórios não Esteroides/urina , Análise Química do Sangue/métodos , Flúor , Humanos , Masculino , Taxa de Depuração Metabólica , Ácido Niflúmico/administração & dosagem , Especificidade de Órgãos , Reprodutibilidade dos Testes , Sensibilidade e Especificidade , Distribuição Tecidual , Urinálise/métodos
19.
J Control Release ; 65(3): 419-28, 2000 Apr 03.
Artigo em Inglês | MEDLINE | ID: mdl-10699299

RESUMO

This paper develops for the first time a concept to modify the release rate of a fixed formulation by changing only the organisation of the mix used to prepare the tablets (ordered mixing). To estimate the influence of the organisation of binary mixes, several mixes of ethylcellulose and niflumic acid of the same composition but different organisation were compacted. The tablet surfaces were examined by energy dispersive X-ray microanalysis before the release experiments. Finally, the cross-sections of the remaining matrix were examined by scanning electronic microscopy. Excipient-excipient and excipient-drug interactions are the major factors influencing the drug release rate from the tablets. In the case of interacting materials, the initial release behaviour depends on the tablet surface presented to the dissolution media. The dissolution properties of the tablets are governed by the percolating material. When the inert excipient is percolating, the release rate increases linearly with the excipient/drug size ratio, whereas when the drug is the only material percolating through the system, its release rate is independent of the size ratio. When both materials are percolating through the system, the release rate is independent of the component particle sizes.


Assuntos
Composição de Medicamentos/métodos , Comprimidos , Celulose/análogos & derivados , Inibidores de Ciclo-Oxigenase/administração & dosagem , Microanálise por Sonda Eletrônica , Microscopia Eletrônica de Varredura , Ácido Niflúmico/administração & dosagem , Tamanho da Partícula , Veículos Farmacêuticos , Porosidade , Solubilidade , Propriedades de Superfície , Viscosidade
20.
Pharm Acta Helv ; 74(1): 37-42, 1999 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-10748622

RESUMO

Usually, chemical or technological operations are used to mask the taste of unpleasant-tasting drugs. To reduce the development cost of such drugs, we propose a new approach which does not require the modification of the existing formulation nor the use of additional costly technological operations. Different particle size fractions of two unpleasant-tasting drugs (niflumic acid and ibuprofen) were blended in binary mixes with different particle size fractions of two non-tasting excipients (ethyl cellulose and hydroxypropyl methylcellulose). By selecting the appropriate mixes of identical composition but different organisations, as predicted from surface energy data, it was possible to use the different organisations to modify the taste of the mixes for a panel of 10 healthy volunteers.


Assuntos
Química Farmacêutica , Paladar , Tecnologia Farmacêutica , Adolescente , Adulto , Celulose/administração & dosagem , Celulose/análogos & derivados , Feminino , Humanos , Derivados da Hipromelose , Ibuprofeno/administração & dosagem , Masculino , Metilcelulose/administração & dosagem , Metilcelulose/análogos & derivados , Ácido Niflúmico/administração & dosagem , Tamanho da Partícula , Pós
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