Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 39
Filtrar
1.
J Oncol Pharm Pract ; 27(4): 815-820, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32633660

RESUMO

BACKGROUND: Beta thalassemia patients, post-bone marrow transplant, and leukemia patients require long term therapy with an intense care follow-up especially for pediatric hematology-oncology origin. Emergence of side effects and noncompliance to therapy lead to reduced efficacy of medicines resulting in relapse of diseases. There is an increasing fact to support the incorporation of a pharmacist into clinical team due to their distinctive skills. Clinical oncology pharmacist with experience and specialized training in hematological cancers and bone marrow transplantation (BMT) patient care has in-depth knowledge and skills of chemotherapy regimens including drug information, monitoring parameters of cancer treatment, dose adjustment, drug-drug interactions, adverse effects, and patient counseling skills. AIM AND OBJECTIVES: The main objective of our study was to assess the significance of incorporation of clinical oncology pharmacist in ambulatory care in pediatric hematology-oncology and transplant clinic. MATERIAL AND METHOD: This study was conducted at National Institute of Blood Diseases and Bone Marrow Transplantation hospital with duration of five months from 17 March 2019 to 16 July 2019. In this study the clinical oncology pharmacist was made available at ambulatory clinic of hematology-oncology and transplantation. The activities performed by a clinical oncology pharmacist were observed by resident BMT clinical pharmacist during the visits of patients and their families in a clinic. The BMT pharmacist is a clinical oncology pharmacist with experience and specialized training in hematological cancers and BMT patient care. Only pediatrics patients with beta thalassemia major and those who were on chemotherapy treatment and post-transplant patient were included in this study. RESULTS: During the five months' tenure, there were 1820 pediatric patients' visits in total. The clinical oncology pharmacist performed 980 direct patient interviews and documented 1665 pharmacist interventions. The majority of the documented clinical oncology pharmacist interventions were review of medication histories (n: 404, 24%) and "deferiprone" dose adjustments (n:400, 24%). Genomic profiling interventions were also among the commonly reported activities by the clinical oncology pharmacist. For beta thalassemia patients undergoing hydroxyurea therapy, the genomic profiling was performed to assess whether the hydroxyurea treatment is clinically effective or not (n:396, 23%). CONCLUSION: The involvement of clinical oncology pharmacist into a specialized outpatient clinic of hematology-oncology and transplant clinic plays an integral role in minimizing the adverse effect and reduction in readmission into the hospital. This is new expansion of pharmacist's role especially in underdeveloped country, considering the relevant clinical participation of clinical oncology pharmacist into specialized clinic revealing through optimized therapy and future prospect of clinical oncology pharmacist in pediatric hematology.


Assuntos
Assistência Ambulatorial/organização & administração , Neoplasias Hematológicas/terapia , Oncologia/organização & administração , Neoplasias/terapia , Transplante de Órgãos , Farmacêuticos , Adolescente , Antineoplásicos/efeitos adversos , Antineoplásicos/uso terapêutico , Criança , Pré-Escolar , Feminino , Perfilação da Expressão Gênica , Humanos , Hidroxiureia/efeitos adversos , Hidroxiureia/uso terapêutico , Lactente , Recém-Nascido , Masculino , Ambulatório Hospitalar , Cooperação do Paciente , Readmissão do Paciente/estatística & dados numéricos , Pediatria , Assistência Farmacêutica , Talassemia beta/tratamento farmacológico , Talassemia beta/genética
2.
Pak J Pharm Sci ; 34(3(Supplementary)): 1149-1156, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-34602445

RESUMO

As part of our continuous research to understand the interaction mechanism of drug and metallo-elements, heavy metal complexes of azithromycin (AZI) were synthesized with arsenic oxide, lead carbonate and silver chloride salts in molar ratio of 2: 1 (L: M). Synthesized heavy metal complexes have shown good percent yield and characterized through spectroscopic parameters including UV-Visible, TLC, FT-IR, NMR and elemental analysis (CHN). Spectroscopic characterization reveals the binding of ligand AZI with heavy metals in bi-dentate manner involving the hydroxide and 9a-NCH3 group of the aglycone ring of AZI. These newly synthesized heavy metal complexes were evaluated for their antimicrobial response against selected gram positive and gram negative organisms and antifungal species. It was noted that all newly synthesized complexes exhibits increased activity against B.subtilus whereas, AZI itself didn't show any activity, while synthesized complexes have low to moderate response against all the studied organisms. Complex A-M12 possess greater enzymatic response against both urease and alpha chymotrypsin among all the studied complexes. Results obtained were then statistically analyzed through one way ANOVA and Dunnett's test by using SPSS version 20.0 suggesting the significant response of complexes against selected organisms.


Assuntos
Antibacterianos/farmacologia , Antifúngicos/farmacologia , Trióxido de Arsênio/farmacologia , Azitromicina/farmacologia , Carbonatos/farmacologia , Complexos de Coordenação/farmacologia , Chumbo/farmacologia , Compostos de Prata/farmacologia , Trióxido de Arsênio/química , Azitromicina/análogos & derivados , Azitromicina/química , Bacillus subtilis/efeitos dos fármacos , Candida albicans/efeitos dos fármacos , Carbonatos/química , Quimotripsina/metabolismo , Citrobacter/efeitos dos fármacos , Complexos de Coordenação/química , Testes de Sensibilidade a Antimicrobianos por Disco-Difusão , Ensaios Enzimáticos , Escherichia coli/efeitos dos fármacos , Klebsiella pneumoniae/efeitos dos fármacos , Chumbo/química , Micrococcus luteus/efeitos dos fármacos , Proteus mirabilis/efeitos dos fármacos , Pseudomonas aeruginosa/efeitos dos fármacos , Salmonella typhi/efeitos dos fármacos , Shigella flexneri/efeitos dos fármacos , Compostos de Prata/química , Staphylococcus aureus/efeitos dos fármacos , Streptococcus/efeitos dos fármacos , Urease/metabolismo
3.
Pak J Pharm Sci ; 34(2(Supplementary)): 747-753, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-34275810

RESUMO

Non-steroidal anti-inflammatory drugs (NSAIDs) are frequently used for the treatment and prevention of inflammation with the increase in number of side effects. Traditional plants have been used to treat inflammation owing to lesser adverse responses. Croton bonplandianus being an anti-inflammatory plant is extensively utilized all over the world. The methanolic and aqueous leaves extracts of Croton bonplandianus were exposed to anti-inflammatory activity in the carrageenan induced paw edema against standard diclofenac sodium, followed by the histopathlogical examination. The highest dose of methanolic extract were shown significant anti-inflammatory action having a significant P-value (P<0.05-0.001) compared with the diclofenac sodium (P<0.01-0.001) and aqueous extracts (P<0.5-0.01). The histopathological examination illustrated the vasodialation with reduction in the intensity of edema, neutrophils infiltration and other inflammatory cells. C. bonplandianus being a reactive oxygen species scavenger, responsible to exert an excellent anti-inflammatory activity. The present study confirmed the anti-inflammatory potential of drug extracts and authors recommended its utilization in the treatment of pain, inflammation and relevant diseases in future. However, phytochemical screening is to be required for the complete evaluation of active chemical constituent (s).


Assuntos
Anti-Inflamatórios/farmacologia , Croton/química , Extratos Vegetais/farmacologia , Folhas de Planta/química , Animais , Croton/efeitos adversos , Diclofenaco/farmacologia , Modelos Animais de Doenças , Relação Dose-Resposta a Droga , Edema/tratamento farmacológico , Edema/patologia , Masculino , Folhas de Planta/efeitos adversos , Ratos , Ratos Wistar , Espécies Reativas de Oxigênio/metabolismo
4.
Pak J Pharm Sci ; 34(3(Special)): 1243-1248, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-34602395

RESUMO

Chronic suppurative otitis media (CSOM) is the chronic inflammation with perforation of middle ear. If CSOM is not treated, it may cause secondary inflammation of liver with elevated liver enzymes and histological changes. Present study is aimed to observe the hepatotoxic effects due chronic suppurative otitis media (CSOM) in CSOM induced rats and alsoto observe the effects of ceftazidime and amikacin to attenuate hepatotoxicity due to CSOM. Liver enzyme tests and histological examinations were performed on rats divided into different groups as G1 (negative control), G2 (positive control), G3 ceftizidime (15mg/kgintraperitonelly) and G4 amikacin (15mg/kg). One-way ANOVA showed that liver enzymes were significantly increased (p=0.000 and F value 6.899) except gamma glutamic transferase in G2 (rats with CSOM without treatment) from G1 (negative control without CSOM) with histological damage of liver. These hepatotoxic effects were attenuated or recover with proper treatment with potent antibiotics (ceftazidime and amikacin). Therefore, study showed that chronic suppurative otitis media can induce hepatic toxicity including elevated liver enzymes level and inflammation, aggregation or infiltration in liver cells in rat model with reversible hepatic damage. If CSOM is treated with adult dose of ceftazidime or amikacin, it may attenuate the damage and prevent risk of liver damage.


Assuntos
Amicacina/uso terapêutico , Antibacterianos/uso terapêutico , Ceftazidima/uso terapêutico , Hepatopatias/metabolismo , Otite Média Supurativa/tratamento farmacológico , Alanina Transaminase/metabolismo , Fosfatase Alcalina/metabolismo , Amicacina/farmacologia , Animais , Aspartato Aminotransferases/metabolismo , Bilirrubina/metabolismo , Ceftazidima/farmacologia , Doença Crônica , Fígado/efeitos dos fármacos , Fígado/metabolismo , Hepatopatias/etiologia , Hepatopatias/patologia , Otite Média Supurativa/complicações , Ratos , Resultado do Tratamento , gama-Glutamiltransferase/metabolismo
5.
Pak J Pharm Sci ; 34(5(Supplementary)): 1945-1949, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34836864

RESUMO

Chronic suppurative otitis media (CSOM) is chronic infection of middle ear which is usually managed with antibiotic therapy. This infection may cause the depression and cognitive changes in patients. The aim of present study was to evaluate the effect of antibiotic (ciprofloxacin and co-amoxicillin) with antidepressant or without antidepressants (bromazepam and imipramine) at low doses on rats with induced with CSOM. Pseudomonas aeruginosa was used to induce CSOM by in rat ear (tympanic bulla). The rats were divided into eight groups having six animals in each group. Neuropharmacological activities and gross behavior were observed in open field activity, force swimming cage, maze test, light and dark activity box and traction test. Observations were noted weekly after the administration of ciprofloxacin (15.3mg/kg), co-amoxicillin (15.3mg/kg), imipramine (1.15mg/kg) and bromazepam (0.09mg/kg) intraperitoneally. The altered behavior and depression was observed in control positive but reverted back in groups maintained on antidepressants with antibiotics with significant improved locomotor activity, memory in memory cage, muscular co-ordination and body balance and decreased anxiety. On the other hand, groups treated with only antibiotics showed significant improvement only in force swimming and traction test at day 14. Therefore, the antidepressant effects of the drugs can be employed to attenuate stress and depression in patients with CSOM.


Assuntos
Amoxicilina/uso terapêutico , Antibacterianos/uso terapêutico , Antidepressivos/uso terapêutico , Comportamento Animal/efeitos dos fármacos , Ciprofloxacina/uso terapêutico , Otite Média Supurativa/tratamento farmacológico , Otite Média Supurativa/psicologia , Amoxicilina/farmacologia , Animais , Antibacterianos/farmacologia , Antidepressivos/farmacologia , Ansiedade/psicologia , Ciprofloxacina/farmacologia , Masculino , Aprendizagem em Labirinto/efeitos dos fármacos , Memória/efeitos dos fármacos , Atividade Motora/efeitos dos fármacos , Infecções por Pseudomonas/tratamento farmacológico , Infecções por Pseudomonas/microbiologia , Ratos , Ratos Sprague-Dawley
6.
Pak J Pharm Sci ; 34(5(Supplementary)): 1969-1974, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34836868

RESUMO

Epilepsy, a neuronal disorder has affected 1% of the world's population. Almost 35-40% of these patients get resistant to available anti-epileptic drugs (AEDs). Recent studies have shown the role of inflammation in the pathophysiology of epilepsy and a combination of anti-inflammatory and antiepileptic drugs could prove beneficial against epileptic seizures. Therefore, we aimed to examine the effect of levetiracetam (LEV) and diclofenac sodium (DFS) combination on pilocarpine (PLC) induced epileptic seizures in mice. Mice were divided into control and treatment groups. LEV alone and in combination with DFS was given for 3 days. On 3rd day after administering the required drugs, pilocarpine challenge was given intraperitoneally. Then, behavioral changes were observed for 90 minutes, including latency to first seizure, continuous seizures, duration of continuous seizures, and survival rate. Results showed significant improvement in the latencies to first (P<0.001) and continuous seizures (P<0.05), duration of the continuous seizure (p=0.001), and survival rate (P<0.01) in the combination treatment group as compared to the control or individual drug treatment groups. DFS enhances the efficacy of LEV, however, further mechanistic studies will be required to conclude if DFS can be given in combination with LEV for epilepsy treatment.


Assuntos
Anti-Inflamatórios não Esteroides/farmacologia , Anticonvulsivantes/farmacologia , Convulsivantes , Diclofenaco/farmacologia , Epilepsia/induzido quimicamente , Epilepsia/tratamento farmacológico , Levetiracetam/farmacologia , Pilocarpina , Animais , Comportamento Animal/efeitos dos fármacos , Sinergismo Farmacológico , Epilepsia/mortalidade , Masculino , Camundongos , Convulsões/induzido quimicamente , Convulsões/mortalidade , Convulsões/prevenção & controle , Análise de Sobrevida
7.
Pak J Pharm Sci ; 34(4(Supplementary)): 1639-1644, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34799342

RESUMO

Non insulin dependent diabetes mellitus (NIDDM) drugs such as glibenclamide and metformin is employed to heterogeneous disorder characterized by alteration in production of glucose due to impairment of both insulin secretion and insulin action. These patients might suffer with allergic rhinitis and in this case, there is a possibility to maintain patient on levocetirizine, an anti-allergic drug commonly used in rhinitis. The object of the present study is to detect possible interaction between glibenclamide or metformin with levocetirizine Current study was performed using UV spectroscopic technique sing simultaneous equation in pH simulated to gastric juice (pH 1), pH 4, pH 7.4 and in pH 9. All drugs followed Beer Lambert's Law. Results showed that glibenclamide and metformin can increase or decrease availability of levocetirizine and in the same way levocetirizine can alter availabilities of glibenclamide and metformin in different pH. Hence, drug interaction between glibenclamide or metformin with levocetirizne occurred. This may be due to his may be due to the charge transfer or binding capabilities of these drugs which resulted in significantly changed availability of NIDDIM as well as levocetirizine. Therefore, co-administration of these drugs should be avoided and furtherinvestigations at clinical and pre-clinical levels should be done.


Assuntos
Cetirizina/farmacocinética , Glibureto/farmacocinética , Hipoglicemiantes/química , Metformina/farmacocinética , Cetirizina/química , Interações Medicamentosas , Glibureto/química , Metformina/química , Estrutura Molecular , Soluções , Espectrofotometria Ultravioleta
8.
Pak J Pharm Sci ; 34(3(Special)): 1283-1287, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-34602401

RESUMO

Patients with allergic rhinitis may also suffer abdominal pain, gastritis or peptic ulcer. In this condition patient may use levocetirizine with famotidine or ranitidine. These drugs have potential to interact with another drug and form complex. The aim of the present study is to evaluate the possible drug drug interaction with each other which may cause increase or decrease of therapeutic effects. For this purpose, validity of Beer Lambert law was checked, lone availability of famotidine (20gm), ranitidine (150gm) and levocetirizine (5mg) were studied in pH simulated to gastric juice (pH 1), pH 4, pH 7.4 and in pH 9 and finally percent availabilities of these drugs were calculated with the help of simultaneous equation. Results showed high percentage of levocetirizine in all pH as 300.32%, 514.41%, 173.38% and 220.68% in presence of famotidine but very low availability of famotidine as 5.36%, 35.38%, 51.87% and 10.89% in presence of levocetirizine. In the case of levocetirizine and ranitidine interaction, zero percent levocetirizine was available at pH 1and 9, 56.28% in pH 4 and 191.1% in pH 7.4. On the other hand, ranitidine was available as 95.36%, 127.93%, 41.47% and 144.3%. These results showed that percentage of all drugs were altered in presence of each other due to drug-drug interaction. This may be due to the charge transfer binding capabilities of the drugs which resulted in significantly changed availability of famotidine, ranitidine as well as levocetirizine.


Assuntos
Cetirizina/farmacocinética , Famotidina/farmacocinética , Antagonistas não Sedativos dos Receptores H1 da Histamina/farmacocinética , Antagonistas dos Receptores H2 da Histamina/farmacocinética , Ranitidina/farmacocinética , Disponibilidade Biológica , Interações Medicamentosas , Humanos , Concentração de Íons de Hidrogênio , Técnicas In Vitro
9.
Pak J Pharm Sci ; 33(1(Supplementary)): 325-331, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32122865

RESUMO

Owing to its traditional applications, the current study focuses on Ajuga parviflora (A. parviflora) leaves extract for phytochemical and pharmacological analysis. The principle constituents were identified through gas chromatography (GC), and gas chromatography/mass spectroscopy (GC/MS), these includes phthalic acid, squalene, α-tocopherol, vitamin E, phytol, 2-methylenecholestan-3-ol, stigmasterol, cholest-22-ene-21-ol and 3,5-dehydro-6-methoxy. Hepatoprotective effect of A. parviflora was evaluated through isoniazid and rifampicin (INH and RFP) induced hepatotoxicity in rat. Animals in group A were treated with INH and RFP 50 mg/kg. Animals in group B, C, and D were pre-treated with A. parviflora extract at 100, 200 and 300 mg/kg dose prior drug administration. A. parviflora extract at 200 and 300 mg/kg in group C and D significantly reduced aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (ALP), and bilirubin (p<0.001) as compare to group B (100mg/kg). Total protein (TP) was also significantly (p<0.01) reduced in group C and D at dose of 200 and 300 mg/kg, respectively. The extract pre-treated animals with (A. parviflora, 200, and 300 mg/kg) showed that the epithelium of the central portal vein is intact with replete glucagon. The pre-treatment with A. parviflora protected the liver from INH and RFP induced hepatotoxicity. The results of pre-treated animals with A. parviflora 200, and 300 mg/kg dose prettily revert the severely disturb parameters like, cytolysis, lymphocytic infiltration, and lymphoid aggregate in portal vein and hydropic degeneration. The decrease peroxisome proliferator-receptor activator-δ (PPAR-δ) gene expression by INH, and RFP was significantly up regulated by A. parviflora extract in pre-treated animals at 200 and 300 mg/kg dose. These findings provide baseline pharmacological uses of A. parviflora in liver disorders. Further investigations are required for identification and isolation of biologically active components responsible for pharmacological activity.


Assuntos
Ajuga , Antituberculosos/toxicidade , Doença Hepática Induzida por Substâncias e Drogas/tratamento farmacológico , Extratos Vegetais/isolamento & purificação , Extratos Vegetais/uso terapêutico , Folhas de Planta , Animais , Doença Hepática Induzida por Substâncias e Drogas/patologia , Cromatografia Gasosa/métodos , Masculino , Espectrometria de Massas/métodos , Compostos Fitoquímicos/isolamento & purificação , Compostos Fitoquímicos/uso terapêutico , Ratos , Ratos Wistar
10.
Pak J Pharm Sci ; 32(5(Special)): 2405-2413, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31894025

RESUMO

Monotheca buxifolia has traditionally been employed in folk medicines to cure of infectious diseases. Current study was aimed to standardize the M. buxifolia leaves extract and evaluate its antibacterial and anticancer activity. Phytochemical analysis was carried through GC, GC/MS, FTIR, and ICP-OES analytical techniques. Antibacterial assay of the crude extract was performed by using tetrazolium micro plates. The extract treated bacteria were observed under (AFM) atomic force microscope and PCR was used for DNA amplification. The anti-proliferative activity of M. buxifolia leaves extract was examined through MTT cytotoxicity assay. The bacterial strains employed in this study were S. epidermidis ATCC (13518), S. aureus ATCC (25923), P. aeruginosa ATCC (10145), and E. coli ATCC (10536). Minimum inhibitory concentration (MIC50) against gram positive bacteria was significantly (p<0.01) achieved at 50 and 75µg/mL. MIC50 against E. coli and P. aeruginosa was also significant at 100µg/mL (p<0.01). M. buxifolia leaves extract damaged the cell walls gram-positive and gram-negative bacteria, while biofilm around gram positive bacteria was significantly damaged. The DNA decantation was also inhibited of S. aureus and S. epidermidis, however, no any impact was observed on E. coli and P. aeruginosa DNA decantation. The cytotoxicity findings suggested that the crude extract of M. buxifolia leaves at 1000µg/mL gives significant inhibition 73.96±2.0%, 83.76±1.2%, 77.66±1.2% and 72.67±1.6% against MDA-MB-231, MCF-7, HeLa and H460 cell lines respectively at (p<0.001). It may be concluded that M. buxifolia leaves extract have significant and promising antibacterial and anti-cancer activities which could be helpful to establish new antimicrobial and anticancer agents.


Assuntos
Antibacterianos/farmacologia , Antineoplásicos Fitogênicos/farmacologia , Extratos Vegetais/farmacologia , Sapotaceae/química , Antibacterianos/química , Antineoplásicos Fitogênicos/química , Bactérias/efeitos dos fármacos , Linhagem Celular Tumoral , Sobrevivência Celular/efeitos dos fármacos , Humanos , Extratos Vegetais/química , Folhas de Planta/química
11.
Pak J Pharm Sci ; 30(3(Suppl.)): 1007-1012, 2017 May.
Artigo em Inglês | MEDLINE | ID: mdl-28655700

RESUMO

Traditionally Berberis species have been used as anti-inflammatory, anti-rheumatic, analgesic and anti-anemic drugs. This study was aimed to determine chemical constituents and to assess analgesic, anti-inflammatory and hematological effects of the crude extract of the berries of Berberis baluchistanica to verify these folkloric claims. Phytochemical screening, carried out by using different chemical reagents and techniques like Thin Layer Chromatography (TLC) and Fourier Transform infra-Red (FTIR) indicated presence of flavonoids, saponins, phytosterols and carbohydrates including reducing sugars. Analgesic and anti-inflammatory activities were assessed on mice by using acetic acid induced writhing method and formalin method. Potent anti-inflammatory and analgesic effects were observed during these experiments. The extract also showed anti anemic effect as it increased the levels of hemoglobin and red blood cells significantly. Increase in the platelet count was also noted. The extract of the berries was used at oral doses of 300 and 500 mg/kg during experiments. Anti-inflammatory and analgesic activities were determined by comparing with the standard i.e. aspirin 300 mg/kg. Both doses produced significant anti-inflammatory and analgesic activities at P<0.05. These activities were seemingly attributable to flavonoid and saponin contents of the drug. These results justify the folkloric claims that the drug could be used as good anti-inflammatory, antirehumatic, analgesic and anti-anemic drug. However, further chemical investigations on the drug are suggested for isolation and identification of compounds that could be safer and more effective than the currently available medicines in treating these disorders.


Assuntos
Analgésicos/farmacologia , Anemia/prevenção & controle , Berberis/química , Frutas/química , Dor/tratamento farmacológico , Extratos Vegetais/farmacologia , Analgésicos/isolamento & purificação , Anemia/sangue , Animais , Anti-Inflamatórios/isolamento & purificação , Anti-Inflamatórios/farmacologia , Plaquetas/citologia , Plaquetas/efeitos dos fármacos , Relação Dose-Resposta a Droga , Eritrócitos/citologia , Eritrócitos/efeitos dos fármacos , Feminino , Hemoglobinas/análise , Leucócitos/citologia , Leucócitos/efeitos dos fármacos , Masculino , Camundongos , Medição da Dor , Extratos Vegetais/isolamento & purificação , Ratos
12.
Niger Postgrad Med J ; 23(4): 209-214, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-28000642

RESUMO

BACKGROUND: Viral hepatitis is a serious public health problem with hepatitis B virus (HBV) being one of its principle causes affecting billions of people globally. The laboratory diagnosis of HBV infection is made by detection of hepatitis B surface antigen (HBsAg) in serum. OBJECTIVE: The present study was done to evaluate the seroprevalence of hepatitis B infection among patients attending a hospital at a semi-urban North India using rapid immunoassay test kit. MATERIALS AND METHODS: A total of 1537 patients were included in the study whose venous blood samples were collected, and serum was tested for the presence of HBsAg using a rapid one-step immunoassay test kit. RESULTS: Out of 1537 patients whose blood samples were tested, 61 were found to be reactive to HBsAg giving the prevalence to be 3.9%, with 49 males and 12 females. Out of 61 reactive patient's majority belonged to inpatient (82.0%) as compared to outpatient department (18.0%). The majority of the reactive patients belonged to age group 28-37 years (37.7%), belonged to rural areas (86.9%), were illiterate (67.2%), were skilled workers (63.9%) and belonged to socioeconomic Class 4 (50.8%). Among the reactive patients, the most frequent suspected risk factor for hepatitis B infection was found to be visiting a community barber (19.7%). CONCLUSION: HBV infection is a dreadful disease, and its accurate and timely diagnosis using rapid immunoassay test kit is useful as it gives an indication about its seroprevalence in a given geographical area even with limited resources.


Assuntos
Anticorpos Anti-Hepatite B/análise , Hepatite B/epidemiologia , Feminino , Antígenos de Superfície da Hepatite B , Vírus da Hepatite B , Humanos , Imunoensaio , Índia/epidemiologia , Masculino , Nigéria , Prevalência , Estudos Soroepidemiológicos
13.
Pak J Pharm Sci ; 27(5 Spec no): 1477-82, 2014 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-25176241

RESUMO

Phytochemical studies of medicinal plants are a basic and helping tool for the isolation of active secondary metabolites. The isolation of active compounds is made easy by the help of preliminary phytochemical studies, which shows the presence of a specific class or group of compounds present in these medicinal plants. Ziziphus oxyphylla and Cedrela serrata are medicinal plants with valuable local uses. The present study is for the first Phytochemical investigation of these two medicinal plants which consists of, Quantitative tests showing very good results except Ziziphus oxyphylla plants which does not showed the results for Ester value and Peroxide value. Color reactions are studied for all the crude extracts showing the presence of a number of chemical groups belonging to the class of Alkaloids, Phenol compounds, Phenothiazines, Aromatic compounds, Amino acids, Sulfur compounds etc. Brine shrimp activity was performed which showed a LD50 value of 45.74 and 53.36 in the case of Ziziphus oxyphylla roots and Cedrela serrata bark respectively, which is comparable to the standard drug Cyclophosphamide results of 16.09. Insecticidal activity did not show any promising result indicating the absence of any insect killing potency. Antioxidant activity was very positive for all the extract particularly, the Ziziphus oxyphylla roots, which showed even better results than the standard drug Ascorbic acid used in various dilutions.


Assuntos
Antioxidantes/química , Cedrela , Preparações de Plantas/química , Ziziphus , Animais , Antioxidantes/isolamento & purificação , Antioxidantes/toxicidade , Artemia/efeitos dos fármacos , Compostos de Bifenilo/química , Cedrela/química , Cor , Dose Letal Mediana , Fitoterapia , Picratos/química , Casca de Planta , Folhas de Planta , Preparações de Plantas/isolamento & purificação , Preparações de Plantas/toxicidade , Raízes de Plantas , Plantas Medicinais , Tribolium/efeitos dos fármacos , Ziziphus/química
14.
Pak J Pharm Sci ; 27(6 Spec No.): 2197-205, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-26045371

RESUMO

The aim of our research work was to investigate the effects of low dose of Arctostaphylos uva-ursi (L.) Spreng. on rabbits. Crude extract was administered for 90 days in rabbits and hematology, biochemistry parameters and histopathology changes were analyzed. In result of it gender-based variations were observed in hematological, kidney function, liver function, cardiac enzymes and lipid profile. Urine analysis revealed same results as that of standard and control drug. No significant pathology was observed in heart, stomach, liver and kidney tissues of rabbits, treated with A.uva-ursi in a dose of 25 mg/kg/day. Our results justify the use of A. uva-ursi in medicine for treatment of variable pathologies.

15.
Pak J Pharm Sci ; 27(6 Spec No.): 2251-5, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-26045375

RESUMO

Qualitative and quantitative analysis of plant extracts can be achieved by using different spectroscopic techniques. In current research work we deal with the nature of the absorption and spectra of extract of Acorus calamus, Artemisia absinthium and Bergenia himalaica using FTIR spectroscopic technique. The present study was focused on standardization of crude extracts by utilization of infrared light. The spectra of crude extracts (A. calamus, A. absinthium and B. himalaica) displayed very clear diagnostic peaks of functional groups i.e. O-H alcoholic/acid, C-H alkyl & aromatic ring, carbonyl, and C-O-C groups. The spectra of all the three plants did not show any peak at 2220-2260 cm(-1), which is indicative of the absence of nitrogen containing groups. These results exhibited that these plants does not contain any toxic substances.

16.
Pak J Pharm Sci ; 27(6 Spec No.): 2189-95, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-26045384

RESUMO

Most of the species of genus Salvia are famous for having medicinal properties due to their chemical constituents. Salvia bucharica (Lamiacea) is found in Balochistan near Quetta in Hannaurak and Kalat. It is used in traditional system of medicine and claims to cure liver ailments. In current study crude methanolic extract (CME) of Salvia bucharica was obtained from the leaves and tested for hepatoprotective activity and possible toxicity in rabbits. Liver toxicity was induced in rabbits by administration of carbon tetra chloride (CCl4) and evaluated by biochemical tests and histopathology of tissues. In this study rabbits were divided in to 3 groups (5 rabbit in each group). Rabbits of group I (control) were administered only vehicle (0.9% sodium chloride) orally. Rabbits of group II were given CCl4 and group III were treated with CCl4 and S. bucharica CME orally. For hepatoprotective effect serum enzyme level and total protein level were calculated. Histopathology of liver sections of rabbits was also carried out to observe protective effect. Biochemical, hematological and histoptahological parameters were studied on rabbits for toxicological studies. S. bucharica CME showed significant liver protection with reduction in total bilirubin, direct bilirubin, Alanine aminotransferase (ALT), Aspartate aminotransferase (AST), Alkaline phosphatase (ALP), gamma glutamyl transpeptidase (γ-GT). And decrease in Albumin and globulin. In toxicological studies, biochemical and histoptahological parameters showed no significant toxicity in liver, heart and kidneys. It is concluded that S. bucharica CME showed hepatoprotective effects with nontoxic profile.

17.
Pak J Pharm Sci ; 27(6 Spec No.): 2213-20, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-26045373

RESUMO

In current study herbal formulation was prepared for Diabetes mellitus (type 2). It consists of the extracts of Salacia reticulate, Cinnamomum zeylanicum,Lagerstroemia speciosa, Camellia sinensis and Gymnema sylvester. Toxicitystudies were carried out on heart, liver, kidney and blood of both male and female rabbits. Drug was administered in a dose of 15mg/kg body weight daily for 90 days. On 91th day, blood was drawn from animals and investigated for changes in biochemical and hematological levels. After that animals were sacrificed and their organs (liver, heart and kidney) were analyzed for histo-pathological changes. In biochemical tests for lipid profile, significant decreased (male-70.64 ± 0.321; female-69.80 ± 0.365) in triglycerides level were observed, no significant change was recorded in Cholesterol HDL ratio, LDL, VLDL level. A significant increase (male-16.00 ± 1.418; female-10.00 ± 0.709) was observed in HDL level. In liver function test significant decrease was observed in Gamma GT (male-10.08 ± 0.862; female-7.00 ± 0.709). Alkaline phosphatase (male-79 ± 0.838; female-51.1 ± 1.810), SGPT (male-54 ± 0.709; female-43.04 ± 2.060), direct bilirubin (male-0.024 ± 0.005; female-0.014 ± 0.002) and total bilirubin (male-0.109 ± 0.003; 0.106 ± 0.049) were observed. Non-significant changes were observed in serum total protein, globulins, albumin and A/G ratio. No significant changes were noticed in urea level and serum electrolytes. In cardiac enzymes significant decrease was observed in LDH (male-443 ± 5.61; female-360 ± 1.848) and SGOT (male-27 ± 0.709; female-28 ± 1.418) level and highly significant rise in CPK (male- 3128 ± 8.478; female-1598 ± 7.483) and CK-MB (male-446 ± 2.308; female-438 ± 2.819). In hematological profile, significant decrease was observed in Hb (male-12.3 ± 0.392; female-12.4 ± 0.1), RBC count (male-6.60 ± 0.167; female-5.74 ± 0.25) and Hematocrit (HCT/PCV) % in both male and female rabbits (male-45.70 ± 0.255; female-43.50 ± 0.448) and significant (p<0.5) increased in WBC count (male-8.40 ± 0.401; female-9.10 ± 0.054). Significant (p<0.5) decrease in blood glucose level and HbA1c (male-3.36 ± 0.113; female-3.16 ± 0.076) was observed. In histopathological studies mild edema was observed in heart and there was no change in histo-architecture of liver and kidneys. It is concluded that formulation does not showed any chronic toxicity in adult dose.

18.
Pak J Pharm Sci ; 27(6 Spec No.): 2145-52, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-26045377

RESUMO

The purpose of this study was to evaluate the antibacterial, antifungal and antioxidant activities of medicinal plants. The antibacterial activity of methanolic extracts of three medicinal plants (Swertia chirata, Terminalia bellerica and Zanthoxylum armatum) were tested against Gentamicin (standard drug) on eleven gram positive and seventeen gram negative bacteria by agar well method. It was revealed that seven-gram negative and six gram positive bacterial species were inhibited by these plant extracts. Minimum inhibitory concentrations (MIC) of the extracts were determined by broth micro-dilution method. The significant MIC value of Swertia chirata was 20mg/ml against Serratia marcesens, Zanthoxylum armatum was 10 mg/ml against Aeromonas hydrophila and Terminali bellerica was 20mg/ml against Acinetobacter baumanii as well as Serratia marcesens. Antifungal screening was done for methanolic extracts of these plants by agar well method with the 6 saprophytic, 5 dermatophytic and 6 yeasts. In this case Griseofulvin was used as a standard. All saprophytes and dermatophytes were showed resistance by these plants extracts except Microsporum canis, which was inhibited by Z. armatum and S. chirata extracts. The significant MIC value of Zanthoxylum armatum was 10mg/ml against Microsporum canis and Swertia chirata was 10mg/ml against Candida tropicalis. The anti-oxidant study was performed by DPPH free radical scavenging assay using ascorbic acid as a reference standard. Significant antioxidant activities were observed by Swertia chirata and Zanthoxylum armatum at concentration 200µg/ml was 70% DPPH scavenging activity (EC50=937.5µg/ml) while Terminalia bellerica showed 55.6% DPPH scavenging activity (EC50=100µg/ml). This study has shown that these plants could provide potent antibacterial compounds and may possible preventive agents in ROS related ailments.

19.
Pak J Pharm Sci ; 27(2): 335-41, 2014 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-24577923

RESUMO

The Dolichos biflorus is a well known medicinal plant in folklore for its medicinal properties. In herbal medicine the seeds of it are mainly used as tonic, astringent, diuretic, and are also recommended in asthma, bronchitis, urinary discharges, hiccoughs, ozoena, heart trouble and other diseases of brain. The main purpose of this study is to explore and to provide experimental data on the traditional use of plant Dolichos biflorus. For this purpose we investigated the plant seed extract phytochemically and pharmacologically. Phytochemical analysis was performed on extract and powder form of the drug. Procedure use for evaluation were Identification of chemical constituent by color reaction, Fluorescence analysis of powder drug, pH (in powder and extract forms), loss on drying, Thin layer chromatography, Infrared spectroscopy, acid and saponification values. In pharmacological studies (diuretic, analgesic and anti-inflammatory activities) were tested on the extract of plant seed. The tests were carried out over albino mice taking different concentration of seed extract. Seeds extract of Dolichos biflorus has exhibited mild analgesic activity, the results were (84.6±6.68) at dose 300mg/kg and (92.2±6.81) at dose 500mg/kg which were not much significant as compared to reference drug Aspirin (300mg/kg) having result (36.4±2.27). While seed extract of Dolichos biflorus exhibited remarkable diuretic activity, the values at 300 mg/kg was (1.33±0.13) and at 500 mg/kg were (2.66±0.31) which are highly significant as compared to drug Lasix (20mg /kg) having result (2.38±0.23). Anti-inflammatory effects of crude extract of Dolichos biflorus obtained at 0.06mg/kg and 01mg/kg were (26.6±2.96) and (36±1.67) respectively. While the value for aspirin as standard drug (300mg/kg) were (17.44±1.59).This study provides a platform for further investigation for the isolation of active principles responsible for biological activity.


Assuntos
Dolichos/química , Extratos Vegetais/farmacologia , Sementes/química , Aminoácidos/análise , Analgésicos não Narcóticos , Animais , Anti-Inflamatórios não Esteroides , Cromatografia em Camada Fina , Cor , Dessecação , Diuréticos , Feminino , Concentração de Íons de Hidrogênio , Masculino , Metanol , Camundongos , Medição da Dor , Paquistão , Extratos Vegetais/química , Proteínas de Plantas/análise , Pós , Solventes , Espectrofotometria Infravermelho
20.
Pak J Pharm Sci ; 27(3): 481-6, 2014 May.
Artigo em Inglês | MEDLINE | ID: mdl-24811805

RESUMO

Current study was carried out on Rhazya stricta. Plant material was collected from Jhalmagsi Dist. Balochistan, Pakistan. Methanolic extract of Rhazya stricta was tested for anti-dermatitis, analgesic, anxiolytic effects, insecticidal activity and Brine shrimp Bioassay. Crude extract showed significant anti-dermatitis activity, as the results of intensity score showed mild Excoriation or erosion, moderate Edema or populations and absence of Erythema or hemorrhage, Scratching time was decreased to 1.45 and histological observations of mice treated with crude extract showed mild changes and few inflammatory cells in several microscopic fields. The results of analgesic activity were significant and the percentage inhibition of writhes were 73.54% and 69.38% at 300mg/kg and 500mg/kg respectively. The overall response of crude extract in anxiolytic activities were depressive and crude extract showed sedative effects. In Brine shrimp (Artemsia salina) lethality bioassay crude extract showed dose depended significant activity, and showed positive lethality with LD(50) 3.3004µg/ml. Insecticidal activity was positive against Callosbruchus analis, the percent mortality was 40%.


Assuntos
Analgésicos/farmacologia , Ansiolíticos/farmacologia , Apocynaceae , Dermatite/tratamento farmacológico , Extratos Vegetais/farmacologia , Animais , Artemia/efeitos dos fármacos , Feminino , Masculino , Camundongos , Fitoterapia
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA