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Sample records for antidiarrheals

  1. Croton grewioides Baill. (Euphorbiaceae) Shows Antidiarrheal Activity in Mice

    Science.gov (United States)

    da Silva, Anne Dayse Soares; de Melo e Silva, Karoline; Neto, José Clementino; Costa, Vicente Carlos de Oliveira; Pessôa, Hilzeth de Luna F.; Tavares, Josean Fechine; da Silva, Marcelo Sobral; Cavalcante, Fabiana de Andrade

    2016-01-01

    Based on chemotaxonomy, we decided to investigate the possible antidiarrheal activity in mice of a crude ethanolic extract obtained from aerial parts of Croton grewioides (CG-EtOH). We tested for any possible toxicity in rat erythrocytes and acute toxicity in mice. Antidiarrheal activity was assessed by determining the effect of CG-EtOH on defecation frequency, liquid stool, intestinal motility and intestinal fluid accumulation. CG-EtOH showed no in vitro cytotoxicity and was not orally lethal. In contrast, the extract given intraperitoneally (at 2000 mg/kg) was lethal, but only in females. CG-EtOH produced a significant and equipotent antidiarrheal activity, both in defecation frequency (ED50 = 106.0 ± 8.1 mg/kg) and liquid stools (ED50 = 105.0 ± 9.2 mg/kg). However, CG-EtOH (125 mg/kg) decreased intestinal motility by only 22.7% ± 4.4%. Moreover, extract markedly inhibited the castor oil-induced intestinal contents (ED50 = 34.6 ± 5.4 mg/kg). We thus conclude that CG-EtOH is not orally lethal and contains active principles with antidiarrheal activity, and this effect seems to involve mostly changes in intestinal secretion. SUMMARY CG-EtOH showed no in vitro cytotoxicity and was not orally lethal. In contrast, the extract given intraperitoneally (at 2000 mg/kg) was lethal, but only in females.CG-EtOH probably contains active metabolites with antidiarrheal activity.CG-EtOH reduced the frequency and number of liquid stools.Metabolites presents in the CG-EtOH act mainly by reducing intestinal fluid and, to a lesser extent, reducing intestinal motility. Abbreviations Used: CG-EtOH: crude ethanolic extract obtained from the aerial parts of C. grewioides; WHO: World Health Organization; ED50: dose of a drug that produces 50% of its maximum effect; Emax: maximum effect PMID:27365990

  2. Antinociceptive and anti-diarrheal activities of d

    International Nuclear Information System (INIS)

    he ethanolic extract of aerial parts of D. salicifolia was tested for its antinociceptive and anti-diarrheal effect using animal models. The maximum antinociceptive effect (75.00%) was observed at the tested dose of 150 mg/kg followed by 67.55 and 57.97% at the tested dose of 100 and 50 mg/kg respectively. Gastro-intestinal tract (GIT) motility inhibition (50.98%) was demonstrated at the dose of 200 mg/kg followed by by 67.22 and 78.14 %. at the dose of 100 and 150 mg/kg respectively. In conclusion the aerial parts of D. salicifolia are recommended as antinociceptive and antispasmodic. The antinociceptive effect of the plant is attributed to its known chemical constitutes (lupeol, beta-sitosterol, stigmasterol and ursolic acid), while the anti-diarrheal effect is still to be explored. (author)

  3. Antidiarrheal Activity of Three Medicinal Plants in Swiss Albino Mice

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    MD. Ashrafuzzaman

    2016-09-01

    Full Text Available Background: Different parts of Allamanda neriifolia (AN, Crinum latifolium (CL, and Bruguiera cylindrical (BC are used in folk medicine to treat diarrhea. Therefore, the aim of this study was to investigate and compare possible antidiarrheal activity of methanol extracts from barks, stems, and roots of AL, CL, and BC in Swiss albino mice. Methods: Antidiarrheal activities of extracts were evaluated at three doses (100mg/kg, 200 mg/kg and 400mg/kg and compared with Loperamide in a castor oil-induced diarrhea and charcoal meal test model in the Swiss albino mice. Results: The aqueous extract of CL and BC administered at doses of 100, 200 and 400mg/kg showed 0%, 24.5%, 62.26% and 5.66%, 37.11%, and 62.26% diarrhea inhibition, respectively (Table 2. This reduction in diarrheal episodes is significant, and maximum effect was observed at the dose of 400mg/kg similarly in the alcohol extracts of both CL and BC. AN administered at the dose of 100, 200 and 400mg/kg showed 55.97%, 74.84% and 74.84% diarrhea inhibition, respectively. Conclusion: The antidiarrheal effect of the AN extract, in contrast to CL and BC, against the castor oil-induced diarrhea model prove its efficacy in an extensive range of diarrheal conditions.

  4. Antidiarrheal efficacy and cellular mechanisms of a Thai herbal remedy.

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    Tradtrantip, Lukmanee; Ko, Eun-A; Verkman, Alan S

    2014-02-01

    Screening of herbal remedies for Cl(-) channel inhibition identified Krisanaklan, a herbal extract used in Thailand for treatment of diarrhea, as an effective antidiarrheal in mouse models of secretory diarrheas with inhibition activity against three Cl(-) channel targets. Krisanaklan fully inhibited cholera toxin-induced intestinal fluid secretion in a closed-loop mouse model with ∼50% inhibition at a 1 ∶ 50 dilution of the extract. Orally administered Krisanaklan (5 µL/g) prevented rotavirus-induced diarrhea in neonatal mice. Short-circuit current measurements showed full inhibition of cAMP and Ca(2+) agonist-induced Cl(-) conductance in human colonic epithelial T84 cells, with ∼ 50% inhibition at a 1 ∶ 5,000 dilution of the extract. Krisanaklan also strongly inhibited intestinal smooth muscle contraction in an ex vivo preparation. Together with measurements using specific inhibitors, we conclude that the antidiarrheal actions of Krisanaklan include inhibition of luminal CFTR and Ca(2+)-activated Cl(-) channels in enterocytes. HPLC fractionation indicated that the three Cl(-) inhibition actions of Krisanaklan are produced by different components in the herbal extract. Testing of individual herbs comprising Krisanaklan indicated that agarwood and clove extracts as primarily responsible for Cl(-) channel inhibition. The low cost, broad antidiarrheal efficacy, and defined cellular mechanisms of Krisanaklan suggests its potential application for antisecretory therapy of cholera and other enterotoxin-mediated secretory diarrheas in developing countries. PMID:24551253

  5. Antidiarrheal efficacy and cellular mechanisms of a Thai herbal remedy.

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    Lukmanee Tradtrantip

    2014-02-01

    Full Text Available Screening of herbal remedies for Cl(- channel inhibition identified Krisanaklan, a herbal extract used in Thailand for treatment of diarrhea, as an effective antidiarrheal in mouse models of secretory diarrheas with inhibition activity against three Cl(- channel targets. Krisanaklan fully inhibited cholera toxin-induced intestinal fluid secretion in a closed-loop mouse model with ∼50% inhibition at a 1 ∶ 50 dilution of the extract. Orally administered Krisanaklan (5 µL/g prevented rotavirus-induced diarrhea in neonatal mice. Short-circuit current measurements showed full inhibition of cAMP and Ca(2+ agonist-induced Cl(- conductance in human colonic epithelial T84 cells, with ∼ 50% inhibition at a 1 ∶ 5,000 dilution of the extract. Krisanaklan also strongly inhibited intestinal smooth muscle contraction in an ex vivo preparation. Together with measurements using specific inhibitors, we conclude that the antidiarrheal actions of Krisanaklan include inhibition of luminal CFTR and Ca(2+-activated Cl(- channels in enterocytes. HPLC fractionation indicated that the three Cl(- inhibition actions of Krisanaklan are produced by different components in the herbal extract. Testing of individual herbs comprising Krisanaklan indicated that agarwood and clove extracts as primarily responsible for Cl(- channel inhibition. The low cost, broad antidiarrheal efficacy, and defined cellular mechanisms of Krisanaklan suggests its potential application for antisecretory therapy of cholera and other enterotoxin-mediated secretory diarrheas in developing countries.

  6. Toxicological, Antidiarrheal and Spasmolytic Activities of Solanum paniculatum.

    Science.gov (United States)

    Clementino-Neto, José; Pereira, Joedna C; Vasconcelos, Luiz H C; de Souza, Iara L L; Silva, Anne D S; Silva, Telma M G; Ramos, Natalia S M; Pessôa, Hilzeth L F; Silva, Tania M S; da Silva, Bagnólia A; de Cavalcante, Fabiana A

    2016-01-01

    Solanum paniculatum is popularly known as "jurubeba-verdadeira". In folk medicine, its roots, stems, and leaves are used as tonics, anti-inflammatories, carminatives, diuretics, and for gastrointestinal disorders. This species is listed in the Brazilian Pharmacopoeia and belongs to the "Relação Nacional de Plantas Medicinais de Interesse ao SUS". Based on folk medicine data of the Solanum genus, we decided to investigate whether the crude ethanol extract from S. paniculatum aerial parts presents toxicological, antidiarrheal, and spasmolytic activities. The crude ethanol extract from S. paniculatum aerial parts did not produce in vitro or in vivo toxicity and showed dose-dependent antidiarrheal activity, inhibiting equipotently both the defecation frequency (ED50 = 340.3 ± 35.1 mg/kg) and liquid stool formation (ED50 = 370.1 ± 19.4 mg/kg) in mice. Conversely, the crude ethanol extract from S. paniculatum aerial parts did not inhibit normal intestinal transit, even though it has shown a dose-dependent reduction of both the castor oil-induced intestinal transit (Emax = 36.9 ± 1.3 %, ED50 = 242.0 ± 8.6 mg/kg) and intestinal fluid content (Emax = 74.8 ± 2.4 %, ED50 = 328.9 ± 15.9 mg/kg). Additionally, the crude ethanol extract from S. paniculatum aerial parts was approximately 2-fold more potent in antagonizing the phasic contractions induced with histamine (IC50 = 63.7 ± 3.5 µg/mL) than carbachol 10(-6) M (IC50 = 129.3 ± 14.1 µg/mL). Therefore, we concluded that the crude ethanol extract from S. paniculatum aerial parts presents antidiarrheal activity in mice related to the inhibition of small intestinal motility and secretion as well as nonselective spasmolytic activity on the guinea pig ileum. PMID:26366752

  7. Role of the Rosa canina L. leaf extract as an antidiarrheal drug in rodents

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    Rajesh J Mandade

    2011-01-01

    Conclusions: The presence of some of the phytochemicals in the leaf extract may be responsible for the observed effects, and also the basis for its use in traditional medicine as an antidiarrheal drug.

  8. Antidiarrheal activities of isovanillin, iso-acetovanillon and Pycnocycla spinosa Decne ex.Boiss extract in mice

    OpenAIRE

    Sadraei, H.; Ghanadian, M.; Asghari, G.; Azali, N.

    2014-01-01

    Isovanillin and iso-acetovanillon are two phenolic components isolated from a number of plants including Pycnocycla spinosa. P. spinosa extract has antispasmodic and antidiarrheal activities. However, no comparative study has been done on antidiarrheal action of isovanillin and iso- acetovanillon, so far. The aim of this study was to investigate antidiarrheal action of isovanillin and iso-acetovanillon and their effects on small intestinal transit, for comparison with propantheline. Male mice...

  9. Cissus sicyoides: Pharmacological Mechanisms Involved in the Anti-Inflammatory and Antidiarrheal Activities

    Science.gov (United States)

    Beserra, Fernando Pereira; de Cássia Santos, Raquel; Périco, Larissa Lucena; Rodrigues, Vinicius Peixoto; de Almeida Kiguti, Luiz Ricardo; Saldanha, Luiz Leonardo; Pupo, André Sampaio; da Rocha, Lúcia Regina Machado; Dokkedal, Anne Lígia; Vilegas, Wagner; Hiruma-Lima, Clélia Akiko

    2016-01-01

    The objective of this study was to evaluate the pharmacological mechanisms involved in anti-inflammatory and antidiarrheal actions of hydroalcoholic extract obtained from the leaves of Cissus sicyoides (HECS). The anti-inflammatory effect was evaluated by oral administration of HECS against acute model of edema induced by xylene, and the mechanisms of action were analysed by involvement of arachidonic acid (AA) and prostaglandin E2 (PGE2). The antidiarrheal effect of HECS was observed and we analyzed the motility and accumulation of intestinal fluid. We also analyzed the antidiarrheal mechanisms of action of HECS by evaluating the role of the opioid receptor, α2 adrenergic receptor, muscarinic receptor, nitric oxide (NO) and PGE2. The oral administration of HECS inhibited the edema induced by xylene and AA and was also able to significantly decrease the levels of PGE2. The extract also exhibited significant anti-diarrheal activity by reducing motility and intestinal fluid accumulation. This extract significantly reduced intestinal transit stimulated by muscarinic agonist and intestinal secretion induced by PGE2. Our data demonstrate that the mechanism of action involved in the anti-inflammatory effect of HECS is related to PGE2. The antidiarrheal effect of this extract may be mediated by inhibition of contraction by acting on the intestinal smooth muscle and/or intestinal transit. PMID:26805827

  10. Therapeutic significance and pharmacological activities of antidiarrheal medicinal plants mention in Ayurveda: A review.

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    Mishra, Ashish; Seth, Ankit; Maurya, Santosh Kumar

    2016-01-01

    Diarrhea is a serious problem affecting 3-5 billion people per year around the world, especially children of below 5 years. 70% of the world population uses traditional and indigenous medicine for their primary health care. The facts of these indigenous remedies are passed verbally and sometimes as documents. Since ancient time, Ayurveda is the main system of healing in South East Asian countries. Indian literature from ayurvedic texts and other books claim the potency of several plants in the treatment of diarrhea. As the global prospective of ayurvedic medicine is increasing, interest regarding the scientific basis of their action is parallely increasing. Researchers are doing experiments to establish the relation between the claimed action and observed pharmacological activities. In the present article, an attempt was made to compile the scientific basis of medicinal plants used to cure diarrhea in Ayurveda. Literature was collected via electronic search (PubMed, ScienceDirect, Medline, and Google Scholar) from published articles that reports antidiarrheal activity of plants that were mentioned in Ayurveda classics. A total of 109 plant species belonging to 58 families were reported for their antidiarrheal activity. Several Indian medicinal plants have demonstrated promising antidiarrheal effects, but the studies on the antidiarrheal potentials of these plants are not taken beyond proof of concept stage. It is hoped that the article would stimulate future clinical studies because of the paucity of knowledge in this area. PMID:27366356

  11. Therapeutic significance and pharmacological activities of antidiarrheal medicinal plants mention in Ayurveda: A review

    Science.gov (United States)

    Mishra, Ashish; Seth, Ankit; Maurya, Santosh Kumar

    2016-01-01

    Diarrhea is a serious problem affecting 3-5 billion people per year around the world, especially children of below 5 years. 70% of the world population uses traditional and indigenous medicine for their primary health care. The facts of these indigenous remedies are passed verbally and sometimes as documents. Since ancient time, Ayurveda is the main system of healing in South East Asian countries. Indian literature from ayurvedic texts and other books claim the potency of several plants in the treatment of diarrhea. As the global prospective of ayurvedic medicine is increasing, interest regarding the scientific basis of their action is parallely increasing. Researchers are doing experiments to establish the relation between the claimed action and observed pharmacological activities. In the present article, an attempt was made to compile the scientific basis of medicinal plants used to cure diarrhea in Ayurveda. Literature was collected via electronic search (PubMed, ScienceDirect, Medline, and Google Scholar) from published articles that reports antidiarrheal activity of plants that were mentioned in Ayurveda classics. A total of 109 plant species belonging to 58 families were reported for their antidiarrheal activity. Several Indian medicinal plants have demonstrated promising antidiarrheal effects, but the studies on the antidiarrheal potentials of these plants are not taken beyond proof of concept stage. It is hoped that the article would stimulate future clinical studies because of the paucity of knowledge in this area. PMID:27366356

  12. Comparative antidiarrheal and antiulcer effect of the aqueous and ethanolic stem bark extracts of Tinospora cordifolia in rats

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    Mohanjit Kaur; Amarjeet Singh; Bimlesh Kumar

    2014-01-01

    Tinospora cordifolia is indigenous to the tropical areas of India, Myanmar and Sri Lanka. The use of plant as remedy for diarrhea and ulcer is well-documented in Ayurvedic system of medicine. However, pharmacological evidence does not exist to substantiate its therapeutic efficacy for the same. The aim was to investigate the antidiarrheal and antiulcer activity of ethanolic and aqueous extracts of T. cordifolia in rats. The antidiarrheal activity of T. cordifolia extracts was evaluated by cas...

  13. Evaluation of antidiarrheal activity of ethanolic stem bark extract of Albizzia lebbeck Linn. in rats

    OpenAIRE

    Neelam Balekar; Dinesh Kumar Jain; Pankaj Dixit; Veena Nair

    2012-01-01

    The present study was performed to substantiate the traditional claim of the antidiarrheal activity of stem bark extractof Albizzia lebbeck Linn. in rats. The effects of ethanolic extract of the stem bark of A. lebbeck on castor oil-induced diarrhea,castor oil magnesium sulphate-induced enteropooling, and gastrointestinal motility test using charcoal meal method wereexamined. The extract was initially assayed for its effects in castor oil-induced diarrhea at different doses (250, 500, and 100...

  14. Antidiarrheal potential of standardized extract of Rhododendron arboreum Smith flowers in experimental animals

    OpenAIRE

    Neeraj Verma; Singh, Anil P.; Amresh Gupta; Sahu, P. K.; Rao, Ch V.

    2011-01-01

    Objective : To investigate standardized ethyl acetate fraction of Rhododendron arboreum (EFRA) flowers for antidiarrheal activity in experimental animals. Materials and Methods : A simple sensitive high performance thin layer chromatography (HPTLC) method was used for the determination of hyperin in EFRA. The standardized fraction was investigated for castor oil, magnesium sulfate-induced diarrhea, measurement of gastrointestinal transit using charcoal and castor oil-induced enteropooling...

  15. ANTIDIARRHEAL ACTIVITY OF ETANOLIC EXTRACT OF BAY LEAVES (SYZYGIUM POLYANTHUM [WIGHT.] WALP.)

    OpenAIRE

    Abd. Malik; Aktsar Roskiana Ahmad

    2013-01-01

    Indonesia people have been used of Bay Leaves (S. polyanthum [Wight.] Walp.) to treat of antidiarrhea, cholesterol, hypertension, gastritis, and diabetes mellitus. Extrac of Bay Leaves can be inhibit growth of Escherichia coli, Vibrio Cholera, and Salmonella sp. It’s the bacterium that produce an entherotoxin so as to cause diarrhoea. Bioassay of antidiarrheal activity by using transit intestinal method and mice (Mus musculus) as an animal model induced by castor oil. The mice were grouped in...

  16. Antidiarrheal properties of different extracts of Chinese herbal medicine formula Bao-Xie-Ning

    Institute of Scientific and Technical Information of China (English)

    Jing Li; Xin-lin Wu; Yuling Chen; Zhi Tang; Yue-hong Xu; Jian-min Jiang; Yue-yu Gu

    2013-01-01

    OBJECTIVE:Bao-Xie-Ning (BXN),a traditional Chinese herbal medicine (CHM) formula composed of Fructus Evodiae,Flos Caryophylli and Cortex Cinnamomi,and used for the treatment of infant diarrheal illness,was subject to systematic assessment for its putative multiple pharmacodynamic effects and pharmacological antidiarrheal mechanisms.METHODS:High-performance liquid chromatography-diode array detector-electrospray ionizationmass spectrometric/mass spectrometry was developed and validated for identification and quantification of the main constituents in different extracts of BXN.Male Kunming mice weighing 20 to 25 g were used for detecting the antidiarrheal activity of the extracts.Ethanolic extract (EE),volatile oil extract (VOE),and aqueous extract (AE) of BXN were respectively subjected to pharmacodynamic and pharmacological comparison in assessing antidiarrheal effects with senna-induced diarrhea,castor oil-induced diarrhea,acetic acid-induced writhing assay,and isolated duodenum test.RESULTS:The highest yields of three detected components of BXN,rutaecarpine,eugenol and cinnamaldehyde were observed in EE.EE showed the most remarkable antidiarrheal activity in dose-dependent and time-dependent manners in both senna-and castor oil-induced diarrhea models,and presented dose-dependent analgesic activity in acetic acid-induced algesthesia model.In addition,EE extract of BXN also exhibited strong antimobility action on the intestine and strongest depression on spontaneous contraction of isolated duodenum.CONCLUSION:Ethanol extraction is an efficient method to extract the active constituents of BXN.BXN extract demonstrated multiple pharmacological activities affecting the main mechanisms of diarrhea,which validated BXN's usage in the comprehensive clinical treatment of diarrhea.

  17. Antidiabetic and antidiarrheal effects of the methanolic extract of Phyllanthus reticulatus leaves in mice

    Institute of Scientific and Technical Information of China (English)

    Mst Hajera Khatun; Mst Luthfun Nesa; Rafikul Islam; Farhana Alam Ripa; Al mamum; Shahin Kadir

    2014-01-01

    Objective: To assess the anti-diabetic and antidiarrheal activity of methanolic extract of Phyllanthus reticulates (P. reticulates) leaves in an animal model. Methods: Phytochemical screening of methanolic extract of P. reticulatus leaves has been performed. Antidiabetic activity have been done by OGTT, normoglycemic hyperglycemia and alloxan induced diabetic mice. Plant extracts (150 mg/kg and 300 mg/kg, b.w.) were administered orally in fasting glucose loaded mice with regard to normal control and in alloxan induced (110 mg/kg body weight i.p.) diabetic mice in comparison with reference drug Metformin hydrochloride (100 mg/kg) during 7 day test period. Antidiarrheal test was conducted by castor oil and magnesium sulfate. Results:Findings confirmed that the continuous post-treatment for 7 days with both extracts showed significant (P<0.05) hypoglycemic activity in OGTT, normoglycemic and alloxan induced mouse models. Castor oil and Magnesium sulfate induced diarrheal test of the extract (200 and 400 mg/kg) has given significant effect in compairing to control diarrheal group. Conclusion:Methanolic extract of P. reticulatus leaves have shown significant antidiabetic and antidiarrheal properties.

  18. Antidiarrheal effects of hydromethanolic extract ofCombretum dolichopetalum leaves in mice

    Institute of Scientific and Technical Information of China (English)

    Samuel Okwudili Onoja; Nkeiruka Emmanuela Udeh

    2015-01-01

    Objective:To evaluate the antidiarrheal activity of the hydromethanolic extract ofCombretum dolichopetalum (C. dolichopetalum) leaves. Methods: The antidiarrheal activity of the hydromethanolic extract ofC. dolichopetalum leaves was evaluated by inducing diarrhea with castor oil, testing small intestinal motility and establishing enteropooling models in mice. Five groups of animals were used for each model and were treated as follows: Group A received 10 mL/kg of distilled water, and Group B received loperamide (5 mg/kg) while Groups C, D, E received 50, 100 and 200 mg/kg of hydromethanolicC. dolichopetalumextract, respectively. Results: The pre-treatment of the mice with the extract (50, 100 and 200 mg/kg) caused a significantly dose-dependent decrease in the mean percentage of wet faeces (P 0.05), compared with the negative control. Conclusions: The study shows thatC. dolichopetalum leaves possess antidiarrheal activity and validate its use in ethnomedicine for that purpose.

  19. Antidiarrheal potential of standardized extract of Rhododendron arboreum Smith flowers in experimental animals

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    Neeraj Verma

    2011-01-01

    Full Text Available Objective : To investigate standardized ethyl acetate fraction of Rhododendron arboreum (EFRA flowers for antidiarrheal activity in experimental animals. Materials and Methods : A simple sensitive high performance thin layer chromatography (HPTLC method was used for the determination of hyperin in EFRA. The standardized fraction was investigated for castor oil, magnesium sulfate-induced diarrhea, measurement of gastrointestinal transit using charcoal and castor oil-induced enteropooling. Results : The concentration of hyperin in flowers of R. arboreum was found to be 0.148% by HPTLC. Oral administration of EFRA at 100, 200 and 400 mg/kg exhibited dose-dependent and significant (P<0.05-0.001 antidiarrheal potential in castor oil and magnesium sulfate-induced diarrhea. EFRA at doses of 100, 200 and 400 mg/kg also produced significant (P<0.05-0.001 dose-dependent reduction in propulsive movement in castor oil-induced gastrointestinal transit using charcoal meal in rats. EFRA was found to possess an antienteropooling in castor oil-induced experimental animals by reducing both weight and volume of intestinal content significantly. Conclusion : These findings demonstrate that standardized ethyl acetate fraction of R. arboreum flowers has potent antidiarrheal activity thus justifying its traditional use in diarrhea and have great potential as a source for natural health products.

  20. Antidiarrheal activity of extracts and compound from Trilepisium madagascariense stem bark

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    Teke Gerald

    2010-01-01

    Full Text Available Objective : The present study was performed to evaluate the preventive and curative antidiarrheal effects of the methanol extract, fractions and compound from the stem bark of Trilepisium madagascariense in rats. Materials and Methods : The methanol extract from the stem bark of T. madagascariense, its fractions (n-hexane, ethyl acetate, n-butanol and aqueous residue and compound (obtained from further column chromatography of the ethyl acetate fraction were evaluated for the antidiarrheal activity in rats. These test samples (at 100, 200 and 400 mg/kg for the extract and fractions and 2.5 mg/kg for compound were assayed on the latent periods, purging indices and fecal frequencies in castor oil-induced diarrhea. Gastrointestinal transit and castor oil-induced enteropooling assays were conducted. Shigella-induced diarrhea was assayed. Blood chemistry and fecal Shigella load were examined. Results : The fractionation of the ethyl acetate fraction from the methanol extract of T. madagascariense afforded a known compound [isoliquiritigenin (1]. Compound 1 increased the latent period of diarrhea induction (179.40 min compared to the saline control (60.80 min. The purging indices, fecal frequencies and intestinal enteropooling decreased with an increase in the dose of test samples. The blood cell counts, sera creatinine and fecal Shigella load decreased significantly (P ≤ 0.05 in the plant extract-treated rats compared to the saline control. Conclusion : The results of our study, being reported for the first time, provide clear evidence that the methanol extract, fractions and isoliquiritigenin from T. madagascariense stem bark possess antidiarrheal activities.

  1. Studies on the anti-diarrheal properties of leaf extract of Desmodium puchellum

    Institute of Scientific and Technical Information of China (English)

    Md Khalilur Rahman; Soumitra Barua; Md Fokhrul Islam; Md Rafikul Islam; Mohammed Abu Sayeed; Mst Shahnaj Parvin; Md Ekramul Islam

    2013-01-01

    Objective: To evaluate the pharmacological activity against diarrhea of methanol and petroleum ether extract of Desmodium puchellum (Family: Fabaceae) leaves. Methods: The extract was evaluated for castor oil-induced diarrhea and enteropooling as well as intestinal motility in rats. Both of the extracts were given to the rats at 200 mg/kg orally. Loperamide was used as a standard drug for diarrhea. Results:The diarrheal severity was reduced significantly (P Conclusions:It is concluded that both fractions contain some biologically active ingredients that are active for anti-diarrheal actions whereas methanol fraction has better potential.

  2. Antidiarrheal activity and Phytochemical profile of the ethanolic leaf extract of Leonotis nepetifolia (Lion's ear) in Wistar albino rats

    OpenAIRE

    Ndukui James Gakunga; Godfrey Kateregga; Larry Fred Sembajwe; John Kateregga

    2013-01-01

    ABSTRACT Aim: This study was designed to evaluate the antidiarrheal activity of ethanolic leaf extract of Leonotis nepetifolia in wistar albino rats. Methods: This study was done in February 2013. The ethanolic leaf extract of L. nepetifolia was evaluated for its antidiarrheal activity. A total of sixty rats were used in the study. At first, thirty rats in five groups of six animals were orally dosed with the extract at dose rates of 225mg/kg, 450mg/kg, 900mg/kg body weight respectively...

  3. In vivo pharmacology and antidiarrheal efficacy of a thiazolidinone CFTR inhibitor in rodents.

    Science.gov (United States)

    Sonawane, N D; Muanprasat, Chatchai; Nagatani, Ray; Song, Yuanlin; Verkman, A S

    2005-01-01

    A small-molecule inhibitor of the cystic fibrosis transmembrane conductance regulator (CFTR), 3-[(3-trifluoromethyl)phenyl]-5-[(4-carboxyphenyl)methylene]-2-thioxo-4-thiazolidinone (CFTR(inh)-172), reduces enterotoxin-induced intestinal fluid secretion in rodents. Here, we study CFTR(inh)-172 pharmacology and antidiarrheal efficacy in rodents using (14)C-labeled CFTR(inh)-172, liquid chromatography/mass spectrometry, and a closed intestinal loop model of fluid secretion. CFTR(inh)-172 was cleared primarily by renal glomerular filtration without chemical modification. CFTR(inh)-172 accumulated in liver within 5 min after intravenous infusion in mice, and was concentrated fivefold in bile over blood. At 30-240 min, CFTR(inh)-172 was found mainly in liver, intestine, and kidney, with little detectable in the brain, heart, skeletal muscle, or lung. Pharmacokinetic analysis in rats following intravenous bolus infusion showed a distribution volume of 770 mL with redistribution and elimination half-times of 0.14 h and 10.3 h, respectively. CFTR(inh)-172 was stable in hepatic microsomes. Closed-loop studies in mice indicated that a single intraperitoneal injection of 20 microg CFTR(inh)-172 inhibited fluid accumulation at 6 h after cholera toxin by >90% in duodenum and jejunum, approximately 60% in ileum and accumulation of CFTR(inh)-172 account for its efficacy as an antidiarrheal. PMID:15761937

  4. Antidiarrheal Activity of 19-Deoxyicetexone Isolated from Salvia ballotiflora Benth in Mice and Rats

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    Ernesto Sánchez-Mendoza

    2013-07-01

    Full Text Available The antidiarrheal properties of 19-deoxyicetexone, a diterpenoid isolated from Salvia ballotiflora were evaluated on castor oil-, arachidonic acid (AA- and prostaglandin (PGE2-induced diarrhea in rodent models. The structure of 19-deoxyicetexone was determined by X-ray crystallography, mass spectrometry (EI-MS, as well as ultraviolet (UV-Vis, infrared (FT-IR and nuclear magnetic resonance (NMR spectroscopies. This compound significantly and dose-dependently reduced frequency of stooling in castor oil-induced diarrhea, and at dose of 25 mg/kg it also inhibited diarrhea induced with AA, while it had no effect on PGE2-induced diarrhea. This compound at doses of 25 mg/kg also diminished castor oil-induced enteropooling and intestinal motility, and inhibited the contraction of the rats’ ileum induced by carbachol chloride at a concentration of 100 µg/mL. 19-Deoxyicetexone did not present acute toxicity at doses of 625 mg/kg. Its antidiarrheal activity may be due to increased reabsorption of NaCl and water and inhibition of the release of prostaglandins, gastrointestinal motility and fluid accumulation in the intestinal tracts of rats. These findings suggest that 19-deoxyicetexone may be used in the treatment of diarrhea, although more studies must be carried out to confirm this.

  5. ANTIDIARRHEAL ACTIVITY OF ETANOLIC EXTRACT OF BAY LEAVES (SYZYGIUM POLYANTHUM [WIGHT.] WALP.

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    Abd. Malik

    2013-04-01

    Full Text Available Indonesia people have been used of Bay Leaves (S. polyanthum [Wight.] Walp. to treat of antidiarrhea, cholesterol, hypertension, gastritis, and diabetes mellitus. Extrac of Bay Leaves can be inhibit growth of Escherichia coli, Vibrio Cholera, and Salmonella sp. It’s the bacterium that produce an entherotoxin so as to cause diarrhoea. Bioassay of antidiarrheal activity by using transit intestinal method and mice (Mus musculus as an animal model induced by castor oil. The mice were grouped into five groups. Group I is received Na-CMC as control, group II, III, and IV are received of Ethanolic Extract of Bay Leaves (EEBL with concentration 10%, 20%, and 30%, respectively and group V as positive control by received Loperamide-HCl. The charcoal used to marker as indicators. The result of the test indicate that EEBL have antidiarrheal activity to animal model. Refers to analysis of variant p=0.05, showing that concentration 30% has an activity non significant with loperamide-HCl as positive control.

  6. Antidiarrheal activity of 19-deoxyicetexone isolated from Salvia ballotiflora Benth in mice and rats.

    Science.gov (United States)

    Pérez-Gutiérrez, Salud; Zavala-Mendoza, Daniel; Hernández-Munive, Abigail; Mendoza-Martínez, Angel; Pérez-González, Cuauhtemoc; Sánchez-Mendoza, Ernesto

    2013-01-01

    The antidiarrheal properties of 19-deoxyicetexone, a diterpenoid isolated from Salvia ballotiflora were evaluated on castor oil-, arachidonic acid (AA)- and prostaglandin (PGE₂)-induced diarrhea in rodent models. The structure of 19-deoxyicetexone was determined by X-ray crystallography, mass spectrometry (EI-MS), as well as ultraviolet (UV-Vis), infrared (FT-IR) and nuclear magnetic resonance (NMR) spectroscopies. This compound significantly and dose-dependently reduced frequency of stooling in castor oil-induced diarrhea, and at dose of 25 mg/kg it also inhibited diarrhea induced with AA, while it had no effect on PGE₂-induced diarrhea. This compound at doses of 25 mg/kg also diminished castor oil-induced enteropooling and intestinal motility, and inhibited the contraction of the rats' ileum induced by carbachol chloride at a concentration of 100 µg/mL. 19-Deoxyicetexone did not present acute toxicity at doses of 625 mg/kg. Its antidiarrheal activity may be due to increased reabsorption of NaCl and water and inhibition of the release of prostaglandins, gastrointestinal motility and fluid accumulation in the intestinal tracts of rats. These findings suggest that 19-deoxyicetexone may be used in the treatment of diarrhea, although more studies must be carried out to confirm this. PMID:23896615

  7. Antidiarrheal effect of fractions from stem bark of Thespesia populnea in rodents:Possible antimotility and antisecretory mechanisms

    Institute of Scientific and Technical Information of China (English)

    Shylaja Hanumanthappa; Nandakumar Krishnadas; Srinath Rangappa

    2011-01-01

    Objective:To evaluate antidiarrheal activity of the fractions of aqueous extract from stem barks of Thespesia populnea (Malvaceae). Methods:From the aqueous extract three fractions namely ethyl acetate fraction (EAF), methanolic fraction (MF) and residue fraction (RF) were made and studied for antidiarrheal activity. Antidiarrheal activity of the fractions were evaluated in castor oil induced diarrhea, prostaglandin E2 (PG-E2) induced diarrhea and charcoal meal test as in vivo models and the most potent fraction was further evaluated with in vitro models to determine the possible antimotility effect. Results:In castor oil induced diarrhea model, the RF (10, 25, 50 and 100 mg/kg, po.) and MF (100 mg/kg, po.) has significantly reduced the cumulative wet faecal mass, where as the EAF have not shown any significant antidiarrheal activity, RF was found to be more potent than MF. Based on these results and percentage yield, only RF was evaluated in PG-E2 induced enteropooling and charcoal meal test. RF (10, 25 and 50 mg/kg) had shown significant inhibition of PG-E2 induced secretions (antisecretory) and decreased the movement of charcoal in charcoal meal test indicating its antimotility activity. Furthermore, RF has showed significant inhibition of acetylcholine, histamine and BaCl2 induced contractions on rat colon, guinea pig ileum and rabbit jejunum with EC50 values of 241.7, 303.1 and 286.1μg/mL, respectively indicating the antimotility effect of RF. The phytochemical analysis of RF showed presence of gums and mucilages and the possible mechanism may be the combination inhibition of elevated prostaglandin biosynthesis and reduced propulsive movement of the intestine. Conclusions:RF possesses good antidiarrheal activity comparing with other two fractions and the possible mechanism thought to be associated with combination of antisecretory and antimolity.

  8. Studies on the anti-diarrheal properties of seed extract of Monodora tenuifolia

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    M O Ezenwali

    2009-12-01

    Full Text Available Summary: The anti-diarrheal effect of methanol extract (ME of seeds of Monodora tenuifolia Benth (Annonaceae, a wildly growing orchid flowering tree whose seed is traditionally used as antidiarrhea remedy, was studied using rodent models of diarrhea, enteropooling and gastrointestinal motility induced by castor oil. Acute toxicity and lethality (LD50 and phytochemical constituents of ME were also evaluated. The results showed that ME significantly (P<0.05 reduced the watery texture and number of fecal droppings over 4 h. It also significantly (P<0.05 reduced the volume and weight of intestinal content in a non-dose-related manner. On gastro-intestinal motility, ME significantly (P<0.05 reduced the small intestinal transit of charcoal meal in mice induced by castor oil in a non-dose-related manner. Phytochemical analysis showed that ME tested positive to carbohydrates, saponins, proteins, resins, flavonoids, alkaloids, terpenoids, steroids, fats and oil. Acute toxicity and lethality studies on ME revealed an oral LD50 greater than 5000 mg/kg in mice. These results showed that seeds of M. tenuifolia possess anti-diarrheal properties mediated through inhibition of hyper-secretion and gastrointestinal motility which substantiate the use in the treatment of diarrhea in traditional medicine. Industrial relevance: The industrial relevance of findings from this study derives from the possibility of formulating the powdered seed of this plant or its alcohol extract, into a herbal anti-diarrhea remedy. From this study and the age long use as condiment, toxicity may not preclude use as a medicament.

  9. Fractionation of a Herbal Antidiarrheal Medicine Reveals Eugenol as an Inhibitor of Ca2+-Activated Cl− Channel TMEM16A

    OpenAIRE

    Zhen Yao; Wan Namkung; Ko, Eun A; Jinhong Park; Lukmanee Tradtrantip; Verkman, A.S.

    2012-01-01

    The Ca(2+)-activated Cl(-) channel TMEM16A is involved in epithelial fluid secretion, smooth muscle contraction and neurosensory signaling. We identified a Thai herbal antidiarrheal formulation that inhibited TMEM16A Cl(-) conductance. C18-reversed-phase HPLC fractionation of the herbal formulation revealed >98% of TMEM16A inhibition activity in one out of approximately 20 distinct peaks. The purified, active compound was identified as eugenol (4-allyl-2-methoxyphenol), the major component of...

  10. Antispasmodic and antidiarrheal activities of rhizomes of Polygonatum verticillatum maneuvered predominately through activation of K+ channels: Components identification through TLC.

    Science.gov (United States)

    Khan, Haroon; Saeed, Muhammad; Gilani, Anwarul-Hassan; Muhammad, Naveed; Ur Rehman, Najeeb; Mehmood, Malik Hassan; Ashraf, Nadeem

    2016-04-01

    Polygonatum verticillatumhas traditionally been used for various purposes. The present study was aimed to validate the antispasmodic and antidiarrheal properties of crude methanolic extract of rhizomes ofP. verticillatum(PR). Isolated rabbit jejunum preparations were suspended in tissue baths to measure the isotonic responses using Power Lab data acquisition system for the antispasmodic activity of PR, while the antidiarrheal activity was conducted in vivo in mice. PR caused complete relaxation of the spontaneous contractions of isolated rabbit jejunum preparations in a dose-dependent mode. A complete inhibition was observed against low potassium (K(+); 25 mM)-induced contractions, while the plant extract partially inhibited the high K(+)(80 mM)-induced contractions. From a mechanistic point of view, the spasmolytic effect of PR against low K(+)was antagonized by glibenclamide similar to the effect of cromakalim, thus showing the presence of constituents in PR mediating spasmolytic activity predominantly through the activation of adenosine triphosphate-sensitive K(+)channels. When tested against castor oil-induced diarrhea in mice, oral administration of the plant extract manifested marked antidiarrheal activity at the doses of 500 and 1000 mg/kg similar to loperamide. This study provided a pharmacological basis for the medicinal use of PR in abdominal colic and diarrhea. PMID:24215061

  11. Comparative antidiarrheal and antiulcer effect of the aqueous and ethanolic stem bark extracts of Tinospora cordifolia in rats.

    Science.gov (United States)

    Kaur, Mohanjit; Singh, Amarjeet; Kumar, Bimlesh

    2014-07-01

    Tinospora cordifolia is indigenous to the tropical areas of India, Myanmar and Sri Lanka. The use of plant as remedy for diarrhea and ulcer is well-documented in Ayurvedic system of medicine. However, pharmacological evidence does not exist to substantiate its therapeutic efficacy for the same. The aim was to investigate the antidiarrheal and antiulcer activity of ethanolic and aqueous extracts of T. cordifolia in rats. The antidiarrheal activity of T. cordifolia extracts was evaluated by castor oil and magnesium sulfate-induced diarrhea using parameters such as onset of diarrhea, number of wet stools, total number of stool and weight of total number of stools. The antiulcer activity of extracts was investigated using ethanol and pylorus ligation-induced ulcer. Furthermore, tissue antioxidant parameters such as reduced glutathione, catalase activity and lipid peroxidation level were also investigated. Tinospora cordifolia extracts were more efficacious in reducing number of total stools in both the models of diarrhea and showed a dose-dependent antidiarrheal effect. The antiulcer activity of the extracts was confirmed by a reduction in ulcer index along with the decrease in gastric volume, total acidity, and an increase in pH of gastric content in both the models. The obtained results have established a pharmacological evidence for the folkloric use of the T. cordifolia as antidiarrhoeal and antiulcer agent. PMID:25126533

  12. Comparative antidiarrheal and antiulcer effect of the aqueous and ethanolic stem bark extracts of Tinospora cordifolia in rats

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    Mohanjit Kaur

    2014-01-01

    Full Text Available Tinospora cordifolia is indigenous to the tropical areas of India, Myanmar and Sri Lanka. The use of plant as remedy for diarrhea and ulcer is well-documented in Ayurvedic system of medicine. However, pharmacological evidence does not exist to substantiate its therapeutic efficacy for the same. The aim was to investigate the antidiarrheal and antiulcer activity of ethanolic and aqueous extracts of T. cordifolia in rats. The antidiarrheal activity of T. cordifolia extracts was evaluated by castor oil and magnesium sulfate-induced diarrhea using parameters such as onset of diarrhea, number of wet stools, total number of stool and weight of total number of stools. The antiulcer activity of extracts was investigated using ethanol and pylorus ligation-induced ulcer. Furthermore, tissue antioxidant parameters such as reduced glutathione, catalase activity and lipid peroxidation level were also investigated. Tinospora cordifolia extracts were more efficacious in reducing number of total stools in both the models of diarrhea and showed a dose-dependent antidiarrheal effect. The antiulcer activity of the extracts was confirmed by a reduction in ulcer index along with the decrease in gastric volume, total acidity, and an increase in pH of gastric content in both the models. The obtained results have established a pharmacological evidence for the folkloric use of the T. cordifolia as antidiarrhoeal and antiulcer agent.

  13. Antibacterial and Antidiarrheal Activities of Plant Products against Enterotoxinogenic Escherichia coli

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    J. Daniel Dubreuil

    2013-11-01

    Full Text Available Enterotoxigenic Escherichia coli (ETEC produces two types of enterotoxins: heat-labile (LT and heat-stable (STa and STb. These molecules are involved in the induction of secretory diarrhea in animals including humans. This condition is currently treated using a fluid replacement therapy and antibiotics. This treatment is often not available to people in developing countries, and several die from the condition provoke by ETEC. Over the years, plants and plant extracts have been use as traditional medicine to treat various gastrointestinal ailments including diarrhea. Many of these plant products have been claimed to be active against diarrhea, however few have been extensively studied. The main objective of this review was to gather the scattered information on the antidiarrheal activities reported for various plant products on ETEC. This includes two major effects: (1 The inhibitory effect on bacterial growth or viability and (2 The interference with ETEC enterotoxins activity upon the intestinal epithelium. We will focus on plant products and extracts for which we have major indications of their biological activity against ETEC and their enterotoxins. Because Vibrio cholerae toxin (CT is structurally, antigenically and mechanistically related to LT, it will also be discussed in this review.

  14. Cholesterol: an antidiarrheal agent in rats with short-bowel syndrome fed elemental diets.

    Science.gov (United States)

    Huk, I; Schulz, F; Abrahamian, V; Kaminski, M V

    1986-01-01

    Studies show that bile acids and long-chain fatty acids are responsible for diarrhea in certain malabsorption syndromes. Recent reports indicate that substances such as dietary cholesterol, when moderately consumed, can reduce bile-induced excessive mucosal fluid and electrolyte output. This study explores the antidiarrheal effect and dosage of dietary cholesterol in rats following massive bowel resection, co-fed elemental diet. Thirty-five male Sprague-Dawley rats weighing 248-253 g underwent 75% resection of the small bowel and were fed ad libitum for 21 days with 1 of 5 diets (n = 7) of Vivonex HN, supplemented by 0, 2.5, 5, 10 or 15 mM cholesterol/1,000 g of the powdered elemental diet. Parameters measured included daily food and water consumption, daily changes in weight, volume of excrement and stool consistency graded by the same individual (water, semiformed or formed). It was found that 5 mM dietary cholesterol in 1,000 g of the elemental diet produced the most formed stool and significantly improved weight gain in rats with short-bowel syndrome. PMID:3780788

  15. Laxative and anti-diarrheal activity of polycarbophil in mice and rats.

    Science.gov (United States)

    Saito, Takaharu; Mizutani, Fujie; Iwanaga, Yuji; Morikawa, Kouji; Kato, Hideo

    2002-06-01

    We investigated the laxative and anti-diarrheal activity of polycarbophil, an insoluble hydrophilic polymer, in comparison with other agents used for treating functional bowel disorder (FBD). In naive rats, polycarbophil (500 mg/kg) increased fecal weight and water contents without producing diarrhea. Carboxymethylcellulose (CMC) did not produce evident changes in bowel movement. Picosulfate markedly produced diarrhea. Loperamide, trimebutine and granisetron decreased stool output dose-dependently. Constipation, indicated by decrease in fecal weight, was produced by loperamide and clonidine in rats. Polycarbophil (500 mg/kg) and CMC increased fecal weight without diarrhea. Conversely trimebutine further decreased fecal weight in constipated rats. Polycarbophil (500 mg/kg) suppressed diarrhea induced by castor oil, and at 250-500 mg/kg, it produced shaped stools in animals with stools loosened by prostaglandin E2, serotonin or carbachol in mice. Polycarbophil (500 mg/kg) also reduced stools in rats with stool output increased by wrap restraint stress (WRS). CMC had no effect in the diarrhea models, except for carbachol-induced diarrhea, and WRS-induced evacuation. Loperamide, trimebutine and granisetron inhibited diarrhea production and WRS-induced evacuation, except for carbachol-induced diarrhea. The results show that polycarbophil prevents constipation and diarrhea without inducing diarrhea or constipation, which is different from the other agents. Hydrophilic polymers such as polycarbophil will be promising agents for the treatment of FBD.

  16. Fractionation of a herbal antidiarrheal medicine reveals eugenol as an inhibitor of Ca2+-Activated Cl- channel TMEM16A.

    Science.gov (United States)

    Yao, Zhen; Namkung, Wan; Ko, Eun A; Park, Jinhong; Tradtrantip, Lukmanee; Verkman, A S

    2012-01-01

    The Ca(2+)-activated Cl(-) channel TMEM16A is involved in epithelial fluid secretion, smooth muscle contraction and neurosensory signaling. We identified a Thai herbal antidiarrheal formulation that inhibited TMEM16A Cl(-) conductance. C18-reversed-phase HPLC fractionation of the herbal formulation revealed >98% of TMEM16A inhibition activity in one out of approximately 20 distinct peaks. The purified, active compound was identified as eugenol (4-allyl-2-methoxyphenol), the major component of clove oil. Eugenol fully inhibited TMEM16A Cl(-) conductance with single-site IC(50)~150 µM. Eugenol inhibition of TMEM16A in interstitial cells of Cajal produced strong inhibition of intestinal contraction in mouse ileal segments. TMEM16A Cl(-) channel inhibition adds to the list of eugenol molecular targets and may account for some of its biological activities. PMID:22666439

  17. Fractionation of a herbal antidiarrheal medicine reveals eugenol as an inhibitor of Ca2+-Activated Cl- channel TMEM16A.

    Directory of Open Access Journals (Sweden)

    Zhen Yao

    Full Text Available The Ca(2+-activated Cl(- channel TMEM16A is involved in epithelial fluid secretion, smooth muscle contraction and neurosensory signaling. We identified a Thai herbal antidiarrheal formulation that inhibited TMEM16A Cl(- conductance. C18-reversed-phase HPLC fractionation of the herbal formulation revealed >98% of TMEM16A inhibition activity in one out of approximately 20 distinct peaks. The purified, active compound was identified as eugenol (4-allyl-2-methoxyphenol, the major component of clove oil. Eugenol fully inhibited TMEM16A Cl(- conductance with single-site IC(50~150 µM. Eugenol inhibition of TMEM16A in interstitial cells of Cajal produced strong inhibition of intestinal contraction in mouse ileal segments. TMEM16A Cl(- channel inhibition adds to the list of eugenol molecular targets and may account for some of its biological activities.

  18. Antidiarrheal and Antispasmodic Activities of Buddleja polystachya are Mediated Through Dual Inhibition of Ca(++) Influx and Phosphodiesterase Enzyme.

    Science.gov (United States)

    Rehman, Najeeb-ur; Gilani, Anwarul-Hassan; Khan, Aslam; Nazneen, Maryam; El Gamal, Ali A; Fawzy, Ghada A; Al-Ati, Hanan Y; Abdel-kader, Maged S

    2015-08-01

    This study describes the antidiarrheal and antispasmodic activities of the hydro-alcoholic extract of Buddleja polystachya (Bp.Cr) with possible mode of action explored along with activity-directed fractionation. Bp.Cr and its aqueous (Bp.Aq) and organic fractions, petroleum ether (Bp.Pet), dichloromethane (Bp.DCM), ethylacetate (Bp.EtAc) and butanol (Bp.But), were tested using the in-vivo and in-vitro assays. The crude extract (100-300 mg/kg) showed 20 and 60% protection of castor oil-induced diarrhea in mice. In isolated rabbit jejunum, Bp.Cr like papaverine inhibited spontaneous and high K(+) (80 mM)-induced contractions equi-potently. In guinea-pig ileum, Bp.Cr showed a moderate spasmogenic effect. The activity-directed fractionation revealed that the spasmolytic activity was concentrated in the organic fractions and spasmogenic component in the aqueous fraction. Amongst the organic fractions, BP.DCM and Bp.Pet inhibited spontaneous and high K(+) -induced contractions equi-potently, while Bp.But, like verapamil was more potent against high K(+) . The crude extract and its organic fractions caused rightward shift in the Ca(++) -concentration response curves (CRCs), similar to verapamil, and all except Bp.But potentiated the isoprenaline-inhibitory CRCs to the left, similar to papaverine. The results of this study indicate that the crude extract of B. polystachya possesses antidiarrheal and antispasmodic activities, mediated possibly through dual inhibition of Ca(++) influx and phospodiesterase enzyme. PMID:25975350

  19. Campomanesia adamantium Peel Extract in Antidiarrheal Activity: The Ability of Inhibition of Heat-Stable Enterotoxin by Polyphenols

    Science.gov (United States)

    Lescano, Caroline Honaiser; de Oliveira, Ivan Pires; Zaminelli, Tiago; Baldivia, Débora da Silva; da Silva, Luan Ramos; Napolitano, Mauro; Silvério, Camila Bitencourt Mendes; Lincopan, Nilton; Sanjinez-Argandoña, Eliana Janet

    2016-01-01

    Campomanesia adamantium (Myrtaceae) is a medicinal plant distributed in Brazilian Cerrado. Different parts of this plant are used in popular medicine for treatment of several diseases like fever, diarrhea, hypercholesterolemia and rheumatism. The aim of this work was to evaluate the inhibition of heat-stable enterotoxin type A (STa) by gallic acid present in the peel of C. adamantium fruit and assays to assess the antidiarrheal activity, anti-inflammatory and cytotoxic properties of peel extract using the T84 cell line model. The possible inhibition exerted by the gallic acid of the peel extract on the STa peptide was inferred by molecular dynamics simulations. The antidiarrheal effects were investigated measuring cGMP accumulation in cells after stimulation by STa toxin and antibacterial activity was assessed. The anti-inflammatory activity was assessed by inhibition of COX-1 and COX-2. MTT and LDH assays were used to evaluate any possible cytotoxic action while the CyQUANT test was used to investigate the effect on cell proliferation. A representation showing how the possible interactions between STa and the gallic acid of the extract might reduce the action of the enterotoxin is presented. C. adamantium peel extract significantly decreased the levels of cGMP in T84 cells. However, no effect on the species of microorganisms was observed. The extract also inhibited COX-1 (IC50 255.70 ± 0.04 ng/mL) and COX-2 (IC50 569.50 ± 0.11 ng/mL) enzymes. Cytotoxicity assay have shown significant changes in cells treated with the extract, which inhibited the cell proliferation until 72 hours of treatment. Direct interactions of phenolic compounds present in the extract with the STa toxin may limit its activity. Curative effect in the diarrhea treatment and its anti-inflammatory action is based on the pharmacological properties, mechanism of action of the C. adamantium peel extract, and no toxic effects of the peel extract presented on this work. PMID:27764241

  20. Antioxidant, anti-inflammatory and anti-diarrheal activity of ethanolic extract of medicinal plants grown in Jordan and Palestine

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    Nooman A. Khalaf

    2015-12-01

    Full Text Available Herbs like Rosmarinus officinalis (Lamiaceae, Peganum harmala (Nitrariaceae, Teucrium polium (Lamiaceae, Verbena officinalis (Verbenaceae, Artemasia herba-alba (Asteraceae and Arum palaestinum (Araceae have been studied for its various biological activities, the extract of fresh aerial parts of plant have not been reported for their antioxidant and anti inflammatory activities. Our aim was to study the antioxidant, anti-inflammatory and antidiarrheal activity of ethanolic extract of fresh aerial parts of the plant. Anti-inflammatory activity was evaluated by carrageenan induced paw edema method, DPPH free radical scavenging activity (antioxidant and effect of extract on gastro-intestinal tract motility was studied. Phenolic content of Verbena officinalis was higher (652.5 mg GAE % than the other plant extracts. Whereas antioxidant activity is concerned the Rosmarinus officinalis exhibited highest antioxidant activity (IC50= 6.25 µg/ml, and showed excellent anti-inflammatory (65.5% as compared to ascorbic acid (6.14 ± 0.09 µg/ml and diclofenac sodium (70.1% respectively. Rosmarinus officinalis leaves extract showed significant inhibition of the gastrointestinal activity (31.3 % when compared to all the other ethanolic extracts. The ethanolic extract of Arum palaestinum Bioss did not show any significant anti-inflammatory activity nor had any effect on gastrointestinal tract inhibition

  1. Antidiarrheal Thymol Derivatives from Ageratina glabrata. Structure and Absolute Configuration of 10-Benzoyloxy-8,9-epoxy-6-hydroxythymol Isobutyrate

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    Celia Bustos-Brito

    2016-09-01

    Full Text Available Chemical investigation of the leaves from Ageratina glabrata yielded four new thymol derivatives, namely: 10-benzoyloxy-8,9-dehydro-6-hydroxythymol isobutyrate (4, 10-benzoyloxy-8,9-dehydrothymol (5, 10-benzoyloxythymol (6 and 10-benzoyloxy-6,8-dihydroxy-9-isobutyryl-oxythymol (7. In addition, (8S-10-benzoyloxy-8,9-epoxy-6-hydroxythymol isobutyrate (1, together with other two already known thymol derivatives identified as 10-benzoyloxy-8,9-epoxy-6-methoxythymol isobutyrate (2 and 10-benzoyloxy-8,9-epoxythymol isobutyrate (3 were also obtained. In this paper, we report the structures and complete assignments of the 1H and 13C-NMR data of compounds 1–7, and the absolute configuration for compound 1, unambiguously established by single crystal X-ray diffraction, and evaluation of the Flack parameter. The in vitro antiprotozoal assay showed that compound 1 and its derivative 1a were the most potent antiamoebic and antigiardial compounds. Both compounds showed selectivity and good antiamoebic activity comparable to emetine and metronidazole, respectively, two antiprotozoal drugs used as positive controls. In relation to anti-propulsive effect, compound 1 and 1a showed inhibitory activity, with activities comparable to quercetin and compound 9, two natural antipropulsive compounds used as positive controls. These data suggest that compound 1 may play an important role in antidiarrheal properties of Ageratina glabrata.

  2. The effects of extracts from anti-diarrheic Thai medicinal plants on the in vitro growth of the intestinal protozoa parasite: Blastocystis hominis.

    Science.gov (United States)

    Sawangjaroen, Nongyao; Sawangjaroen, Kitja

    2005-04-01

    The activities of n-hexane, dichloromethane and methanol extracts from five anti-diarrheic Thai medicinal plants, Acacia catechu (Fabaceae) resin, Amaranthus spinosus (Amaranthaceae) whole plant, Brucea javanica (Simaroubaceae) seed, Piper longum (Piperaceae) fruit and Quercus infectoria (Fagaceae) nut gall were tested against the in vitro growth of fresh isolates of the intestinal protozoan parasite, Blastocystis hominis. The extracts at concentrations that ranged from 62.5 to 2000 microg/mL, were incubated with several isolates of Blastocystis hominis for 48 h. The activities were classified as killed, inhibited, moderately inhibited and not-inhibited. Dichloromethane and methanol extracts from the Brucea javanica seed and a methanol extract from Quercus infectoria nut gall showed the highest activity. At a concentration of 2000 microg/mL, the three extracts killed 82, 75 and 67% of the Blastocystis hominis samples tested and inhibited 94, 100 and 76% of them, respectively. Metronidazole, used as a reference antiprotozoan drug, at a concentration of 40 microg/mL, killed 97% of the Blastocystis hominis isolates and inhibited all samples tested at concentrations that ranged from 1.25 to 20 microg/mL. PMID:15763365

  3. Bioactivity-guided fractionation of an antidiarrheal Chinese herb Rhodiola kirilowii (Regel Maxim reveals (--epicatechin-3-gallate and (--epigallocatechin-3-gallate as inhibitors of cystic fibrosis transmembrane conductance regulator.

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    Lei Chen

    Full Text Available Cystic fibrosis transmembrane conductance regulator (CFTR is the principal apical route for transepithelial fluid transport induced by enterotoxin. Inhibition of CFTR has been confirmed as a pharmaceutical approach for the treatment of secretory diarrhea. Many traditional Chinese herbal medicines, like Rhodiola kirilowii (Regel Maxim, have long been used for the treatment of secretory diarrhea. However, the active ingredients responsible for their therapeutic effectiveness remain unknown. The purpose of this study is to identify CFTR inhibitors from Rhodiola kirilowii (Regel Maxim via bioactivity-directed isolation strategy. We first identified fractions of Rhodiola kirilowii (Regel Maxim that inhibited CFTR Cl- channel activity. Further bioactivity-directed fractionation led to the identification of (--epigallocatechin-3-gallate (EGCG as CFTR Cl- channel inhibitor. Analysis of 5 commercially available EGCG analogs including (+-catechins (C, (--epicatechin (EC, (--epigallocatechin (EGC, (--epicatechin-3-gallate (ECG and EGCG revealed that ECG also had CFTR inhibitory activity. EGCG dose-dependently and reversibly inhibited CFTR Cl- channel activity in transfected FRT cells with an IC50 value around 100 μM. In ex vivo studies, EGCG and ECG inhibited CFTR-mediated short-circuit currents in isolated rat colonic mucosa in a dose-dependent manner. In an intestinal closed-loop model in mice, intraluminal application of EGCG (10 μg and ECG (10 μg significantly reduced cholera toxin-induced intestinal fluid secretion. CFTR Cl- channel is a molecular target of natural compounds EGCG and ECG. CFTR inhibition may account, at least in part, for the antidiarrheal activity of Rhodiola kirilowii (Regel Maxim. EGCG and ECG could be new lead compounds for development of CFTR-related diseases such as secretory diarrhea.

  4. Bioactivity-guided fractionation of an antidiarrheal Chinese herb Rhodiola kirilowii (Regel) Maxim reveals (-)-epicatechin-3-gallate and (-)-epigallocatechin-3-gallate as inhibitors of cystic fibrosis transmembrane conductance regulator.

    Science.gov (United States)

    Chen, Lei; Yu, Bo; Zhang, Yaofang; Gao, Xin; Zhu, Liang; Ma, Tonghui; Yang, Hong

    2015-01-01

    Cystic fibrosis transmembrane conductance regulator (CFTR) is the principal apical route for transepithelial fluid transport induced by enterotoxin. Inhibition of CFTR has been confirmed as a pharmaceutical approach for the treatment of secretory diarrhea. Many traditional Chinese herbal medicines, like Rhodiola kirilowii (Regel) Maxim, have long been used for the treatment of secretory diarrhea. However, the active ingredients responsible for their therapeutic effectiveness remain unknown. The purpose of this study is to identify CFTR inhibitors from Rhodiola kirilowii (Regel) Maxim via bioactivity-directed isolation strategy. We first identified fractions of Rhodiola kirilowii (Regel) Maxim that inhibited CFTR Cl- channel activity. Further bioactivity-directed fractionation led to the identification of (-)-epigallocatechin-3-gallate (EGCG) as CFTR Cl- channel inhibitor. Analysis of 5 commercially available EGCG analogs including (+)-catechins (C), (-)-epicatechin (EC), (-)-epigallocatechin (EGC), (-)-epicatechin-3-gallate (ECG) and EGCG revealed that ECG also had CFTR inhibitory activity. EGCG dose-dependently and reversibly inhibited CFTR Cl- channel activity in transfected FRT cells with an IC50 value around 100 μM. In ex vivo studies, EGCG and ECG inhibited CFTR-mediated short-circuit currents in isolated rat colonic mucosa in a dose-dependent manner. In an intestinal closed-loop model in mice, intraluminal application of EGCG (10 μg) and ECG (10 μg) significantly reduced cholera toxin-induced intestinal fluid secretion. CFTR Cl- channel is a molecular target of natural compounds EGCG and ECG. CFTR inhibition may account, at least in part, for the antidiarrheal activity of Rhodiola kirilowii (Regel) Maxim. EGCG and ECG could be new lead compounds for development of CFTR-related diseases such as secretory diarrhea. PMID:25747701

  5. 玫瑰茄花萼乙醇提取物的抗痛觉敏感、抗炎及止泻作用的实验研究%Antinociceptive, anti-inflammatory and antidiarrheal activities of ethanolic calyx extract of Hibiscus sabdariffa Linn.(Malvaceae) in mice

    Institute of Scientific and Technical Information of China (English)

    Md. Khadem Ali; Ayesha Ashraf; Nripendra Nath Biswas; Utpal Kumar Karmakar; Shamima Afroz

    2011-01-01

    Objective:To evaluate the antinociceptive, anti-inflammatory and antidiarrheal activities of the ethanolic calyx extract of Hibiscus sabdariffa Linn, in mice.Methods: In the present study, the dried calyxes of H.sabdariffa were subjected to extraction with 95% ethanol and the extract was used to investigate the possible activities. Antinociceptive activity of the extract was evaluated by using the acetic acid-induced writhing test. The anti-inflammatory effect of the extract was tested by using the xylene-induced ear edema model mice. Castor oil-induced diarrheal model mice were used to evaluate the antidiarrheal activity of the extract.Results: In acetic acid-induced writhing test, the extract produced inhibited writhing in mice siginificantly compared with the blank control (P<0. 01). The extract showed significant inhibition of ear edema formation in xylene-induced ear edema model mice in a dose-related manner compared with the blank control (P<0. 01). The extract demonstrated a significant antidiarrheal activity against castor oil-induced diarrheal in mice in which it decreased the frequency of defecation and increased the mean latent period at the doses of 250 and 500 mg/kg body weight (P<0.01).Conclusion; The above mentioned findings indicate that the calyx extract of H.sabdariffa possesses significant antinociceptive, anti-inflammatory and antidiarrheal activities that support its uses in traditional medicine.%目的:研究玫瑰茄(Hibiscus sabdariffa)花萼的乙醇提取物的抗痛觉敏感、抗炎及止泻作用.方法:使用95%乙醇提取玫瑰茄花萼干品用于测定其功效.用小鼠扭体实验检测其抗痛觉敏感作用,二甲苯致耳水肿模型小鼠检测其抗炎症作用,蓖麻油致腹泻模型小鼠检测其止泻作用.结果:在乙酸致小鼠扭体实验中,玫瑰茄花萼的乙醇提取物对小鼠扭体的抑制与空白对照组相比差异有统计学意义(P%0.01),对二甲苯致耳水肿模型小鼠的耳水肿的抑制

  6. Anti-diarrheal constituents of Alpinia oxyphylla.

    Science.gov (United States)

    Zhang, Junqing; Wang, Sheng; Li, Yonghui; Xu, Peng; Chen, Feng; Tan, Yinfeng; Duan, Jinao

    2013-09-01

    Isolation, screening and in vivo assays have been used for evaluating anti-diarrhea bioactive of Alpinia oxyphylla. Preliminary experimental results showed that 95% ethanol extract and 90% ethanol elution significantly extended the onset time of diarrhea and reduced the wet feces proportion, however 50% ethanol election had no effect on diarrhea. Chemical analysis results displayed that Nootkatone, Tectochrysin and yakuchinone A may be bioactive ingredients for curing diarrhea. Duodenum in vitro experiment showed that Tectochrysin 50, 100 μM reduces carbachol-induced contraction, while yakuchinone A and Nootkatone had no effect. Bioinformatic computational method as molecular docking has been complementary to experimentally work to explore the potential mechanism. The study of pathogenesis of diarrhea in humans and animal models suggested that Na(+)/H(+) exchanger3 (NHE3) and aquaporin4 (AQP4) are causative agents of diarrhea. The analysis was done on the basis of scoring and binding ability and the docking analysis showed that Tectochrysin has maximum potential against NHE3 (PDB ID: 2OCS) and AQP4 (PDB ID: 3GD8). Tectochrysin indicated minimum energy score and the highest number of interactions with active site residues. These results suggested that A. oxyphylla might exhibit its anti-diarrhea effect partially by affecting the proteins of NHE3 and AQP4 with its active ingredient Tectochrysin. PMID:23583435

  7. 益脾止泻饮加中药敷脐用于肠易激综合征患者的临床研究%Spleen the antidiarrheal drink and traditional Chinese medicine Umbilicus used for intestinal bowel syndrome patients with clinical research

    Institute of Scientific and Technical Information of China (English)

    靳士英; 刘瑞霞

    2012-01-01

    目的探讨益脾止泻饮加中药敷脐治疗肠易激综合征(脾胃虚弱型)的疗效.方法将100例脾胃虚弱型肠易激综合征患者随机分为两组,对照组给予常规治疗,观察组在常规治疗基础上给予益脾止泻饮加中药敷脐.结果两组患者腹泻、腹痛、腹胀症状积分差值和治疗总有效率比较差异有统计学意义(P<0.05).结论益脾止泻饮加中药敷脐可明显改善肠易激综合征(脾胃虚弱型)的临床症状,其疗效优于常规治疗.%Objective To investigate the spleen to stop diarrhea drink plus traditional Chinese medicine the Umbilicus treatment of intestinal bowel syndrome (weak stomach) and efficacy. Methods100 cases of the spleen and stomach type of irritable bowel syndrome were randomly divided into two groups, control group received conventional treatment and observation group in the conventional therapy given to the spleen to stop diarrhea to drink and traditional Chinese medicine Umbilicus. Results The two groups of patients with diarrhea, abdominal pain, bloating symptom score difference, and treatment of the total effective rate difference was statistically significant (P <0.05).Conclusion The spleen the antidiarrheal drink and traditional Chinese medicine Umbilicus can significantly improve the clinical symptoms of irritable bowel syndrome (weak stomach), its efficacy is superior to conventional therapy.

  8. Not any type of rice performs equally to improve lactose-induced diarrhea characteristics in rats: is amylose an antidiarrheal factor? No tratamento das diarréias induzidas por lactose em ratos, nem todas as variedades de arroz agem da mesma forma: poderia ser a amilose um fator antidiarreico?

    Directory of Open Access Journals (Sweden)

    Ana Lia Felipoff

    2012-06-01

    Full Text Available The effectiveness of different types of rice in relation to their ability to accelerate diarrhea recovering was evaluated in a rat model of osmotic diarrhea (OD. Animals (90-100 g received protein free diet until reaching up to 20% weight loss, followed by lactose rich diet (LRD to induce osmotic diarrhea. Rats presenting osmotic diarrhea were divided into 4 groups, which received lactose rich diet for 4 days from 8 am to 8 pm, and one of three experimental products containing 6% rice flour differing in amylose content during the night: high (HA, intermediate (IA, and low (LA. A group fed stock diet containing equivalent amount of lactose was taken as control and allowed to recover spontaneously. Amylose and viscosity (cp at 25 °C, 10 rpm of final products were determined. Effectiveness was expressed as the ratio between percentages of normal vs. diarrheic stools during the treatment. Fecal characteristics in this rat model improved only as result of feeding high amylose content (HA type of rice. In this experimental model of osmotic diarrhea in young rats, the antidiarrheal effects of rice were strongly dependent on the type of diet used and appear to be related to its amylose content.Avaliou-se a eficiência de diferentes tipos de arroz quanto a sua habilidade de acelerar a recuperação de um episódio de diarreia em um modelo de indução de diarreia osmótica (DO em ratos. Animais (90-100 g receberam dieta isenta de proteína até perderem 20% do seu peso, seguida de uma dieta rica em lactose para indução de diarreia. Os ratos que apresentaram diarreia osmótica foram divididos em quatro grupos, os quais receberam uma dieta rica em lactose durante quatro dias das 8 às 20 hours e, durante a noite, receberam um dos produtos experimentais, com 6% de farinha de arroz e diferentes quantidades de amilose: alto (AA, intermediário (IA e baixo (BA teor de amilose. Um grupo alimentado com ração comercial foi escolhido como controle e para

  9. Croton grewioides Baill. (Euphorbiaceae shows antidiarrheal activity in mice

    Directory of Open Access Journals (Sweden)

    Anne Dayse Soares da Silva

    2016-01-01

    Abbreviations Used: CG-EtOH: crude ethanolic extract obtained from the aerial parts of C. grewioides; WHO: World Health Organization; ED50: dose of a drug that produces 50% of its maximum effect; Emax: maximum effect

  10. 21 CFR 335.50 - Labeling of antidiarrheal drug products.

    Science.gov (United States)

    2010-04-01

    ...(b). (i) “Ask a doctor or pharmacist before use if you are taking any other drugs. Try to use at...) “Ask a doctor before use if you have fever mucus in the stool”. (2) For products containing bismuth... salicylate products”. (ii) “Do not use if you have an ulcer a bleeding problem”. (iii) “Ask a doctor...

  11. Antidiarrheal Activity of Aqueous Fruit Extract of Phoenix dactylifera (DATE PALM in Wistar Rats

    Directory of Open Access Journals (Sweden)

    Abel Nosereme Agbon

    2013-06-01

    Full Text Available Diarrhea is one of the main causes of morbidity and mortality in children under age of 5 years. In view of this problem, the World Health Organization has encouraged studies for treatment and prevention of diarrhoeal diseases depending on traditional medicinal practices. Extracts of Phoenix dactylifera (date palm are widely used in traditional medicine for the treatment of various disorders. In this study, the antidiarrhoeal activity of the aqueous fruit extract of Phoenix dactylifera was investigated by castor oil- induced diarrhoea, enteropooling and gastrointestinal motility activity in Wistar rats. Like the standard drug (5mg/kg loperamide, the extract (1000 and 1500mg/kg body weight elicited a significant decrease in the severity of diarrhoea. The extract significantly (p<0.05 reduced the frequency of defaecation and as well decreased gastrointestinal motility. In the enteropooling study, the extract administered at 1000mg/kg had greater anti-enteropooling effect than the standard drug (5mg/kg loperamide. The result obtained shows that the aqueous fruit extract of Phoenix dactylifera may contain some pharmacologically active substances with antidiarrhoeal properties. This may be the basis for management of gastrointestinal disorders.

  12. Electrophysiological Studies into the Safety of the Anti-diarrheal Drug Clotrimazole during Oral Rehydration Therapy.

    Directory of Open Access Journals (Sweden)

    Willem S Lexmond

    2015-09-01

    Full Text Available Morbidity and mortality from acute diarrheal disease remains high, particularly in developing countries and in cases of natural or man-made disasters. Previous work has shown that the small molecule clotrimazole inhibits intestinal Cl- secretion by blocking both cyclic nucleotide- and Ca(2+-gated K(+ channels, implicating its use in the treatment of diarrhea of diverse etiologies. Clotrimazole, however, might also inhibit transporters that mediate the inwardly directed electrochemical potential for Na(+-dependent solute absorption, which would undermine its clinical application. Here we test this possibility by examining the effects of clotrimazole on Na(+-coupled glucose uptake.Short-circuit currents (Isc following administration of glucose and secretagogues were studied in clotrimazole-treated jejunal sections of mouse intestine mounted in Ussing chambers.Treatment of small intestinal tissue with clotrimazole inhibited the Cl- secretory currents that resulted from challenge with the cAMP-agonist vasoactive intestinal peptide (VIP or Ca(2+-agonist carbachol in a dose-dependent fashion. A dose of 30 μM was effective in significantly reducing the Isc response to VIP and carbachol by 50% and 72%, respectively. At this dose, uptake of glucose was only marginally affected (decreased by 14%, p = 0.37. There was no measurable effect on SGLT1-mediated sugar transport, as uptake of SGLT1-restricted 3-O-methyl glucose was equivalent between clotrimazole-treated and untreated tissue (98% vs. 100%, p = 0.90.Treatment of intestinal tissue with clotrimazole significantly reduced secretory responses caused by both cAMP- and Ca(2+-dependent agonists as expected, but did not affect Na(+-coupled glucose absorption. Clotrimazole could thus be used in conjunction with oral rehydration solution as a low-cost, auxiliary treatment of acute secretory diarrheas.

  13. Berberine in type 2 diabetes therapy: a new perspective for an old antidiarrheal drug?

    Directory of Open Access Journals (Sweden)

    Ming Zhang

    2012-08-01

    Full Text Available Type 2 diabetes mellitus (T2DM and dysglycemia (impaired glucose tolerance and/or impaired fasting glucose are increasingly contributing to the global burden of disease. Despite the continued introduction of hypoglycemic drugs, intervention in diabetes and its related complications remains a major global medical problem. Traditional Chinese medicine offers a number of potential candidates for developing hypoglycemic drugs. Berberine (BER, an isoquinoline alkaloid extract, has been commonly used as an oral drug to treat gastroenteritis and diarrhea for more than 1400 years. Although the antidiabetic effect of berberine has been noted in diabetic patients and demonstrated diabetic animal models in the last decade, its use is not yet accepted in the general medical community, for two reasons: its mechanism of action remains to be determined, and its bioavailability is low. Therefore, characterization of its mechanism of action and enhancement of its bioavailability are most important and the subject of current investigations. Recent studies have also revealed beneficial effects of berberine on diabetic complications. In this review the antidiabetic mechanism of action of berberine, its effect on diabetic complications, and efforts to improve its bioavailability are summarized. These studies may lead to its wider use for the treatment of type 2 diabetes mellitus and its complications.

  14. Electrophysiological Studies into the Safety of the Anti-diarrheal Drug Clotrimazole during Oral Rehydration Therapy

    Science.gov (United States)

    Lexmond, Willem S.; Rufo, Paul A.; Fiebiger, Edda; Lencer, Wayne I.

    2015-01-01

    Background and Aims Morbidity and mortality from acute diarrheal disease remains high, particularly in developing countries and in cases of natural or man-made disasters. Previous work has shown that the small molecule clotrimazole inhibits intestinal Cl- secretion by blocking both cyclic nucleotide- and Ca2+-gated K+ channels, implicating its use in the treatment of diarrhea of diverse etiologies. Clotrimazole, however, might also inhibit transporters that mediate the inwardly directed electrochemical potential for Na+-dependent solute absorption, which would undermine its clinical application. Here we test this possibility by examining the effects of clotrimazole on Na+-coupled glucose uptake. Materials and Methods Short-circuit currents (Isc) following administration of glucose and secretagogues were studied in clotrimazole-treated jejunal sections of mouse intestine mounted in Ussing chambers. Results Treatment of small intestinal tissue with clotrimazole inhibited the Cl- secretory currents that resulted from challenge with the cAMP-agonist vasoactive intestinal peptide (VIP) or Ca2+-agonist carbachol in a dose-dependent fashion. A dose of 30 μM was effective in significantly reducing the Isc response to VIP and carbachol by 50% and 72%, respectively. At this dose, uptake of glucose was only marginally affected (decreased by 14%, p = 0.37). There was no measurable effect on SGLT1-mediated sugar transport, as uptake of SGLT1-restricted 3-O-methyl glucose was equivalent between clotrimazole-treated and untreated tissue (98% vs. 100%, p = 0.90). Conclusion Treatment of intestinal tissue with clotrimazole significantly reduced secretory responses caused by both cAMP- and Ca2+-dependent agonists as expected, but did not affect Na+-coupled glucose absorption. Clotrimazole could thus be used in conjunction with oral rehydration solution as a low-cost, auxiliary treatment of acute secretory diarrheas. PMID:26405813

  15. Antidiarrheal and antimicrobial profiles extracts of the leaves from Trichilia emetica Vahl. (Meliaceae

    Directory of Open Access Journals (Sweden)

    Kiessoun Konaté

    2015-03-01

    Conclusions: The obtained results allow justifying the traditional uses of Trichilia emetica and possess good antidiarrhoeal and antimicrobial activities of EAF from Trichilia emetica. Results of the present study have clearly supported the utilization of Trichilia emetica in Burkina Faso traditional medicine.

  16. Antidiarrheal and antimicrobial profiles extracts of the leaves from Trichilia emetica Vahl.(Meliaceae)

    Institute of Scientific and Technical Information of China (English)

    Kiessoun; Konaté; Kassi; Yomalan; Oksana; Sytar; Marian; Brestic

    2015-01-01

    Objective:To evaluate and-diarrhoeal and antimicrobial activities of the bioactive fraction of Trichilia emetica in order to provide a scientific basis for the management of gastroenteritis in Burkina Faso.Methods:To do this,polyphenols content of extract and fractions were investigated.FolinCiocalteu,AlCl3 methods and tannic acid respectively were used for polyphenols content.The in vivo antidiarrhocal activity was done using Swiss albino mice of both sexes.In vitro antimicrobial activity(disc-diffusion assay,minimum inhibitory concentration and minimum microbicidal concentration or minimal bactericidal concentration) was assessed using seven bacteria strains(Gram-negative and Gram-positive).Results:About our study,it was found that ethyl acetate fraction effective attenuation factior(EAF) elicits the higher total phenolics and total flavonoids contents compared to the extracts of leaves of Trichilici emetica.EAF of Trichilia emetica Vahl..has positive effects in a dose dependent manner against diarrhoea induced by castor oil in experimental mice.The bioactive fraction also showed good antimicrobial activity against all tested Gram-negative and Grampositive bacteria strains.It was shown that experimental bacteria strains were more sensitive to the EAF effect compared to the ciprofloxacin.Conclusions:The obtained results allow justifying the traditional uses of Trichilia emetica and possess good antidiarrhoeal and antimicrobial activities of EAF from Trichilia emetica.Results of the present study have clearly supported the utilization of Trichilia emetica in Burkina Faso traditional medicine.

  17. Mechanisms of Action of Zinc on Intestinal Epithelial Electrogenic Ion Secretion: Insights into its Anti-Diarrheal Actions

    OpenAIRE

    Bzik, V. A.; Medani, Mekki; Baird, Alan W; Winter, Desmond C.; Brayden, David James

    2012-01-01

    Objectives  Zinc is a useful addition to oral rehydration therapy for acute diarrhoea. We have assessed the mechanism of its epithelial antisecretory action when intestinal epithelial tight junctions were pharmacologically opened. Methods  Rat isolated ileal and colonic mucosae were mounted in Ussing chambers and exposed to ZnSO4 (Zn2+) in the presence of secretagogues and inhibition of short circuit current (Isc) was measured. Key findings  Pre-incubation with basolateral but not api...

  18. Drug: D04345 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available 07 ANTIDIARRHEALS, INTESTINAL ANTIINFLAMMATORY/ANTIINFECTIVE AGENTS A07F ANTIDIARRHEAL MICROORGANISMS... A07FA Antidiarrheal microorganisms A07FA01 Lactic acid producing organisms D04345 Antibiotics-resistant lactic acid bacteriae PubChem: 17398066 ...

  19. Medications (for IBS)

    Medline Plus

    Full Text Available ... Agents Antidiarrheal Agents Antidepressant Medications Newer IBS Medications Probiotics and Antibiotics Pharmacologic, or drug, therapy is best ... Agents Antidiarrheal Agents Antidepressant Medications Newer IBS Medications ... Psychological Treatments Understanding Stress Cognitive Behavioral ...

  20. Drug: D09185 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available Traditional Chinese Medicine in Japan [BR:br08304] Crude Drugs Stomachic and antidiarrheal drugs Stomachic ...and antidiarrheal drugs D09185 *Myrica Drugs for external use Drugs for external use D09185 *Myrica Crude dr

  1. Drug: D06772 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available JP16) Traditional Chinese Medicine in Japan [BR:br08304] Crude Drugs Stomachic an...d antidiarrheal drugs Stomachic and antidiarrheal drugs D06772 *Ginseng; Powdered ginseng; Ginseng Drugs for Qi Drugs

  2. Drug: D06813 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available nent: Scopoletin [CPD:C01752] Traditional Chinese Medicine in Japan [BR:br08304] Crude Drugs Stomachic and a...ntidiarrheal drugs Stomachic and antidiarrheal drugs D06813 *Dolichos seed Drugs for dampness Drugs

  3. 苍苓止泻口服液治疗婴幼儿轮状病毒肠炎疗效观察%Efficacy of Cangling Antidiarrheal Oral Liquor on rotaviru s gastroenteritis in infants

    Institute of Scientific and Technical Information of China (English)

    赵瑞秋; 沈淑珍

    2002-01-01

    目的:评价苍苓止泻口服液治疗婴幼儿轮状病毒肠炎的临床疗效.方法:58例轮状病毒肠炎患儿随机分成苍苓止泻口服液治疗组和对照组.结果:治疗组和对照组显效率分别为34.48%、10.34% , 两组比较有显著性差异(P<0.05),治疗组在缩短病程和排毒时间等指标优于对照组 ,两组间有显著差异.结论:苍苓止泻口服液治疗婴幼儿轮状病毒肠炎见效快,疗效肯定,不良反应少.

  4. 双苓止泻口服液治疗婴幼儿轮状病毒肠炎疗效观察%Observing the effect of shuangling antidiarrheal oral liquor for treating rotavirus gastroenteritis in infants

    Institute of Scientific and Technical Information of China (English)

    郭琳; 饶小红

    2004-01-01

    目的:评价双苓止泻口服液治疗小儿轮状病毒肠炎的疗效.方法:60例轮状病毒肠炎随机分成双苓止泻口服液治疗组和常规治疗对照组.结果:治疗组和对照组总有效率分别是83.3%和60%,两组比较差异有显著性(P<0.05).结论:双苓止泻口服液治疗小儿轮状病毒性肠炎见效快,疗效肯定,不良反应少.

  5. Efficacy of Shuangling Antidiarrheal Oral Liquor on rotavirus gastroenteritis in infants%双苓止泻口服液治疗婴幼儿轮状病毒肠炎疗效观察

    Institute of Scientific and Technical Information of China (English)

    黄延风; 朱朝敏

    2003-01-01

    目的:评价双苓止泻口服液治疗小儿轮状病毒肠炎的疗效.方法:64例轮状病毒肠炎患儿随机分成双苓止泻口服液治疗组和常规治疗对照组.结果:治疗组和对照组总有效率分别为93.75%和87.5%,两组比较有显著性差异(P<0.05).结论:双苓止泻口服液治疗小儿轮状病毒肠炎见效快,疗效肯定,不良反应少.

  6. Bioactivity-Guided Fractionation of an Antidiarrheal Chinese Herb Rhodiola kirilowii (Regel) Maxim Reveals (-)–Epicatechin-3-Gallate and (-)–Epigallocatechin-3-Gallate as Inhibitors of Cystic Fibrosis Transmembrane Conductance Regulator

    OpenAIRE

    Lei Chen; Bo Yu; Yaofang Zhang; Xin Gao; Liang Zhu; Tonghui Ma; Hong Yang

    2015-01-01

    Cystic fibrosis transmembrane conductance regulator (CFTR) is the principal apical route for transepithelial fluid transport induced by enterotoxin. Inhibition of CFTR has been confirmed as a pharmaceutical approach for the treatment of secretory diarrhea. Many traditional Chinese herbal medicines, like Rhodiola kirilowii (Regel) Maxim, have long been used for the treatment of secretory diarrhea. However, the active ingredients responsible for their therapeutic effectiveness remain unknown. T...

  7. Drug: D08700 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available 301] 2 Agents affecting individual organs 23 Digestive organ agents 231 Antidiarrheals, intestinal regulators 2316 Probiotics D08700 Bifidobacterium - lactomin mixt PubChem: 96025383 ...

  8. Medications (for IBS)

    Medline Plus

    Full Text Available ... Updated: 06 July 2016 Print Tweet Jump to Topic Medications for IBS Laxatives Anticholinergic/Antispasmodic Agents Antidiarrheal ... Help You? IFFGD is a nonprofit education and research organization. Our mission is to inform, assist, and ...

  9. Medications (for IBS)

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    Full Text Available ... about antidiarrheal agents. Anti-anxiety medications – can be helpful for some people with IBS, mainly those with ... questions and concerns. If you found this article helpful, please consider supporting IFFGD with a small tax- ...

  10. Drug: D09105 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available D09105 Formula, Drug Saishakurikkunshito Ginseng [DR:D06772], (Atractylodes lancea ...pan [BR:br08304] Formulas Formulas for stomach Antidiarrheal formulas D09105 Saishakurikkunshito PubChem: 96025785 ...

  11. Medications (for IBS)

    Medline Plus

    Full Text Available ... atropine (Lomotil) Read more about antidiarrheal agents. Anti-anxiety medications – can be helpful for some people with ... who specializes in motility or stress-related gastrointestinal disorders. More complex medication regimens, and specialized motility and/ ...

  12. Drug: D06952 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available herapeutic category: 5200 Therapeutic category of drugs in Japan [BR:br08301] 5 Crude drugs and Chinese medicine formula...mulas Formulas for stomach Antidiarrheal formulas D06952 Keihito PubChem: 51091294 ...

  13. Medications (for IBS)

    Medline Plus

    Full Text Available ... atropine (Lomotil) Read more about antidiarrheal agents. Anti-anxiety medications – can be helpful for some people with ... by a physician who specializes in motility or stress-related gastrointestinal disorders. More complex medication regimens, and ...

  14. Drug: D09052 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available DR:D06744], Glycyrrhiza [DR:D04365] Traditional Chinese Medicine in Japan [BR:br08304] Formulas Formulas for stomach Antidiarrheal formulas D09052 Kashokuyohito PubChem: 96025733 ...

  15. Uji Aktivitas Antidiare Ekstrak Etanol Sabut Pinang (Areca catechu L.) Terhadap Tikus

    OpenAIRE

    Tamimi, Tarry Hayati

    2016-01-01

    Background: Areca nut included Palmae plants that are almost in all parts of Indonesia. Areca husks have not been scientifically tested as a drug, not like a leaf and areca seeds. Pectin and flavonoids contained in the areca husks can be used as antidiarrheal medication. Objective: The objective of this research was to know the characteristics and chemical compounds of simplex powder and ethanol extract of areca husk, and antidiarrheal activity of ethanol extract of areca husk compared wit...

  16. Drug: D06744 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available D06744 Crude, Drug Ginger (JP16); Powdered ginger (JP16); Ginger (TN) Zingiberene [...de drugs 510 Crude drugs 5100 Crude drugs D06744 Ginger (JP16); Powdered ginger (JP16) Traditional Chinese M...property D06744 *Ginger; Powdered ginger; Ginger Stomachic and antidiarrheal drug...s Stomachic and antidiarrheal drugs D06744 *Ginger; Powdered ginger; Ginger Crude drugs [BR:br08305] Monocot plants Zingiberaceae (ginger family) D06744 Ginger PubChem: 47208395 ...

  17. Drug: D07051 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available e Medicine in Japan [BR:br08304] Formulas Formulas for stomach Antidiarrheal formulas D07051 Rikkunshito PubChem: 51091393 ... ...dynia; Vomiting Therapeutic category: 5200 Therapeutic category of drugs in Japan [BR:br08301] 5 Crude drugs and Chinese medicine for...mulations 52 Traditional Chinese medicines 520 Traditional Chinese medicines 5200 T

  18. Drug: D06688 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available ese Medicine in Japan [BR:br08304] Crude Drugs Drugs for clearing heat Drugs for clearing heat D06688 *Scute...eal drugs Stomachic and antidiarrheal drugs D06688 *Scutellaria root; Powdered scutellaria root; Scutellaria root Drugs... for pus discharge Drugs for pus discharge D06688 *Scutellaria root; Powdered scutellaria root; S

  19. Effect of Temperature and Light on Phytochemical Profiling and Antimicrobial Activity of Andrographis paniculata

    OpenAIRE

    B. Jaikumar; R. Sharmila

    2015-01-01

    Andrographis paniculata (Acanthaceae) is an annual herb. It is found in Sri Lanka, and throughout the plains of India especially Tamilnadu, Maharashtra, Karnataka, and Orissa. Various medicinal properties like cholevetic, antidiarrheal, immunostimulant and anti-inflammatory have been attributed to this plant in the traditional system of Indian medicine. Further reported activities are hepatoprotective, antimalarial, anticancer, antihypertensive, antipyretic, antithrombotic and antidote for sn...

  20. Drug: D01540 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available D01540 Drug Dimeticone (JAN/INN); Dimethicone (NF); Dimethylpolysiloxane; Sentry dimethic...ecting individual organs 23 Digestive organ agents 231 Antidiarrheals, intestinal regulators 2318 Dimethic...ones D01540 Dimeticone (JAN/INN); Dimethicone (NF) Anatomical Therapeutic Chemical ...ABICIDES P03AX Other ectoparasiticides, incl. scabicides P03AX05 Dimeticone D01540 Dimeticone (JAN/INN); Dimethic

  1. Drug: D09039 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available D09039 Formula, Drug Ifuto Japanese angelica root [DR:D06768], Peony root [DR:D0673...:D06783], Cinnamon bark [DR:D06712], Millet Traditional Chinese Medicine in Japan [BR:br08304] Formulas Formulas for stomach Antidiarrheal formulas D09039 Ifuto PubChem: 96025722 ...

  2. Drug: D06960 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available ory: 5200 Therapeutic category of drugs in Japan [BR:br08301] 5 Crude drugs and Chinese medicine formulation...for stomach Antidiarrheal formulas D06960 *Goreisan Formulas for dampness Diuretic formulas D06960 *Goreisan PubChem: 51091302 ...

  3. Drug: D03251 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available D03251 Drug Medicinal carbon (JP16); Charcoal, activated (USP); Medicinal carbon (T...nts 231 Antidiarrheals, intestinal regulators 2319 others D03251 Medicinal carbon...NAL ADSORBENTS A07BA Charcoal preparations A07BA01 Medicinal charcoal D03251 Medicinal carbon (JP16); Charcoal, activated (USP) CAS: 16291-96-6 PubChem: 17397404 ...

  4. Argyreia speciosa (Linn. f.) sweet: A comprehensive review

    OpenAIRE

    Galani, V. J.; B G Patel; Patel, N B

    2010-01-01

    Argyreia speciosa (Linn. f.) Sweet is a popular Indian medicinal plant, which has long been used in traditional Ayurvedic Indian medicine for various diseases. This plant is pharmacologically studied for nootropic, aphrodisiac, immunomodulatory, hepatoprotective, antioxidant, antiinflammatory, antihyperglycemic, antidiarrheal, antimicrobial, antiviral, nematicidal, antiulcer, anticonvulsant, analgesic and central nervous depressant activities. A wide range of phytochemical constituents have b...

  5. Drug: D04362 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available D04362 Mixture, Drug Berberine chloride - geranium herb extract mixt; Phelloberin A... (TN) Berberine chloride [DR:D01250], Geranium herb extract [DR:D04360] Therapeutic category: 2319 Therapeut...1 Antidiarrheals, intestinal regulators 2319 others D04362 Berberine chloride - geranium herb extract mixt PubChem: 17398073 ...

  6. Drug: D07033 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available ch; Hangover; Burp; Sour stomach; Stomatitis; Nervous disease Therapeutic category:...hronic catarrhal gastritis; Fermentative diarrhea; Dyspepsia; Gastroptosis; Nonulcer dyspepsia; Weak stoma... Chinese medicines D07033 Hangeshashinto extract (JP16) Traditional Chinese Medicine in Japan [BR:br08304] Formulas Formulas for stom...ach Antidiarrheal formulas D07033 Hangeshashinto PubChem: 51091375 ...

  7. Inhibitory Effects of Two Varieties of Tunisian Pomegranate (Punica granatum L.) Extracts on Gastrointestinal Transit in Rat.

    Science.gov (United States)

    Souli, Abdelaziz; Sebai, Hichem; Rtibi, Kais; Chehimi, Latifa; Sakly, Mohsen; Amri, Mohamed; El-Benna, Jamel; Marzouki, Lamjed

    2015-09-01

    The present study was undertaken to determine whether total and methanol juice extracts of two Tunisian Pomegranate (Punica granatum L.) varieties (Garsi and Gabsi) protect against diarrhea as well as their effects on gastrointestinal transit (GIT) in healthy rats. In this respect, male Wistar rats were used and divided into control- and pomegranate-treated groups. The antidiarrheal activity was evaluated using the castor oil-induced diarrhea method and the GIT was assessed using charcoal meal. Our results showed that total and methanol P. granatum juice extracts produced a significant dose-dependent protection against castor oil-induced diarrhea. Pomegranate extracts and juice also decreased the GIT significantly and dose dependently. Importantly, the Garsi variety appeared to be more effective than the Gabsi variety on these two parameters. These findings suggest that pomegranate extracts have a potent antidiarrheal property in rats confirming their efficiency in the Tunisian traditional medicine. PMID:25775227

  8. Levels of Tannins and Flavonoids in Medicinal Plants: Evaluating Bioprospecting Strategies

    OpenAIRE

    Clarissa Fernanda Queiroz Siqueira; Daniela Lyra Vasconcelos Cabral; Tadeu José da Silva Peixoto Sobrinho; Elba Lúcia Cavalcanti de Amorim; Joabe Gomes de Melo; Thiago Antônio de Sousa Araújo; Ulysses Paulino de Albuquerque

    2011-01-01

    There are several species of plants used by traditional communities in the Brazilian semiarid. An approach used in the search for natural substances that possess therapeutic value is ethnobotany or ethnopharmacology. Active substances that have phenolic groups in their structure have great pharmacological potential. To establish a quantitative relationship between the species popularly considered to be antimicrobial, antidiabetic, and antidiarrheal, the contents of tannins and flavonoids were...

  9. Berberine inhibits intestinal secretory response of Vibrio cholerae and Escherichia coli enterotoxins.

    OpenAIRE

    Sack, R B; Froehlich, J L

    1982-01-01

    Berberine, an alkaloid from the plant Berberis aristata, which has been known since ancient times as an antidiarrheal medication in India and China, inhibited by approximately 70% the secretory responses of the heat-labile enterotoxins of Vibrio cholerae and Escherichia coli in the rabbit ligated intestinal loop model. The drug was effective when given either before or after enterotoxin binding and when given either intraluminally or parenterally; it did not inhibit the stimulation of adenyla...

  10. Karakterisasi dan Skrining Fitokimia serta Uji Efektivitas Antidiare Ekstrak Etanol Biji Asam Jawa (Tamarindus indica L.) Terhadap Mencit Jantan dengan Metode Transit Intestinal

    OpenAIRE

    Simanjuntak, Nerly Juli Pranita

    2015-01-01

    Tamarind plant traditionally is widely used in the treatment. The part of the plant was used seed for asthma, bronchitis, leprosy, tuberculosis, sores, abdominal pain, diarrhea, dysentery, vertigo and diabetes. The active compound contained in tamarind seeds are phenolic compounds, tannins, fatty acids, flavonoids, saponins, alkaloids and glycosides. The purpose of this study is to investigate the characteristic of simplex and extracts, phytochemical screening and testing antidiarrheal effect...

  11. Nifuroxazide induces apoptosis and impairs pulmonary metastasis in breast cancer model

    OpenAIRE

    Yang, F.(Fermi National Accelerator Laboratory, Batavia, USA); Hu, M; Lei, Q.; Y. Xia; Zhu, Y; Song, X.; Jie, H.; Liu, C; Xiong, Y.; Zuo, Z.; Zeng, A; Li, Y.; Yu, L.; Shen, G.; Wang, D.

    2015-01-01

    Breast carcinoma is the most common female cancer with considerable metastatic potential. Signal transducers and activators of the transcription 3 (Stat3) signaling pathway is constitutively activated in many cancers including breast cancer and has been validated as a novel potential anticancer target. Here, we reported our finding with nifuroxazide, an antidiarrheal agent identified as a potent inhibitor of Stat3. The potency of nifuroxazide on breast cancer was assessed in vitro and in vivo...

  12. Nifuroxazide exerts potent anti-tumor and anti-metastasis activity in melanoma

    OpenAIRE

    Yongxia Zhu; Tinghong Ye; Xi Yu; Qian Lei; Fangfang Yang; Yong Xia; Xuejiao Song; Li Liu; Hongxia Deng; Tiantao Gao; Cuiting Peng; Weiqiong Zuo; Ying Xiong; Lidan Zhang; Ningyu Wang

    2016-01-01

    Melanoma is a highly malignant neoplasm of melanocytes with considerable metastatic potential and drug resistance, explaining the need for new candidates that inhibit tumor growth and metastasis. The signal transducer and activator of the transcription 3 (Stat3) signaling pathway plays an important role in melanoma and has been validated as promising anticancer target for melanoma therapy. In this study, nifuroxazide, an antidiarrheal agent identified as an inhibitor of Stat3, was evaluated f...

  13. Skrining Fitokimia dan Karakterisasi Simplisia serta Uji Efek Antidiare Ekstrak Etanol Majakani Terhadap Tikus

    OpenAIRE

    Ramadhani, Eko

    2015-01-01

    Majakani or also called gall of majakani (Quercus infectoria G. Olivier) is the result of abnormal growth of young twigs of plants. Majakani (Quercus infectoria G. Olivier) is naturally used as astringents. The purpose of this research was to determine the chemical compounds content, the characteristic of simplex powder and the anti-diarrheal effect of the ethanolic extract of majakani (Quercus infectoria G. Olivier) to laboratory rats that were induced with castor oil beforehand. To the m...

  14. PHYTOCHEMICAL ANALYSIS OF LEONOTIS NEPETIFOLIA (L.) R. BR., A WILD MEDICINAL PLANT OF LAMIACEAE

    OpenAIRE

    Syed Imran, S. S. Suradkar and D. K. Koche

    2012-01-01

    Leonotis nepetifolia (L.) R. Br., is one of the wild members of family Lamiaceae. The plant is known for its anti-cold, anti- cough, anti-inflamatory and anti-diarrheal properties since ages and being used by local tribal communities as ethnomedicine. The present study is an attempt to investigate the preliminary phytochemical composition of this plant. The result reveals the presence of bioactive constituents comprising alkaloids, flavonoids, phenolics, tannins, glycosides, steroids and sapo...

  15. Molecular Physiology of Enteric Opioid Receptors

    OpenAIRE

    Galligan, James J.; Akbarali, Hamid I.

    2014-01-01

    Opioid drugs have powerful antidiarrheal effects and many patients taking these drugs for chronic pain relief experience chronic constipation that can progress to opioid-induced bowel dysfunction. Three classes of opioid receptors are expressed by enteric neurons: μ-, δ-, and κ-opioid receptors (MOR, DOR, and KOR). MOR and DOR couple to inhibition of adenylate cylase and nerve terminal Ca2+ channels and activation of K+ channels. These effects reduce neuronal activity and neurotransmitter rel...

  16. The Useage of Opioids and their Adverse Effects in Gastrointestinal Practice: A Review

    OpenAIRE

    Khansari, MahmoudReza; Sohrabi, MasourReza; Zamani, Farhad

    2013-01-01

    Opium is one of the oldest herbal medicines currently used as an analgesic, sedative and antidiarrheal treatment. The effects of opium are principally mediated by the μ-, κ- and δ-opioid receptors. Opioid substances consist of all natural and synthetic alkaloids that are derived from opium. Most of their effects on gastrointestinal motility and secretion result from suppression of neural activity. Inhibition of gastric emptying, increase in sphincter tone, changes in motor patterns, and block...

  17. Drug: D07027 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available D07027 Formula, Drug Ninjinto; Richugan Ginseng [DR:D06772], Glycyrrhiza [DR:D04365...las Formulas for stomach Antidiarrheal formulas D07027 *Ninjinto; Richugan Formul...as for warming the interior Formulas for warming the interior D07027 *Ninjinto; Richugan PubChem: 51091369 ... ...itional Chinese medicines 5200 Traditional Chinese medicines D07027 Ninjinto Traditional Chinese Medicine in Japan [BR:br08304] Formu

  18. Drug: D09113 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available D09113 Formula, Drug Shokyoshashinto Pinellia tuber [DR:D06778], Ginseng [DR:D06772], Scutellaria root [DR:D06688], Glycyrrhiza [DR:D04365], Jujube [DR:D06758], Coptis rhizome [DR:D00092], Processed ginger [DR:D06702], Ginger [DR:D06744] Traditional Chinese Medicine in Japan [BR:br08304] Formulas Formulas for stomach Antidiarrheal formulas D09113 Shokyoshashinto PubChem: 96025793 ...

  19. Identification of phenolic compounds by HPLC/MS and in vitro evaluation of the antioxidant and antimicrobial activities of Ceratonia siliqua leaves extracts

    OpenAIRE

    Hsouna, A.; Trigui, M.; Jarraya, R.; Damak, , M.; Jaoua, S

    2015-01-01

    Ceratonia siliqua is a typical plant of the Mediterranean area, which is mainly used as animal and human food and in folk medicine for treating some diseases such as antidiarrheal and diuretic. The present study was planned to evaluate the potential of antimicrobial and antioxidant activities of C. siliqua leaves extract and the identification of bioactive compounds by high performance liquid chromatography/mass spectrometry (HPLC/MS) in the active extract. The antioxidant activities of the d...

  20. Detailed pharmacognostical studies on Berberis aristata DC plant

    OpenAIRE

    Bhawana Rathi; Juhi Sahu; Sameksha Koul; R L Kosha

    2013-01-01

    Background: Berberis aristata DC (Berberidaceae) commonly known in Hindi as "Dāruhaldi" and "Citra," is an important medicinal herb native to Northern Himalaya region. The plant is used traditionally in Indian system of medicine as an antibacterial, antiperiodic, antidiarrheal and anticancer and it is also used in the treatment of ophthalmic infections. Its root, stem and leaves also find their use in treatment of various ailments and hence is used extensively in Ayurveda. Materials and M...

  1. Small Bowel Review - Part I

    OpenAIRE

    Thomson, ABR; Wild, G.

    1997-01-01

    Significant advances have been made in the study of the small bowel. Part I of this two-part review of the small bowel examines carbohydrates, including brush border membrane hydrolysis and sugar transport; amino acids, dipeptides, proteins and food allergy, with a focus on glutamine, peptides and macromolecules, and nucleosides, nucleotides and polyamines; salt and water absorption, and diarrhea, including antidiarrheal therapy and oral rehydration treatment; lipids (digestion and absorption...

  2. Solanum paniculatum root extract reduces diarrhea in rats

    Directory of Open Access Journals (Sweden)

    Jonh A.B. Tenório

    2016-06-01

    Full Text Available Abstract Solanum paniculatum L., Solanaceae, locally known as "jurubeba", is widely used in Brazil for culinary purposes, and in folk medicine to treat of diverse disorder including gastric dysfunctions. In this study we investigated the antidiarrheal activity of S. paniculatum roots extract in rats at different concentrations (125, 250 and 500 mg/kg, p.o using different experimental models such as castor oil-induced diarrhea, enteropooling and gastrointestinal motility, determined by in vivo experimental models. The major compound of root extract was characterized as chlorogenic acid based in the IR, 1D and 2D NMR analysis. All the extract doses achieved antidiarrheal potency, as indicated by reduced weight of feces in castor oil-induced diarrhea, decreased intestinal motility and significantly inhibited castor oil-induced enteropooling compared to the vehicle group. The highest dose (500 mg/kg produced greater anti-motility effect and better reduction of enteropooling, similar to the reference drug Loperamide (5 mg/kg. Extract from S. paniculatum L. roots had antidiarrheal activity, as shown by the lower weight of the feces as well as decrease in the accumulation of intestinal fluid and slower transit, justifying the traditional use of plant for diarrhea.

  3. Randomized controlled trial of live lactobacillus acidophilus plus bifidobacterium bifidum in prophylaxis of diarrhea during radiotherapy in cervical cancer patients

    International Nuclear Information System (INIS)

    Radiation-induced diarrhea is frequently observed during pelvic radiotherapy. This study was performed to determine the ability of a probiotic containing live lactobacillus acidophilus plus bifidobacterium bifidum to reduce the incidence of radiation-induced diarrhea in locally advanced cervical cancer patients. Patients who were undergoing pelvic radiotherapy concurrent with weekly cisplatin were randomly assigned to a study drug or placebo, in a double-blind study. Diarrhea was graded weekly according the Common Toxicity Criteria (CTC) system. Stool consistency and white and red blood cell count in stool were also assessed. The primary endpoint was to reduce the incidence of diarrhea, defined by a CTC grade 2 or more, and the need for anti-diarrheal medication. A total of 63 patients were enrolled. Grade 2 -3 diarrhea was observed in 45% of the placebo group (n = 31) and 9% of the study drug group (n = 32) (p = 0.002). Anti-diarrheal medication use was significantly reduced in the placebo group (p = 0.03). The patients in the study drug group had a significantly improved stool consistency (p < 0.001). Live lactobacillus acidophilus plus bifidobacterium bifidum reduced the incidence of radiation-induced diarrhea and the need for anti-diarrheal medication and had a significant benefits on stool consistency

  4. The suppressive activities of six sources of medicinal ferns known as gusuibu on heat-labile enterotoxin-induced diarrhea.

    Science.gov (United States)

    Chang, Hung-Chi; Chen, Jaw-Chyun; Yang, Jiun-Long; Tsay, Hsin-Sheng; Hsiang, Chien-Yun; Ho, Tin-Yun

    2014-02-18

    Diarrheal disease is one of the most important worldwide health problems. Enterotoxigenic Escherichia coli (ETEC) is the most frequently isolated enteropathogen in diarrheal diseases. In developing countries, a very large number of people, especially children, suffer from diarrhea. To combat this problem, World Health Organization has constituted the Diarrhea Diseases Control Program which guides studies on traditional medicinal practices and preventive measures. Gusuibu, a traditional folk medicine, has been claimed to heal certain types of diarrhea. However, so far no scientific study has been carried out on the anti-diarrheal mechanism of Gusiubu. The present study was performed to examine the suppressive activities of ethanol extracts of six sources of folk medicinal ferns used as Gusuibu on heat-labile enterotoxin (LT)-induced diarrhea. Inhibitory effects of six sources were evaluated on the ETEC LT subunit B (LTB) and monosialotetrahexosylganglioside (GMI) interaction by GM1-enzyme linked immunosorbent assay and patent mouse gut assay. Our results indicated that Drynaria fortunei had no anti-diarrheal effect, while, among the remaining five folk medicinal ferns, four belonging to family Davalliaceae had significant abilities on both the blocking of LTB and GM1 interaction and the inhibition of LT-induced diarrhea. In conclusion, these findings suggested the potential application of Gusuibu as an anti-diarrheal remedy.

  5. Calcium polycarbophil, a water absorbing polymer, increases bowel movement and prevents sennoside-induced diarrhea in dogs.

    Science.gov (United States)

    Saito, T; Yamada, T; Iwanaga, Y; Morikawa, K; Nagata, O; Kato, H; Mizumoto, A; Itoh, Z

    2000-07-01

    The effects of calcium polycarbophil (CP), a water-absorbing polymer, on bowel movement were examined in comparison with known laxatives and anti-diarrheal agents in dogs, a species that resembles humans for stool output. CP increased stool frequency, fecal water content and fecal weight in a dose-dependent manner, but did not induce diarrhea. Sennoside and carboxymethylcellulose sodium (CMC-Na) increased fecal water content and induced diarrhea at lower doses than that which enhanced stool frequency. Trimebutine decreased stool frequency, fecal weight and fecal water content, resulting in inhibition rather than stimulation of defecation. In sennoside-induced diarrhea, loperamide and CP improved stool consistency and this was accompanied by reduced fecal moisture and frequency of diarrhea. In contrast, CMC-Na aggravated stool consistency with increased fecal water content and frequency of diarrhea, and trimebutine had little noticeable effect apart from reducing fecal weight. Our results show that CP has both laxative and anti-diarrheal effects in dogs and differed from conventional laxatives and anti-diarrheal agents. CP may be a suitable agent for treatment of idiopathic constipation, secretory diarrhea and irritable bowel syndrome with alternating constipation and diarrhea and with either predominating in terms of less side effects such as diarrhea or constipation.

  6. Phytochemical Screening and Pharmacological Activities of Entada Scandens seeds

    Directory of Open Access Journals (Sweden)

    S K Dey

    2013-03-01

    Full Text Available Abstract: Entada scandens (E. scandens (family: Mimosaceae is a widely used medicinal plant has been traditionally used by the folklore medicinal practitioners of Bangladesh to treat pain, cancer, gastrointestinal disorders where antinociceptive, cytotoxic and anti-diarrheal medications are implicated. Therefore, phytochemical groups and antinociceptive, cytotoxic, and anti-diarrheal activities of ethanol extract of seed of E. scandens were investigated by using acetic acid induced writhing model in mice, brine shrimp lethality bioassay and castor oil induced diarrheal model in mice. Phytochemical study of the extract indicated the presence of alkaloids, glycosides, tannins, flavonoids and saponins. At the doses of 250 and 500 mg/kg body weight, the extract showed a significant antinociceptive activity showing 60.61 and 72.73% inhibition respectively (P<0.001 comparable to that produced by Diclofenac Na (80.30% used as standard drug.  The extract showed significant toxicity in the brine shrimp lethality bioassay (LC50: 20µg/ml & LC90: 80µg/ml. While evaluating anti-diarrheal activity, the extract inhibited the mean number of defecation which were 13.21% (P<0.01 and 22.64 % (P<0.001 at the doses of 250 and 500mg/kg respectively. The latent period for the extract treated group was (p<0.01 increased as compared to control group. In addition, antimicrobial study was carried out by disc diffusion assay, but no significant inhibition was found against Escherichia coli, Pseudomonas aureus, Plesiomonas shigelloides, Salmonella typhi, S. paratyphi, Shigella dysenteriae, S. flexneri, S. boydii, S. sonnei, Proteus vulgaris,  Enterococcus faecalis, Staphylococcus saprophyticus, S. aureus, S. epidermidis and Streptococcus pyogenes. The study tends to suggest the antinociceptive, cytotoxic and antidiarrheal activities of the crude ethanol extract of the seed of E. scandens and justify its use in folkloric remedies. Industrial relevance: Medicinal plants

  7. PHYTOCHEMICAL ANALYSIS OF LEONOTIS NEPETIFOLIA (L. R. BR., A WILD MEDICINAL PLANT OF LAMIACEAE

    Directory of Open Access Journals (Sweden)

    Syed Imran, S. S. Suradkar and D. K. Koche

    2012-06-01

    Full Text Available Leonotis nepetifolia (L. R. Br., is one of the wild members of family Lamiaceae. The plant is known for its anti-cold, anti- cough, anti-inflamatory and anti-diarrheal properties since ages and being used by local tribal communities as ethnomedicine. The present study is an attempt to investigate the preliminary phytochemical composition of this plant. The result reveals the presence of bioactive constituents comprising alkaloids, flavonoids, phenolics, tannins, glycosides, steroids and saponins in different solvents. The presence of these phytochemicals can be correlated with the medicinal potential of this plant.

  8. Argyreia speciosa (Linn. f. sweet: A comprehensive review

    Directory of Open Access Journals (Sweden)

    V J Galani

    2010-01-01

    Full Text Available Argyreia speciosa (Linn. f. Sweet is a popular Indian medicinal plant, which has long been used in traditional Ayurvedic Indian medicine for various diseases. This plant is pharmacologically studied for nootropic, aphrodisiac, immunomodulatory, hepatoprotective, antioxidant, antiinflammatory, antihyperglycemic, antidiarrheal, antimicrobial, antiviral, nematicidal, antiulcer, anticonvulsant, analgesic and central nervous depressant activities. A wide range of phytochemical constituents have been isolated from this plant. A comprehensive account of the morphology, phytochemical constituents and pharmacological activities reported are included in view of the many recent findings of importance on this plant.

  9. Loperamide dependence and abuse.

    Science.gov (United States)

    MacDonald, Ryan; Heiner, Jason; Villarreal, Joshua; Strote, Jared

    2015-05-02

    Loperamide is a common over-the-counter antidiarrheal considered safe in a broad range of dosages and thought devoid of abuse potential. We describe the first case of a patient with loperamide dependence due to misuse of its opiate-like effects achieved by chronic massive oral ingestions. A 26-year-old man who was taking 800 mg of loperamide per day presented requesting detoxification referral. Loperamide has potential for euphoric effects and information on how to facilitate such effects is easily available. It is important for physicians to be aware of the potential for misuse of and dependence on loperamide, with symptoms mimicking opiate use.

  10. Drug: D00980 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available A07 ANTIDIARRHEALS, INTESTINAL ANTIINFLAMMATORY/ANTIINFECTIVE AGENTS A07E INTESTINAL ANTIINFLAMMATORY AGENTS A07EA Corticosteroids...D ANAL FISSURES FOR TOPICAL USE C05AA Corticosteroids C05AA04 Prednisolone D00980 Prednisolone acetate (JP16.../USP/INN) D DERMATOLOGICALS D07 CORTICOSTEROIDS, DERMATOLOGICAL PREPARATIONS D07A CORTICOSTEROIDS, PLAIN D07AA Corticosteroids...te (JP16/USP/INN) D07X CORTICOSTEROIDS, OTHER COMBINATIONS D07XA Corticosteroids, weak, other combinations D...R RESPIRATORY SYSTEM R01 NASAL PREPARATIONS R01A DECONGESTANTS AND OTHER NASAL PREPARATIONS FOR TOPICAL USE R01AD Corticosteroids

  11. Efficacious rat model displays non-toxic effect with Korean beechwood creosote: a possible antibiotic substitute

    OpenAIRE

    Quynh, Anh Nguyen Thai; Sharma, Neelesh; Cho, Kwang Keun; Yeo, Tae Jong; Kim, Ki Beom; Jeong, Chul Yon; Min, Tae Sun; Young, Kim Jae; Kim, Jin Nam; Jeong, Dong-Kee

    2014-01-01

    Wood creosote, an herbal anti-diarrheal and a mixture of major volatile compounds, was tested for its non-toxicological effects, using a rat model, with the objective to use the creosote as an antibiotic substitute. A total of 30 Sprague-Dawley rats were studied to form five groups with 6 rats each. Korea beechwood creosote was supplemented into three test groups with 0.03 g/kg, 0.07 g/kg and 0.1 g/kg body weight/day without antibiotic support, along with a positive control of Apramycin sulph...

  12. In Vivo Effects of Cagaita (Eugenia dysenterica, DC. Leaf Extracts on Diarrhea Treatment

    Directory of Open Access Journals (Sweden)

    T. B. Lima

    2011-01-01

    Full Text Available Eugenia dysenterica is a plant typically found in the Cerrado biome and commonly used in popular medicine due to its pharmacological properties, which include antidiarrheal, skin healing, and antimicrobial activities. The effects of ethanolic extract, aqueous extract and infusion of E. dysenterica leaves on intestinal motility and antidiarrheal activity were evaluated using ricin oil-induced diarrhea in rats. At doses of 400 and 800 mg⋅Kg−1, the ethanolic extract decreased intestinal motility while the other extracts showed no significant effects. Moreover, serum levels of chloride, magnesium, and phosphorus were also measured in rats. Histopathologic and enzymatic analyses were also performed to investigate any toxic effect. Animals treated with infusion, ethanolic extract, ricin oil, and loperamide presented morphological alterations in the small intestine, such as mucosa lesion, epithelial layer damage, and partial loss and/or morphological change of villi. Furthermore, the liver showed congestion and hydropic degeneration. Serum levels of alanine aminotransferase increased significantly in all treatments, but none rose above reference values. In summary, our results suggest that compounds present in leaves of E. dysenterica may have therapeutic benefits on recovery from diarrhea despite their toxic effects.

  13. The efficacy of a sulphated polysaccharide fraction from Hypnea musciformis against diarrhea in rodents.

    Science.gov (United States)

    Sousa, Nayara A; Barros, Francisco Clark N; Araújo, Thiago S L; Costa, Douglas S; Souza, Luan Kelves M; Sousa, Francisca Beatriz M; Leódido, Ana Carolina M; Pacífico, Dvison M; Araújo, Simone de; Bezerra, Francisco F; Freitas, Ana Lúcia P; Medeiros, Jand Venes R

    2016-05-01

    Seaweeds are sources of diverse bioactive compounds, such as sulphated polysaccharides. This study was designed to evaluate the chemical composition and anti-diarrheal activity of a fraction of sulphated polysaccharide (PLS) obtained from the red seaweed Hypnea musciformis in different animal models, and to elucidate the underlying mechanisms. PLS was obtained by aqueous extraction, with a yield of 31.8% of the seaweed dry weight. The total carbohydrate content accounted for 99% of the sample. The sulfate content of the polysaccharide was 5.08% and the percentage of carbon was 25.98%. Pretreatment with all doses of PLS inhibited castor oil-induced diarrhea, with reduction of the total amount of stool, diarrheal stools, and the severity of diarrhea. PLS (90mg/Kg) decreased castor oil- and PGE2-induced enteropooling. In addition, PLS (90mg/Kg) increased the Na(+)/K(+)-ATPase activity in the small intestine and reduced gastrointestinal transit, possibly via activation of cholinergic receptors. Interestingly, the cholera toxin-induced fluid secretion and Cl(-) ion levels decreased in the intestinal contents of the animals pretreated with PLS (90mg/kg), probably via reduction of toxin-GM1 receptor binding. In conclusion, PLS exerts anti-diarrheal activity by increasing Na(+)/K(+)-ATPase activity, inhibiting gastrointestinal motility, and blocking the toxin-GM1 receptor binding. PMID:26879913

  14. Progress on treatment of acute infectious diarrhea in adults%成人急性感染性腹泻治疗新进展

    Institute of Scientific and Technical Information of China (English)

    孙峰; 张文宏

    2013-01-01

    成人急性感染性腹泻与儿童感染性腹泻在发病率、严重程度、预后等方面有所不同,其治疗以补液、止泻为主,必要时使用抗微生物药物。近年来,成人急性感染性腹泻在补液治疗和益生菌、新止泻药物应用等方面更新了一些新的循证医学证据,在进一步确保现有药物安全性的同时促进了腹泻治疗思路与手段的发展。%Acute infectious diarrhea in adults is different from children infectious diarrhea in incidence rate , severity and prognosis . Fluid infusion and antidiarrheal treatment are suggested first and antibiotics are prescribed under the needed conditions . Current medical evidences in fluid infusion , probiotics and new antidiarrheal medicines for acute infectious diarrhea in adults are summarized in this paper .Accumulated evidences demonstrate that these treatments are safe and effective .

  15. Pharmacological evaluation of Musa seminifera Lour.fruit

    Institute of Scientific and Technical Information of China (English)

    Sanjib Saha; Faroque Hossain; Md.Anisuzzman; Md.Khirul Islam

    2013-01-01

    OBJECTIVE:To study potential antioxidant,analgesic,antidiarrheal,and antibacterial activities of the ethanol extract of Musa seminifera Lour.fruit in different established in vivo and in vitro experimental models.METHODS:In vitro antioxidant activity was studied in 2,2-diphenyl-1-picrylhydrazyl (DPPH) radical-scavenging assay.Phenolic content was determined using Folin-Ciocalteu's reagent.Reducing ability was evaluated by ferric reducing power assay.Peripherally and centrally acting analgesic activity was studied in three different in vivo models,namely,acetic acid-induced writhing,hot-plate test,and tail-flick test in Swiss albino mice.In vivo antidiarrheal activity was evaluated in castor oil-and magnesium sulfate-induced diarrhea in mice.Gastrointestinal motility test was also carried out in mice.All studies in mice were undertaken at the doses of 250 and 500 mg/kg body weight.Antibacterial activity was assessed by disk diffusion assay against some Gram-positive and Gram-negative bacterial strains.Acute toxicity test was conducted to assess the safe doses of the extract.RESULTS:The extract showed 50% inhibitory concentration value of 12.65 μg/mL in DPPH radicalscavenging assay.Phenolic content was found to be 589.83 mg gallic acid equivalent per 100 g of dried fruits extract.Reducing power was in a concentration-dependent manner,and strongly comparable with the standard ascorbic acid.The extract demonstrated significant inhibition of writhing in acetic acid-induced writhing test at both dose levels (P<0.01).The extract also raised pain threshold in both hot-plate and tail-flick test in a dose-dependent manner,and the results were statistically significant (P<0.01).The extract significantly (P<0.01) increased latent period,and decreased defecation in both castor oil-and magnesium sulfate-induced diarrhea.The extract also decreased gastrointestinal motility in mice.In disk diffusion assay,the extract showed potential antibacterial activity against all the

  16. Studies on Pongamia pinnata (L.) Pierre leaves: understanding the mechanism(s) of action in infectious diarrhea

    Institute of Scientific and Technical Information of China (English)

    BRIJESH S.; DASWANI P.G.; TETALI P.; ROJATKAR S.R.; ANTIA N.H.; BIRDI T.J.

    2006-01-01

    While data are available on the effect of medicinal plants on intestinal motility and their antibacterial action, there is a paucity of information on their mode of action on various aspects of diarrheal pathogenicity, namely colonization to intestinal epithelial cells and production/action of enterotoxins. Crude decoction of dried leaves of Pongamia pinnata was evaluated for its antimicrobial (antibacterial, antigiardial and antirotaviral) effect; and its effect on production and action of enterotoxins (cholera toxin, CT; Escherichia coli labile toxin, LT; and E. coli stable toxin, ST); and adherence of enteropathogenic E. coli and invasion of enteroinvasive E. coli and Shigella flexneri to epithelial cells. The decoction had no antibacterial, antigiardial and antirotaviral activity, but reduced production of CT and bacterial invasion to epithelial cells. The observed results indicated that the crude decoction of P. pinnata has selective antidiarrheal action with efficacy against cholera and enteroinvasive bacterial strains causing bloody diarrheal episodes.

  17. Melastoma malabathricum (L. Smith Ethnomedicinal Uses, Chemical Constituents, and Pharmacological Properties: A Review

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    S. Mohd. Joffry

    2012-01-01

    Full Text Available Melastoma malabathricum L. (Melastomataceae is one of the 22 species found in the Southeast Asian region, including Malaysia. Considered as native to tropical and temperate Asia and the Pacific Islands, this commonly found small shrub has gained herbal status in the Malay folklore belief as well as the Indian, Chinese, and Indonesian folk medicines. Ethnopharmacologically, the leaves, shoots, barks, seeds, and roots of M. malabathricum have been used to treat diarrhoea, dysentery, hemorrhoids, cuts and wounds, toothache, and stomachache. Scientific findings also revealed the wide pharmacological actions of various parts of M. malabthricum, such as antinociceptive, anti-inflammatory, wound healing, antidiarrheal, cytotoxic, and antioxidant activities. Various types of phytochemical constituents have also been isolated and identifed from different parts of M. malabathricum. Thus, the aim of the present review is to present comprehensive information on ethnomedicinal uses, phytochemical constituents, and pharmacological activities of M. malabathricum.

  18. [The use of opium in Roman society and the dependence of Princeps Marcus Aurelius].

    Science.gov (United States)

    Trancas, Bruno; Borja Santos, Nuno; Patrício, Luís D

    2008-01-01

    Opium was known and frequently used in Roman society. Medical practice recognized its usefulness as an analgesic, soporific, anti-tussic or anti-diarrheic agent, as well as other currently unsupported uses with quasi-magical properties. It was additionally used as an ingredient in antidotes, panaceas and poisons. The authors present a non-exhaustive compilation of opium use according to medical doctors, writers and encyclopaedists of the time. Mythological and literary representations of the opium poppy reflected its diverse roles, being associated with prosperity and fertility, sleep, death and the underworld and with the art of medicine. Despite its free and routine use, there is no solid evidence of addiction, except the putative case of emperor Marcus Aurelius, consistently reported as one of the most likely cases of addiction to opium.

  19. In Vivo assay of Antidiarrhoeal activity of Methanoli c and Petroleum ether extracts of Manilkara Zapota Leaves

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    Manirujjaman

    2013-12-01

    Full Text Available The present study was aimed to investigate the possible antidiarrhoeal action of Methanolic extract (MEMZ and petroleum ether (PEMZ extracts of leaves of Manilkara zapota(Sapotaceae. The anti-diarrheal activity of MEMZ & PEMZ extracts was investigated by castor oil and Magnesium sulfate induced diarrhea in albino mice. The parameters ofthis study were number of diarrheal episodes and mean weight of stool of mice. The percentage protection in extracts treated animals showing diarrhea was compared with castor oil and Magnesium sulfate treated and loperamide treated animals. In the Castor oil induced method only the PEMZ extract, showed statistically significant (p0.05. These results indicate that the extracts possess antidiarrhoeal activity in mice.

  20. Diagnosis and Management of AIDS-related Diarrhea

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    John F Johanson

    1996-01-01

    Full Text Available The spectrum of illness associated with the acquired immunodeficiency syndrome (AIDS has been increasing since the initial description in 1981. While virtually all organ systems may be affected, the gastrointestinal tract appears to be a major target. Diarrhea is the most common symptom, affecting up to half of all AIDS patients during the course of their disease. Although diarrhea occurs frequently, its optimal management remains controversial. An extensive evaluation including stool studies and endoscopic biopsies of both the colon and small intestine has been widely recommended to identify all potential pathogenic organisms. An alternative approach is a more limited evaluation consisting of stool and blood cultures followed by symptomatic treatment with antidiarrheal agents if no specific organisms are identified. The clinical presentation of the most common opportunistic pathogens are reviewed, including several recently discovered organisms. Recommendations for treatment are followed by a brief discussion of management strategies used to care for patients with AIDS-related diarrhea.

  1. Levels of Tannins and Flavonoids in Medicinal Plants: Evaluating Bioprospecting Strategies

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    Clarissa Fernanda de Queiroz Siqueira

    2012-01-01

    Full Text Available There are several species of plants used by traditional communities in the Brazilian semiarid. An approach used in the search for natural substances that possess therapeutic value is ethnobotany or ethnopharmacology. Active substances that have phenolic groups in their structure have great pharmacological potential. To establish a quantitative relationship between the species popularly considered to be antimicrobial, antidiabetic, and antidiarrheal, the contents of tannins and flavonoids were determined. The plant selection was based on an ethnobotanical survey conducted in a community located in the municipality of Altinho, northeastern Brazil. For determination of tannin content was utilized the technique of radial diffusion, and for flavonoids, an assay based on the complexation of aluminum chloride. The group of plants with antimicrobial indications showed a higher content of tannins compared to the control groups. The results evidence suggests a possible relationship between these compounds and the observed activity.

  2. Estimation of Moisture Content & Metal Ions in White Flowers of Bougainvillea spectabilis and Purple Flowers of Bougainvillea glabra in Pakistan

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    *S. A. Rashid

    2011-12-01

    Full Text Available Bougainvillea consists of 18 shrubby species, growing in different parts of Pakistan and is being used as Anti-ulcer, Anti-diarrheal, Anti-microbial, Anti- diabetic, Amylase Inhibition and as for low blood pressure but none of the studies on Bougainvillea focused on the estimation of metal ion concentration. The focus of the present study was to estimation of moisture content and comparative analysis of trace metal ions in white flowers of Bougainvillea spectabilis Willd and Purple flowers of Bougainvillea glabra Choisy. The metal ions concentration either essential or non essential, critically affect the biological system of the human body. Here are many factors including the different types of pollution-fertilizer, insecticides, pesticides and other forms of air and water pollution etc.- that effect directly on metal ion concentration in Bougainvillea and indirectly in biological system if used traditionally as medicine.

  3. Scientific basis for the therapeutic use of Cymbopogon citratus, stapf (Lemon grass

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    Gagan Shah

    2011-01-01

    Full Text Available Cymbopogon citratus, Stapf (Lemon grass is a widely used herb in tropical countries, especially in Southeast Asia. The essential oil of the plant is used in aromatherapy. The compounds identified in Cymbopogon citratus are mainly terpenes, alcohols, ketones, aldehyde and esters. Some of the reported phytoconstituents are essential oils that contain Citral a, Citral b, Nerol Geraniol, Citronellal, Terpinolene, Geranyl acetate, Myrecene and Terpinol Methylheptenone. The plant also contains reported phytoconstituents such as flavonoids and phenolic compounds, which consist of luteolin, isoorientin 2′-O-rhamnoside, quercetin, kaempferol and apiginin. Studies indicate that Cymbopogon citratus possesses various pharmacological activities such as anti-amoebic, antibacterial, antidiarrheal, antifilarial, antifungal and anti-inflammatory properties. Various other effects like antimalarial, antimutagenicity, antimycobacterial, antioxidants, hypoglycemic and neurobehaviorial have also been studied. These results are very encouraging and indicate that this herb should be studied more extensively to confirm these results and reveal other potential therapeutic effects.

  4. Cydonia oblonga M., A Medicinal Plant Rich in Phytonutrients for Pharmaceuticals

    Science.gov (United States)

    Ashraf, Muhammad U.; Muhammad, Gulzar; Hussain, Muhammad A.; Bukhari, Syed N. A.

    2016-01-01

    Cydonia oblonga M. is a medicinal plant of family Rosaceae which is used to prevent or treat several ailments such as cancer, diabetes, hepatitis, ulcer, respiratory, and urinary infections, etc. Cydonia oblonga commonly known as Quince is rich in useful secondary metabolites such as phenolics, steroids, flavonoids, terpenoids, tannins, sugars, organic acids, and glycosides. A wide range of pharmacological activities like antioxidant, antibacterial, antifungal, anti-inflammatory, hepatoprotective, cardiovascular, antidepressant, antidiarrheal, hypolipidemic, diuretic, and hypoglycemic have been ascribed to various parts of C. oblonga. The polysaccharide mucilage, glucuronoxylan extruded from seeds of C. oblonga is used in dermal patches to heal wounds. This review focuses on detailed investigations of high-valued phytochemicals as well as pharmacological and phytomedicinal attributes of the plant. PMID:27445806

  5. Plant profile, phytochemistry and pharmacology of Avartani (Helicteres isora Linn.):A review

    Institute of Scientific and Technical Information of China (English)

    Nirmal Kumar; Anil Kumar Singh

    2014-01-01

    Plants are used as medicine since ancient time, in organized (Ayurveda, Unani & Siddha) and unorganized (folk, native & tribal) form. In these systems, drugs are described either in Sanskrit or vernacular languages. Avartani (Helicteres isora Linn.) is a medicinal plant which is used in several diseases. It is commonly known as Marodphali, Marorphali, Enthani etc. due to screw like appearance of its fruit. Avartani is used as a folk medicine to treat snake bite, diarrhoea and constipation of new born baby. In the research, antioxidant, hypolipidaemic, antibacterial and antiplasmid activities, cardiac antioxidant, antiperoxidative potency, brain-antioxidation potency, anticancer activity, antinociceptive activity, hepatoprotective activity, anti-diarrheal activity and wormicidal activity in this plant were reviewed.

  6. ANTIOXIDANT ACTIVITY OF ETHANOLIC EXTRACT OF CASSIA TORA L

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    Prabhu Ashwini

    2011-02-01

    Full Text Available Development of a potential antioxidant molecule is gaining importance in the recent years as it plays an important role, in preventing or delaying the onset of certain pathological consequences such as hepatotoxicity, heart diseases and cancer. Cassia tora Linn. (Family :Fabaceae is an annual herb growing in Asian countries. The plant is reported to have medicinal value as an antimicrobial, antidiuretic, antidiarrheal and antihepatotoxic. In the present study, antioxidant activity of ethanolic extract of Cassia tora leaves was investigated using three in vitro assays, viz., total antioxidant capacity by phosphomolybdenum method, DPPH free radical scavenging assay and ferric ion reducing assay. L-Ascorbic acid was used as a reference antioxidant. The extract showed strong antioxidant activities in all the three assays, indicating that Cassia tora ethanolic extract functions as an efficient antioxidant to scavenge free radicals and reduces free radical induced cellular damage.

  7. Effects of berberine in the gastrointestinal tract - a review of actions and therapeutic implications.

    Science.gov (United States)

    Chen, Chunqiu; Yu, Zhen; Li, Yongyu; Fichna, Jakub; Storr, Martin

    2014-01-01

    Berberine is an isoquinoline alkaloid present in several plant species, including Coptis sp. and Berberis sp. In traditional medicine, extracts of berberine are used in the treatment of diarrhea of different origins. Recent studies have shown that berberine and its derivatives have significant biological effects on gastrointestinal (GI) and other functions and may become therapeutics for the treatment of diarrhea, gastroenteritis, diabetes, hyperlipidemia, cardiovascular diseases and inflammatory conditions. This paper summarizes the current knowledge on the actions of berberine in the GI tract. Binding and target sites, activated intracellular pathways, as well as the absorption and metabolism of berberine are discussed. Effects that may be useful in future clinical treatment, like antidiarrheal, anti-inflammatory and antitumor effects are critically reviewed and potential clinical applications are presented in detail. PMID:25183302

  8. REVIEW ON PHYTOCHEMISTRY AND PHARMACOLOGICAL ASPECTS OF EUPHORBIA HIRTA LINN.

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    SANDEEP BP,NILOFAR SN CHANDRAKANT SM

    2013-09-01

    Full Text Available ABSTRACT:Medicinal herbs are the local heritage with global importance. Medicinal herbshave curative properties due to presence of various complex chemical substance ofdifferent composition, which are found as secondary plant metabolites in one or moreparts of these plants. These plant metabolites according to their composition are groupedas alkaloids, glycosides, corticosteroids, essential oils etc. Euphorbia hirta, (family-Euphorbiaceae is an herb found in many parts of the world. In Sanskrit it means“Dugadhika” According to the Doctrine of Signatures, the plant has a reputation forincreasing milk flow in women, because of its milky latex, and is used for other femalecomplaints as well as diseases of the respiratory tract. The plant has been reported asincrease in urine output, antidiarrheal, antispasmodic, anti-inflammatory etc.

  9. Geophagy by yellowstone grizzly bears

    Science.gov (United States)

    Mattson, D.J.; Green, G.I.; Swalley, R.

    1999-01-01

    We documented 12 sites in the Yellowstone ecosystem where grizzly bears (Ursus arctos horribilis) had purposefully consumed soil (an activity known as geophagy). We also documented soil in numerous grizzly bear feces. Geophagy primarily occurred at sites barren of vegetation where surficial geology had been modified by geothermal activity. There was no evidence of ungulate use at most sites. Purposeful consumption of soil by bears peaked first from March to May and again from August to October, synchronous with peaks in consumption of ungulate meat and mushrooms. Geophageous soils were distinguished from ungulate mineral licks and soils in general by exceptionally high concentrations of potassium (K) and high concentrations of magnesium (Mg) and sulphur (S). Our results do not support the hypotheses that bears were consuming soil to detoxify secondary compounds in grazed foliage, as postulated for primates, or to supplement dietary sodium, as known for ungulates. Our results suggest that grizzly bears could have been consuming soil as an anti-diarrheal.

  10. A blind, randomized comparison of racecadotril and loperamide for stopping acute diarrhea in adults

    Institute of Scientific and Technical Information of China (English)

    Hwang-Huei Wang; Ming-Jium Shieh; Kuan-Fu Liao

    2005-01-01

    AIM: Racecadotril is a specific enkephalinase inhibitor that exhibits intestinal antisecretory activity without affecting intestinal transit. Loperamide is an effective anti-diarrheal agent, but it usually induces constipation. This study is to compare the efficacy, safety, and tolerability of racecadotril versus Ioperamide in the outpatient treatment of acute diarrhea in adults.METHODS: A two-center, randomized, parallel-group,single-blind study was carried out to compare the efficacy,tolerability, and safety of racecadotril (100 mg thrics daily)and Ioperamide (2.0 mg 2 twics daily) in 62 adult patients suffering from acute diarrhea. The main efficacy criterion used was the duration of diarrhea after beginning the treatment (in hours). Other signs and symptoms were also evaluated.RESULTS: The clinical success rates for these antidiarrheal treatments were 95.7% and 92.0% for racecadotril and Ioperamide respectively. Patients on racecadotril had a median duration of diarrhea of 19.5 h compared with a median of 13 h for patients on Ioperamide.Rapid improvement in anal burn and nausea was found for each drug. However, more patients on Ioperamide suffered from reactive constipation (29.0% vs 12.9%).Itching, another adverse event was notably higher in the racecadotril group (28.6% vs 0%). With regard to other adverse events, the two medications showed similar occurrence rates and similar concomitant medication usage rates.CONCLUSION: Racecadotril and Ioperamide are rapid,equally effective treatments for acute diarrhea in adults,but Ioperamide treatment is associated with a higher incidence of treatment-related constipation.

  11. BACILLUS COAGULANS EFFICIENCY IN TREATING ANTIBIOTIC-ASSOCIATED DIARRHEA IN IMMUNODEFICIENCY MICE

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    Nosalskaya T.N.,

    2016-06-01

    ; 5 - pathology immunosuppression + reference drug. Results and discussion. Laktovit Forte (BC showed pronounced Antidiarrheal effect - the effect was 75%, and in immunodeficiency conditions only 50%. The antidiarrheal effect of the drug based on comparison lactobacilli was 60% in both groups. Similar trends were observed in level of intestinal motility. The Laktovit Forte decreased high intestinal motility during pathology at 61%; in immunosuppression conditions - only 54%. Comparing the drug produced a less pronounced effect, but similar in the groups with and without immunosuppression - respectively 44.5 and 45.9%. BC effects differently under immunosuppressant conditions and without; indicating the importance of immune component in the mechanism of its action in antibiotic-associated diarrhea. The drugs based on comparison bacteria have less pronounced effect, indicating that its probiotic effects and the absence of immune system direct stimulation. The Laktovit Forte is also more effective in preventing body weight loss in animal than comparison drug on the background of the development pathology. For all studies indicates Laktovit Forte was significantly more effective than the drug on the other lactobacillus. Conclusion. Bacillus coagulans from Laktovit Forte provided antidiarrheal effect not only due to the antagonistic probiotic action, but also due to direct stimulation of the immune system.

  12. A population-based survey of acute gastrointestinal illness in Jiangsu Province, 2012%江苏省2012年急性胃肠炎负担调查情况分析

    Institute of Scientific and Technical Information of China (English)

    周翌婧; 吴高林; 戴月; 甄世祺

    2016-01-01

    Objective To determine disease burden and risk factors of acute gastrointestinal illness ( AGI) among residents in Jiangsu Province. Method Cluster random sampling method was used to carry out monthly retrospective cross-sectional survey in 10 sentinel sites in Jiangsu Province in 2012;potential risk factors were assessed by multivariate non-conditional logistic regression analy-sis. Results A total of 12 003 residents were surveyed, resulting adjusted monthly prevalence of 3. 5% ,which was equivalent to 0. 50 AGI episodes/person year. The highest incidence was observed in fall (4. 5%),while the lowest incidence was observed in winter (3. 1%). Children aged younger than 5 years old had the highest incidence(10. 8%);while adults aged from 25 to 44 years old had the lowest incidence(2. 9%). Healthcare was sought by 38. 3% of the ill respondents, among which 78. 4% were treated with antibi-otics while 32. 9% were treated with antidiarrheals. Multivariable regression analysis showed gender, season, sentinel site and travel were risk factors of AGI. Conclusion Disease burden of AGI was heavy in Jiangsu Province. Rate of using antibiotics and antidiar-rheals for treatment was high.%目的:了解江苏居民急性胃肠炎( AGI)负担情况及危险因素。方法2012年,在江苏10个监测点每月采取整群随机的抽样方式,开展回顾性的横断面调查,并采用多因素非条件logistic回归评估潜在的危险因素。结果共调查12003名居民,AGI月患病率3.5%,相当于0.50次/人年;秋季最高(4.5%),冬季最低(3.1%);<5岁儿童的患病率最高(10.8%),25~44岁最低(2.9%);38.3%的患者就诊,药物治疗病例中78.4%报告使用抗生素,32.9%使用止泻药。多因素回归分析显示,年龄、季节、监测点和旅游是AGI的影响因素。结论江苏省AGI负担重,使用抗生素、止泻药比例较高。

  13. Avaliação dos efeitos de uma intervenção educativa para promoção do uso da Terapia de Reidratação Oral (TRO em trabalhadores de farmácias Evaluating the potential of an intervention aimed at promoting oral rehydration therapy (ORT by educating pharmacy employees

    Directory of Open Access Journals (Sweden)

    Maria de Lourdes Oshiro

    2002-02-01

    Full Text Available A diarréia constitui uma das principais causas de morbi-mortalidade na infância. As farmácias são locais bastante procurados pela população para resolução de problemas de saúde. Visando contribuir para o uso racional de medicamentos, mediante promoção da TRO, foi realizado um estudo de intervenção em farmácias de Corumbá e Ladário. Os medicamentos mais indicados foram SRO (50%, antidiarréicos (39%, Sulfametoxazol/Trimetoprim (27% e levedo (22% na entrevista semi-estruturada; SRO (75%, Sulfametoxazol/Trimetoprim (25% e levedo (25% nas respostas ao questionário, demonstrando a importância do uso de mais de uma metodologia para a obtenção de dados fidedignos. A intervenção educativa foi realizada em 86,7% das farmácias. Os resultados mostraram que mesmo tendo adquirido conhecimento do manejo adequado da diarréia, os trabalhadores de farmácia ainda recomendam outros medicamentos e não SRO exclusivamente. O trabalho evidencia que para conseguir a adesão dos trabalhadores de farmácia aos protocolos oficiais para episódios diarréicos, necessita-se também de medidas normativas em relação aos medicamentos contra-indicados para crianças e reformular as atividades da farmácia e do farmacêutico.Diarrhea is a major cause of morbidity and mortality in childhood, and Brazilians rely heavily on pharmacies for the resolution of this and other health problems. To promote the rational use of both pharmaceuticals and oral rehydration therapy (ORT, an intervention study was performed in pharmacies in Southwestern Brazil. Semi-structured interviews showed oral rehydration solution, or ORS (50%, antidiarrheals (39%, trimethoprim-sulfamethoxazole (27%, and yeast (22% to be the most frequently suggested drugs, whereas questionnaire responses were ORS (75%, trimethoprim-sulfamethoxazole (25%, and yeast (25%, thus revealing that more than one methodology is needed if reliable data are to be obtained. An educational intervention was

  14. Dietary Restriction Combined with Intravenous Nutritional Support in Treatment of Acute Diarrhea in Children%饮食限制联合静脉营养支持治疗小儿急性腹泻临床疗效观察

    Institute of Scientific and Technical Information of China (English)

    于海芳; 纪福利; 李晓惠; 解金凤; 吴永利; 苏立红

    2015-01-01

    Objective:To observe the curative effect of diet restriction combined with intravenous nutri-tional support in treatment of acute diarrhea in children .Method:The observation group was given intrave-nous nutritional support therapy , while limiting the enteral feeding .The control group was given conventional rehydration therapy and usual eating .They all received the same basic remedy .Their efficiency and antidiar-rheal time and the incidence of infectious diseases in three months post -discharge were compared .Result:The efficiency and antidiarrheal time and the incidence of infectious diseases in three months post -discharge between two groups had statistical significance ( P <0.05 ) .Conclusion: Effect of dietary restriction com-bine with intravenous nutrition support for treatment of acute diarrhea in children is significant , can reduce the occurrence of the short-term infection diarrhea after discharge .%目的:观察饮食限制联合静脉营养支持治疗小儿急性腹泻的疗效。方法:105例腹泻病住院患儿在口服用药基础上,观察组给予静脉营养支持治疗,同时限制经肠道进食。对照组仍为常规补液治疗及照常进食。比较两组有效率、止泻时间及出院后3个月内感染性疾病的发生率。结果:观察组与对照组有效率及止泻时间比较差异有统计学意义( P<0.05)。观察组出院后3个月内感染性疾病的发病例率与对照组比较差异有统计学意义。结论:饮食限制联合静脉营养支持治疗小儿急性腹泻疗显著且可降低腹泻患儿出院后短期内感染性疾病的发生。

  15. Pharmacotherapy of Ebola hemorrhagic fever: a brief review of current status and future perspectives.

    Science.gov (United States)

    Olszanecki, Rafał; Gawlik, Grzegorz

    2014-01-01

    The 2014 outbreak clearly showed that Ebola viruses (EBOV) remain a substantial threat for public health. The mainstay of management of patients with Ebola disease is isolation of patients and use of strict barrier nursing procedures; the present treatment strategies are mainly symptomatic and supportive (fluid resuscitation, antypyretics, antidiarrheal drugs). Currently, there is no approved therapy for Ebola hemorrhagic fever (EHF), however several advanced treatment options were tested in animal models (on non-human primates or rodents). They include use of both symptomatic (e.g. use of tissue factor inhibitors - rhNAPc2, rhAPC - to abolish coagulopathy) and specific antiviral approaches: e.g. monoclonal anti EBOV antibodies (ZMapp, MB-003), phosphorodiamidate morpholino oligomers (PMOs), liposomes containing siRNA (LNP-siRNA:TKM-Ebola) and small molecule inhibitors (e.g. BCX4430, favipiravir). The scope of this article is to briefly review the most promising therapeutics for EHF, based on the data coming from rare clinical reports, studies on animals and results from in vitro models.

  16. Gastric Antiulcerogenic and Hypokinetic Activities of Terminalia fagifolia Mart. & Zucc. (Combretaceae

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    Paulo Humberto M. Nunes

    2014-01-01

    Full Text Available The acute toxicity, the antioxidant activity, and the pharmacological activity on the gastrointestinal tract of rodents of the ethanolic extract (TFEE from the bark of Terminalia fagifolia Mart. & Zucc. (Combretaceae and of its aqueous (TFAqF, hydroalcoholic (TFHAF, and hexanic (TFHEXF partition fractions have been evaluated. TFEE presented low acute toxicity, antioxidant, and antiulcerogenic activity against ethanol-induced ulcers, which was partially blocked by pretreatment with L-NAME and indomethacin. It reduced the total acidity and raised the pH of gastric secretion. Additionally, TFEE delayed gastric emptying and slightly inhibited the small intestinal transit and also presented a weakly antidiarrheal activity. The antiulcerogenic and antioxidant activity were also detected in TFAqF and TFHAF but not in TFHEXF. The antisecretory and gastroprotective activity of TFEE partially involve the nitric oxide and prostaglandin participation. Nevertheless, TFEE, TFAqF, and TFHAF drastically reduced the mucus layer adhered to the gastric wall of rats treated with ethanol or indomethacin. Complementary studies are required in order to clarify the paradox of the presence of a gastroprotector activity in this plant that, at the same time, reduces the mucus layer adhered to the gastric wall.

  17. Is Stevia rebaudiana Bertoni a Non Cariogenic Sweetener? A Review

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    Gianmaria Fabrizio Ferrazzano

    2015-12-01

    Full Text Available Stevia rebaudiana Bertoni is a small perennial shrub of the Asteraceae (Compositae family that is native to South America, particularly Brazil and Paraguay, where it is known as “stevia” or “honey leaf” for its powerful sweetness. Several studies have suggested that in addition to their sweetness, steviosides and their related compounds, including rebaudioside A and isosteviol, may offer additional therapeutic benefits. These benefits include anti-hyperglycaemic, anti-hypertensive, anti-inflammatory, anti-tumor, anti-diarrheal, diuretic, and immunomodulatory actions. Additionally, critical analysis of the literature supports the anti-bacterial role of steviosides on oral bacteria flora. The aim of this review is to show the emerging results regarding the anti-cariogenic properties of S. rebaudiana Bertoni. Data shown in the present paper provide evidence that stevioside extracts from S. rebaudiana are not cariogenic. Future research should be focused on in vivo studies to evaluate the effects on dental caries of regular consumption of S. rebaudiana extract-based products.

  18. Loperamide Induced Life Threatening Ventricular Arrhythmia

    Science.gov (United States)

    Bodar, Vijaykumar; Singh, Sharanjit; Frumkin, William; Mangla, Aditya; Doshi, Kaushik

    2016-01-01

    Loperamide is over-the-counter antidiarrheal agent acting on peripherally located μ opioid receptors. It is gaining popularity among drug abusers as opioid substitute. We report a case of a 46-year-old male that was presented after cardiac arrest. After ruling out ischemia, cardiomyopathy, pulmonary embolism, central nervous system pathology, sepsis, and other drug toxicity, we found out that patient was using around 100 mg of Loperamide to control his chronic diarrhea presumably because of irritable bowel syndrome for last five years and consumed up to 200 mg of Loperamide daily for last two days before the cardiac arrest. We hypothesize that the patient's QTc prolongation and subsequent cardiac arrest are due to Loperamide toxicity. Patient experienced gradual resolution of tachyarrhythmia and gradual decrease in QTc interval during hospitalization which supports the evidence of causal relationship between Loperamide overdose and potentially fatal arrhythmias. It also provided the clue that patient may have congenital long QT syndrome which was unmasked by Loperamide causing ventricular arrhythmias. This case adds one more pearl in the literature to support that Loperamide overdose related cardiac toxicity does exist and it raises concerns over Loperamide abuse in the community.

  19. The Genus Luehea (Malvaceae-Tiliaceae): Review about Chemical and Pharmacological Aspects

    Science.gov (United States)

    de Morais, Selene Maia; Colares, Aracélio Viana

    2016-01-01

    Popularly known as “açoita-cavalo” (whips-horse), Luehea species (Malvaceae-Tilioideae) are native to America and are used in folk medicine as anti-inflammatory, antidiarrheal, antiseptic, expectorant, and depurative and against skin infections. Although there are studies showing the chemical constituents of some species, the active substances have not been properly identified. A systematic study was carried out through a computer search of data on CAPES journals, SciELO, ISI Bireme, PubMed, ScienceDirect, ScienceDomain Medline, and Google Scholar from published articles using key words: Luehea, açoita-cavalo, and Malvaceae. Luehea divaricata was the species with the highest number of studies observed. Triterpenes (9), flavonoids (6), and steroids (4), including saponins, organic acids (4), and one lignan, are the main types of secondary metabolites registered and the most cited flavonoids were rutin and quercetin and among triterpenes there was maslinic acid, which might be associated with the popular indication of its anti-inflammatory action. The vitexin, a C-glycosylated flavone, isolated from three different species, is cited as a possible taxonomic marker of the genus. Studies confirm in part the medicinal uses of plants named as “açoita-cavalo” species. Some pharmacological activities, not assigned to the species of the genus Luehea by populations, were observed in laboratory experiments.

  20. Quantitative Determination of Flavonoids and Chlorogenic Acid in the Leaves of Arbutus unedo L. Using Thin Layer Chromatography

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    Željan Maleš

    2013-01-01

    Full Text Available The plant species Arbutus unedo shows numerous beneficial pharmacological effects (antiseptic, antidiabetic, antidiarrheal, astringent, depurative, antioxidant, antihypertensive, antithrombotic, and anti-inflammatory. For the medicinal use, standardization of extracts is a necessity, as different compounds are responsible for different biological activities. In this paper, we analyze monthly changes in the content of quercitrin, isoquercitrin, hyperoside, and chlorogenic acid. Methanolic extracts of the leaves are analyzed by HPTLC for the identification and quantification of individual polyphenol, and DPPH test is used to determine antioxidant activity. Based on the results obtained, the leaves should be collected in January to obtain the highest concentrations of hyperoside and quercitrin (0.35 mg/g and 1.94 mg/g, resp., in June, July, and October for chlorogenic acid (1.45–1.46 mg/g, and for the fraction of quercitrin and isoquercitrin in November (1.98 mg/g and 0.33 mg/g, resp.. Optimal months for the collection of leaves with the maximum recovery of individual polyphenol suggested in this work could direct the pharmacological usage of the polyvalent herbal drugs.

  1. Synthesis and Characterization of A Small Molecule CFTR Chloride Channel Inhibitor

    Institute of Scientific and Technical Information of China (English)

    HE Cheng-yan; ZHANG Heng-jun; SU Zhong-min; ZHOU Jin-song; YANG Hong; MA Tong-hui

    2004-01-01

    A thiazolidinone CFTR inhibitor(CFTRinh-172) was synthesized by a three-step procedure with trifluromethylaniline as the starting material. The synthesized CFTR inhibitor was characterized structurally by means of 1H NMR and functionally in a CFTR-expressing cell line FRT/hCFTR/EYFP-H148Q by both fluorescent and electrophysiological methods. A large amount(100 g) of high-quality small molecule thiazolidinone CFTR chloride channel inhibitor, CFTRinh-172, can be produced with this simple three-step synthetic procedure. The structure of the final product 2-thioxo-3-(3-trifluromethylphenyl)-5-[4-carboxyphenyl-methylene]-4-thiazolidinone was confirmed by 1H NMR. The overall yield was 58% with a purity over 99% as analyzed by HPLC. The synthesized CFTRinh-172 specifically inhibited CFTR chloride channel function in a cell-based fluorescence assay(Kd≈1.5 μmol/L) and in a Ussing chamber-based short-circuit current assay(Kd≈0.2 μmol/L), indicating better quality than that of the commercial combinatorial compound. The synthesized inhibitor is nontoxic to cultured cells at a high concentration and to mouse at a high dose. The synthetic procedure developed here can be used to produce a large amount of the high-quality CFTRinh-172 suitable for antidiarrheal studies and for creation of cystic fibrosis models in large animals. The procedure can be used to synthesize radiolabled CFTRinh-172 for in vivo pharmacokinetics studies.

  2. Cachexia Syndrome, anorexia patient

    International Nuclear Information System (INIS)

    Introduction: Two thirds of patients (ptes) cancer present slimming recognized a negative prognostic factor. Anorexia cachexia syndrome (SCA) results from the interaction of multiple factors and causes death of 22% of these patients. Nutritional support produces a moderate recovery weight without affecting the underlying metabolic disorders. Objectives: Conduct a review of current knowledge of the underlying pathophysiology and management the cachexia-anorexia syndrome in cancer patients. Designing indications possible policy interventions in the management of these patients. Method: Performed an a literature review on SCA. Conclusions: We identify patients at risk for early implementation of non-pharmacological measures preventive. The control side effects to treatment oncospecific with particular attention to the need for antiemetics, laxatives / antidiarrheal control dental and proper pain management is fundamental. Keep track enteral is a priority. In those with swallowing disorders or dysphagia, nasogastric feeding tube should be considered early. Indications for gastrostomy / jejunostomy and total parenteral nutrition (TPN) are very limited. The NPT is a complementary treatment maneuver a temporary and reversible complication, in order to prevent deterioration

  3. Evaluation of the genotoxicity of Euterpe oleraceae Mart. (Arecaceae) fruit oil (açaí), in mammalian cells in vivo.

    Science.gov (United States)

    Marques, E S; Froder, J G; Carvalho, J C T; Rosa, P C P; Perazzo, F F; Maistro, E L

    2016-07-01

    E. oleracea is a tropical plant from the Amazon region, with its fruit used for food, and traditionally, as an antioxidant, anti-inflammatory, hypocholesterolemic, for atherosclerotic disease, and has anticancer properties. The oil of the fruit has antidiarrheic, anti-inflammatory and antinociceptive activities, but without genotoxicity evaluation. Therefore, the aim of this study was to evaluate the genotoxic potential of E. oleracea fruit oil (EOO), in rat cells. Male Wistar rats were treated with EOO by gavage at doses of 30, 100 and 300 mg/kg, for 14 days, within a 24 h interval. The DNA damage in the leukocytes, liver, bone marrow and testicular cells, was assessed by the comet assay, and the clastogenic/aneugenic effects in the bone marrow cells, by the micronucleus test. Our phytochemicals characterization of the EOO showed the presence of vanillic, palmitic, γ-linolenic, linoleic, oleic, cinnamic, caffeic, protocatechuic, ferulic, syringic acids, and flavonoids quercetin and kaempferol rutinoside as the main constituents. Both cytogenetic tests performed showed that EOO presented no significant genotoxic effects in the analyzed cells, at the three tested doses. These results indicate that, under our experimental conditions, E. oleracea fruit oil did not reveal genetic toxicity in rat cells. PMID:27125964

  4. Psidium guajava leaf extract prevents intestinal colonization of Citrobacter rodentium in the mouse model

    Directory of Open Access Journals (Sweden)

    Pooja Gupta

    2015-01-01

    Full Text Available Diarrheal diseases are the second highest cause of mortality of children under 5 years worldwide. There is a continuous search for developing a cost-effective treatment for diarrhea as the present ones are facing challenges. Medicinal plants can be explored further as an alternative treatment for diarrhea. Psidium guajava leaves have been used as an antidiarrheal globally. Citrobacter rodentium, a common mouse pathogen, is known to mimic the pathogenecity of enteropathogenic and enterohemorrhagic E. coli. It can thus present an effective model to study infectious diarrhea. In the present study, the P. guajava leaf extract was tested for its efficacy in treating infectious diarrhea using a C. rodentium mouse model. The mice in the test group (treated with P. guajava leaf extract showed quicker clearance of infection as compared with the control group. The bacterial load in the fecal sample of the mice in the test group was high on Day 4 as compared with that in the control group, suggesting a flush out of the bacteria. In the test group, 6/7 (85.71% mice showed clearance of infection by Day 19. The control group continued to show infection till Day 29. P. guajava leaf extract thus has the potential for use in the treatment of infectious diarrhea.

  5. Crosstalk between Zinc Status and Giardia Infection: A New Approach

    Directory of Open Access Journals (Sweden)

    Humberto Astiazarán-García

    2015-06-01

    Full Text Available Zinc supplementation has been shown to reduce the incidence and prevalence of diarrhea; however, its anti-diarrheal effect remains only partially understood. There is now growing evidence that zinc can have pathogen-specific protective effects. Giardiasis is a common yet neglected cause of acute-chronic diarrheal illness worldwide which causes disturbances in zinc metabolism of infected children, representing a risk factor for zinc deficiency. How zinc metabolism is compromised by Giardia is not well understood; zinc status could be altered by intestinal malabsorption, organ redistribution or host-pathogen competition. The potential metal-binding properties of Giardia suggest unusual ways that the parasite may interact with its host. Zinc supplementation was recently found to reduce the rate of diarrhea caused by Giardia in children and to upregulate humoral immune response in Giardia-infected mice; in vitro and in vivo, zinc-salts enhanced the activity of bacitracin in a zinc-dose-dependent way, and this was not due to zinc toxicity. These findings reflect biological effect of zinc that may impact significantly public health in endemic areas of infection. In this paper, we shall explore one direction of this complex interaction, discussing recent information regarding zinc status and its possible contribution to the outcome of the encounter between the host and Giardia.

  6. Pharmacology and biochemistry ofPolygonatum verticillatum:A review

    Institute of Scientific and Technical Information of China (English)

    Saboon; Yamin Bibi; Muhammad Arshad; Sidra Sabir; Muhammad Shoaib Amjad; Ejaz Ahmed; Sunbal Khalil Chaudhari

    2016-01-01

    Polygonatum verticillatum (Linn.) All. syn.Convallaria verticillata Linn. is a valuable medicinal plant, distributed in the temperate Himalaya at the elevations 2 400 to 2 800 m. It is a perennial rhizomatous herb and contains various pharmacologically important secondary metabolites among which the most important areα-bulnesene, linalyl acetate, eicosadienoic, pentacosane, piperitone, docasane, diosgenin, santonin and calarene. It also possesses antimalarial, antipyretic, anti-inflammatory, anticonvulsant, lipoxygenase, urease inhibition, diuretic, tracheorelaxant, antidiarrheal, antispasmodic, antinociceptive, antifungal, antibacterial and bronchodilator activities. The plant also got importance in traditional systems of medicine due to its broad therapeutic potential especially of its rhizome. But in the past few years, over exploitation of plant parts caused the decline in the frequency of this species due to which it became threatened, endangered and vulnerable in different parts of the world. So efforts are being made in certain regions of the world for bothex-situ and in-situ conservation. This paper briefly reviewed the botanical, traditional, phytochemical, pharmacological and conservation related aspects of this plant.

  7. Nifuroxazide exerts potent anti-tumor and anti-metastasis activity in melanoma.

    Science.gov (United States)

    Zhu, Yongxia; Ye, Tinghong; Yu, Xi; Lei, Qian; Yang, Fangfang; Xia, Yong; Song, Xuejiao; Liu, Li; Deng, Hongxia; Gao, Tiantao; Peng, Cuiting; Zuo, Weiqiong; Xiong, Ying; Zhang, Lidan; Wang, Ningyu; Zhao, Lifeng; Xie, Yongmei; Yu, Luoting; Wei, Yuquan

    2016-01-01

    Melanoma is a highly malignant neoplasm of melanocytes with considerable metastatic potential and drug resistance, explaining the need for new candidates that inhibit tumor growth and metastasis. The signal transducer and activator of the transcription 3 (Stat3) signaling pathway plays an important role in melanoma and has been validated as promising anticancer target for melanoma therapy. In this study, nifuroxazide, an antidiarrheal agent identified as an inhibitor of Stat3, was evaluated for its anti-melanoma activity in vitro and in vivo. It had potent anti-proliferative activity against various melanoma cell lines and could induce G2/M phase arrest and cell apoptosis. Moreover, nifuroxazide markedly impaired melanoma cell migration and invasion by down-regulating phosphorylated-Src, phosphorylated-FAK, and expression of matrix metalloproteinase (MMP) -2, MMP-9 and vimentin. It also significantly inhibited tumor growth without obvious side effects in the A375-bearing mice model by inducing apoptosis and reducing cell proliferation and metastasis. Notably, nifuroxazide significantly inhibited pulmonary metastases, which might be associated with the decrease of myeloid-derived suppressor cells (MDSCs). These findings suggested that nifuroxazide might be a potential agent for inhibiting the growth and metastasis of melanoma. PMID:26830149

  8. Nifuroxazide induces apoptosis and impairs pulmonary metastasis in breast cancer model.

    Science.gov (United States)

    Yang, F; Hu, M; Lei, Q; Xia, Y; Zhu, Y; Song, X; Li, Y; Jie, H; Liu, C; Xiong, Y; Zuo, Z; Zeng, A; Li, Y; Yu, L; Shen, G; Wang, D; Xie, Y; Ye, T; Wei, Y

    2015-01-01

    Breast carcinoma is the most common female cancer with considerable metastatic potential. Signal transducers and activators of the transcription 3 (Stat3) signaling pathway is constitutively activated in many cancers including breast cancer and has been validated as a novel potential anticancer target. Here, we reported our finding with nifuroxazide, an antidiarrheal agent identified as a potent inhibitor of Stat3. The potency of nifuroxazide on breast cancer was assessed in vitro and in vivo. In this investigation, we found that nifuroxazide decreased the viability of three breast cancer cell lines and induced apoptosis of cancer cells in a dose-dependent manner. In addition, western blot analysis demonstrated that the occurrence of its apoptosis was associated with activation of cleaved caspases-3 and Bax, downregulation of Bcl-2. Moreover, nifuroxazide markedly blocked cancer cell migration and invasion, and the reduction of phosphorylated-Stat3(Tyr705), matrix metalloproteinase (MMP) MMP-2 and MMP-9 expression were also observed. Furthermore, in our animal experiments, intraperitoneal administration of 50 mg/kg/day nifuroxazide suppressed 4T1 tumor growth and blocked formation of pulmonary metastases without detectable toxicity. Meanwhile, histological and immunohistochemical analyses revealed a decrease in Ki-67-positive cells, MMP-9-positive cells and an increase in cleaved caspase-3-positive cells upon nifuroxazide. Notably, nifuroxazide reduced the number of myeloid-derived suppressor cell in the lung. Our data indicated that nifuroxazide may potentially be a therapeutic agent for growth and metastasis of breast cancer. PMID:25811798

  9. Biological assessment (antiviral and antioxidant and acute toxicity of essential oils from Drimys angustifolia and D. brasiliensis

    Directory of Open Access Journals (Sweden)

    Madson Ralide Fonseca Gomes

    2012-01-01

    Full Text Available The genus Drimys presents the widest geographical distribution of the Winteraceae family, which comprises seven genera and about 120 species. In Brazil, the genus is found from Bahia to Rio Grande do Sul and occur in two species, Drimys angustifolia Miers, and D. brasiliensis Miers, Winteraceae, popularly known as "casca-de-anta", characterized by the presence of flavonoids and essential oils. It is used in folk medicine as an antiscorbutic, stimulant, antispasmodic, anti-diarrheal, antipyretic, antibacterial, and against asthma and bronchitis, besides having insecticidal properties. In addition to the known biological activities, it is very important to explore new applications in the treatment of physiological disorders or diseases caused by parasites. Based on this information, in this study we propose to evaluate volatile oils of the species D. brasiliensis and D. angustifolia, as an antioxidant, using the model of the DPPH radical as an antiviral against human herpes virus type 1 (HSV-1 and acute toxicity in vivo. The two species were not able to reduce the DPPH radical and showed interesting antiviral activity, significantly reducing the virus titers in vitro assays. Regarding the in vivo toxicity in female Wistar rats, treatment with the two species showed interesting signs in animals such as salivation, ptosis, tremor, decreased motor activity. In addition the oils of D. brasiliensis to other signs, some animals showed increased urination and diarrhea.

  10. Biological assessment (antiviral and antioxidant and acute toxicity of essential oils from Drimys angustifolia and D. brasiliensis

    Directory of Open Access Journals (Sweden)

    Madson Ralide Fonseca Gomes

    2013-04-01

    Full Text Available The genus Drimys presents the widest geographical distribution of the Winteraceae family, which comprises seven genera and about 120 species. In Brazil, the genus is found from Bahia to Rio Grande do Sul and occur in two species, Drimys angustifolia Miers, and D. brasiliensis Miers, Winteraceae, popularly known as "casca-de-anta", characterized by the presence of flavonoids and essential oils. It is used in folk medicine as an antiscorbutic, stimulant, antispasmodic, anti-diarrheal, antipyretic, antibacterial, and against asthma and bronchitis, besides having insecticidal properties. In addition to the known biological activities, it is very important to explore new applications in the treatment of physiological disorders or diseases caused by parasites. Based on this information, in this study we propose to evaluate volatile oils of the species D. brasiliensis and D. angustifolia, as an antioxidant, using the model of the DPPH radical as an antiviral against human herpes virus type 1 (HSV-1 and acute toxicity in vivo. The two species were not able to reduce the DPPH radical and showed interesting antiviral activity, significantly reducing the virus titers in vitro assays. Regarding the in vivo toxicity in female Wistar rats, treatment with the two species showed interesting signs in animals such as salivation, ptosis, tremor, decreased motor activity. In addition the oils of D. brasiliensis to other signs, some animals showed increased urination and diarrhea.

  11. [Irritable bowel syndrome: diet and complementary medicine therapies?].

    Science.gov (United States)

    Gerkens, A

    2012-09-01

    Irritable bowel syndrome (IBS) is a frequent and invalidating functional bowel disorder with entangled mechanisms. Its therapeutic approach is therefore complex. Classical therapies, prescribed alone or in combination in light of the predominant symptom, consist of antispasmodics, fibers, laxatives, antidiarrheals, and psychotropic agents. Other emerging pharmacological therapies, such as prokinetics, prosecretory or serotoninergic agents, bile acid modulators and antibiotics have been recently studied in clinical trials. Dietary measures can include reduction of short-chain poorly absorbed carbohydrates (FODMAPs) and gluten restriction. Assessment of food allergy can be proposed in a subgroup of IBS patients. Complementary and alternative medicine therapies, that are generally low cost and safe, appear to be appreciated by patients. Probiotics have demonstrated action on the gut microbiote modulation, and may be helpful in a subset of patients. Peppermint oil has an established visceral analgesic effect. Hypnotherapy represents an original, global and effective approach. Finally, education, reassurance and listening to the patient, leading to a solid therapeutic relationship, represents an essential backdrop of remedy or diet effectiveness. PMID:23091952

  12. Cyperus rotundus, a substitute for Aconitum heterophyllum: Studies on the Ayurvedic concept of Abhava Pratinidhi Dravya (drug substitution).

    Science.gov (United States)

    Venkatasubramanian, Padma; Kumar, Subrahmanya K; Nair, Venugopalan S N

    2010-01-01

    In the absence of a desired first choice medicinal herb, classical Ayurveda recommends use of a functionally similar substitute. Post 16th century Ayurvedic texts and lexicons give specific examples of possible substitutes. Here we report a preliminary study of one such Ayurvedic substitution pair: Musta (Cyperus rotundus L., Cyperaceae), a common weed, for the rare Himalayan species, Ativisha (Aconitum heterophyllum Wall. ex Royle; Ranunculaceae). The study's strategy was to use modern phytochemical and pharmacological methods to test the two herbs for biochemical and metabolic similarities and differences, and literary studies to compare their Ayurvedic properties, a novel trans-disciplinary approach. No previous scientific paper has compared the two herbs' bioactivities or chemical profiles. Despite being taxonomically unrelated, the first choice, but relatively unavailable (Abhava) plant, A. heterophyllum, and its substitute (Pratinidhi) C. rotundus, are not only similar in Ayurvedic pharmacology (Dravyaguna) profile, but also in phytochemical and anti-diarrheal properties. These observations indicate that Ayurveda may attach more importance to pharmacological properties of raw drugs than to their botanical classification. Further research into the nature of raw drugs named could open up new areas of medicinal plant classification, linking chemistry and bioactivity. Understanding the logic behind the Ayurvedic concept of Abhava Pratinidhi Dravya (drug substitution) could lead to new methods of identifying legitimate drug alternatives, and help solve industry's problems of crude drug shortage. PMID:21829299

  13. Cocos nucifera (L.) (Arecaceae): A phytochemical and pharmacological review.

    Science.gov (United States)

    Lima, E B C; Sousa, C N S; Meneses, L N; Ximenes, N C; Santos Júnior, M A; Vasconcelos, G S; Lima, N B C; Patrocínio, M C A; Macedo, D; Vasconcelos, S M M

    2015-11-01

    Cocos nucifera (L.) (Arecaceae) is commonly called the "coconut tree" and is the most naturally widespread fruit plant on Earth. Throughout history, humans have used medicinal plants therapeutically, and minerals, plants, and animals have traditionally been the main sources of drugs. The constituents of C. nucifera have some biological effects, such as antihelminthic, anti-inflammatory, antinociceptive, antioxidant, antifungal, antimicrobial, and antitumor activities. Our objective in the present study was to review the phytochemical profile, pharmacological activities, and toxicology of C. nucifera to guide future preclinical and clinical studies using this plant. This systematic review consisted of searches performed using scientific databases such as Scopus, Science Direct, PubMed, SciVerse, and Scientific Electronic Library Online. Some uses of the plant were partially confirmed by previous studies demonstrating analgesic, antiarthritic, antibacterial, antipyretic, antihelminthic, antidiarrheal, and hypoglycemic activities. In addition, other properties such as antihypertensive, anti-inflammatory, antimicrobial, antioxidant, cardioprotective, antiseizure, cytotoxicity, hepatoprotective, vasodilation, nephroprotective, and anti-osteoporosis effects were also reported. Because each part of C. nucifera has different constituents, the pharmacological effects of the plant vary according to the part of the plant evaluated.

  14. Cocos nucifera (L. (Arecaceae: A phytochemical and pharmacological review

    Directory of Open Access Journals (Sweden)

    E.B.C. Lima

    2015-01-01

    Full Text Available Cocos nucifera (L. (Arecaceae is commonly called the “coconut tree” and is the most naturally widespread fruit plant on Earth. Throughout history, humans have used medicinal plants therapeutically, and minerals, plants, and animals have traditionally been the main sources of drugs. The constituents of C. nucifera have some biological effects, such as antihelminthic, anti-inflammatory, antinociceptive, antioxidant, antifungal, antimicrobial, and antitumor activities. Our objective in the present study was to review the phytochemical profile, pharmacological activities, and toxicology of C. nucifera to guide future preclinical and clinical studies using this plant. This systematic review consisted of searches performed using scientific databases such as Scopus, Science Direct, PubMed, SciVerse, and Scientific Electronic Library Online. Some uses of the plant were partially confirmed by previous studies demonstrating analgesic, antiarthritic, antibacterial, antipyretic, antihelminthic, antidiarrheal, and hypoglycemic activities. In addition, other properties such as antihypertensive, anti-inflammatory, antimicrobial, antioxidant, cardioprotective, antiseizure, cytotoxicity, hepatoprotective, vasodilation, nephroprotective, and anti-osteoporosis effects were also reported. Because each part of C. nucifera has different constituents, the pharmacological effects of the plant vary according to the part of the plant evaluated.

  15. Effect of Temperature and Light on Phytochemical Profiling and Antimicrobial Activity of Andrographis paniculata

    Directory of Open Access Journals (Sweden)

    B. Jaikumar

    2015-11-01

    Full Text Available Andrographis paniculata (Acanthaceae is an annual herb. It is found in Sri Lanka, and throughout the plains of India especially Tamilnadu, Maharashtra, Karnataka, and Orissa. Various medicinal properties like cholevetic, antidiarrheal, immunostimulant and anti-inflammatory have been attributed to this plant in the traditional system of Indian medicine. Further reported activities are hepatoprotective, antimalarial, anticancer, antihypertensive, antipyretic, antithrombotic and antidote for snake bites. The present study aimed to evaluate the anti-microbial activity for the isopropanol extract of A. paniculata against different bacterial strains such as E. coli, K. pneumoniae, P. vulgaris, S. pneumoniae, P. aeruginosa, S. aureus by determining inhibitory concentration and zone of inhibition. Minimum inhibitory concentration and zone of inhibition values and the high bioactive metabolites production was observed in different extracts of A. paniculata under different physical stress (Light and temperatures. The results revealed that, the isopropanol extract of A. paniculata is potent for inhibiting bacterial growth and various secondary metabolites production in dark condition at 37°C than other tested parameters.

  16. Molecular physiology of enteric opioid receptors.

    Science.gov (United States)

    Galligan, James J; Akbarali, Hamid I

    2014-09-10

    Opioid drugs have powerful antidiarrheal effects and many patients taking these drugs for chronic pain relief experience chronic constipation that can progress to opioid-induced bowel dysfunction. Three classes of opioid receptors are expressed by enteric neurons: μ-, δ-, and κ-opioid receptors (MOR, DOR, and KOR). MOR and DOR couple to inhibition of adenylate cylase and nerve terminal Ca(2+) channels and activation of K(+) channels. These effects reduce neuronal activity and neurotransmitter release. KOR couples to inhibition of Ca(2+) channels and inhibition of neurotransmitter release. In the human gastrointestinal tract, MOR, DOR, and KOR link to inhibition of acetylcholine release from enteric interneurons and purine/nitric oxide release from inhibitory motorneurons. These actions inhibit propulsive motility. MOR and DOR also link to inhibition of submucosal secretomotor neurons, reducing active Cl(-) secretion and passive water movement into the colonic lumen. These effects account for the constipation caused by opioid receptor agonists. Tolerance develops to the analgesic effects of opioid receptor agonists but not to the constipating actions. This may be due to differential β-arrestin-2-dependent opioid receptor desensitization and internalization in enteric nerves in the colon compared with the small intestine and in neuronal pain pathways. Further studies of differential opioid receptor desensitization and tolerance in subsets of enteric neurons may identify new drugs or other treatment strategies of opioid-induced bowel dysfunction. PMID:25207608

  17. The effect of Berberine on the secondary structure of human serum albumin

    Science.gov (United States)

    Li, Ying; He, WenYing; Tian, Jianniao; Tang, Jianghong; Hu, Zhide; Chen, Xingguo

    2005-05-01

    The presence of several high affinity binding sites on human serum albumin (HSA) makes it a possible target for many drugs. This study is designed to examine the effect of Berberine (an ancient Chinese drug used for antimicrobial, antiplasmodial, antidiarrheal and cardiovascular) on the solution structure of HSA using fluorescence, Fourier transform infrared (FT-IR), circular dichroism (CD) spectroscopic methods. The fluorescence spectroscopic results show that the fluorescence intensity of HSA was significantly decreased in the presence of Berberine. The Scatchard's plots indicated that the binding of Berberine to HSA at 296, 303, 318 K is characterized by one binding site with the binding constant is 4.071(±0.128)×10 4, 3.741(±0.089)×10 4, 3.454(±0.110)×10 4 M -1, respectively. The protein conformation is altered (FT-IR and CD data) with reductions of α-helices from 54 to 47% for free HSA to 45-32% and with increases of turn structure5% for free HSA to 18% in the presence of Berberine. The binding process was exothermic, enthalpy driven and spontaneous, as indicated by the thermodynamic analyses, Berberine bound to HSA was mainly based on hydrophobic interaction and electrostatic interaction cannot be excluded from the binding. Furthermore, the displace experiments indicate that Berberine can bind to the subdomain IIA, that is, high affinity site (site II).

  18. Naturally Occurring Xanthones: Chemistry and Biology

    Directory of Open Access Journals (Sweden)

    J. S. Negi

    2013-01-01

    Full Text Available Xanthones are one of the biggest classes of compounds in natural product chemistry. A number of xanthones have been isolated from natural sources of higher plants, fungi, ferns, and lichens. They have gradually risen to great importance because of their medicinal properties. This review focuses on the types, isolation, characterization, biological applications, and biosynthesis of naturally occurring xanthones isolated so far. Different physicochemical and instrumental methods such as liquid-solid and liquid-liquid extraction, TLC, flash chromatography, column chromatography, IR, 1H NMR and 13C NMR spectroscopy, GLC, HPLC, GC, and LCMS have been widely used for isolation and structural elucidation of xanthones. Hepatoprotective, anticarcinogenic, antileprosy, antimalarial, antioxidant, anticholinergic, mutagenicity, radioprotective, immunomodulatory, antibone resorption, antiparasitic, neuraminidase inhibitory, anticomplement, antibacterial, antifungal, algicidal, anti-HIV, cardioprotective, antitumoral, antidiabetes, antihyperlipidemic, antiatherogenic, anti-inflammatory, antiulcer, antidiabetic, hypolipidemic, analgesic, antiasthmatic, antihistaminic, antiamoebic, diuretic, antidiarrheal, larvicidal, and ovicidal activities have been reported for natural occurring xanthones. To a certain extent, this review provides necessary foundation for further research and development of new medicines.

  19. Phytochemical characterization of essential oil from Ocimum selloi

    Directory of Open Access Journals (Sweden)

    LILIA A.S. MORAES

    2002-03-01

    Full Text Available Ocimum selloi Benth, a native plant of Brazil, has medicinal uses as anti-diarrheic, antispasmodic and anti-inflammatory product. The yield of essential oils of the inflorescences, containing flowers and seeds, was 0.6%, and the yield of leaves, collected in two different seasons, was 0.25% (June 2000 and 0.20% (January 2001, respectively. The essential oils of the inflorescences and leaves presented as major constituents trans-anethol (41.34%, 45.42%, 58.59% and methyl chavicol (27.10%, 24.14%, 29.96%.Ocimum selloi Benth, planta nativa do Brasil de uso medicinal, tem sido utilizada como antidiarréico, antiespasmódico e antiinflamatório. O rendimento dos óleos essenciais das inflorescências, contendo flores e sementes, foi de 0,6% e das folhas, coletadas em duas épocas do ano, foi de 0,25% (junho/00 e 0,20% (janeiro/01, respectivamente. Os óleos essenciais das inflorescências e folhas apresentaram como constituintes majoritários o trans-anethol (41,34%, 45,42%, 58,59% e methyl chavicol (27,10%, 24,14%, 29,96%.

  20. Short communication: effect of pomegranate-residue supplement on Cryptosporidium parvum oocyst shedding in neonatal calves.

    Science.gov (United States)

    Weyl-Feinstein, S; Markovics, A; Eitam, H; Orlov, A; Yishay, M; Agmon, R; Miron, J; Izhaki, I; Shabtay, A

    2014-09-01

    Cryptosporidium parvum is considered one of the most common enteropathogens, responsible for the high incidence of diarrhea and deleterious implications on immunity and health in neonatal calves. The pomegranate is well known for its health-promoting properties. Two experiments were designed to test the antiparasitical and antidiarrheal effects of concentrated pomegranate extract (CPE) supplement in milk in neonatal Holstein calves. Forty-one calves were randomly divided into control (n=20) and treatment (n=21) groups. For the first experiment, the treatment group was supplemented with 3.75% CPE in the daily milk ration, between 3 and 14 d of age, whereas the control group received only milk. Fecal samples were collected between d 5 and 13 to quantify Cryptosporidium oocysts, and the duration and intensity of diarrhea were evaluated. Reduced fecal oocyst count and diarrhea intensity and duration were revealed in the 3.75% CPE calves. No difference was noted in average daily gain between groups. In a second experiment, which was designed to test the effect of a lower CPE concentration (0.6% of daily milk allocation), no effects on fecal oocyst count and average daily gain were observed. However, compared with control, the lower CPE group was characterized by a shorter duration of diarrhea and higher weight gain among males at 14 d of age. These results suggest that the CPE supplement-to-calf milk ratio may potentially alleviate intestinal morbidity caused by Cryptosporidium. PMID:24952772

  1. Safety and efficacy of Bixa orellana (achiote, annatto) leaf extracts.

    Science.gov (United States)

    Stohs, Sidney J

    2014-07-01

    Bixa orellana leaf preparations have been used for many years by indigenous people for a variety of medicinal applications. Published research studies in animals indicate that various extracts of Bixa leaves exhibit antioxidant, broad antimicrobial (antibacterial and antifungal), anti-inflammatory, analgesic, hypoglycemic, and antidiarrheal activities. No studies have specifically assessed the ability of leaf extracts to inhibit urogenital infections although Bixa products have been used in folkloric medicine to treat gonorrhea and other infections. Few human studies have been conducted and published using Bixa leaf preparations. Many more studies have been conducted and published involving Bixa seed (annatto) extracts than with leaf extracts. No subchronic safety (toxicity) studies have been conducted in animals. A 6 month study in humans given 750 mg of leaf powder per day demonstrated no significant or serious adverse effects. Bixa leaf extracts appear to be safe when given under current conditions of use. However, additional human and animal controlled safety and efficacy studies are needed. In addition, detailed chemical analyses are required to establish structure-function relationships. PMID:24357022

  2. The Useage of Opioids and their Adverse Effects in Gastrointestinal Practice: A Review

    Science.gov (United States)

    Khansari, MahmoudReza; Sohrabi, MasourReza; Zamani, Farhad

    2013-01-01

    Opium is one of the oldest herbal medicines currently used as an analgesic, sedative and antidiarrheal treatment. The effects of opium are principally mediated by the μ-, κ- and δ-opioid receptors. Opioid substances consist of all natural and synthetic alkaloids that are derived from opium. Most of their effects on gastrointestinal motility and secretion result from suppression of neural activity. Inhibition of gastric emptying, increase in sphincter tone, changes in motor patterns, and blockage of peristalsis result from opioid use. Common adverse effects of opioid administration include sedation, dizziness, nausea, vomiting, constipation, dependency and tolerance, and respiratory depression. The most common adverse effect of opioid use is constipation. Although stool softeners are frequently used to decrease opioid-induced bowel dysfunction, however they are not efficacious. Possibly, the use of specific opioid receptor antagonists is a more suitable approach. Opioid antagonists, both central and peripheral, could affect gastrointestinal function and visceromotor sensitivity, which suggests an important role for endogenous opioid peptides in the control of gastrointestinal physiology. Underlying diseases or medications known to influence the central nervous system (CNS) often accelerate the opioid’s adverse effects. However, changing the opioid and/or route of administration could also decrease their adverse effects. Appropriate patient selection, patient education and discussion regarding potential adverse effects may assist physicians in maximizing the effectiveness of opioids, while reducing the number and severity of adverse effects. PMID:24829664

  3. Rubus Fruticosus L.: Constituents, Biological Activities and Health Related Uses

    Directory of Open Access Journals (Sweden)

    Muhammad Zia-Ul-Haq

    2014-07-01

    Full Text Available Rubus fruticosus L. is a shrub famous for its fruit called blackberry fruit or more commonly blackberry. The fruit has medicinal, cosmetic and nutritive value. It is a concentrated source of valuable nutrients, as well as bioactive constituents of therapeutic interest highlighting its importance as a functional food. Besides use as a fresh fruit, it is also used as ingredient in cooked dishes, salads and bakery products like jams, snacks, desserts, and fruit preserves. R. fruticosus contains vitamins, steroids and lipids in seed oil and minerals, flavonoids, glycosides, terpenes, acids and tannins in aerial parts that possess diverse pharmacological activities such as antioxidant, anti-carcinogenic, anti-inflammatory, antimicrobial anti-diabetic, anti-diarrheal, and antiviral. Various agrogeoclimatological factors like cultivar, environmental conditions of the area, agronomic practices employed, harvest time, post-harvest storage and processing techniques all influence the nutritional composition of blackberry fruit. This review focuses on the nutrients and chemical constituents as well as medicinal properties of different parts of R. fruticosus. Various cultivars and their physicochemical characteristics, polyphenolic content and ascorbic acid content are also discussed. The information in the present work will serve as baseline data and may lead to new biomedical applications of R. fruticosus as functional food.

  4. Inhibitory effects of zingerone, a pungent component of Zingiber officinale Roscoe, on colonic motility in rats.

    Science.gov (United States)

    Iwami, Momoe; Shiina, Takahiko; Hirayama, Haruko; Shima, Takeshi; Takewaki, Tadashi; Shimizu, Yasutake

    2011-01-01

    Ginger (rhizome of Zingiber officinale Roscoe) is an herbal medicine for the treatment of gastrointestinal disorders including constipation and diarrhea. Zingerone is a likely active constituent responsible for the antidiarrheal activity of ginger. The current study was designed to characterize pharmacological actions of zingerone on colonic motility. To evaluate pharmacological effects of zingerone on colonic motility, we used isolated colonic segments from rats, in which mechanical responses were recorded in the longitudinal direction. In addition, we evaluated the effects on colonic motility in vivo by measuring intraluminal pressure changes and expelled fluid volume from the colon in anesthetized rats. Zingerone was applied to the lumen of the colon to allow the drug to access from the mucosal side. Zingerone inhibited spontaneous contractile movements in the isolated colonic segments in a dose-dependent manner. The inhibitory effects of zingerone on colonic movements were not affected by pretreatment with capsazepine, a typical antagonist of transient receptor potential vanilloid 1. In addition, tetrodotoxin, a blocker of voltage-dependent sodium channels on neurons, did not affect the suppression of colonic movements by zingerone, suggesting that zingerone acts on the smooth muscles directly. Zingerone also attenuated colonic motility in vivo without affecting blood pressure and heart rate. The effects were reversible and reproducible. Our findings suggest that zingerone can inhibit colonic motility via direct action on smooth muscles. Zingerone might exert beneficial therapeutic effects on hypermotility-induced diarrhea by abrogating excessive gastrointestinal motility. PMID:20799069

  5. A review on therapeutic potential of Nigella sativa:A miracle herb

    Institute of Scientific and Technical Information of China (English)

    Aftab Ahmad; Asif Husain; Mohd Mujeeb; Shah Alam Khan; Abul Kalam Najmi; Nasir Ali Siddique; Zoheir A Damanhouri; Firoz Anwar

    2013-01-01

    Nigella sativa (N. sativa) (Family Ranunculaceae) is a widely used medicinal plant throughout the world. It is very popular in various traditional systems of medicine like Unani and Tibb, Ayurveda and Siddha. Seeds and oil have a long history of folklore usage in various systems of medicines and food. The seeds of N. sativa have been widely used in the treatment of different diseases and ailments. In Islamic literature, it is considered as one of the greatest forms of healing medicine. It has been recommended for using on regular basis in Tibb-e-Nabwi (Prophetic Medicine). It has been widely used as antihypertensive, liver tonics, diuretics, digestive, anti-diarrheal, appetite stimulant, analgesics, anti-bacterial and in skin disorders. Extensive studies on N. sativa have been carried out by various researchers and a wide spectrum of its pharmacological actions have been explored which may include antidiabetic, anticancer, immunomodulator, analgesic, antimicrobial, anti-inflammatory, spasmolytic, bronchodilator, hepato-protective, renal protective, gastro-protective, antioxidant properties, etc. Due to its miraculous power of healing, N. sativa has got the place among the top ranked evidence based herbal medicines. This is also revealed that most of the therapeutic properties of this plant are due to the presence of thymoquinone which is major bioactive component of the essential oil. The present review is an effort to provide a detailed survey of the literature on scientific researches of pharmacognostical characteristics, chemical composition and pharmacological activities of the seeds of this plant.

  6. A review on therapeutic potential of Nigella sativa: A miracle herb.

    Science.gov (United States)

    Ahmad, Aftab; Husain, Asif; Mujeeb, Mohd; Khan, Shah Alam; Najmi, Abul Kalam; Siddique, Nasir Ali; Damanhouri, Zoheir A; Anwar, Firoz

    2013-05-01

    Nigella sativa (N. sativa) (Family Ranunculaceae) is a widely used medicinal plant throughout the world. It is very popular in various traditional systems of medicine like Unani and Tibb, Ayurveda and Siddha. Seeds and oil have a long history of folklore usage in various systems of medicines and food. The seeds of N. sativa have been widely used in the treatment of different diseases and ailments. In Islamic literature, it is considered as one of the greatest forms of healing medicine. It has been recommended for using on regular basis in Tibb-e-Nabwi (Prophetic Medicine). It has been widely used as antihypertensive, liver tonics, diuretics, digestive, anti-diarrheal, appetite stimulant, analgesics, anti-bacterial and in skin disorders. Extensive studies on N. sativa have been carried out by various researchers and a wide spectrum of its pharmacological actions have been explored which may include antidiabetic, anticancer, immunomodulator, analgesic, antimicrobial, anti-inflammatory, spasmolytic, bronchodilator, hepato-protective, renal protective, gastro-protective, antioxidant properties, etc. Due to its miraculous power of healing, N. sativa has got the place among the top ranked evidence based herbal medicines. This is also revealed that most of the therapeutic properties of this plant are due to the presence of thymoquinone which is major bioactive component of the essential oil. The present review is an effort to provide a detailed survey of the literature on scientific researches of pharmacognostical characteristics, chemical composition and pharmacological activities of the seeds of this plant. PMID:23646296

  7. Shikonin Inhibits Intestinal Calcium-Activated Chloride Channels and Prevents Rotaviral Diarrhea.

    Science.gov (United States)

    Jiang, Yu; Yu, Bo; Yang, Hong; Ma, Tonghui

    2016-01-01

    Secretory diarrhea remains a global health burden and causes major mortality in children. There have been some focuses on antidiarrheal therapies that may reduce fluid losses and intestinal motility in diarrheal diseases. In the present study, we identified shikonin as an inhibitor of TMEM16A chloride channel activity using cell-based fluorescent-quenching assay. The IC50 value of shikonin was 6.5 μM. Short-circuit current measurements demonstrated that shikonin inhibited Eact-induced Cl(-) current in a dose-dependent manner, with IC50 value of 1.5 μM. Short-circuit current measurement showed that shikonin exhibited inhibitory effect against CCh-induced Cl(-) currents in mouse colonic epithelia but did not affect cytoplasmic Ca(2+) concentration as well as the other major enterocyte chloride channel conductance regulator. Characterization study found that shikonin inhibited basolateral K(+) channel activity without affecting Na(+)/K(+)-ATPase activities. In vivo studies revealed that shikonin significantly delayed intestinal motility in mice and reduced stool water content in a neonatal mice model of rotaviral diarrhea without affecting the viral infection process in vivo. Taken together, the results suggested that shikonin inhibited enterocyte calcium-activated chloride channels, the inhibitory effect was partially through inhbition of basolateral K(+) channel activity, and shikonin could be a lead compound in the treatment of rotaviral secretory diarrhea. PMID:27601995

  8. Pharmacology and biochemistry of Polygonatum verticillatum: A review

    Directory of Open Access Journals (Sweden)

    Saboon

    2016-05-01

    Full Text Available Polygonatum verticillatum (Linn. All. syn. Convallaria verticillata Linn. is a valuable medicinal plant, distributed in the temperate Himalaya at the elevations 2400 to 2800 m. It is a perennial rhizomatous herb and contains various pharmacologically important secondary metabolites among which the most important are α-bulnesene, linalyl acetate, eicosadienoic, pentacosane, piperitone, docasane, diosgenin, santonin and calarene. It also possesses antimalarial, antipyretic, anti-inflammatory, anticonvulsant, lipoxygenase, urease inhibition, diuretic, tracheorelaxant, antidiarrheal, antispasmodic, antinociceptive, antifungal, antibacterial and bronchodilator activities. The plant also got importance in traditional systems of medicine due to its broad therapeutic potential especially of its rhizome. But in the past few years, over exploitation of plant parts caused the decline in the frequency of this species due to which it became threatened, endangered and vulnerable in different parts of the world. So efforts are being made in certain regions of the world for both ex-situ and in-situ conservation. This paper briefly reviewed the botanical, traditional, phytochemical, pharmacological and conservation related aspects of this plant.

  9. New insights in insect prey choice by chimpanzees and gorillas in southeast Cameroon: the role of nutritional value.

    Science.gov (United States)

    Deblauwe, Isra; Janssens, Geert P J

    2008-01-01

    The insect diet of chimpanzees and gorillas living at the northern periphery of the Dja Biosphere Reserve in southeast Cameroon and its nutritional contribution is described. We analyzed fecal samples and recorded additional evidence of insectivory. A detailed prey species list is presented for both apes. We carried out nutritional analyses (macronutrients, macro- and micro-minerals) on 11 important and eight nonimportant, but accessible, ant and termite prey species, and estimated the average nutrient intake/day through insects. Although gorillas ate insects more frequently, the average prey biomass intake/day by chimpanzees was twice that by gorillas. The lack of tool-use by gorillas cannot be the main reason for the small overlap of important prey species. Both apes did not seem to consume ant prey for one or more specific nutrients. Also other factors, such as medicinal use, should be considered. Termites, on the other hand, seemed to be selected for particular nutrients. Gorilla intake of the important termite prey, Cubitermes and Thoracotermes, met with estimated iron requirements. Their potential role as antidiarrheal treatment is as yet unclear. Chimpanzee intake of the important termite prey, Macrotermes spp., met with estimated manganese requirements and the protein intake/day (mean: 2 g/d) reached significant values (>20 g/d). To fully understand the importance of nutritional contributions of insects to ape diets in Cameroon, the chemical composition and nutrient intake of fruit and foliage in their diets should be investigated. PMID:17902166

  10. Alstonia scholaris: It′s Phytochemistry and pharmacology

    Directory of Open Access Journals (Sweden)

    Pawan Kaushik

    2011-01-01

    Full Text Available Complementary therapies based on herbal medicines are the world′s oldest form of medicine and recent reports suggest that such therapies still enjoy vast popularity, especially in developing countries where most of the population does not have easy access to modern medicine. Alstonia scholaris (L. R.Br (Apocynaceae is an evergreen tropical tree native to Indian sub-continent and South East Asia, having grayish rough bark and milky sap rich in poisonous alkaloid. It is reported to contain various iridoids, alkaloids, coumarins, flavonoids, leucoanthocyanins, reducing sugars, simple phenolics, steroids, saponins and tannins. It has been reported to possess antimicrobial, antiamoebic, antidiarrheal, antiplasmodial, hepatoprotective, immunomodulatory, anticancer, antiasthmatic, free radical scavenging, antioxidant, analgesic, anti-inflammatory, antiulcer, antifertility and wound healing activities. In other parts of the world, it is used as a source cure against bacterial infection, malarial fever, toothache, rheumatism, snakebite, dysentery, bowl disorder, etc. Reports on the pharmacological activities of many isolated constituents from A. scholaris (L. R.Br are lacking, which warrants further pharmacological studies.

  11. Is Stevia rebaudiana Bertoni a Non Cariogenic Sweetener? A Review.

    Science.gov (United States)

    Ferrazzano, Gianmaria Fabrizio; Cantile, Tiziana; Alcidi, Brunella; Coda, Marco; Ingenito, Aniello; Zarrelli, Armando; Di Fabio, Giovanni; Pollio, Antonino

    2015-12-26

    Stevia rebaudiana Bertoni is a small perennial shrub of the Asteraceae (Compositae) family that is native to South America, particularly Brazil and Paraguay, where it is known as "stevia" or "honey leaf" for its powerful sweetness. Several studies have suggested that in addition to their sweetness, steviosides and their related compounds, including rebaudioside A and isosteviol, may offer additional therapeutic benefits. These benefits include anti-hyperglycaemic, anti-hypertensive, anti-inflammatory, anti-tumor, anti-diarrheal, diuretic, and immunomodulatory actions. Additionally, critical analysis of the literature supports the anti-bacterial role of steviosides on oral bacteria flora. The aim of this review is to show the emerging results regarding the anti-cariogenic properties of S. rebaudiana Bertoni. Data shown in the present paper provide evidence that stevioside extracts from S. rebaudiana are not cariogenic. Future research should be focused on in vivo studies to evaluate the effects on dental caries of regular consumption of S. rebaudiana extract-based products.

  12. Loperamide Induced Life Threatening Ventricular Arrhythmia.

    Science.gov (United States)

    Upadhyay, Ankit; Bodar, Vijaykumar; Malekzadegan, Mohammad; Singh, Sharanjit; Frumkin, William; Mangla, Aditya; Doshi, Kaushik

    2016-01-01

    Loperamide is over-the-counter antidiarrheal agent acting on peripherally located μ opioid receptors. It is gaining popularity among drug abusers as opioid substitute. We report a case of a 46-year-old male that was presented after cardiac arrest. After ruling out ischemia, cardiomyopathy, pulmonary embolism, central nervous system pathology, sepsis, and other drug toxicity, we found out that patient was using around 100 mg of Loperamide to control his chronic diarrhea presumably because of irritable bowel syndrome for last five years and consumed up to 200 mg of Loperamide daily for last two days before the cardiac arrest. We hypothesize that the patient's QTc prolongation and subsequent cardiac arrest are due to Loperamide toxicity. Patient experienced gradual resolution of tachyarrhythmia and gradual decrease in QTc interval during hospitalization which supports the evidence of causal relationship between Loperamide overdose and potentially fatal arrhythmias. It also provided the clue that patient may have congenital long QT syndrome which was unmasked by Loperamide causing ventricular arrhythmias. This case adds one more pearl in the literature to support that Loperamide overdose related cardiac toxicity does exist and it raises concerns over Loperamide abuse in the community. PMID:27547470

  13. Akt- and CREB-Mediated Prostate Cancer Cell Proliferation Inhibition by Nexrutine, a Phellodendron amurense Extract

    Directory of Open Access Journals (Sweden)

    Gretchen E. Garcia

    2006-06-01

    Full Text Available Evidence from epidemiological studies suggests that plant-based diets can reduce the risk of prostate cancer. However, very little information is available concerning the use of botanicals in preventing prostate cancer. As a first step toward developing botanicals as prostate cancer preventives, we examined the effect of Nexrutine on human prostate cancer cells. Nexrutine is a herbal extract developed from Phellodendron amurense. Phellodendron extracts have been used traditionally in Chinese medicine for hundreds of years as an antidiarrheal, astringent, and anti-inflammatory agent. The present study investigated its potential antitumor effect on human prostate cancer cells. Our results suggest that it inhibits tumor cell proliferation through apoptosis induction and inhibition of cell survival signaling. The results of the present study indicate that Nexrutine treatment 1 inhibits the proliferation of both androgenresponsive and androgen-independent human prostate cancer cells through induction of apoptosis; 2 reduces levels of pAkt, phosphorylated cAMP response-binding protein (pCREB, and CREB DNA-binding activity; and 3 induces apoptosis in prostate cancer cells stably overexpressing Bcl-2. Further Akt kinase activity was reduced in cells treated with Nexrutine, and ectopic expression of myristoylated Akt protected from Nexrutine induced inhibition of proliferation, implicating a role for Akt signaling.

  14. ZEA MAIZE: A MODERN CRAZE

    Directory of Open Access Journals (Sweden)

    Dhamija Isha

    2013-06-01

    Full Text Available Zea stands for ‘sustaining life’ and Mays stands for ‘life giver’. Zea mays is one of the oldest and most dynamic crop species, which has gained popularity in modern world too, due to its applications in diverse dishes. Corn is produced in every continent of the world with the exception of Antarctica. It is an annual monoecious sunny plant, surviving perfectly in nutrient rich, well-drained soil. Each and every part of the corn, from husk to corn silk is beneficial for the society. There are more than 3,500 different uses for corn products. Corn does much more than feed people and livestock. The plant contains alkaloids, flavonoids, saponins, maizenic acid, vitamins B1, K and minerals like potassium, phosphorous and zinc. Traditionally, Maize is used as an analgesic, anti-diarrheal, anti-prostatitic, anti-lithiasis, anti-tumor, anti-hypertensive, anti-diabetic, anti-hyperlipidemic, anti-inflammatory and anti-oxidant. In this review article, we have narrated miscellaneous uses of corn varieties and described the pharmacological activities, phytoconstituents, nutritional value and traditional uses of maize. The maize has assorted uses like culinary, medicinal and industrial. Corn dishes like corn-meal, corn-flakes, popcorn, “makki ki roti” and corn soup highlight its dominance all over the world. Therefore, maize has become a craze among modern youth.

  15. (+)-Cannabidiol analogues which bind cannabinoid receptors but exert peripheral activity only.

    Science.gov (United States)

    Fride, Ester; Feigin, Cfir; Ponde, Datta E; Breuer, Aviva; Hanus, Lumír; Arshavsky, Nina; Mechoulam, Raphael

    2004-12-15

    Delta9-Tetrahydrocannabinol (Delta9-THC) and (-)-cannabidiol are major constituents of the Cannabis sativa plant with different pharmacological profiles: (-)-Delta9-tetrahydrocannabinol, but not (-)-cannabidiol, activates cannabinoid CB1 and CB2 receptors and induces psychoactive and peripheral effects. We have tested a series of (+)-cannabidiol derivatives, namely, (+)-cannabidiol-DMH (DMH-1,1-dimethylheptyl-), (+)-7-OH-cannabidiol-DMH, (+)-7-OH- cannabidiol, (+)-7-COOH- cannabidiol and (+)-7-COOH-cannabidiol-DMH, for central and peripheral (intestinal, antiinflammatory and peripheral pain) effects in mice. Although all (+)-cannabidiols bind to cannabinoid CB1 and CB2 receptors, only (+)-7-OH-cannabidiol-DMH was centrally active, while all (+)-cannabidiol analogues completely arrested defecation. The effects of (+)-cannabidiol-DMH and (+)-7-OH-cannabidiol-DMH were partially antagonized by the cannabinoid CB1 receptor antagonist N-(piperidiny-1-yl)-5-(4-chlorophenyl)-1-(2,4-dichlorophenyl)-4-methyl-1H-pyrazole-3-carboxamide (SR141716), but not by the cannabinoid CB2 receptor antagonist N-[-(1S)-endo-1,3,3-trimethil bicyclo [2.2.1] heptan-2-yl-5-(4-chloro-3-methylphenyl)-1-(4-methylbenzyl)-pyrazole-3-carboxamide (SR144528), and had no effect on CB1(-/-) receptor knockout mice. (+)-Cannabidiol-DMH inhibited the peripheral pain response and arachidonic-acid-induced inflammation of the ear. We conclude that centrally inactive (+)-cannabidiol analogues should be further developed as antidiarrheal, antiinflammatory and analgesic drugs for gastrointestinal and other peripheral conditions. PMID:15588739

  16. Hydroxylase inhibition attenuates colonic epithelial secretory function and ameliorates experimental diarrhea.

    LENUS (Irish Health Repository)

    Ward, Joseph B J

    2012-02-01

    Hydroxylases are oxygen-sensing enzymes that regulate cellular responses to hypoxia. Transepithelial Cl(-) secretion, the driving force for fluid secretion, is dependent on O(2) availability for generation of cellular energy. Here, we investigated the role of hydroxylases in regulating epithelial secretion and the potential for targeting these enzymes in treatment of diarrheal disorders. Ion transport was measured as short-circuit current changes across voltage-clamped monolayers of T(84) cells and mouse colon. The antidiarrheal efficacy of dimethyloxallyl glycine (DMOG) was tested in a mouse model of allergic disease. Hydroxylase inhibition with DMOG attenuated Ca(2+)- and cAMP-dependent secretory responses in voltage-clamped T(84) cells to 20.2 +\\/- 2.6 and 38.8 +\\/- 6.7% (n=16; P<\\/=0.001) of those in control cells, respectively. Antisecretory actions of DMOG were time and concentration dependent, being maximal after 18 h of DMOG (1 mM) treatment. DMOG specifically inhibited Na(+)\\/K(+)-ATPase pump activity without altering its expression or membrane localization. In mice, DMOG inhibited agonist-induced secretory responses ex vivo and prevented allergic diarrhea in vivo. In conclusion, hydroxylases are important regulators of epithelial Cl(-) and fluid secretion and present a promising target for development of new drugs to treat transport disorders.

  17. Hydroxylase inhibition attenuates colonic epithelial secretory function and ameliorates experimental diarrhea.

    LENUS (Irish Health Repository)

    Ward, Joseph B J

    2011-02-01

    Hydroxylases are oxygen-sensing enzymes that regulate cellular responses to hypoxia. Transepithelial Cl(-) secretion, the driving force for fluid secretion, is dependent on O(2) availability for generation of cellular energy. Here, we investigated the role of hydroxylases in regulating epithelial secretion and the potential for targeting these enzymes in treatment of diarrheal disorders. Ion transport was measured as short-circuit current changes across voltage-clamped monolayers of T(84) cells and mouse colon. The antidiarrheal efficacy of dimethyloxallyl glycine (DMOG) was tested in a mouse model of allergic disease. Hydroxylase inhibition with DMOG attenuated Ca(2+)- and cAMP-dependent secretory responses in voltage-clamped T(84) cells to 20.2 ± 2.6 and 38.8 ± 6.7% (n=16; P≤0.001) of those in control cells, respectively. Antisecretory actions of DMOG were time and concentration dependent, being maximal after 18 h of DMOG (1 mM) treatment. DMOG specifically inhibited Na(+)\\/K(+)-ATPase pump activity without altering its expression or membrane localization. In mice, DMOG inhibited agonist-induced secretory responses ex vivo and prevented allergic diarrhea in vivo. In conclusion, hydroxylases are important regulators of epithelial Cl(-) and fluid secretion and present a promising target for development of new drugs to treat transport disorders.

  18. Poor Man's Methadone: A Case Report of Loperamide Toxicity.

    Science.gov (United States)

    Dierksen, Jennifer; Gonsoulin, Morna; Walterscheid, Jeffrey P

    2015-12-01

    Loperamide, a common over-the-counter antidiarrheal drug and opioid derivative, is formulated to act upon intestinal opioid receptors. However, at high doses, loperamide crosses the blood-brain barrier and reaches central opioid receptors in the brain, leading to central opiate effects including euphoria and respiratory depression. We report the case of a young man found dead in his residence with a known history of drug abuse. At autopsy, the only significant findings were a distended bladder and bloody oral purge. Drug screening found nontoxic levels of alprazolam, fluoxetine, and marijuana metabolites. Liquid chromatography time-of-flight mass spectrometry found an unusual set of split isotope peaks consistent with chlorine. On the basis of autopsy and toxicological findings, loperamide toxicity was suspected because of its opioid properties and molecular formula containing chlorine. A sample of loperamide was analyzed by liquid chromatography time-of-flight mass spectrometry, resulting in a matching mass and retention time to the decedent's sample. Subsequently, quantitative testing detected 63 ng/mL of loperamide or more than 6 times of therapeutic peak concentration. Cause of death was determined as "toxic effects of loperamide with fluoxetine and alprazolam." Because of its opioid effects and easy accessibility, loperamide is known as "poor man's methadone" and may go undetected at medical and forensic drug screening.

  19. Is Stevia rebaudiana Bertoni a Non Cariogenic Sweetener? A Review.

    Science.gov (United States)

    Ferrazzano, Gianmaria Fabrizio; Cantile, Tiziana; Alcidi, Brunella; Coda, Marco; Ingenito, Aniello; Zarrelli, Armando; Di Fabio, Giovanni; Pollio, Antonino

    2015-01-01

    Stevia rebaudiana Bertoni is a small perennial shrub of the Asteraceae (Compositae) family that is native to South America, particularly Brazil and Paraguay, where it is known as "stevia" or "honey leaf" for its powerful sweetness. Several studies have suggested that in addition to their sweetness, steviosides and their related compounds, including rebaudioside A and isosteviol, may offer additional therapeutic benefits. These benefits include anti-hyperglycaemic, anti-hypertensive, anti-inflammatory, anti-tumor, anti-diarrheal, diuretic, and immunomodulatory actions. Additionally, critical analysis of the literature supports the anti-bacterial role of steviosides on oral bacteria flora. The aim of this review is to show the emerging results regarding the anti-cariogenic properties of S. rebaudiana Bertoni. Data shown in the present paper provide evidence that stevioside extracts from S. rebaudiana are not cariogenic. Future research should be focused on in vivo studies to evaluate the effects on dental caries of regular consumption of S. rebaudiana extract-based products. PMID:26712732

  20. Jatropha gossypiifolia L. (Euphorbiaceae: A Review of Traditional Uses, Phytochemistry, Pharmacology, and Toxicology of This Medicinal Plant

    Directory of Open Access Journals (Sweden)

    Juliana Félix-Silva

    2014-01-01

    Full Text Available Jatropha gossypiifolia L. (Euphorbiaceae, widely known as “bellyache bush,” is a medicinal plant largely used throughout Africa and America. Several human and veterinary uses in traditional medicine are described for different parts and preparations based on this plant. However, critical reviews discussing emphatically its medicinal value are missing. This review aims to provide an up-to-date overview of the traditional uses, as well as the phytochemistry, pharmacology, and toxicity data of J. gossypiifolia species, in view of discussing its medicinal value and potential application in complementary and alternative medicine. Pharmacological studies have demonstrated significant action of different extracts and/or isolated compounds as antimicrobial, anti-inflammatory, antidiarrheal, antihypertensive, and anticancer agents, among others, supporting some of its popular uses. No clinical trial has been detected to date. Further studies are necessary to assay important folk uses, as well as to find new bioactive molecules with pharmacological relevance based on the popular claims. Toxicological studies associated with phytochemical analysis are important to understand the eventual toxic effects that could reduce its medicinal value. The present review provides insights for future research aiming for both ethnopharmacological validation of its popular use and its exploration as a new source of herbal drugs and/or bioactive natural products.

  1. Black henbane and its toxicity – a descriptive review

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    Anahita Alizadeh

    2014-09-01

    Full Text Available Black henbane (BH or Hyoscyamus niger, has been used as a medicine since last centuries and has been described in all traditional medicines. It applies as a herbal medicine, but may induce intoxication accidentally or intentionally. All part of BH including leaves, seeds and roots contain some alkaloids such as Hyoscyamine, Atropine, Tropane and Scopolamine. BH has pharmacological effects like bronchodilating, antisecretory, urinary bladder relaxant, spasmolytic, hypnotic, hallucinogenic, pupil dilating, sedative and anti-diarrheal properties. Clinical manifestations of acute BH poisoning are very wide which include mydriasis, tachycardia, arrhythmia, agitation, convulsion and coma, dry mouth, thirst, slurred speech, difficulty speaking, dysphagia, warm flushed skin, pyrexia, nausea, vomiting, headache, blurred vision and photophobia, urinary retention, distension of the bladder, drowsiness, hyper reflexia, auditory, visual or tactile hallucinations, confusion, disorientation, delirium, aggressiveness, and combative behavior. The main treatment of BH intoxicated patients is supportive therapies including gastric emptying (not by Ipecac, administration of activated charcoal and benzodiazepines. Health care providers and physicians particularly emergency physicians and clinical toxicologists should know the nature, medical uses, clinical features, diagnosis and management of BH poisoning.

  2. Poor Man's Methadone: A Case Report of Loperamide Toxicity.

    Science.gov (United States)

    Dierksen, Jennifer; Gonsoulin, Morna; Walterscheid, Jeffrey P

    2015-12-01

    Loperamide, a common over-the-counter antidiarrheal drug and opioid derivative, is formulated to act upon intestinal opioid receptors. However, at high doses, loperamide crosses the blood-brain barrier and reaches central opioid receptors in the brain, leading to central opiate effects including euphoria and respiratory depression. We report the case of a young man found dead in his residence with a known history of drug abuse. At autopsy, the only significant findings were a distended bladder and bloody oral purge. Drug screening found nontoxic levels of alprazolam, fluoxetine, and marijuana metabolites. Liquid chromatography time-of-flight mass spectrometry found an unusual set of split isotope peaks consistent with chlorine. On the basis of autopsy and toxicological findings, loperamide toxicity was suspected because of its opioid properties and molecular formula containing chlorine. A sample of loperamide was analyzed by liquid chromatography time-of-flight mass spectrometry, resulting in a matching mass and retention time to the decedent's sample. Subsequently, quantitative testing detected 63 ng/mL of loperamide or more than 6 times of therapeutic peak concentration. Cause of death was determined as "toxic effects of loperamide with fluoxetine and alprazolam." Because of its opioid effects and easy accessibility, loperamide is known as "poor man's methadone" and may go undetected at medical and forensic drug screening. PMID:26355852

  3. Analgesic effects of various extracts of the root of Abutilon indicum linn

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    Naveen Goyal

    2009-01-01

    Full Text Available Purpose : Abutilon indicum (Linn. sweet (Malvaceae commonly called ′Country Mallow′ is a perennial plant up to 3 m in height. It is abundantly found as a weed in the sub-Himalayan tract and in the hotter parts of India. The plant is traditionally used for treatment of several diseases like bronchitis, body ache, toothache, jaundice, diabetes, fever, piles, leprosy, ulcers, cystitis, gonorrhea, diarrhea, and so on. Abutilon indicum Linn. is reported to have hepatoprotective, hypoglycemic, antimicrobial, male contraceptive, and antidiarrheal activities. The present study was done to evaluate the analgesic potential of various extracts of the root of Abutilon indicum Linn. Materials and Methods : The powdered root (900 g was subjected to successive solvent extraction, with solvents in increasing order of polarity, namely, petroleum ether (60 - 80΀C, methanol, and ethanol, using the soxhlet apparatus for 72 hours. The marc was extracted by cold maceration for 72 hours, to obtain a water-soluble extract. The peripheral analgesic activity was studied using acetic acid-induced writhing method in Swiss albino mice (20 - 30 g, while the central analgesic activity was evaluated by the tail flick method and the tail immersion method. Results : Results indicated that all the tested extracts, except the methanol extract, exhibited significant analgesic activity in both animals′ models. Petroleum ether extract showed higher analgesic activity. The activity may be related to the central mechanism or may be due to the peripheral analgesic mechanisms. Conclusion : The present study authenticates the traditional use.

  4. EVALUATION OF PHYSICOCHEMICAL & PHYTOCHEMICAL PARAMETERS OF AMARANTHUS CAUDATUS LEAVES

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    Hiremath G. Urmila

    2012-02-01

    Full Text Available The present study was carried out to provide physicochemical and phytochemical detail about the plant Amaranthus caudatus. The physicochemical results obtained can be used for the identification of the powdered drugs. In the phytochemical screening different type of extracts were prepared to find the presence of secondary metabolites. The results revealed the presence of carbohydrates, glycosides, saponins, proteins, amino acids, tannins, and phenolic compounds in the plant. Amaranthus caudatus belongs to the family Amaranthaceae .The Amaranthus plants are spread throughout the world, growing under a wide range of climatic conditions and they are able to produce grains and leaves edible vegetables. Traditionally it has been used nutritionally for infants, children, pregnant and lactating woman, as it is comparable to the properties of milk; it was also used in countering heavy menstrual bleeding and vaginal discharge. It helps control dysentery and diarrhea. The roots were used to cure kidney stones, leaves used to cure cuts, leprosy, boils, burns, fever and decoction of the stem used in jaundice. The plant has cooling effect, laxative, diuretic, stomachic and antipyretic, anti-diarrheal, anti-hemorrhagic. The leaves, roots, bark, stem, seeds have medicinal value.

  5. Rhizophora mangle L. (red mangrove: A species with potential therapeutic uses

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    Ada I. Regalado

    2016-02-01

    Full Text Available Check the properties attributed to medicinal plants is of vital importance as an alternative in the medical therapy and as a source of development of new drugs. Medicinal plants offer a path with great possibilities, an encouraging alternative for the control of various diseases in man. Mangroves are a resource of great significance for Cuba and the world, mangrove vegetation is represented in this country for four tree species, where Rhizophora mangle L. also known as red mangrove, is now the dominant species. Due to the pharmacological results found in this species as healing, antiseptic, antimicrobial, anti-ulcer, treatment of open wounds, anti-inflammatory, antioxidant, antidiarrheal, insecticide, larvicide among others; it could be an important source of new products aimed at solving health problems of great current relevance, but using this species for drug development has been limited by the damage it can cause to the ecosystem over-exploitation of mangroves. The objective of this scientific review is to show the benefits and therapeutic potential of R. mangle from a review of existing information and the main results in the researches on this species.

  6. Diagnosis and treatments of one patient with severe Ebola virus disease%1例成人重症埃博拉病毒病的诊治

    Institute of Scientific and Technical Information of China (English)

    张萍; 郝春秋; 郭万刚; 李成忠; 周飞虎; 李福祥

    2015-01-01

    Objective To summarize the experience of treatment in one adult patient with Ebola virus disease in western Africa. Methods A 56-year old male health worker, who had contacted a patient with Ebola virus disease in local, was sent to the China Ebola Treatment Unit, Liberia, on day 3 after symptom onset. The patient was diagnosed as confirmed Ebola virus disease on day 4 and received supportive treatment, including intravenousfluid infusion, enteral nutrition, antibiotics, pyretolysis, antidiarrheal. Results The patient died after 7-day routine supportive treatment.Conclusion This case shows the challenges in the treatment of severe Ebola virus disease and suggests that we need to use modern technology, critical monitoring and therapy to save lives of patients with severe infectious disease.%目的 报告1例西非成人重症埃博拉病毒病的诊治.方法 2015年2月在西非利比里亚收治1例确诊重症埃博拉病毒病成人男性患者,56岁,发病第3天送至利比里亚的中国埃博拉治疗中心,第4天确诊并接受对症支持治疗,包括静脉输液、肠内营养、抗菌药物、退热和止泻等.结果 通过常规的对症支持治疗,因病情严重,入院7 d后死亡.结论 治疗重症埃博拉病毒病患者,需要借助现代科技的力量,动用危重症监测及治疗手段,才能真正达到挽救生命的目的.

  7. Experimental Study on Anti-diarrhea Effect of Fengliao Changweikang Capsule%枫蓼肠胃康胶囊抗腹泻作用的实验研究

    Institute of Scientific and Technical Information of China (English)

    卢丽珠; 俞进

    2014-01-01

    目的:观察枫蓼肠胃康胶囊的抗腹泻作用,为临床应用提供实验依据。方法:通过蓖麻油致小鼠腹泻模型、小肠推进实验以及大鼠肠腔积液实验,以抗腹泻指数、碳粉推进率、肠腔积液体积为指标,观察枫蓼肠胃康胶囊的作用。结果:枫蓼肠胃康胶囊可明显提高抗腹泻指数,并可明显地抑制正常小鼠的小肠推进运动,减少腹泻大鼠的肠腔积液体积,并呈现出一定的剂量依赖性。结论:枫蓼肠胃康胶囊具有良好的抗腹泻作用。%Objective:To observe the anti-diarrh ea effect of Fengliao changweikang capsule.Methods:Anti-diarrhoeal activity of Fengliao changweikang capsule was evaluated using castor oil -induced diarrhea , charcoal meal transit and castor oil -induced enteropooling in different group mice.Results:Fengliao changwei-kang capsule dose -dependently and significantly increased anti -diarrhea index , decreased the frequency of defecation , decreased the volume of castor oil -induced intestinal fluid secretion.Conclusion:Fengliao chang-weikang capsule possesses anti -diarrhoeal effect in mice.

  8. Antisecretory and antimotility activity of Aconitum heterophyllum and its significance in treatment of diarrhea

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    Satyendra K Prasad

    2014-01-01

    Full Text Available Aim: The roots of the plant Aconitum heterophyllum (EAH are traditionally used for curing hysteria, throat infection, dyspepsia, abdominal pain, diabetes, and diarrhea. Therefore, the present study was undertaken to determine the mechanism involved in the anti-diarrheal activity of roots of A. heterophyllum. Materials and Methods: Ant-diarrheal activity of ethanol extract at 50, 100, and 200 mg/kg p.o. was evaluated using fecal excretion and castor oil-induced diarrhea models, while optimized dose, that is, 100 mg/kg p.o. was further subjected to small intestinal transit, intestinal fluids accumulation, PGE 2 -induced enteropooling and gastric emptying test. To elucidate the probable mechanism, various biochemical parameters and Na + , K + concentration in intestinal fluids were also determined. Further, antibacterial activity of extract along with its standardization using aconitine as a marker with the help of HPLC was carried out. Results: The results depicted a significant (P < 0.05 reduction in normal fecal output at 100 and 200 mg/kg p.o. of extract after 5 th and 7 th h of treatment. Castor oil-induced diarrhea model demonstrated a ceiling effect at 100 mg/kg p.o. with a protection of 60.185% from diarrhea. EAH at 100 mg/kg p.o. also showed significant activity in small intestinal transit, fluid accumulation, and PGE 2 -induced enteropooling models, which also restored the altered biochemical parameters and prevented Na + and K + loss. The extract with 0.0833% w/w of aconitine depicted a potential antibacterial activity of extract against microbes implicated in diarrhea. Conclusion: The study concluded antisecretory and antimotility effect of A. heterophyllum, which mediates through nitric oxide path way.

  9. Is There a Role for the Enteral Administration of Serum-Derived Immunoglobulins in Human Gastrointestinal Disease and Pediatric Critical Care Nutrition?

    Science.gov (United States)

    Van Arsdall, Melissa; Haque, Ikram; Liu, Yuying; Rhoads, J Marc

    2016-05-01

    Twenty years ago, there was profound, international interest in developing oral human, bovine, or chicken egg-derived immunoglobulin (Ig) for the prevention and nutritional treatment of childhood malnutrition and gastrointestinal disease, including acute diarrhea and necrotizing enterocolitis. Although such Ig products were shown to be effective, with both nutritional and antidiarrheal benefits, interest waned because of their cost and because of the perceived risk of bovine serum encephalitis (BSE). BSE is no longer considered a barrier to use of oral Ig, because the WHO has declared the United States to be BSE-free since the early 2000s. Low-cost bovine-derived products with high Ig content have been developed and are regulated as medical foods. These new products, called serum bovine Igs (SBIs), facilitate the management of chronic or severe gastrointestinal disturbances in both children and adults and are regulated by the US Food and Drug Administration. Well-established applications for use of SBIs include human immunodeficiency virus (HIV)-associated enteropathy and diarrhea-predominant irritable bowel syndrome. However, SBIs and other similar products could potentially become important components of the treatment regimen for other conditions, such as inflammatory bowel disease, by aiding in disease control without immunosuppressive side effects. In addition, SBIs may be helpful in conditions associated with the depletion of circulating and luminal Igs and could potentially play an important role in critical care nutrition. The rationale for their use is to facilitate intraluminal microbial antibody coating, an essential process in immune recognition in the gut which is disturbed in these conditions, thereby leading to intestinal inflammation. Thus, oral Ig may emerge as an important "add-on" therapy for a variety of gastrointestinal and nutritional problems during the next decade. PMID:27184280

  10. Improved Childhood Diarrhea Treatment Practices in Ghana: A Pre-Post Evaluation of a Comprehensive Private-Sector Program.

    Science.gov (United States)

    El-Khoury, Marianne; Banke, Kathryn; Sloane, Phoebe

    2016-06-20

    Diarrhea is the fourth leading cause of child mortality in Ghana. In 2010, Ghana endorsed guidelines from the World Health Organization and the United Nations Children's Fund for use of zinc with low-osmolarity oral rehydration salts (ORS) for the treatment of acute childhood diarrhea. From late 2011 through 2014, the Strengthening Health Outcomes through the Private Sector (SHOPS) project implemented a comprehensive program in 3 regions of Ghana to increase the availability and use of ORS and zinc and to decrease incorrect use of antibiotics and antidiarrheals. The program included (1) partnering with local pharmaceutical firms to introduce and market locally produced zinc products, (2) collaborating with the Ghanaian Pharmacy Council to provide training and supportive supervision of private-sector providers on diarrhea management, and (3) conducting mass media campaigns to raise caregiver awareness. We evaluated the effect of this program using a baseline survey of 754 caregivers of children under 5 with diarrhea at the start of the intervention in 2012 and a follow-up survey of 751 caregivers in 2014. Regression analysis showed that use of ORS with zinc increased from 0.8% in 2012 to 29.2% in 2014 (P<.001), and antibiotic use declined from 66.2% to 38.2% (P<.001) during the same period. The magnitude and statistical significance of these results remained the same after including potential confounding factors as covariates. Inappropriate antibiotic use, however, remained high at follow-up. We conclude that similar programs applied in other settings have the potential to rapidly scale up use of ORS and zinc. Additional efforts are required to reduce persistent incorrect antibiotic use. PMID:27353619

  11. Improved Childhood Diarrhea Treatment Practices in Ghana: A Pre-Post Evaluation of a Comprehensive Private-Sector Program.

    Science.gov (United States)

    El-Khoury, Marianne; Banke, Kathryn; Sloane, Phoebe

    2016-06-20

    Diarrhea is the fourth leading cause of child mortality in Ghana. In 2010, Ghana endorsed guidelines from the World Health Organization and the United Nations Children's Fund for use of zinc with low-osmolarity oral rehydration salts (ORS) for the treatment of acute childhood diarrhea. From late 2011 through 2014, the Strengthening Health Outcomes through the Private Sector (SHOPS) project implemented a comprehensive program in 3 regions of Ghana to increase the availability and use of ORS and zinc and to decrease incorrect use of antibiotics and antidiarrheals. The program included (1) partnering with local pharmaceutical firms to introduce and market locally produced zinc products, (2) collaborating with the Ghanaian Pharmacy Council to provide training and supportive supervision of private-sector providers on diarrhea management, and (3) conducting mass media campaigns to raise caregiver awareness. We evaluated the effect of this program using a baseline survey of 754 caregivers of children under 5 with diarrhea at the start of the intervention in 2012 and a follow-up survey of 751 caregivers in 2014. Regression analysis showed that use of ORS with zinc increased from 0.8% in 2012 to 29.2% in 2014 (P<.001), and antibiotic use declined from 66.2% to 38.2% (P<.001) during the same period. The magnitude and statistical significance of these results remained the same after including potential confounding factors as covariates. Inappropriate antibiotic use, however, remained high at follow-up. We conclude that similar programs applied in other settings have the potential to rapidly scale up use of ORS and zinc. Additional efforts are required to reduce persistent incorrect antibiotic use.

  12. Safety and tolerability of sorafenib in patients with radioiodine-refractory thyroid cancer.

    Science.gov (United States)

    Worden, Francis; Fassnacht, Martin; Shi, Yuankai; Hadjieva, Tatiana; Bonichon, Françoise; Gao, Ming; Fugazzola, Laura; Ando, Yuichi; Hasegawa, Yasuhisa; Park, Do Joon; Shong, Young Kee; Smit, Johannes W A; Chung, John; Kappeler, Christian; Meinhardt, Gerold; Schlumberger, Martin; Brose, Marcia S

    2015-12-01

    Effective adverse event (AE) management is critical to maintaining patients on anticancer therapies. The DECISION trial was a multicenter, randomized, double-blind, placebo-controlled, Phase 3 trial which investigated sorafenib for treatment of progressive, advanced, or metastatic radioactive iodine-refractory, differentiated thyroid carcinoma. Four hundred and seventeen adult patients were randomized (1:1) to receive oral sorafenib (400 mg, twice daily) or placebo, until progression, unacceptable toxicity, noncompliance, or withdrawal. Progression-free survival, the primary endpoint of DECISION, was reported previously. To elucidate the patterns and management of AEs in sorafenib-treated patients in the DECISION trial, this report describes detailed, by-treatment-cycle analyses of the incidence, prevalence, and severity of hand-foot skin reaction (HFSR), rash/desquamation, hypertension, diarrhea, fatigue, weight loss, increased serum thyroid stimulating hormone, and hypocalcemia, as well as the interventions used to manage these AEs. By-cycle incidence of the above-selected AEs with sorafenib was generally highest in cycle 1 or 2 then decreased. AE prevalence generally increased over cycles 2-6 then stabilized or declined. Among these AEs, only weight loss tended to increase in severity (from grade 1 to 2) over time; severity of HFSR and rash/desquamation declined over time. AEs were mostly grade 1 or 2, and were generally managed with dose interruptions/reductions, and concomitant medications (e.g. antidiarrheals, antihypertensives, dermatologic preparations). Most dose interruptions/reductions occurred in early cycles. In conclusion, AEs with sorafenib in DECISION were typically grade 1 or 2, occurred early during the treatment course, and were manageable over time. PMID:26370187

  13. Inhibition of intestinal chloride secretion by piperine as a cellular basis for the anti-secretory effect of black peppers.

    Science.gov (United States)

    Pongkorpsakol, Pawin; Wongkrasant, Preedajit; Kumpun, Saowanee; Chatsudthipong, Varanuj; Muanprasat, Chatchai

    2015-10-01

    Piperine is the principal alkaloid in black peppers (Piper nigrum L.), which is a commonly included spice in anti-diarrheal formulations. Piperine has antispasmodic activities, but its anti-secretory effect is not known. Therefore, this study investigated the anti-secretory effect of piperine and its underlying mechanism. Piperine inhibited cAMP-mediated Cl- secretion in human intestinal epithelial (T84) cells, similar to black pepper extract. Intraluminal administration of piperine (2 μg/loop) suppressed cholera toxin-induced intestinal fluid accumulation by ∼85% in mice. The anti-secretory mechanism of piperine was investigated by evaluating its effects on the activity of transport proteins involved in cAMP-mediated Cl- secretion. Notably, piperine inhibited CFTR Cl- channel activity (IC50#8'6#10 μM) without affecting intracellular cAMP levels. The mechanisms of piperine-induced CFTR inhibition did not involve MRP4-mediated cAMP efflux, AMPK or TRPV1. Piperine also inhibited cAMP-activated basolateral K+ channels, but it had no effect on Na+-K+-Cl- cotransporters or Na+-K+ ATPases. Piperine suppressed Ca2+-activated Cl- channels (CaCC) without affecting intracellular Ca2+ concentrations or Ca2+-activated basolateral K+ channels. Collectively, this study indicates that the anti-secretory effect of piperine involves the inhibition of CFTR, CaCC and cAMP-activated basolateral K+ channels. Piperine represents a novel class of drug candidates for the treatment of diarrheal diseases caused by the intestinal hypersecretion of Cl-. PMID:26297981

  14. Identification of known chemicals and their metabolites from Alpinia oxyphylla fruit extract in rat plasma using liquid chromatography/tandem mass spectrometry (LC-MS/MS) with selected reaction monitoring.

    Science.gov (United States)

    Chen, Feng; Li, Hai-Long; Tan, Yin-Feng; Li, Yong-Hui; Lai, Wei-Yong; Guan, Wei-Wei; Zhang, Jun-Qing; Zhao, Yuan-Sheng; Qin, Zhen-Miao

    2014-08-01

    Alpinia oxyphylla (Yizhi) capsularfruits are commonly used in traditional medicine. Pharmacological studies have demonstrated that A. oxyphylla capsularfruits have some beneficial roles. Besides volatile oil, sesquiterpenes, diarylheptanoids and flavonoids are main bioactive constituents occurring in the Yizhi capsularfruits. The representative constituents include tectochrysin, izalpinin, chrysin, apigenin-4',7-dimethylether, kaempferide, yakuchinone A, yakuchinone B, oxyphyllacinol and nootkatone. Their content levels in the fruit and its pharmaceutical preparations have been reported by our group. The nine phytochemicals are also the major components present in the Yizhi alcoholic extracts, which have anti-diarrheal activities. However, the fates of these constituents in the body after oral or intravenous administration remain largely unknown. In the present study, we focus on these phytochemicals albeit other concomitant compounds. The chemicals and their metabolites in rat plasma were identified using liquid chromatography/tandem mass spectrometry with selected reaction monitoring mode after orally administered Yizhi extract to rats. Rat plasma samples were treated by methanol precipitation, acidic or enzymatic hydrolysis. This target analysis study revealed that: (1) low or trace plasma levels of parent chemicals were measured after p.o. administration of Yizhi extract, Suoquan capsules and pills to rats; (2) flavonoids and diarylheptanoids formed mainly monoglucuronide metabolites; however, diglucuronide metabolites for chrysin, izalpinin and kaempferide were also detected; (3) metabolic reduction of Yizhi diarylheptanoids occurred in rats. Yakuchinone B was reduced to yakuchinone A and then to oxyphyllacinol in a stepwise manner and subsequently glucuronidated by UDP-glucuronosyl transferase. Further research is needed to characterize the UDP-glucuronosyl transferase and reductase involved in the biotransformation of Yizhi chemicals. PMID:24879483

  15. Chemical Potency and Degradation Products of Medications Stored Over 550 Earth Days at the International Space Station.

    Science.gov (United States)

    Wotring, Virginia E

    2016-01-01

    Medications degrade over time, and degradation is hastened by extreme storage conditions. Current procedures ensure that medications aboard the International Space Station (ISS) are restocked before their expiration dates, but resupply may not be possible on future long-duration exploration missions. For this reason, medications stored on the ISS were returned to Earth for analysis. This was an opportunistic, observational pilot-scale investigation to test the hypothesis that ISS-aging does not cause unusual degradation. Nine medications were analyzed for active pharmaceutical ingredient (API) content and degradant amounts; results were compared to 2012 United States Pharmacopeia (USP) requirements. The medications were two sleep aids, two antihistamines/decongestants, three pain relievers, an antidiarrheal, and an alertness medication. Because the samples were obtained opportunistically from unused medical supplies, each medication was available at only 1 time point and no control samples (samples aged for a similar period on Earth) were available. One medication met USP requirements 5 months after its expiration date. Four of the nine (44% of those tested) medications tested met USP requirements 8 months post expiration. Another three medications (33%) met USP guidelines 2-3 months before expiration. One compound, a dietary supplement used as a sleep aid, failed to meet USP requirements at 11 months post expiration. No unusual degradation products were identified. Limited, evidence-based extension of medication shelf-lives may be possible and would be useful in preparation for lengthy exploration missions. Only analysis of flight-aged samples compared to appropriately matched ground controls will permit determination of the spaceflight environment on medication stability.

  16. Anti-inflammatory effect of Pistacia atlantica subsp. kurdica volatile oil and gum on acetic acid-induced acute colitis in rat

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    M. Minaiyan

    2015-04-01

    Full Text Available Background and objectives: Baneh tree or Pistacia atlantica subsp. kurdica is an endemic plant of Iran which belongs to Anacardiaceae family. It has various traditional uses including astringent and anti-diarrheal as well as improving some of the symptoms of gastrointestinal upsets. In this study we decided to investigate the effects of various fractions of baneh gum with different doses in an animal model of ulcerative colitis as one of the important chronic inflammatory bowel diseases of the gastrointestinal tract. Methods: The volatile oil and aqueous baneh gum suspensions were prepared and the constituents of the volatile oil were analyzed by GC/MS. They were used to treat colitis induced by acetic acid 4% in rats. Three doses of gum (100, 200 and 400 mg/kg were administered both orally (p.o. and intra-rectally (i.r. while volatile oil was administered p.o. with doses 100, 200 and 400 µl/kg for four constitutive days. Anti-inflammatory effects of the test compounds were compared with oral prednisolone and hydrocortisone enema. Wet colon weight/ length ratio and tissue damage scores and area as well as indices of colitis and tissue myeloperoxidase activity were evaluated for each specimen. Results: Alpha-pinene was the main constituent of baneh volatile oil (41.23%. We observed therapeutic effects in applied doses of oral gum as well as volatile oil to reduce all indices of colitis and myeloperoxidase activity. Unlike the oral form of gum, its rectal administration was not significantly effective to improve colitis. Conclusion: This research has proved the anti-inflammatory potential of oral gum of Pistacia atlantica subsp. kurdica and its volatile oil in an experimentally induced colitis.

  17. The effects of chrysin and pinostrobin, two flavonoids isolated from Teloxys graveolens leaves, on isolated guinea-pig ileum.

    Science.gov (United States)

    Meckes, M; Paz, D; Acosta, J; Mata, R

    1998-12-01

    The pharmacological effects of pinostrobin and chrysin obtained from the aerial parts of Teloxys graveolens (Chenopodiaceae) were evaluated using isolated in vitro guinea-pig ileal smooth muscle. Both flavonoids inhibited the contractions evoked by high concentrations of potassium. The potency of the relaxant effect was determined by measuring the capacity of each product in reducing the phasic and the slower sustained tonic contractile responses induced by depolarization with 60 mM K(+). Concentrations up to 5 × 10(-7) M of pinostrobin and 1 × 10(-7) M of chrysin induced a non-competitive depression of responses to Ca(2+) in ileum preparations bathed in a Ca(2+)-free, high K(+) medium. Both compounds produced a rightward displacement of the concentration-response curves to Ca(2+) with a concentration-dependant increase of EC(50) and a decrease of the maximal response. Examination of the inhibitory effect produced by these flavonoids on the phasic component of contractile response evoked with K(+) and on the contraction induced with caffeine, led to propose a different intracellular mechanism of action used by these compounds. The results obtained led us to conclude that the previously detected relaxant effect of Teloxys graveolens crude extract is due in part, to the presence of chrysin and pinostrobin, which inhibit intestinal smooth muscle contractions by means of a calcium-mediated mechanism. Since the modulation of calcium fluxes in the mucosal epithelium may play a role in antidiarrheal drug action, the observed effects in vitro could in the same way explain the popular use of the plant for the treatment of diarrhea. PMID:23196029

  18. Phytochemical and Antioxidant Investigation of the Aerial Parts of Dorema glabrum Fisch. & C.A. Mey.

    Science.gov (United States)

    Delnavazi, Mohammad-Reza; Hadjiakhoondi, Abbas; Delazar, Abbas; Ajani, Yousef; Tavakoli, Saeed; Yassa, Narguess

    2015-01-01

    Dorema glabrum Fisch. & C.A. Mey. (Apiaceae) is a monocarpic perennial plant distributed in southern Caucasus. In Azerbaijan Republic folk medicine, the gum-resin of this species is used as a diuretic and anti-diarrheal agent. It is also traditionally used for the treatment of bronchitis and catarrh. In the present study, chemical constituents of the essential oil and extract of D. glabrum aerial parts were investigated and their free radical scavenging potentials were assessed. GC-MS and GC-FID analyses of the plant essential oil resulted in identifying twenty compounds, out of which elemicin (38.6%) and myristicin (14.3%) were main compounds. Seven compounds including daucosterol (1), chlorogenic acid (2), a mixture of cynarin (3) and 3,5-di-O-caffeoylquinic acid (4), isorhamnetin-3-O-β-D-glucopyranoside (5), isoquercetin (6) and astragalin (7) were also isolated from the ethyl acetate and methanol fractions of D. glabrum aerial parts using different chromatographic methods on silica gel (normal and reversed-phase) and sephadex LH20. Structures of the isolated compounds were elucidated using UV and (1)H, (13)C-NMR spectrain comparison with those reported in respective published data. Antioxidant activities of the crude extract, fractions and isolated compounds were evaluated using DPPH free radical scavenging assay method. Among the fractions, methanol fraction (IC50=53.3 ±4.7μg mL(-1)) and among the isolated compounds, caffeoylquinic acid derivatives exhibited the highest free radical scavenging activity (IC50= 2.2-2.6 μg mL(-1)). PMID:26330882

  19. Application effect analysis of holistic nursing procedure in children with diarrhea%整体护理程序在小儿腹泻护理中的应用效果分析

    Institute of Scientific and Technical Information of China (English)

    袁慧娟

    2015-01-01

    Purpose:The effect of holistic nursing program applied to children with diarrhea. Method: In our hospital from July 2013 to July 2014 were selected from 100 cases of infantile diarrhea were randomly divided into 2 groups, 50 cases in each group. The control group was given routine nursing intervention, the observation group in the control group given holistic nursing program. Antidiarrheal time, observe two groups of children with diarrhea hospitalization. Result: Observation group diarrhea diarrhea (2.49 + 0.37) days, hospitalization time (2.42 + 202 days) were shorter than that of the control group (P < 0.05). Conclusion:The application of systematic nursing in children with diarrhea, can make the effect of infantile diarrhea effectively improved, worthy of clinical use.%目的:分析整体护理程序应用于小儿腹泻护理中的效果.方法:选取本院2013年7月至2014年7月期间收治的腹泻患儿100例随机分2组,每组各50例.对照组给予一般常规护理干预措施,观察组在对照组的基础上给予整体护理程序.观察两组腹泻患儿的止泻时间、住院时间.结果:观察组腹泻患儿的止泻时间(2.49±0.37)天、住院时间(2.42±2.02)天均短于对照组(P<0.05).结论:整体护理程序应用于腹泻患儿,能够使小儿腹泻的疗效得到有效的提升,值得临床使用.

  20. Chemical Potency and Degradation Products of Medications Stored Over 550 Earth Days at the International Space Station.

    Science.gov (United States)

    Wotring, Virginia E

    2016-01-01

    Medications degrade over time, and degradation is hastened by extreme storage conditions. Current procedures ensure that medications aboard the International Space Station (ISS) are restocked before their expiration dates, but resupply may not be possible on future long-duration exploration missions. For this reason, medications stored on the ISS were returned to Earth for analysis. This was an opportunistic, observational pilot-scale investigation to test the hypothesis that ISS-aging does not cause unusual degradation. Nine medications were analyzed for active pharmaceutical ingredient (API) content and degradant amounts; results were compared to 2012 United States Pharmacopeia (USP) requirements. The medications were two sleep aids, two antihistamines/decongestants, three pain relievers, an antidiarrheal, and an alertness medication. Because the samples were obtained opportunistically from unused medical supplies, each medication was available at only 1 time point and no control samples (samples aged for a similar period on Earth) were available. One medication met USP requirements 5 months after its expiration date. Four of the nine (44% of those tested) medications tested met USP requirements 8 months post expiration. Another three medications (33%) met USP guidelines 2-3 months before expiration. One compound, a dietary supplement used as a sleep aid, failed to meet USP requirements at 11 months post expiration. No unusual degradation products were identified. Limited, evidence-based extension of medication shelf-lives may be possible and would be useful in preparation for lengthy exploration missions. Only analysis of flight-aged samples compared to appropriately matched ground controls will permit determination of the spaceflight environment on medication stability. PMID:26546565

  1. Detailed pharmacognostical studies on Berberis aristata DC plant

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    Bhawana Rathi

    2013-01-01

    Full Text Available Background: Berberis aristata DC (Berberidaceae commonly known in Hindi as "Dāruhaldi" and "Citra," is an important medicinal herb native to Northern Himalaya region. The plant is used traditionally in Indian system of medicine as an antibacterial, antiperiodic, antidiarrheal and anticancer and it is also used in the treatment of ophthalmic infections. Its root, stem and leaves also find their use in treatment of various ailments and hence is used extensively in Ayurveda. Materials and Methods: Samples of the whole plants of B. aristata were collected and identified. Hand and microtome sections were taken, stained and mounted and the cell content and cell wall structure were studied according to the method described by Kay and Johansen. Representative sketches were made with the help of camera Lucida. Methods for determining the quantitative values were the same as described elsewhere. For fluorescence analysis, the powder of the root, stem and leaf were examined under ultraviolet light. Total ash, acid insoluble ash and water-soluble ash values and water- and alcohol-soluble extractives were determined. Results: The detailed investigations carried on the pharmacognosy of the root; stem and leaf of B. aristata have brought out some salient diagnostic features, which allow one to differentiate it from other substitutes and or adulterants. The determination of quantitative values, fluorescence analysis and the use of lycopodium spore analysis has specifically contributed to this differentiation. Conclusion: From the foregoing observation on the pharmacognosy of root, stem and leaf of B. aristata DC, the salient diagnostic characters of three parts have been presented, which can allow one to differentiate it from other substitutes and or adulterants.

  2. SOME ETHNO-MEDICINAL PLANTS USED BY THE NATIVE PRACTITIONERS OF CHANDEL DISTRICT, MANIPUR, INDIA

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    Lokesh Deb

    2011-12-01

    Full Text Available This article highlights some ethno-medicinal plants used by the traditional practitioners of Naga community in khangshim bio – region of Chandel district for the treatment of various ailments. A field survey revealed number of plants growing in bio – region at the position 24029'41.3" N, 94000'58.9" E and altitude 779msl are important folklore medicines for various ailments. Among them some important plants were identified viz Zingiber officinale (IBSD/M-1007 as anticough, antifever, antidiabetic, anticancer, Zingiber cassumuar (IBSD/M-1005 as anticough, antidiabetic, Zingiber zerumbet Smith Fam. Zingiberaceae (IBSD/M-1006 as anti cough, anti fever, Clerodendrum colebrookianum Walp. Fam. Verbenaceae (IBSD/M/1014 as antihypertensive, Oroxylum indicum Vent Fam. Bignoniaceae (IBSD/M/1015 as anti piles, Eupatorium nodiflorum Wallich (IBSD/M/1016 as anti-diarrheal, Anneslea fragrans Wallich Fam. Theaceae (IBSD/M/1017 for treatment of Kidney stone , Prunus persica (L. Batsch (IBSD/M/1019 as antihypertensive etc. about 6 species of plants and their mode of usages are detailed here. With the advent of the western culture and the concurrent modern or allopathic medicines, the rich Indian heritage of TSM (Ayurveda, Unani, Siddha and Tribal and also the Homeopathic System were sidelined and neglected. Resultantly, the village-based wisdom of traditional system of treatment has not been seriously followed, not well documented and passed on properly over generations. In this context our survey on medicinal plants may help in discovery of safe natural remedy for such dreaded ailments and also in sustainable development of ethno-medicinal bioresources. Our further work is initiated on all those plants to confirm traditional claims.

  3. Intraepithelial lymphocytosis is a frequent finding in biopsies from ileal pouch-anal anastomoses.

    Science.gov (United States)

    Schaeffer, David F; Walsh, Joanna C; Tyler, Andrea D; Ben-Bassat, Ofer; Silverberg, Mark S; Riddell, Robert H; Kirsch, Richard

    2016-08-01

    Following restorative proctocolectomy with an ileal pouch-anal anastomosis, the small bowel mucosa undergoes several specific histologic adaptions, which may be unrelated to the underlying disease or symptoms of pouchitis. An increase in intraepithelial lymphocytes (IELs) has not been described as part of this spectrum. Mucosal biopsies of the ileal pouch and afferent limb of 230 patients (mean age: 45.7y [18.3-74.7], gender [female/male]: 117/113) with a functioning ileal pouch-anal anastomosis (mean time since ileostomy closure: 10.8months) and associated clinically annotated outcome data were assessed for IELs/100 enterocytes. Forty-two patients (18.3%) showed an increase in IELs (≥20 IELs/100 enterocytes [range 20-39]), in pouch and/or afferent limb biopsies. Intraepithelial lymphocytosis was more commonly observed in afferent limb compared to pouch biopsies (18.8% vs 8.3%; P = .42) and in familial adenomatous polyposis compared to ulcerative colitis patients (16% vs 8%; P = 0.36), but neither difference reached statistical significance. No cases with increased IELs displayed severe villous blunting. Increased IELs were not significantly associated with age, sex, ethnicity, smoking history, time since ileostomy, use of antibiotics, biologic agents, anti-diarrheal agents or probiotics, C-reactive protein levels or differential white cell count. None of the 42 patients with increased IELs had positive celiac serology (anti-human tissue transglutaminase IgA [ELISA] with corresponding total serum IgA). Intraepithelial lymphocytosis in pouch biopsies may represent a subclinical response to an altered bacterial microenvironment. Pathologists should be aware that intraepithelial lymphocytosis is part of the spectrum of changes in pouch biopsies, and only rarely is due to celiac disease. PMID:27063473

  4. Pharmacologic Comparison of Clinical Neutral Endopeptidase Inhibitors in a Rat Model of Acute Secretory Diarrhea.

    Science.gov (United States)

    Griggs, David W; Prinsen, Michael J; Oliva, Jonathan; Campbell, Mary A; Arnett, Stacy D; Tajfirouz, Deena; Ruminski, Peter G; Yu, Ying; Bond, Brian R; Ji, Yuhua; Neckermann, Georg; Choy, Robert K M; de Hostos, Eugenio; Meyers, Marvin J

    2016-05-01

    Racecadotril (acetorphan) is a neutral endopeptidase (NEP) inhibitor with known antidiarrheal activity in animals and humans; however, in humans, it suffers from shortcomings that might be improved with newer drugs in this class that have progressed to the clinic for nonenteric disease indications. To identify potentially superior NEP inhibitors with immediate clinical utility for diarrhea treatment, we compared their efficacy and pharmacologic properties in a rat intestinal hypersecretion model. Racecadotril and seven other clinical-stage inhibitors of NEP were obtained or synthesized. Enzyme potency and specificity were compared using purified peptidases. Compounds were orally administered to rats before administration of castor oil to induce diarrhea. Stool weight was recorded over 4 hours. To assess other pharmacologic properties, select compounds were orally administered to normal or castor oil-treated rats, blood and tissue samples collected at multiple time points, and active compound concentrations determined by mass spectroscopy. NEP enzyme activity was measured in tissue homogenates. Three previously untested clinical NEP inhibitors delayed diarrhea onset and reduced total stool output, with little or no effect on intestinal motility assessed by the charcoal meal test. Each was shown to be a potent, highly specific inhibitor of NEP. Each exhibited greater suppression of NEP activity in intestinal and nonintestinal tissues than did racecadotril and sustained this inhibition longer. These results suggest that newer clinical-stage NEP inhibitors originally developed for other indications may be directly repositioned for treatment of acute secretory diarrhea and offer advantages over racecadotril, such as less frequent dosing and potentially improved efficacy. PMID:26907621

  5. Comparison of stably expressed rat UGT1.1 and UGT2B1 in the glucuronidation of opioid compounds.

    Science.gov (United States)

    King, C D; Rios, G R; Green, M D; MacKenzie, P I; Tephly, T R

    1997-02-01

    Opioids are important drugs used as analgesics, antitussives, antidiarrheals, and in the therapy of myocardial infarctions, and as antagonists of opioid intoxication. The glucuronidation of these compounds, catalyzed by UDP-glucuronosyltransferases (UGTs), is well known to be a primary step in their metabolism to hydrophilic products and in their ultimate excretion. The present study was designed to compare the reactivity and relative glucuronidation efficiencies of opioid agonists, antagonists, and partial agonists with two rat UGT isoforms; UGT1.1, which is generally considered the "bilirubin UGT," and UGT2B1, which has previously been shown to catalyze the glucuronidation of testosterone, chloramphenicol, and (-)-morphine. Rat UGT2B1, stably expressed in HK293 cells, exhibited high glucuronidation rates and catalytic efficiencies for many opioids, although values for (-)-morphine and nalorphine were the highest. In contrast, these compounds were very poor substrates for expressed rat UGT1.1. Comparably high glucuronidation rates and efficiencies were found for buprenorphine and diprenorphine with both UGT isoforms. These results suggest that opioids with morphinan-based chemical structures similar to (-)-morphine interact with UGTs differently than those with oripavine-based chemical structures similar to buprenorphine. To investigate the contribution of rat UGT1.1 and UGT2B1 in the overall rate of glucuronidation of buprenorphine in the rat liver, hepatic microsomes from Gunn rats (where UGT1.1 activity is absent) and Wistar rats (where UGT1.1 activity is present) were studied. Buprenorphine glucuronidation activity in Gunn rat liver microsomes exhibit approximately 25% of rates observed in Wistar rat liver microsomes, whereas (-)-morphine, naloxone, and naltrexone glucuronidation rates were not significantly different in microsomal preparations from Gunn and Wistar rats. These data suggest that UGT2B1 is the major hepatic enzyme involved in the glucuronidation

  6. Anti-Inflammatory Effects of Agrimoniin-Enriched Fractions of Potentilla erecta.

    Science.gov (United States)

    Hoffmann, Julia; Casetti, Federica; Bullerkotte, Ute; Haarhaus, Birgit; Vagedes, Jan; Schempp, Christoph M; Wölfle, Ute

    2016-01-01

    Potentilla erecta (PE) is a small herbaceous plant with four yellow petals belonging to the Rosaceae family. The rhizome of PE has traditionally been used as an antidiarrheal, hemostatic and antihemorrhoidal remedy. PE contains up to 20% tannins and 5% ellagitannins, mainly agrimoniin. Agrimoniin is a hydrolyzable tannin that is a potent radical scavenger. In this study we tested the anti-inflammatory effect of four PE fractions with increasing amounts of agrimoniin obtained by Sephadex column separation. First, we analyzed in HaCaT keratinocytes the expression of cyclooxygenase-2 (COX-2) induced by ultraviolet-B (UVB) irradiation. As COX-2 catalyzes the metabolism of arachidonic acid to prostanoids such as PGE₂, we also measured the PGE₂ concentration in cell culture supernatants. PE inhibited UVB-induced COX-2 expression in HaCaT cells and dose-dependently reduced PGE₂. The PE fraction with the highest agrimoniin amount (PE4) was the most effective in this experiment, whereas fraction PE1 containing mainly sugars had no effect. PE4 also dose dependently inhibited the phosphorylation of the epidermal growth factor receptor (EGFR) which plays a crucial role in UVB-mediated COX-2 upregulation. A placebo-controlled UV-erythema study with increasing concentrations of PE4 demonstrated a dose dependent inhibition of UVB-induced inflammation in vivo. Similarly, PE4 significantly reduced UVB-induced PGE₂ production in suction blister fluid in vivo. In summary, PE fractions with a high agrimoniin content display anti-inflammatory effects in vitro and in vivo in models of UVB-induced inflammation. PMID:27322232

  7. Purification and characterization of a CkTLP protein from Cynanchum komarovii seeds that confers antifungal activity.

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    Qinghua Wang

    Full Text Available BACKGROUND: Cynanchum komarovii Al Iljinski is a desert plant that has been used as analgesic, anthelminthic and antidiarrheal, but also as a herbal medicine to treat cholecystitis in people. We have found that the protein extractions from C. komarovii seeds have strong antifungal activity. There is strong interest to develop protein medication and antifungal pesticides from C. komarovii for pharmacological or other uses. METHODOLOGY/PRINCIPAL FINDINGS: An antifungal protein with sequence homology to thaumatin-like proteins (TLPs was isolated from C. komarovii seeds and named CkTLP. The three-dimensional structure prediction of CkTLP indicated the protein has an acid cleft and a hydrophobic patch. The protein showed antifungal activity against fungal growth of Verticillium dahliae, Fusarium oxysporum, Rhizoctonia solani, Botrytis cinerea and Valsa mali. The full-length cDNA was cloned by RT-PCR and RACE-PCR according to the partial protein sequences obtained by nanoESI-MS/MS. The real-time PCR showed the transcription level of CkTLP had a significant increase under the stress of abscisic acid (ABA, salicylic acid (SA, methyl jasmonate (MeJA, NaCl and drought, which indicates that CkTLP may play an important role in response to abiotic stresses. Histochemical staining showed GUS activity in almost the whole plant, especially in cotyledons, trichomes and vascular tissues of primary root and inflorescences. The CkTLP protein was located in the extracellular space/cell wall by CkTLP::GFP fusion protein in transgenic Arabidopsis. Furthermore, over-expression of CkTLP significantly enhanced the resistance of Arabidopsis against V. dahliae. CONCLUSIONS/SIGNIFICANCE: The results suggest that the CkTLP is a good candidate protein or gene for contributing to the development of disease-resistant crops.

  8. In vitro and in vivo evaluation of the inhibitory effect of Limnophila indica (Linn.) Druce on shigellosis%有梗石龙尾甲醇提取物抗志贺菌病作用的体内和体外研究

    Institute of Scientific and Technical Information of China (English)

    Sandhya Subhadra; Gouthami Gade; Vinod Kombath Ravindran; Vidya Sravanthi Emani; Saikumar Parre; David Banji

    2012-01-01

    methanolic extract of L.indica showed the presence of phenolic compounds,flavonoids,alkaloids,fats and oils.It was proved to be a potent antibacterial agent against the four bacterial strains.Screening against Shigella species revealed that it was a powerful antibacterial agent towards antibiotic-resistant Shigella species.In the case of in vivo antidiarrheal activity,the plant has shown a dose-dependent activity and the lowest dose at 100 mg/kg gave a much better result than loperamide (P<0.01).The in vitro antacid study showed a mild activity.CONCLUSION:As the plant L.indica has been proved to be a competent antibacterial as well as a compelling antidiarrheal agent with mild antacid activity,this plant can be very well suggested to be an eminent substitute for the various synthetic anti-dysentery and antidiarrheal agents available in the market.

  9. Identifying factors associated with clinical success in patients treated with NASHA®/Dx injection for fecal incontinence

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    Franklin H

    2016-03-01

    duration (P=0.0289, or obstetric causes of FI (P=0.0384. Patients without a history of specific FI treatments (eg, antidiarrheal medications, biofeedback, surgery were more likely to respond to NASHA/Dx versus sham treatment for both end points. Conclusion: Although all subgroups analyzed showed evidence of quantitative and qualitative benefit from NASHA/Dx therapy, patients with characteristics indicative of mild-to-moderate FI may exhibit the greatest benefit. Keywords: responder analysis, quality of life, coping/behavior, Solesta

  10. Seasonal Variations in Drug Retail in Chengde Area%承德地区药品零售的季节性差异分析

    Institute of Scientific and Technical Information of China (English)

    杜鑫; 陈玉文; 党晓伟

    2014-01-01

    目的:调查河北省承德地区药品零售的季节性规律,为优化本地区药店运营管理提供参考。方法抽样调查承德地区零售药店近3年的药品销售情况,分析不同季节药品销售差异。结果承德地区春季以销售抗过敏药为主,夏季以消暑驱蚊药、抗肠炎痢疾药和皮炎外用药热卖,秋季去火、止血药多用,冬季主要销售抗感冒药,钙剂、维生素类等受季节影响不大。结论承德地区药品零售具有一定的季节性差异,只有小部分药品销售受季节影响不大。%Objective To investigate the seasonal variations on the drug retail in Chengde area in order to provide reference for optimizing the operating management of local drugstores. Methods The drug retail sales in the drug stores of Chengde area for the recent three years were performed the sam-pling survey and the seasonal variations of drug retail was analyzed. Results The retail drugs were mainly the antiallergic agents in spring;the removing summer-heat drugs,mosquito repellents,antidiarrheal agents and anti-dermatitis drugs for external use were the hot sales in summer;the drugs of re-ducing internal heat and styptic drugs were predominant in autumn and the anti-cold drugs were mainly sold in winter. The sales of calcium medicinal preparations and vitamins were little affected by seasons. Conclusion There are seasonal variations on the drug retail sales in Chengde area. The sales of only a small part of drugs have been little affected by seasons.

  11. 中西医治疗婴幼儿腹泻病47例疗效观察%Clinical observation on 47 cases of Chinese and western medicine treatment of infant diarrhea disease

    Institute of Scientific and Technical Information of China (English)

    焦冬梅; 刘宽荣

    2015-01-01

    Objective Observe the clinical effects of infants and young children with diarrhea. Methods In January 2011 to December 2012,98 cases of children with diarrhea were randomly divided into western medicine group and the combination of Chinese and western two groups,both on the basis of fluid therapy,western medicine group with antidiarrheal,antivirus,digestion drug therapy,combination of Chinese and western piece together to push the balance ridge,moxibustion god que acupuncture point,traditional Chinese medicine acupuncture points topical treatment, the treatment result is analyzed. Results Average hospital 3-8 d,4.5 d;Hospital were recovered.Two groups of treatment after 48 h of efficient comparative difference was statistically significant (P<0.05).Conclusion On the basis of fluid therapy,push the balance ridge,moxibustion CV 8 point, Chinese medicine acupuncture point topical treatment of diarrhoea,curative effect is superior to western medicine.%目的:观察婴幼儿腹泻病中西医结合治疗的临床疗效。方法我院2011年1月—2012年12月收治98例腹泻病患儿,随机分为西医组和中西结合2组,均以液体疗法为基础,西医组配合止泻、抗病毒、助消化药物治疗,中西结合组配以推拿捏脊、艾灸神阙穴、中药穴位外敷治疗,对2组的治疗结果进行对比分析。结果患儿住院3 d~8 d,平均4.5 d,均痊愈出院。2组治疗48 h内的总有效率比较差异有统计学意义(P<0.05)。结论以液体疗法为基础,配以推拿捏脊、艾灸神阙穴、中药穴位外敷治疗婴幼儿腹泻,疗效优于西药治疗。

  12. Observational Study of Travelers' Diarrhea.

    Science.gov (United States)

    Meuris

    1995-03-01

    Background: European air travelers returning from Algeria, Egypt, Mexico, Morocco, and Tunisia were interviewed about their experience of travelers' diseases upon arrival in Brussels. Diarrhea was mentioned by 37% of the adults and 27% of the children. These subjects were questioned about the types of measures taken, type and duration of drug treatment (if any), and about duration of diarrhea and side effects experienced. Methods: Final analysis was performed based on 2160 interviews. The largest proportion of diarrhea was reported in the age group 15-24 years (46%). Results: The majority of the 2160 subjects had opted for drug treatment (81%): 927 subjects for loperamide alone, 235 for loperamide in combination with nifuroxazide, and 178 for nifuroxazide alone. Other drugs had been used less frequently. The median time to recovery was 2.4 days with loperamide compared to 3.2 days with nifuroxazide and to 3.4 days for the no-treatment group. Conclusions: A stratification of the results by severity of the diarrhea suggests a rank of antidiarrheal potency as follows: loperamide > nifuroxazide > no-drug treatment. The side effect with the highest incidence was constipation (2.4% with loperamide). (J Travel Med 2:11-15, 1995) Travelers' diarrhea is usually defined as the passage of at least three unformed stools per day or any number of such stools when accompanied by fever, abdominal cramping, or vomiting. The definition may be broadened to include more trivial bowel disturbance.1,2 The duration of this self-limited disease generally is 3 to 5 days. Medical intervention aims at shortening the duration of disease, thus allowing the sufferer to resume his or her usual activities at an early stage. A shortened period of recovery to physical well-being has obvious favorable economic implications if the traveler is on business and may help the maintenance of a desired level of quality of life while a traveler is on holiday. An observational study of various medical

  13. Cyclodextrin inclusion complex of racecadotril: effect of drug-β- cyclodextrin ratio and the method of complexation.

    Science.gov (United States)

    Semalty, Mona; Panchpuri, Mitali; Singh, Devendra; Semalty, Ajay

    2014-06-01

    Racecadotril is an antisecretory and antidiarrheal agent against watery diarrhoea in children. Racecadotril is a class II drug (as per Biopharmaceutical Classification System) with poor aqueous solubility and dissolution rate limited absorption. β-cyclodextrin complexation of solubility or dissolution rate limited drugs provides an amphiphilic complex with improved solubility and dissolution profile. Thus Racecadotril - β-cyclodextrin complex were prepared to improve its solubility and dissolution by imparting an environment of improved hydrophilicity. Racecadotril was complexed with β-cyclodextrin (in 1:1 and 1:2 molar ratios) by two different methods (solvent evaporation and kneading method). These inclusion complexes were evaluated for solubility, drug content, scanning electron microscopy (SEM), differential scanning calorimetry (DSC), X ray powder diffraction (XRPD) and in vitro dissolution study. The highest drug content (30.83%) was found in complex made by kneading method (RK1:1) in 1:1 molar ratio. Complex prepared by solvent evaporation method (RSE1:1, RSE1:2) were found to be showing irregular disc shaped non-porous surface, while the complexes prepared by kneading method (RK1:1, RK1:2) showed rough, fluffy, non-porous and irregular surface in SEM. Solubility of the drug improved up to 2 to 3 folds in the complexes. The complex RK1:1 showed the greatest improvement in solubility (from 28.98 to76.56 µg/ml). The dissolution of the complexes was also found to be improved. Complex prepared by solvent evaporation method in 1:1 molar ratio (RSE1:1) showed a marked improvement in percent drug release (100.33%) than that of pure drug (52.58%) at the end of 1 hour in dissolution study. FTIR, DSC and XRPD data confirmed the formation of inclusion complex. It was concluded that water solubility of all the complexes were increased when the drug was complexed with β-CD in 1:1 molar ratio. The complex made in 1:1 molar ratio (irrespective of the method) showed

  14. 小儿病毒性肠炎的临床特征和中西医结合治疗的体会%Clinical features and treatment experience of combination of Chinese traditional and western medicine of children virus enteritis

    Institute of Scientific and Technical Information of China (English)

    关红春

    2014-01-01

    目的:探析小儿病毒性肠炎的临床特征,观察中西医结合治疗病毒性肠炎的疗效。方法:将82例小儿病毒性肠炎患者随机分为治疗组41例,对照组41例。对照组常规给予病毒唑抗病毒、补液、纠正酸中毒,对症处理。治疗组在此基础上进行中医辨证施治,并结合艾灸、推拿等中医药适宜技术治疗。结果:治疗组显效31例,有效7例,止泻时间(3.80±1.04)天。结论:中西医结合治疗小儿病毒性肠炎能缩短病程及住院时间,疗效好,且能纠正临床滥用抗生素及激素的现象。%Objective:To explain the clinical features of children virus enteritis,and to observe curative effect experience of combination of Chinese traditional and western medicine in the treatment of virus enteritis.Methods:82 cases of infantile virus enteritis were randomly divided into the treatment group of 41 cases and the control group of 41 cases.The control group was treated with conventional ribavirin antiviral,rehydration,correct acidosis and symptomatic treatment.The treatment group was treated with traditional Chinese medicine combined with moxibustion,massage and other appropriate technologies of traditional Chinese medicine treatment on the basis of the control group.Results:In the treatment group,31 cases were markedly effective,7 cases were effective,antidiarrheal time was 3.80 ± 1.04 days.Conclusion:The combination of Chinese traditional and western medicine in the treatment of children virus enteritis can shorten the course of disease and hospitalization time,it has good curative effect,and can correct the abuse of antibiotics and hormone.

  15. Methotrexate-induced nitrosative stress may play a critical role in small intestinal damage in the rat

    Energy Technology Data Exchange (ETDEWEB)

    Kolli, Viswa Kalyan; Abraham, Premila [Christian Medical College, Department of Biochemistry, Vellore, Tamil Nadu (India); Rabi, Suganthy [Christian Medical College, Department of Anatomy, Vellore, Tamil Nadu (India)

    2008-10-15

    Methotrexate (MTX), a structural analogue of folic acid, is widely used as a chemotherapeutic agent for leukemia and other malignancies. One of the major toxic effects of MTX is intestinal injury and enterocolitis.The mechanism of gastrointestinal toxicity of methotrexate has not been investigated completely. Therefore cancer chemotherapy has to be accompanied by symptomatic therapy such as antibiotics and anti-diarrheal drugs. It is important to investigate the mechanism by which methotrexate induces intestinal damage in order to perform cancer chemotherapy effectively by preventing the side effects. This study aimed at investigating whether nitrosative stress plays a role in methotrexate induced small intestinal damage using a rat model. Adult male rats were administered methotrexate at the dose of 7 mg/kg body weight intraperitoneally for 3 consecutive days and sacrificed 12 or 24 h after the final dose of methotrexate. Vehicle treated rats served as control. The intestinal tissue was used for light microscopic studies and markers of nitrosative stress including tissue nitrite level and nitrotyrosine. Myeloperoxidase (MPO) activity, a marker of neutrophil infiltration was also measured in intestinal homogenates. The villi were damaged at 12 h and the damage progressed and became severe at 24 h after the final dose of MTX. Biochemically, tissue nitrate was elevated fivefold at 12 h and fourfold at 24 h after the final dose of MTX as compared with control. Nitrotyrosine, measured immunohistochemically was detected in all the parts of the small intestine. Duodenum stained the most for nitrotyrosine, followed by ileum and then jejunum. The staining for nitrotyrosine was more intense at 24 h as compared with 12 h after the final dose of methotrexate. There was marked neutrophil infiltration as evidenced by increase in MPO activity in the small intestines. In conclusion, the results of the present study reveal that nitrosative stress may play a critical role in

  16. Observational Study of Travelers' Diarrhea.

    Science.gov (United States)

    Meuris

    1995-03-01

    Background: European air travelers returning from Algeria, Egypt, Mexico, Morocco, and Tunisia were interviewed about their experience of travelers' diseases upon arrival in Brussels. Diarrhea was mentioned by 37% of the adults and 27% of the children. These subjects were questioned about the types of measures taken, type and duration of drug treatment (if any), and about duration of diarrhea and side effects experienced. Methods: Final analysis was performed based on 2160 interviews. The largest proportion of diarrhea was reported in the age group 15-24 years (46%). Results: The majority of the 2160 subjects had opted for drug treatment (81%): 927 subjects for loperamide alone, 235 for loperamide in combination with nifuroxazide, and 178 for nifuroxazide alone. Other drugs had been used less frequently. The median time to recovery was 2.4 days with loperamide compared to 3.2 days with nifuroxazide and to 3.4 days for the no-treatment group. Conclusions: A stratification of the results by severity of the diarrhea suggests a rank of antidiarrheal potency as follows: loperamide > nifuroxazide > no-drug treatment. The side effect with the highest incidence was constipation (2.4% with loperamide). (J Travel Med 2:11-15, 1995) Travelers' diarrhea is usually defined as the passage of at least three unformed stools per day or any number of such stools when accompanied by fever, abdominal cramping, or vomiting. The definition may be broadened to include more trivial bowel disturbance.1,2 The duration of this self-limited disease generally is 3 to 5 days. Medical intervention aims at shortening the duration of disease, thus allowing the sufferer to resume his or her usual activities at an early stage. A shortened period of recovery to physical well-being has obvious favorable economic implications if the traveler is on business and may help the maintenance of a desired level of quality of life while a traveler is on holiday. An observational study of various medical

  17. Prevention and treatment of traveler's diarrhea: a clinical pharmacological approach.

    Science.gov (United States)

    Scarpignato, C; Rampal, P

    1995-01-01

    antimicrobials may become the best option for adults. The safest choice remains the use of poorly absorbed antimicrobials. Unfortunately, however, only a few compounds (i.e. bicozamycin and furazolidone) have been specifically tested in the therapy of traveler's diarrhea. Others (e.g. nifuroxazide or rifaximin), which have been found effective in various homeland forms of infective diarrhea deserve to be evaluated in specifically designed clinical trials. Persons visiting developing countries where the risk of traveler's diarrhea is high should be recommended to bring an antidiarrheal compound or bismuth subsalycilate, if available, and an antibacterial agent. For infants, children and the elderly, in whom dehydration may occur rapidly and be particularly dangerous, oral rehydration solutions are indicated.(ABSTRACT TRUNCATED AT 400 WORDS) PMID:7671647

  18. Curative Effect Observation of Changlekang Combined with Racemic Card of 100 Cases of Infantile Diarrhea Treated Tortuosum%常乐康联合消旋卡多曲治疗婴幼儿腹泻100例临床疗效观察

    Institute of Scientific and Technical Information of China (English)

    彭楚明

    2014-01-01

    Objective To investigate the changlekang combined with racecadotril in the treatment of infantile diarrhea in. Methods 100 cases of diarrhea in our hospital from 2012 December to 2013 April were infants using randomized controlled methods were divided into observation group and control group, 50 cases in each group, the control group with changlekang treatment, observation of racecadotril in the treatment of the group was based on the comparison of two groups, the treatment effect. Results 20 cases were markedly effective, effective in 25 cases, the total efficiency of 90%was significantly higher than that in control group 72%(P<0.05). The observation group shit better time, cooling time, antidiarrheal time was significantly shorter than the control group(P<0.05). Conclusion Changlekang combined with racecadotril in the treatment of infantile diarrhea quick effect, good curative effect, is worth the clinical promotion.%目的:探讨常乐康联合消旋卡多曲在婴幼儿腹泻中的治疗效果。方法将我院2012年12月至2013年4月收治的100例腹泻的婴幼儿采用随机对照的方法分为观察组和对照组,每组50例,对照组采用常乐康治疗,观察组在对照组的基础上采用消旋卡多曲治疗,比较两组的治疗效果。结果观察组显效20例,有效25例,总有效率为90.0%显著高于对照组的72.0%(P<0.05)。观察组的大便好转时间、退热时间、止泻时间均显著短于对照组(P<0.05)。结论常乐康联合消旋卡多曲治疗婴幼儿腹泻起效迅速,疗效较好,值得临床推广。

  19. Lomotil (diphenoxylate dependence in India

    Directory of Open Access Journals (Sweden)

    Aseem Mehra

    2013-01-01

    Full Text Available Background: Lomotil (diphenoxylate atropine combination has been in use as an antidiarrhoeal agent. Due to presence of opioid (diphenoxylate, there are chances of abuse. The reports of abuse of lomotil have been few in published literature. This chart review aimed to evaluate the characteristics of patients with dependence on lomotil coming to our centre. Materials and Methods: This retrospective chart review was conducted at the Drug De-addiction and Treatment Centre of PGIMER, Chandigarh, India. The records of patients who had presented to the centre with dependence on Lomotil in the last five years were identified, and clinical details were extracted from the records. Results: We identified 41 patients who had presented to our centre with dependence upon lomotil as the primary substance of abuse. The cases were typically married and employed males, educated up to 10 th grade, belonging to a rural Sikh extended or joint family. Most of the patients had taken other opioids too. The number of tablets taken in a day varied from 3- to 250 (median 25. The reasons of initiation were to relieve withdrawals, as a cheap substitute opioid, curiosity, and on suggestion of friends. Conclusion: Lomotil is a medication with a potential of abuse and regulatory controls are required to prevent escalation of misuse of this easily available prescription drug. Lomotil (diphenoxylate and atropine combination has been used since a long time as an anti-diarrheal agent. Reports of abuse of diphenoxylate had surfaced. We present a series of 41 cases of opioid dependence presenting with the use of the diphenoxylate as the primary substance. The cases were typically married and employed males, educated up to 10 th grade, belonging to a rural Sikh extended or joint family. Most of the patients had taken other opioids too. The number of tablets taken in a day varied from 3 to 250 (median 25. The reasons of initiation of diphenoxylate were to relieve withdrawals, as a

  20. Morfoanatomia de folha e caule de Genipa americana L., Rubiaceae Leaf and stem morpho-anatomy of Genipa americana L., Rubiaceae

    Directory of Open Access Journals (Sweden)

    Marianna Erbano

    2010-12-01

    Full Text Available Genipa americana L., conhecida como jenipapo, é uma Rubiaceae nativa do Brasil e as suas folhas são utilizadas pela população como antidiarreico e febrífugo, e o caule como anti-hemorrágico, contra luxações e contusões. Com o objetivo de caracterizar macro e microscopicamente folhas adultas e caules jovens para o controle de qualidade farmacognóstico, essa planta medicinal foi analisada segundo a metodologia clássica de morfoanatomia vegetal. Genipa americana apresenta folhas simples, opostas, de formato obovado a oblanceolado e pecíolos curtos. A epiderme foliar é uniestratificada e revestida por cutícula delgada e levemente estriada. Os estômatos são paracíticos e restritos à superfície abaxial. Há tricomas tectores uni e pluricelulares predominantemente na superfície abaxial. O mesofilo é dorsiventral. Em secção transversal, a nervura central é plano-convexa e o pecíolo é circular, ambos apresentando um feixe vascular colateral em disposição cilíndrica e outros menores. O caule possui felogênio localizado nas camadas subepidérmicas, colênquima anelar e um cilindro floemático externo ao de xilema, sendo ambos percorridos por raios parenquimáticos estreitos. Ocorrem idioblastos contendo compostos fenólicos, areia cristalina e drusas de oxalato de cálcio na folha e no caule.Genipa americana L., known as jenipapo, is a Rubiaceae species native to Brazil. Its leaves are used by the population as anti-diarrheic and febrifuge, and its stem as anti-hemorrhagic and for trauma injuries. Aiming to identify macro and microscopically mature leaves and young stems for the pharmacognostic quality control, this medicinal plant was investigated according to standard morpho-anatomical techniques. The leaves are simple, opposite, obovate-oblanceolate, presenting short petiole. The epidermis is uniseriate and coated with thin and slightly striate cuticle. The stomata are paracytic and restricted to the abaxial surface. It

  1. Formula and Pharmacological Identification of Diarrhea Arresting and Dysentery Treating Dietary Traditional Chinese Herbal Medicine for Livestock%兽用止痢、止泻中草药制剂的配方及药理鉴定

    Institute of Scientific and Technical Information of China (English)

    蔡璐; 蒋秀全; 杨何; 蔡一鸣

    2014-01-01

    [目的]研制出具有止痢,止泻功效的兽用中草药配方制剂。[方法]使用该中草药制剂配方对患畜进行临床疗效试验和药理试验。[结果]疗效试验表明,该配方对家畜腹痛、腹泻及粪便变化有较好疗效,治愈率达92%。药理试验表明,该配方对受试动物的胃肠运动有显著的抑制作用,其药物的止痢,止泻的功效极为显著,且对受试动物是安全的,可靠的。[结论]该配方对治疗仔猪白痢,仔猪黄痢,家畜肠胃炎及消化不良性腹泻有独特的疗效,可用于兽医临床、也可作为饲料添加剂。%This study was aimed to develop the Chinese herbal formula with dysentery arresting and antidiarrheal effect. [Method] The Chinese herbal for-mulation was used to carry out the clinical curative effect test and pharmacological test for il livestock. [Results] Curative effect test showed that the formula had good effect on abdominal pain, diarrhea and fecal changes of livestock, and the cure rate reached up to 92%. Pharmacological experiments showed that the formula had sig-nificant inhibitory effect on the gastrointestinal motility of the tested animals, and the diarrhea arresting and dysentery treating effect of the formula was also extremely significant. In addition, the formula was safe for tested animals, proving to be reli-able. [Conclusion] The formula has distinct curative effect on treating white scour of piglets, yel ow scour of piglets, livestock gastroenteritis and lienteric diarrhea, and it can also be used in veterinary clinic, as wel as be used as feed additive.

  2. Sucralfate for the treatment of radiation induced mucositis; Einsatz von Sucralfat in der Radioonkologie

    Energy Technology Data Exchange (ETDEWEB)

    Belka, C. [Univ. Tuebingen (Germany). Abt. fuer Strahlentherapie; Hoffmann, W. [Univ. Tuebingen (Germany). Abt. fuer Strahlentherapie; Paulsen, F. [Univ. Tuebingen (Germany). Abt. fuer Strahlentherapie; Bamberg, M. [Univ. Tuebingen (Germany). Abt. fuer Strahlentherapie

    1997-05-01

    Purpose: Radiotherapy, a cornerstone in the management of head and neck cancer, pelvic cancer, and esophageal cancer is associated with a marked mucosal toxicity. Pain, malnutrition and diarrhea are the most prevalent clinical symptoms of radiation induced mucosal damage. Because there is no known way to obviate radiation mucositis all efforts to prevent aggravation and accelerate healing of mucosal changes are of great importance. Numerous agents including antimicrobials, local and systemic analgesics, antiinflammatory drugs, antidiarrheal drugs, in combination with intensive dietetic care are used to relieve symptoms. Recently coating agents like the polyaluminum-sucrose complex sucralfate were suggested for the prevention and treatment of mucosal reactions. Since sucralfate protects ulcerated epithelium by coating, liberates protective prostaglandins and increases the local availability of protective factors this drug might directly interact with the pathogenesis of mucositis. Patients and Method: The results of available studies are analysed and discussed. Results: The results of several studies indicate that sucralfate treatment especially during radiotherapy for pelvic cancer leads to a significant amelioration of clinical symptoms and morphological changes. An application of sucralfate during radiotherapy of head and neck cancer reveals only limited benefits in most studies performed. Conclusion: Nevertheless sucralfate is a save, cheap and active drug for the prevention and treatment of radiation mucositis especially in patients with pelvic irradiation. (orig.) [Deutsch] Hintergrund: Schleimhautreaktionen stellen eine wesentliche akute und chronische Nebenwirkung radioonkologischer Therapieverfahren dar. Klinisch im Vordergrund stehen Schmerzen, Ernaeherungsprobleme und Durchfaelle. Da bislang keine kausalen Therapie- oder Prophylaxemassnahmen bekannt sind, erfolgt die Behandlung symptomorientiert. Hierbei kommen insbesondere lokale und systemische

  3. Review of Catalpol’s pleiotropic signaling pathways%梓醇多效性相关信号通路研究进展

    Institute of Scientific and Technical Information of China (English)

    王静欢; 邹利; 万东; 祝慧凤; 王园; 秦蕾

    2015-01-01

    Catalpol is a kind of iridoid,which has wide pharma-cological activities,including anti-cerebral ischemia,improving senile dementia,anti-inflammation,inhibiting capillary permea-bility,relieving pain,anti-tumor,antidiarrheal,reducing blood sugar level,protecting liver,and anti-aging.The mechanisms of Catalpol effects have been well studied.Signaling pathways in-clude NF-κB signaling pathway,PI3K/AKT signaling pathway, BDNF /TrkB signaling pathway,JAK2 /STAT3 /angiogenesis sig-naling pathway,MAPK signaling pathway,TGF-β/Smad signa-ling pathway,and ACh signaling pathway.We reviewed related signaling pathways of Catalpol effects,in order to broaden the understanding of molecular mechanism and signaling pathways of Catalpol,to know the status of catalpol,and to provide new di-rection to study Catalpol.%梓醇是一种环烯醚萜类化合物,具有广泛的药理活性,包括抗脑缺血损伤、抗老年性痴呆、抗炎、抑制毛细血管通透性、止痛、抗肿瘤、缓泻、降血糖、保肝及抗衰老等多种药理作用。该文总结了目前梓醇研究所涉及的信号通路,包括:NF-κB 信号通路、PI3K/AKT 信号通路、BDNF/TrkB 信号通路、JAK2/STAT3血管新生信号通路、MAPK 信号通路、TGF-β/Smad 信号通路、乙酰胆碱信号通路等,以此加深对梓醇分子信号机制的理解和认识,为梓醇后续深入研究提供参考。

  4. 对喜炎平注射液联合复合乳酸菌治疗婴幼儿轮状病毒性肠炎的疗效评价%To Evaluate the Effect of Xiyanping Injection Combined With Compound Lactic Acid Bacteria for the Treatment of Infantile Rotavirus Enteritis

    Institute of Scientific and Technical Information of China (English)

    莫柱冰; 张瑞辉; 黎婉红; 潘伟宁

    2015-01-01

    Objective Observation of Xiyanping injection combined with Lactobacillus Complex Capsules clinical efficacy in the treatment of infantile viral enteritis. Methods 109 cases from 2013 June to 2014 June were viral enteritis patients in our hospital, male 79 cases, female 30 cases, age of the patients ranged from 6 months to 5 years old. The patients were randomly divided into the control group and the observation group, the normal group (n=51) with Ribavirin Injection as the main drug treatment, the observation group (n=58) were treated with Xiyanping and lactic acid bacteria, compared two groups of children with the average defervescence time, average antidiarrheal time, average healing time and curative effect, the content of the other comparison of NGF and BDNF are two kinds of serum treatment of two groups of children with 5 day in nerve growth factor. Results Xiyanping and compound lactic acid bacteria group the average defervescence time, antidiarrheal time, and healing time was significantly shorter than the conventional group, and the treatment of Xiyanping and compound lactic acid bacteria group with the effective rate reaches as high as 94.8%, higher than the conventional group (74.5%), compared the therapeutic effect of two groups were significantly different (P<0.01). Conclusion The time of diarrhea with Xiyanping injection combined with compound lactic acid bacteria for the treatment of infantile rotavirus enteritis can shorten the patients, reduce the damage to the growth of infants and young children, have a synergistic effect on the treatment, can improve the clinical cure rate.%目的:对穿心莲内酯提取物喜炎平联合复合乳酸菌胶囊治疗婴幼儿病毒性肠炎的疗效进行评价分析。方法选取我院从2013年6月~2014年6月收治的病毒性肠炎患者共109例,其中男79例,女30例,患儿年龄6个月~5岁。随机将患者分为常规组和观察组,其中常规组(n=51),患儿以利巴韦林为主

  5. Stability Analysis of ISS Medications

    Science.gov (United States)

    Wotring, V. E.

    2014-01-01

    It is known that medications degrade over time, and that extreme storage conditions will hasten their degradation. The temperature and humidity conditions of the ISS have been shown to be within the ideal ranges for medication storage, but the effects of other environmental factors, like elevated exposure to radiation, have not yet been evaluated. Current operational procedures ensure that ISS medications are re-stocked before expiration, but this may not be possible on long duration exploration missions. For this reason, medications that have experienced long duration storage on the ISS were returned to JSC for analysis to determine any unusual effects of aging in the low- Earth orbit environment. METHODS Medications were obtained by the JSC Pharmacy from commercial distributors and were re-packaged by JSC pharmacists to conserve up mass and volume. All medication doses were part of the ISS crew medical kit and were transported to the International Space Station (ISS) via NASA's Shuttle Transportation System (Space Shuttle). After 568 days of storage, the medications were removed from the supply chain and returned to Earth on a Dragon (SpaceX) capsule. Upon return to Earth, medications were transferred to temperature and humidity controlled environmental chambers until analysis. Nine medications were chosen on the basis of their availability for study. The medications included several of the most heavily used by US crewmembers: 2 sleep aids, 2 antihistamines/decongestants, 3 pain relievers, an antidiarrheal and an alertness medication. Each medication was available at a single time point; analysis of the same medication at multiple time points was not possible. Because the samples examined in this study were obtained opportunistically from medical supplies, there were no control samples available (i.e. samples aged for a similar period of time on the ground); a significant limitation of this study. Medications were analyzed using the HPLC/MS methods described in

  6. Successful treatment of one patient with advanced non-small cell lung cancer with icotinib hydrochloride in replacement of gefitinib%吉非替尼更换为盐酸埃克替尼成功治疗晚期非小细胞肺癌1例分享

    Institute of Scientific and Technical Information of China (English)

    张力; 关秋红; 赵艳伟; 夏莹; 肖毅

    2013-01-01

    表皮生长因子受体酪氨酸激酶抑制剂(EGFR-TKI)不良反应以皮疹、腹泻为主,吉非替尼(易瑞沙)和厄洛替尼分别于2005年和2007年在中国上市并获得了良好的疗效,但是仍然有部分可能获益的患者因不良反应而不能接受EGFR-TKI的治疗.盐酸埃克替尼(凯美纳)是我国研制的、具有完全自主知识产权的、高效特异性EGFR-TKI.本病例服用吉非替尼后出现Ⅲ~Ⅳ度腹泻,应用止泻药无效,患者因无法耐受停药.患者改用盐酸埃克替尼口服至今共7个月,未见明显不良反应,用药后1个月疗效评估:病情稳定(SD),体能状况、生活质量得到改善.说明盐酸埃克替尼治疗晚期非小细胞肺癌(NSCLC)具有较好的有效性、安全性和耐受性,与吉非替尼、厄洛替尼相比,疗效较优且不良反应较少.%Common adverse reactions of epidermal growth factor receptor tyrosine kinase inhibitor (EGFRTKI) due to drug toxicity are rash and diarrhea.Positive curative effect has been observed after gefitinib (Iressa(R),ZD1839) and erlotinib (Tarceva(R),Ro50-8231) were introduced into China in 2005 and 2007,respectively.However,some patients who were likely to benefit from the therapy might not accept EGFR-TKIs because of severe adverse event (AE) during the treatment.Conmana(R) (icotinib hydrochloride,BPI-2009H) is a newly developed and highly specific EGFR-TKI that is designed in China with independent intellectual property right.In this case,the patient experienced Ⅲ ~ Ⅳ-level diarrhea after taking gefitinib,and antidiarrheal drugs were ineffective.The intolerable AE led to drug withdrawal.Treatment was then transformed into icotinib therapy and had been on for 7 months without apparent AE observed.After the first cycle of icotinib (30 days),objective responses were evaluated to be SD,physical conditions and the quality of life were improved.This suggests that icotinib is effective and well-tolerated in advanced NSCLC patients

  7. Interventional role of Haridra (Curcuma longa Linn in cancer

    Directory of Open Access Journals (Sweden)

    Zankhana M Buch

    2012-01-01

    Full Text Available Haridra (Curcuma longa Linn (Zingiberaceae family is a rhizomatous household spice and has been a widely used herb in India since ancient times. Ayurvedic pharmacodynamics of C. longa are described as follows: Rasa - tikta and katu, Guna - rukhsha and laghu, Virya - ushna, Vipak - katu and Doshaghnata - tridoshshamak. It is used as a tonic, carminative, antidiarrheal, hepatoprotective and as a purifying agent. It is also used in cancer management. Since years, haridra has been used as a hemostyptic agent. However, the oncopreventive aspect of haridra has drawn the scientists towards it. Use of haridra in medoja arbuda is documented in Sushrut Samhita. Recently, it has been found that chronic inflammation has played a role in cancer formation. The kapha and vata shamaka property is responsible for the shothghna activity of haridra. Several studies have also proved the anti-inflammatory condition of haridra. The essential oil, containing ar-turmerone, as a major component has been shown to possess anti-inflammatory effect of haridra. Experimental studies ′in vitro and in vivo′ in diverse models have also proved the anti-tumor activity of haridra. Curcumin,the chief ingredient, of it is mainly responsible for anticancer property. However other constituents like Turmerone and polysacchrides also play a major role in anti cancer activity. The free radical scavenging activity as well as inhibition of lipid peroxidation by curcumin has been reported by Kuttan et al. The mechanisms underlying the anticancer potential of curcumin are complex. Many reports in literature mention about that work carried out regarding the suppression of proliferation of cells of different tumors. They include the down regulation of transcription factors, inhibiting COX2, LOX, inducible nitric oxide synthase, matrix metalloproteinases 9, cell adhesion molecules along with TNF-α. Curcumin inhibits TNF-α-induced AKT activation whereby levels required for NFkβ gene

  8. Clinical efficacy of Qiwei lishi san in the treatment of spleen and stomach type of chronic diarrhea%中药七味利湿散治疗脾胃虚弱型慢性腹泻的临床疗效分析

    Institute of Scientific and Technical Information of China (English)

    黄克杰

    2016-01-01

    目的:探究七味利湿散治疗脾胃虚弱型慢性腹泻的临床疗效。方法选择2014年2月~2015年2月期间收治的86例慢性腹泻患者,随机平均分为观察组和对照组,各43例。对照组给予蒙脱石散治疗,观察组给予自拟中药方剂七味利湿散治疗,观察对比两组临床疗效及症状缓解时间,并记录两组患者的不良反应情况。结果观察组临床总有效率为95.3%,明显高于对照组的79.1%,差异具有统计学意义(P<0.05);观察组止泻时间、腹痛腹胀缓解时间、退热时间均明显短于对照组,组间差异均具有统计学意义(P<0.05);两组用药期间均未发生严重药物不良反应。结论七味利湿散治疗脾胃虚弱型慢性腹泻的临床疗效确切,可缩短病症改善时间,且用药安全性较高。%Objective To explore the clinical efficacy of traditional Chinese medicine Qiwei lishi san in the treatment of spleen and stomach type of chronic diarrhea. Methods 86 cases of patients with spleen and stomach type of chronic diarrhea were selected in hospital from February 2014 to February 2015,and then were divided into control group and observation group randomLy,43 cases of each. The patients of control group were given montmorillonite powder treatment,and the patients of observation group were self-made casual treatment of traditional Chinese medicine Qiwei lishi san,then observed and compared clinical efficacy,remission time and recorded adverse drug reactions of the two. Results The total effective rate of observation group was 95.3%, significantly higher than 79.1%of the control group(P < 0.05). Antidiarrheal time,abdominal pain and bloating relief time,cooling time of observation group were significantly shorter than the those of the control group(P < 0.05). No serious adverse drug reactions were found during the treatment. Conclusion Qiwei lishi san in the treatment of spleen and stomach type of chronic diarrhea

  9. Postoperative radiotherapy-induced morbidity in rectal cancer Morbilidad de la radioterapia postoperatoria en el cáncer de recto

    Directory of Open Access Journals (Sweden)

    M. Garay Burdeos

    2004-11-01

    Full Text Available Objectives: we analyzed long-term morbidity and bowel function alteration after postoperative radiotherapy for rectal cancer following resection with anastomosis. Patients and methods: thirty-seven patients who underwent surgery with intention to cure and a minimal follow-up period of 3 years were included. These patients were divided into two groups: in the first group, 14 patients received postoperative chemo-radiotherapy, 5-fluorouracil plus folinic acid, and 45 Gy plus 5 Gy boost. In the second group, there were 23 patients regarded as controls. We designed a questionnaire about their bowel function and analyzed the morbidity detected in their follow-up. Results: the group that was treated with postoperative chemo-radiotherapy had more daily bowel movements (p = 0.03 and night-time movements (p = 0.04; incontinence (69.2 versus 17.4% in the control group; p = 0.002, and perianal skin irritation (p = 0.04 versus the control group. Although without meaningful differences, the group under treatment wore a pad more often, had more defecatory urgency, could distinguish worse gas from stool, and needed more frequently antidiarrheal measures. Major complications were present in 28.6% of the under-treatment group: three intestinal resections were performed due to actinic stenosis; one patient had a residual stercoral fistula; another had several occlusive crises solved with medical treatment. Conclusions: postoperative chemo-radiotherapy had a high morbidity rate, which determined a significant alteration in quality of life. Accuracy in indication is therefore necessary, as well as a consideration of other alternatives for treatment, such as preoperative chemo-radiotherapy and total mesorectal excision.Objetivos: analizar la morbilidad y alteración del funcionalismo rectal a largo plazo de la radioterapia postoperatoria tras resección con anastomosis en el cáncer de recto. Material y métodos: se incluyen 37 pacientes intervenidos con intenci

  10. Vigilância de eventos adversos a medicamentos em hospitais: aplicação e desempenho de rastreadores Surveillance of adverse drug events in hospitals: implementation and performance of triggers

    Directory of Open Access Journals (Sweden)

    Fabíola Giordani

    2012-09-01

    application and performance of these triggers in a teaching hospital. The information on the triggers and ADE were collected through a retrospective chart review of patients discharged from January to June 2008. Four hundred and ninety-seven triggers were identified in 177 charts, and each chart had 2.33 (SD = 2.7 triggers on average. The most frequent triggers were: "antiemetic" (72.1/100 charts, "abrupt cessation of medication" (70.0/100 charts and "over-sedation, drowsiness, numbness, lethargy, hypotension and fall" (34.6/100 charts. The most effective triggers for capturing ADE were "benzodiazepine antagonist", "antidiarrheal" and "rash", which, when identified in charts, were related to an event. The ADE most commonly found were related to the triggers, "abrupt cessation of medication" (8.3/100 charts, "antiemetic" (4.6/100 charts, "rash" and "anti-allergy" (2.1/100 charts. These results may help to decide which triggers are more useful in each situation.

  11. Severe delayed diarrhea and myelosuppression due to irinotecan%伊立替康致重度迟发性腹泻与骨髓抑制

    Institute of Scientific and Technical Information of China (English)

    赵霞; 李妍; 徐巍; 韩毅

    2014-01-01

    A 63-year-old woman with colon cancer was treated with a chemotherapy consisting of irinotecan and oxaliplatin. She was given irinotecan 200 mg plus oxaliplatin 200 mg by subclavian vein intubation on the first day,and irinotecan 160 mg on the 8th day. On day 7,the patient developed yellow stools. The chemotherapy discontinued. Drugs for protection of intestinal mucosa and antidiarrheal agent were given. On day 8 night,she had a fever. The temperature was 38. 0 ℃. Laboratory tests showed the following values:WBC count 0. 27 × 109/L,platelet count 117 × 109/L. Anti-infection therapy was given. On day 14,the severe watery stool appeared again,laboratory tests showed following values:serum potassium 2. 26 mmol/L, sodium 126 mmol/L. She received the therapies for infection control and correcting electrolyte imbalance. On day 16, the patient presented persistent fever, severe abdominal distension with intestinal paralysis. Laboratory tests showed following values:WBC count 0. 25 × 109/L, platelet count 25 × 109/L. She was given imipenem and cilastatin sodium and octreotide. On day 18,her blood pressure decreased to 70/40 mmHg,blood oxygen saturation was not monitored. She was in a coma. On day 19,the patient died despite all rescue measures.%1例63岁女性结肠癌患者术后采用伊立替康﹢奥沙利铂化疗方案:首日给予伊立替康200 mg﹢奥沙利铂200 mg,第8天给予伊立替康160 mg。化疗第7天患者出现黄色稀便,遂停止化疗,给予保护肠黏膜和止泻药。第8天夜间患者发热(体温38.0℃),外周血白细胞计数0.27×109/L,血小板计数117×109/L,给予抗感染和升白细胞治疗。第14天再次出现严重水样便,当日血钾2.3 mmol/L、钠126 mmol/L,给予抗感染和纠正电解质紊乱治疗。第16天患者出现持续发热、严重腹胀合并肠麻痹,外周血白细胞计数0.25×109/L,血小板计数25×109/L,给予亚胺培南/西司他丁钠与奥曲肽。第18

  12. The Development of Countermeasures for Space Radiation Induced Adverse Health Effects

    Science.gov (United States)

    Kennedy, Ann

    human trials necessary to demonstrate "efficacy" for a beneficial effect on the long term adverse health effects of radiation, such as the development of cancer, cataracts, etc., is expected to take particularly long periods of time. To avoid the long time delay in the development of new drugs as countermeasures for radiation induced adverse health effects, the NSBRI Center for Acute Radiation Research (CARR) is currently focused on the use of drugs that have already been approved for human use by the FDA. Currently there are no approved countermeasures for external radiation exposure by the US Army or by NASA. The appropriate medications for symptoms of the Acute Radiation Syndrome (ARS) due to exposure to solar particle event (SPE) radiation are unknown, but there are medications appropriate for ARS symptoms caused by exposure to conventional ra-diation. The Armed Forces Radiobiology Research Institute (AFRRI) has medical guidelines for ARS medications (http://www.afrri.usuhs.mil/outreach/guidance.htm#policies), as does the US Dept. of Health and Human Services (the REMM (Radiation Event Medical Manage-ment) site (http://www.remm.nlm.gov). Supportive care when ARS symptoms develop include the administration of antimicrobial agents (which can include systemic antibiotics [especially those directed at gram-negative bacteria]), antiemetic agents, antidiarrheal agents, fluids, elec-trolytes, analgesic agents and topical burn creams (Waselenko, J.K. et al. Ann. Intern. Med. 140: 1037, 2004). For nausea and vomiting, serotonin receptor antagonists (5HT3 receptor antagonists) are very effective prophylaxis. There are two drugs that have been approved by the FDA (Zofran and Kytril) for radiation induced nausea and vomiting. Kytril (granisetron) is preferred by the US Army and is currently maintained in the US National Stockpile. Both of these drugs are known to stop retching and vomiting when given either before or after irradi-ation, even when vomiting and/or retching are

  13. Irritable Bowel Syndrome.

    Science.gov (United States)

    Wald

    1999-02-01

    tolerance and palatability. Synthetic fiber is often better-tolerated than natural fiber, but must be individualized. In my experience, excessive fiber supplementation often is counterproductive, as abdominal cramps and bloating may worsen. Antidiarrheal agents are very effective when used correctly, preferably in divided doses. I use them in patients in anticipation of diarrhea and especially in those who fear symptoms when engaged in activities outside the home. I encourage patients to make decisions as to when and how much to use. However, almost always, a morning dose before breakfast is used (loperamide, 2 to 6 mg) and, perhaps again later in the day when symptoms of diarrhea are prominent. I prefer antispasmodics to be used intermittently in response to periods of increased abdominal pain, cramps, and urgency. For patients with daily symptoms, especially after meals, agents such as dicyclomine before meals are useful. For patients with infrequent but severe episodes of unpredictable pain, sublingual hyoscyamine often produces rapid relief and instills confidence. In general, I recommend that oral antispasmodics be used for a limited period of time rather than indefinitely, and generally for periods of time when symptoms are prominent. For chronic visceral pain syndromes, I recommend small doses of tricyclic antidepressants. These agents are especially effective in diarrhea-predominant patients with disturbed sleep patterns but may be unacceptable to patients with constipation. I educate patients that side effects occur early and benefits may not be apparent for 3 to 4 weeks. I consider using SSRIs in low doses in patients with constipation-predominant IBS; cisapride, 10 to 20 mg three times per day, also may be beneficial. When taken with drugs that inhibit cytochrome P450, cisapride has been associated with serious cardiac arrhythmias caused by QT prolongation, including ventricular arrhythmias and torsades de pointes. These drugs include the azole fungicides

  14. Evaluation of probiotics effectiveness in hospitalized pneumonia children by elec-tronic medical records%基于医嘱数据的肺炎住院儿童肠道微生态制剂应用的疗效分析

    Institute of Scientific and Technical Information of China (English)

    孙华君; 顾之睿; 车大钿; 高春辉; 于广军

    2014-01-01

    Objective To describe the profile of probiotics utilization in hospitalized pneumonia children and evaluate the ef -fectiveness of probiotics in the treatment of pneumonia in hospitalized children combined with antibiotics. Methods Descriptive data a-nalysis was obtained from the medical records in one children′s hospital in one year period. The clinical data including patient charac-teristics, drug prescribed time, drug use duration, and length of stay was reviewed. Ridit analysis was used to compare the data. Re-sults Data of 2 974 children hospitalized for pneumonia was accessed. Antibiotics were prescribed to 99.1 % ( n=2 948) of pa-tients, probiotics were prescribed to 42.1%(n=1 252) of patients, and both antibiotics and probiotics were prescribed to 41.9%(n=1 246 ). The median of the time to start administration of probiotics was the second day of hospitalization and the mode was the first day of hospitalization. For those patients who were prescribed antibiotics combined with probiotics, the median of the duration of ad-ministration of antibiotics before accepting probiotics was 3 days and the mode was 1 day.After administrating probiotics, the median of the duration of accepting of antibiotics was 5 days, the mode was 4 days, and the median and the mode of the duration of administration of probiotics were 4 days.21%(n=626) of all hospitalized patients were administrated anti-diarrheals.The most common age group of them were neonates and infants (82.3%, n=515).The patients with anti-diarrheal who was administrated antibiotics with or with-out probiotics were 585(47.0%), 34(2.0%), respectively (P0.05).The median of the length of stay in those administrated antibiotics with probiotics was 7 days, the mode was 6 days and the interquartile range was 6-9 days.For those administrated antibiotics without probiotics, the median and the mode of the length of stay were 7 days and the interquartile range was 6-9 days(P>0.05).Conclusion The time of starting to

  15. Evidence-Based Evaluation and Selection of Essential Medicine for Township Health Centre in China: 8.Acute Gastroenteritis%我国示范乡镇卫生院基本药物循证评价与遴选之八:急性胃肠炎

    Institute of Scientific and Technical Information of China (English)

    李萃萃; 李筱; 杨宗霞; 李向莲; 李幼平; 李鸿浩; 王应强; 杨晓妍; 王莉; 钟大可; 沈建通

    2012-01-01

    期妇女及儿童不使用本品).建议今后的临床研究和实践应规范、统一诊断及标准,提高临床研究设计和实施质量,并全面开展药物适用性和经济性的原始研究,生产高质量本土化证据.%Objective To evaluate and select essential medicine for acute gastroenteritis using evidence-based approaches based on the burden of disease for township health centers located in eastern, central and western regions of China. Methods By means of the approaches, criteria, and workflow set up in the second article of this series, we referred to the recommendations of evidence-based or authority guidelines from inside and outside China, collected relevant evidence from domestic clinical studies, and recommended essential medicine based on evidence-based evaluation. Data were analyzed by Review Manager (RevMan) 5.1 and GRADE profiler 3.6 to evaluate quality of evidence. Results (1) Five guidelines were included, two of which were evidence-based. (2) Recommended medicines included eight antidiarrheals (of four classes) and three antemetics. (3) According to WHOEML (2011), NEML (2009), CNF (2010), other guidelines and the quantity and quality of evidence, we offered a weak recommendation for ondansetron, metoclopra-mide, smectite, racecadotril and loperamide applied in the treatment of acute gastroenteritis. We made a recommendation against antibiotics, dexamethasone, kaolin-pectin, activated charcoal, attapulgite and bismuth subsalicylate. (4) Evidence from domestic studies: a result of 14 CCTs (n=1 635, low quality) indicated that in the significant efficiency and total efficiency, smectite (smecta) was superior to routine liquid infusion, norfloxacin, gentamicin or furaxone. Among these 14 CCTs, two CCTs reported smectite (smecta) caused nausea and vomiting (three cases); one CCT reported pain and dis-tention in the abdomen (one case) and general discomfort (one case); and the rest reported no adverse reaction. A result of 10 CCTs (n=1