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Sample records for antidiarrheals

  1. Antidiarrheal activity of Solanum asterophorum in mice

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    Polyana Cristina Barros Silva

    2012-02-01

    Full Text Available Several species of Solanum 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 roots (Sast-MeOH R and leaves (Sast-MeOH L of Solanum asterophorum Mart., Solanaceae, in mice. Sast-MeOH R was shown to significantly and dose-relatedly inhibit the frequency of both solid (ED50 309.6±28.5 mg/kg and liquid (ED50 152.1±32.5 mg/kg stools. Conversely, Sast-MeOH L significantly inhibited solid stool frequency only when dosed at 500 and 750 mg/kg (48.7±7.4 and 42.3±9.8%, respectively, but also significantly and dose-relatedly inhibited liquid stools (ED50 268.4±35.2 mg/kg. Thus, Sast-MeOH R was twice as potent as Sast-MeOH L in diarrhea inhibition. Neither extracts (when dosed up to 500 mg/kg inhibited intestinal transit. However, both extracts significantly and dose-relatedly inhibited intestinal fluids, and Sast-MeOH R (ED50 38.3±10.4 mg/kg was again twice as potent as Sast-MeOH L (ED50 78.6±6.4 mg/kg. Results suggest that antidiarrheal effects of Sast-MeOH R and Sast-MeOH L involve changes on intestinal secretion. In addition, active metabolites with antidiarrheal activity may be more concentrated in the roots of this species. However further studies are needed to elucidate the action mechanism involved in this activity.

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

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    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

  3. 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)

  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.

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    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. Antispasmodic and Antidiarrheal Activities of Valeriana hardwickii Wall. Rhizome Are Putatively Mediated through Calcium Channel Blockade

    OpenAIRE

    Anwar H. Gilani; Raafia Memon; Samra Bashir

    2011-01-01

    Valeriana hardwickii is indigenous to Pakistan, Burma and Ceylon, where it is traditionally being used as an antispasmodic and antidiarrheal, besides its culinary use as spice. The aim of this paper was to provide pharmacological validation to these medicinal uses. The crude aqueous-methanolic extract of Valeriana hardwickii rhizome (Vh.Cr) was studied on isolated rabbit jejunum and castor oil-induced diarrhea in mice for spasmolytic and antidiarrheal properties, respectively. Vh.Cr caused co...

  9. 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...

  10. Antidiarrheal and thrombolytic effects of methanol extract of Wikstroemia indica (L. C. A. Mey leaves

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    Md Khalilur Rahman

    2015-01-01

    Full Text Available Context: Medicinal plants contribute as potential sources of therapeutic uses. Wikstroemia indica, a traditional medicinal plant, has long been used as anti-inflammatory, antiviral, antimalarial, anti-mitotic, antitumor, and anti-HIV in different parts of the world. Aims: The aim was to investigate the antidiarrheal and thrombolytic effect of W. indica leaf extract. Settings and Design: Sample collection, identification, solvent extraction, and crude extract preparations were led to evaluate the antidiarrheal effect in in vivo model and the thrombolytic effect in in vitro model. Materials and Methods: Castor oil-induced diarrhea and enteropooling assays and gastrointestinal motility tests were used to examine the in vivo antidiarrheal activity in Wistar albino rat. In vitro clot lysis model was undertaken to investigate the thrombolytic action of the extract. Data were analyzed using statistical software (Statistical Package for Social Science, SPSS, version 19.0, SPSS Inc., USA. Results: The diarrheal episode was inhibited by 18.64% and 28.96% for the methanol extract at the doses of 200 and 400 mg/kg, respectively. The extract significantly (P < 0.05 reduced the intestinal volume and intestinal transit in comparison to control. The extract also reduced the rate of defecation, accumulation of fluid, and transit of charcoal oil. The extract showed a moderate thrombolytic effect compared to the reference control. Conclusion: Methanol extract of W. indica might be triggered the premonition of novel drug discovery in the future due to its antidiarrheal effect in the animal model.

  11. 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

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

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    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.

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

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    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...

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

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    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...

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

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    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...

  17. 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.

  18. 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.

  19. 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.

  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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    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

  5. 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.

  6. 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.

  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. 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

  11. 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.

  12. 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

  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. A mixture of chamomile and star anise has anti-motility and antidiarrheal activities in mice

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    Alfonso Díaz

    2014-08-01

    Full Text Available Diarrhea is a serious public health problem in Mexico and other countries. A widely used alternative in the treatment of diarrhea is the use of herbal medicines. Infusions of chamomile and star anise possess anti-inflammatory and antimotility properties that could help alleviate gastrointestinal disorders. The aim of this study was to determine the effect of the mixture of chamomile and star anise infusions on gastrointestinal activity in mice. A gastrointestinal assessment of the mixture of chamomile and star anise was carried out in mice, and the percentage of advance of administered activated carbon through the intestinal tract of the animals was measured. Furthermore, the diarrhea model was induced with castor oil. The infusions were prepared using a mix with a 50:50 ratio of the herbs, and were administered at Mix-10, 20, 40 and 80 (mg/kg orally. The results indicate that Mix-40 and Mix-80 decreased the completion percentage of the activated carbon, delayed the appearance of diarrhea and decreased the number of evacuations in comparison with the control group. This suggests that the combination of chamomile and star anise can be used as an alternative antidiarrheal treatment.

  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.

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    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. 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

  20. 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

  1. [Antidiarrheal drugs for chronic diarrhea].

    Science.gov (United States)

    Vohmann, B; Hoffmann, J C

    2013-11-01

    Chronic diarrhea can be caused by multiple disease entities. Basic diagnostic tests are required in order to administer specific therapies whenever possible. If no specific treatment can be used, a symptomatic management should be initiated in order to prevent massive electrolyte- and water losses. Substances that can be used are loperamide, cholestyramine, bulking agents, probiotics, anticholinergic agents and in severe cases opioids. If used properly these agents can be prescribed longterm with an acceptable side effect profile. PMID:24163167

  2. 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.

  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.

    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

  4. 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

  5. Antidiarrheal Medicines: OTC Relief for Diarrhea

    Science.gov (United States)

    ... any over-the-counter (OTC) medicine to relieve your symptoms. What types of OTC medicines treat diarrhea? Over-the-counter medicines are medicines you can buy without a prescription from your doctor. Some OTC medicines can help you feel ...

  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. 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

  8. 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...

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

    OpenAIRE

    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 elect...

  11. 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.

  12. 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.

  13. 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

  14. Free radical scavenging, antidiarrheal and anthelmintic activity of Pistia stratiotes L. extracts and its phytochemical analysis.

    Science.gov (United States)

    Bin Karim, Mohammed Faisal; Imam, Hasan; Sarker, Md Moklesur-Rahman; Uddin, Nizam; Hasan, Nahid; Paul, Nirmala; Haque, Tahmina

    2015-05-01

    In this phyto-pharmacological screening of Pistia stratiotes L leaf and root extracts each separately in two different solvents demonstrated its potential medicinal value. Apparent antioxidant value is demonstrated by DPPH, Nitric oxide scavenging and Ferric ion reducing method. Additionally, total flavonoid and phenolic compounds were measured. The leaf methanolic extract scavenged both nitric oxide (NO) and DPPH radical with a dose dependent manner. But the pet ether fraction of root was found to have highest efficacy in Fe(3±) reducing power assay. Flavonoid was found to contain highest in the pet ether fraction of root (411.35mg/g) in terms of quercetin equivalent, similarly highest amount (34.96mg/g) of total phenolic compounds (assayed as gallic acid equivalents) were found to contain in the same fraction. The methanolic fractions appeared less cytotoxic compared to pet ether extracts. The plant extracts caused a dose dependent decrease in faecal droppings in both castor oil and magnesium sulphate induced diarrhea, where as leaf extracts in each solvent appeared most effective. Also, the plant extracts showed anthelmintic activity in earthworm by inducing paralysis and death in a dose dependent manner. At highest doses (50 mg/ml) all fractions were almost effective as the positive control piperazine citrate (10 mg/ml). Thus, besides this cytotoxic effect it's traditional claim for therapeutic use can never be overlooked. PMID:26004725

  15. 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.

  16. 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...

  17. 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 ...

  18. 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

  19. 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

  20. 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 ...

  1. 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 Probiotics and Antibiotics Psychological Treatments Take Part in Online ...

  2. 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...

  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. Drug: D03339 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available ng individual organs 23 Digestive organ agents 231 Antidiarrheals, intestinal regulators 2312 Tannic acids...FLAMMATORY/ANTIINFECTIVE AGENTS A07X OTHER ANTIDIARRHEALS A07XA Other antidiarrheals A07XA01 Albumin tannate D03339 Albumin tan... of Albumin with Tannic acid [DR:D01959] Therapeutic category of drugs in Japan [BR:br08301] 2 Agents affecti...D03339 Drug Albumin tannate (JP16); Tannalbin (TN) Therapeutic category: 2312 ATC code: A07XA01 Component... D03339 Albumin tannate (JP16) Anatomical Therapeutic Chemical (ATC) classificati

  7. 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 ...

  8. 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 ...

  9. 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/ ...

  10. Medications (for IBS)

    Medline Plus

    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- ...

  11. Medications (for IBS)

    Medline Plus

    Full Text Available ... of pain. This may involve a low-dose antidepressant, which acts as a pain reliever. Seeking referral ... Yoga Medications Laxatives Anticholinergic/Antispasmodic Agents Antidiarrheal Agents Antidepressant Medications Newer IBS Medications Probiotics and Antibiotics Psychological ...

  12. Drug: D08702 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available D08702 Mixture, Drug Lactomin - amylolytic bacillus - clostridium butyricum mixt; Bio ... three (TN) ... 231 Antidiarrheals, intestinal regulators 2316 Probio tics D08702 Lactomin - amylolytic bacillus - clostr ...

  13. Drug: D09062 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available D04365], Jujube [DR:D06758], Coptis rhizome [DR:D00092] Traditional Chinese Medicine in Japan [BR:br08304] Formulas Formulas... for stomach Antidiarrheal formulas D09062 Kanzoshashinto PubChem: 96025743 ...

  14. Drug: D09113 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available ocessed ginger [DR:D06702], Ginger [DR:D06744] Traditional Chinese Medicine in Japan [BR:br08304] Formulas Formulas... for stomach Antidiarrheal formulas D09113 Shokyoshashinto PubChem: 96025793 ...

  15. 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 ...

  16. Drug: D09039 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available :D06783], Cinnamon bark [DR:D06712], Millet Traditional Chinese Medicine in Japan [BR:br08304] Formulas Formulas for stomach Antidiarrheal formulas D09039 Ifuto PubChem: 96025722 ...

  17. 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 ...

  18. 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...

  19. 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 ...

  20. Drug: D06772 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available D06772 Crude, Drug Ginseng (JP16); Powdered ginseng (JP16); Ginseng (TN) Ginsenosid...icine formulations 51 Crude drugs 510 Crude drugs 5100 Crude drugs D06772 Ginseng (JP16); Powdered ginseng (...d antidiarrheal drugs Stomachic and antidiarrheal drugs D06772 *Ginseng; Powdered ginseng; Ginseng Drugs for... Qi Drugs for replenishing Qi D06772 *Ginseng; Powdered ginseng; Ginseng Crude drugs [BR:br08305] Dicot plants: asterids Araliaceae (ginseng family) D06772 Ginseng PubChem: 47208423 ...

  1. Drug: D06758 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available component: Zizyphus saponin Therapeutic category of drugs in Japan [BR:br08301] 5 Crude drugs and Chinese m...edicine formulations 51 Crude drugs 510 Crude drugs 5100 Crude drugs D06758 Jujub...e (JP16) Traditional Chinese Medicine in Japan [BR:br08304] Crude Drugs Stomachic and antidiarrheal drugs St...omachic and antidiarrheal drugs D06758 *Jujube; Jujube Drugs for Qi Drugs for replenishing Qi D06758 *Jujube; Jujube Crude drugs

  2. Drug: D06689 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available D06689 Crude, Drug Phellodendron bark (JP16); Powdered phellodendron bark (JP16); P... drugs 510 Crude drugs 5100 Crude drugs D06689 Phellodendron bark (JP16); Powdered phellodendron bark (JP16)...g heat Drugs for clearing heat D06689 *Phellodendron bark; Powdered phellodendron bark; Phellodendron bark S...tomachic and antidiarrheal drugs Stomachic and antidiarrheal drugs D06689 *Phellodendron bark; Powdered phel...lodendron bark; Phellodendron bark Drugs for external use Drugs for external use D06689 *Phellodendron bark; Powdered

  3. Drug: D00092 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available D00092 Crude, Drug Coptis rhizome (JP16); Powdered coptis rhizome (JP16); Coptis rh...rugs and Chinese medicine formulations 51 Crude drugs 510 Crude drugs 5100 Crude drugs D00092 Coptis rhizome (JP16); Powdered... for clearing heat Drugs for clearing heat D00092 *Coptis rhizome; Powdered copti...s rhizome; Coptis rhizome Stomachic and antidiarrheal drugs Stomachic and antidiarrheal drugs D00092 *Coptis rhizome; Powdered... coptis rhizome; Coptis rhizome Drugs for external use Drugs for external use D00092 *Coptis rhizome; Powdered

  4. Drug: D04365 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available D04365 Crude, Drug Glycyrrhiza (JP16); Powdered glycyrrhiza (JP16); Licorice (NF); ...s D04365 Glycyrrhiza (JP16); Powdered glycyrrhiza (JP16); Licorice (NF) Traditional Chinese Medicine in Japa...n [BR:br08304] Crude Drugs Stomachic and antidiarrheal drugs Stomachic and antidiarrheal drugs D04365 *Glycyrrhiza; Licorice; Powdere...ishing Qi D04365 *Glycyrrhiza; Licorice; Powdered glycyrrhiza; Glycyrrhiza Drugs for pus discharge Drugs for... pus discharge D04365 *Glycyrrhiza; Licorice; Powdered glycyrrhiza; Glycyrrhiza Drugs for external use Drugs

  5. 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

  6. 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...

  7. 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...

  8. 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 ...

  9. 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

  10. Mechanisms of lysophosphatidic acid (LPA) mediated stimulation of intestinal apical Cl−/OH− exchange

    OpenAIRE

    Singla, Amika; Dwivedi, Alka; Saksena, Seema; Gill, Ravinder K.; Alrefai, Waddah A.; RAMASWAMY, KRISHNAMURTHY; Dudeja, Pradeep K.

    2009-01-01

    Lysophosphatidic acid (LPA), a potent bioactive phospholipid, is a natural component of food products like soy and egg yolk. LPA modulates a number of epithelial functions and has been shown to inhibit cholera toxin-induced diarrhea. Antidiarrheal effects of LPA are known to be mediated by inhibiting chloride secretion. However, the effects of LPA on chloride absorption in the mammalian intestine are not known. The present studies examined the effects of LPA on apical Cl−/OH− exchangers known...

  11. 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...

  12. 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...

  13. Management of Diarrhea in Infants and Children

    OpenAIRE

    Issenman, Robert M.

    1987-01-01

    Diarrhea affecting infants and children is an important primary-care problem. Most winter infections are caused by rotavirus, but newer viral, bacterial and protozoan pathogens have been discovered. Fluid and electrolyte therapy is the mainstay of therapy. Antiemetic, antibiotic and antidiarrheal medications can usually be avoided. Commercial clear fluid products have been reformulated to allow effective rehydration and maintenance of hydration, thus avoiding hospitalization or use of intrave...

  14. Pharmacopsychosocial Treatment of Opioid Dependence Harm Reduction Palliation or Simply Good Medical Practice

    OpenAIRE

    Reid Finlayson, A. J.; Martin, Peter R.

    2011-01-01

    Opioid alkaloids have been used medicinally for centuries as analgesics, for their antidiarrheal and antitussive properties, and as hypnotics. Opioids were initially derived from the poppy plant (Papaver somniferum) by the ancients of the Mediterranean Basin. Written records of the medicinal uses of opioids date to before the time of Hippocrates (460–377 BC). Paracelsus prescribed opium in a medicinal drink of wine and spices in the 16th century. Sir William Osler, the renowned Canadian physi...

  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. 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...

  17. Juglans regia L. leaves as a source of bioactive phenolic compounds

    OpenAIRE

    André SANTOS; Barros, Lillian; Dueñas, Montserrat; Carvalho, Ana Maria; Santos-Buelga, Celestino; Ferreira, Isabel C. F. R.

    2013-01-01

    Walnut (Juglans regia L.) leaves are considered a source of healthcare compounds, and have been widely used in traditional medicine for treatment of skin inflammations, hyperhidrosis and ulcers and for its antidiarrheic, anti-helmintic, antiseptic and astringent properties [1]. Furthermore, they have been reported as a source of phenolic compounds [2,3].The beneficial effects derived from those compounds with interesting properties, such as anticarcinogenic, antimutagenic and c...

  18. 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...

  19. 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...

  20. 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...

  1. 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...

  2. 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...

  3. 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...

  4. 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...

  5. 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 (JP16); Charcoal...NAL ADSORBENTS A07BA Charcoal preparations A07BA01 Medicinal charcoal D03251 Medi...cinal carbon (JP16); Charcoal, activated (USP) CAS: 16291-96-6 PubChem: 17397404 ...

  6. 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.

  7. 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

  8. 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

  9. Drug: D06688 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available D06688 Crude, Drug Scutellaria root (JP16); Powdered scutellaria root (JP16); Scute...ude drugs 5100 Crude drugs D06688 Scutellaria root (JP16); Powdered scutellaria root (JP16) Traditional Chin...ese Medicine in Japan [BR:br08304] Crude Drugs Drugs for clearing heat Drugs for clearing heat D06688 *Scutellaria root; Powdered...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

  10. 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.

  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. Psidium guajava: A review on its potential as an adjunct in treating periodontal disease

    Directory of Open Access Journals (Sweden)

    K. Ravi

    2014-01-01

    Full Text Available Plants for thousands of years have been used to enhance health and for medicinal purposes. Psidium guajava is one which has an enormous wealth of medicinal value. It for long has been known for its anti-inflammatory, antimicrobial, antioxidant, antidiarrheal, antimutagenic properties. Despite of its widespread biologic uses there is a dearth of information on its therapeutic effect in the treatment of periodontal disease. Hence, this review is an attempt to highlight the potential of P. guajava in the treatment of periodontal disease. Internet databases PubMed, Google Scholar were searched and the most relevant articles were considered for review.

  13. Psidium guajava: A review on its potential as an adjunct in treating periodontal disease.

    Science.gov (United States)

    Ravi, K; Divyashree, P

    2014-07-01

    Plants for thousands of years have been used to enhance health and for medicinal purposes. Psidium guajava is one which has an enormous wealth of medicinal value. It for long has been known for its anti-inflammatory, antimicrobial, antioxidant, antidiarrheal, antimutagenic properties. Despite of its widespread biologic uses there is a dearth of information on its therapeutic effect in the treatment of periodontal disease. Hence, this review is an attempt to highlight the potential of P. guajava in the treatment of periodontal disease. Internet databases PubMed, Google Scholar were searched and the most relevant articles were considered for review. PMID:25125881

  14. 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.

  15. Calcium-sensing receptor: A new target for therapy of diarrhea.

    Science.gov (United States)

    Cheng, Sam Xianjun

    2016-03-01

    Management of acute diarrhea remains a global challenge, particularly in resource-limiting countries. Oral rehydration solution (ORS), a passive rehydrating therapy developed approximately 40 years ago, remains the mainstay treatment. Although ORS is effective for hydration, since it does not inhibit enterotoxin-mediated excessive secretion, reduced absorption and compromised barrier function - the primary mechanisms of diarrhea, ORS does not offer a rapid relief of diarrhea symptom. There are a few alternative therapies available, yet the use of these drugs is limited by their expense, lack of availability and/or safety concerns. Novel anti-diarrheal therapeutic approaches, particularly those simple affordable therapies, are needed. This article explores intestinal calcium-sensing receptor (CaSR), a newly uncovered target for therapy of diarrhea. Unlike others, targeting this host antidiarrheal receptor system appears "all-inclusive": it is anti-secretory, pro-absorptive, anti-motility, and anti-inflammatory. Thus, activating CaSR reverses changes of both secretory and inflammatory diarrheas. Considering its unique property of using simple nutrients such as calcium, polyamines, and certain amino acids/oligopeptides as activators, it is possible that through targeting of CaSR with a combination of specific nutrients, novel oral rehydrating solutions that are inexpensive and practical to use in all countries may be developed. PMID:26973410

  16. 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.

  17. 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

  18. 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

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

    Directory of Open Access Journals (Sweden)

    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.

  20. 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

  1. 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.

  2. 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

  3. 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.

  4. 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.

  5. 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.

  6. Cultural and medical perspectives on geophagia.

    Science.gov (United States)

    Reid, R M

    1992-01-01

    Geophagia, the eating of dirt, usually clay, has been recorded in every region of the world both as idiosyncratic behavior of isolated individuals and as culturally prescribed behavior of particular societies. The behavior has long been viewed as pathological by the medical profession, and it has been claimed to be both a cause and a consequence of anemia. While there is now reason to believe that the consumption of some clays may interfere with the absorption of elemental iron, zinc, and potassium, there is little evidence for the position that geophagia, especially its culturally prescribed form, is caused by anemia. These and other maladaptive consequences of clay consumption may be offset by the adaptive value of its antidiarrheal, detoxification, and mineral supplementation potentials. PMID:1545692

  7. 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.

  8. 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.

  9. Mechanisms of lysophosphatidic acid (LPA) mediated stimulation of intestinal apical Cl-/OH- exchange.

    Science.gov (United States)

    Singla, Amika; Dwivedi, Alka; Saksena, Seema; Gill, Ravinder K; Alrefai, Waddah A; Ramaswamy, Krishnamurthy; Dudeja, Pradeep K

    2010-02-01

    Lysophosphatidic acid (LPA), a potent bioactive phospholipid, is a natural component of food products like soy and egg yolk. LPA modulates a number of epithelial functions and has been shown to inhibit cholera toxin-induced diarrhea. Antidiarrheal effects of LPA are known to be mediated by inhibiting chloride secretion. However, the effects of LPA on chloride absorption in the mammalian intestine are not known. The present studies examined the effects of LPA on apical Cl(-)/OH(-) exchangers known to be involved in chloride absorption in intestinal epithelial cells. Caco-2 cells were treated with LPA, and Cl(-)/OH(-) exchange activity was measured as DIDS-sensitive (36)Cl(-) uptake. Cell surface biotinylation studies were performed to evaluate the effect of LPA on cell surface levels of apical Cl(-)/OH(-) exchangers, downregulated in adenoma (DRA) (SLC26A3), and putative anion transporter-1 (SLC26A6). Treatment of Caco-2 cells with LPA (100 muM) significantly stimulated Cl(-)/OH(-) exchange activity. Specific agonist for LPA2 receptor mimicked the effects of LPA. LPA-mediated stimulation of Cl(-)/OH(-) exchange activity was dependent on activation of phosphatidylinositol 3-kinase/Akt signaling pathway. Consistent with the functional activity, LPA treatment resulted in increased levels of DRA on the apical membrane. Our results demonstrate that LPA stimulates apical Cl(-)/OH(-) exchange activity and surface levels of DRA in intestinal epithelial cells. This increase in Cl(-)/OH(-) exchange may contribute to the antidiarrheal effects of LPA. PMID:19910524

  10. Inhibitory effects of kratom leaf extract (Mitragyna speciosa Korth.) on the rat gastrointestinal tract.

    Science.gov (United States)

    Chittrakarn, Somsmorn; Sawangjaroen, Kitja; Prasettho, Supaporn; Janchawee, Benjamas; Keawpradub, Niwat

    2008-02-28

    Kratom (Mitragyna speciosa Korth.) is an indigenous plant of Thailand used traditionally in folk medicine although it is claimed to cause addiction. It is used to treat diarrhea, however, there is no scientific evidence to support the use. The aim of this study is to investigate the effect of methanolic extract of kratom leaves on the rat gastrointestinal tract. Kratom extract at 50, 100, 200 and 400 mg/kg (p.o.) caused a dose dependent protection against castor oil-induced diarrhea in rats and also inhibited intestinal transit. The antidiarrheal effect was not antagonized by naloxzone. The inhibition of intestinal transit by kratom extract was significantly different from the control when treated with a single dose for 1 day. For longer-term treatments of 15 and 30 days, kratom extract did not decrease the intestinal transit time indicating that adaptation had occurred. Kratom extract at a dose level of 200 and 400 mg/kg for 30 days and morphine at 3 mg/kg (i.p.) caused a decrease in the increment of body weight that was significantly different from the control and kratom extract at lower doses (50 and 100 mg/kg). However it had no effect on the level of plasma cholecystokinin. The results suggested that methanolic kratom extract exhibited its antidiarrheal effect on rat gastrointestinal tract. The effects may occur via pathways in addition to the action on opioid receptors. High does of kratom extract decreased the increment of body weight similar to the effect of morphine. PMID:18191353

  11. 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.

  12. 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

  13. Update on the Management of Diarrhea-Predominant Irritable Bowel Syndrome: Focus on Rifaximin and Eluxadoline.

    Science.gov (United States)

    Rivkin, Anastasia; Rybalov, Sergey

    2016-03-01

    Diarrhea-predominant irritable bowel syndrome (IBS-D) is one of the most common diagnoses made by gastroenterologists. Current pharmacologic treatments for IBS-D include fiber supplements, antidiarrheal over-the-counter medications, probiotics, antispasmodics, antidepressants, and a 5-hydroxytryptophan 3 receptor antagonist. All of these options have limited efficacy in managing IBS-D. Rifaximin, a nonabsorbable antibiotic, has been evaluated in patients with IBS-D. In two randomized, double-blind, placebo-controlled phase III trials evaluating rifaximin 550 mg by mouth 3 times/day for 14 days, the primary efficacy end point was achieved by 9% more patients randomized to the rifaximin group compared with placebo (40.7% vs 31.7%, prifaximin in patients who responded to the initial 2-week course, rifaximin given for up to two additional courses provided a statistically significant incremental benefit (33% vs 25%, p=0.02). Eluxadoline is a gut-targeting μ and κ opioid receptor agonist and a δ opioid receptor antagonist. The dual mechanism of eluxadoline may explain the antidiarrheal and abdominal pain-modulating properties and lack of profound constipation. In two identically designed randomized, double-blind, placebo-controlled phase III studies, 10.3% more patients in an eluxadoline 100 mg by mouth twice/day group met the primary efficacy end point during the follow-up 1-12 week period compared with placebo (prifaximin and eluxadoline in patients with IBS-D. Rifaximin provides an additional modality for the management of IBS-D patients; it has mild to moderate efficacy similar to other currently available treatment options. Rifaximin is relatively safe, lacks significant drug-drug interactions, and can be used for up to two additional retreatment courses. This may make rifaximin a possible initial or second-line treatment option. Eluxadoline can also offer relief to patients with IBS-D. While effective, because of several limitations, including drug

  14. 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.

  15. The probiotic Escherichia coli Nissle 1917 inhibits propagating colonic contractions in the rat isolated large intestine.

    Science.gov (United States)

    Dalziel, J E; Mohan, V; Peters, J; Anderson, R C; Gopal, P K; Roy, N C

    2015-01-01

    The objective of this research was to test an in vitro motility model by investigating whether a probiotic that reduces diarrhea in humans would reduce motility in the rat colon in vitro. The probiotic Escherichia coli Nissle 1917 (EcN) the active ingredient in Mutaflor® was used as an example probiotic because it is effective for treating infectious diarrheal diseases. The effect of EcN on motility was compared in two colonic preparations. In distal colon segments EcN extract decreased the tension of spontaneous contractions by 74% and frequency by 46% compared with pre-treatment controls. In the whole large intestine the number of synchronized spontaneous propagating contractions decreased by 86% when EcN extract was applied externally and 69% when applied via the lumen compared with pre-treatment. From the inhibition produced by EcN extract in the distal colon segment a myogenic action was inferred and in the whole large intestine neural involvement was implicated. Both are consistent with its anti-diarrheal effect in humans. PMID:25415771

  16. 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.

  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. 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.

  19. Increased intestinal absorption in the era of teduglutide and its impact on management strategies in patients with short bowel syndrome-associated intestinal failure.

    Science.gov (United States)

    Seidner, Douglas L; Schwartz, Lauren K; Winkler, Marion F; Jeejeebhoy, Khursheed; Boullata, Joseph I; Tappenden, Kelly A

    2013-03-01

    Short bowel syndrome-associated intestinal failure (SBS-IF) as a consequence of extensive surgical resection of the gastrointestinal (GI) tract results in a chronic reduction in intestinal absorption. The ensuing malabsorption of a conventional diet with associated diarrhea and weight loss results in a dependency on parenteral nutrition and/or intravenous fluids (PN/IV). A natural compensatory process of intestinal adaptation occurs in the years after bowel resection as the body responds to a lack of sufficient functional nutrient-processing intestinal surface area. The adaptive process improves bowel function but is a highly variable process, yielding different levels of symptom control and PN/IV independence among patients. Intestinal rehabilitation is the strategy of maximizing the absorptive capacity of the remnant GI tract. The approaches for achieving this goal have been limited to dietary intervention, antidiarrheal and antisecretory medications, and surgical bowel reconstruction. A targeted pharmacotherapy has now been developed that improves intestinal absorption. Teduglutide is a human recombinant analogue of glucagon-like peptide 2 that promotes the expansion of the intestinal surface area and increases the intestinal absorptive capacity. Enhanced absorption has been shown in clinical trials by a reduction in PN/IV requirements in patients with SBS-IF. This article details the clinical considerations and best-practice recommendations for intestinal rehabilitation, including optimization of fluids, electrolytes, and nutrients; the integration of teduglutide therapy; and approaches to PN/IV weaning. PMID:23343999

  20. 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

  1. 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.

  2. 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

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

    Science.gov (United States)

    Astiazarán-García, Humberto; Iñigo-Figueroa, Gemma; Quihui-Cota, Luis; Anduro-Corona, Iván

    2015-06-01

    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. PMID:26046395

  4. Essential oils from neotropical Myrtaceae: chemical diversity and biological properties.

    Science.gov (United States)

    Stefanello, Maria Élida Alves; Pascoal, Aislan C R F; Salvador, Marcos J

    2011-01-01

    Myrtaceae family (121 genera, 3800-5800 spp.) is one of the most important families in tropical forests. They are aromatic trees or shrubs, which frequently produce edible fruits. In the neotropics, ca. 1000 species were found. Several members of this family are used in folk medicine, mainly as an antidiarrheal, antimicrobial, antioxidant, cleanser, antirheumatic, and anti-inflammatory agent and to decrease the blood cholesterol. In addition, some fruits are eaten fresh or used to make juices, liqueurs, and sweets very much appreciated by people. The flavor composition of some fruits belonging to the Myrtaceae family has been extensively studied due to their pleasant and intense aromas. Most of the essential oils of neotropical Myrtaceae analyzed so far are characterized by predominance of sesquiterpenes, some with important biological properties. In the present work, chemical and pharmacological studies carried out on neotropical Myrtaceae species are reviewed, based on original articles published since 1980. The uses in folk medicine and chemotaxonomic importance of secondary metabolites are also briefly discussed. PMID:21259421

  5. Microscopic colitis: A review of etiology, treatment and refractory disease.

    Science.gov (United States)

    Park, Tina; Cave, David; Marshall, Christopher

    2015-08-01

    Microscopic colitis is a common cause of chronic, nonbloody diarrhea. Microscopic colitis is more common in women than men and usually affects patients in their sixth and seventh decade. This article reviews the etiology and medical management of microscopic colitis. The etiology of microscopic colitis is unknown, but it is associated with autoimmune disorders, such as celiac disease, polyarthritis, and thyroid disorders. Smoking has been identified as a risk factor of microscopic colitis. Exposure to medications, such as non-steroidal anti-inflammatory drugs, proton pump inhibitors, and selective serotonin reuptake inhibitors, is suspected to play a role in microscopic colitis, although their direct causal relationship has not been proven. Multiple medications, including corticosteroids, anti-diarrheals, cholestyramine, bismuth, 5-aminosalicylates, and immunomodulators, have been used to treat microscopic colitis with variable response rates. Budesonide is effective in inducing and maintaining clinical remission but relapse rate is as high as 82% when budesonide is discontinued. There is limited data on management of steroid-dependent microscopic colitis or refractory microscopic colitis. Immunomodulators seem to have low response rate 0%-56% for patients with refractory microscopic colitis. Response rate 66%-100% was observed for use of anti-tumor necrosis factor (TNF) therapy for refractory microscopic colitis. Anti-TNF and diverting ileostomy may be an option in severe or refractory microscopic colitis. PMID:26269669

  6. ZEA MAIZE: A MODERN CRAZE

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    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.

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

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    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.

  8. 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

  9. 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.

  10. 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

  11. Pharmacology and biochemistry of Polygonatum verticillatum: A review

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    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.

  12. Amarkand: A comprehensive review on its ethnopharmacology, nutritional aspects, and taxonomy.

    Science.gov (United States)

    Narkhede, Aarti Nilesh; Kasote, Deepak Mahadeo; Kuvalekar, Aniket Arun; Harsulkar, Abhay Madhukar; Jagtap, Suresh Dyandeo

    2016-01-01

    In India, the term "Amarkand" is commonly used for around 30 different plant species belonging to genus Eulophia (Orchidaceae). This single local name Amarkand to different taxonomical species creates uncertainty about its ethnomedical and nutritional claims. In the present article, we have reviewed available literature regarding ethnopharmacology, phytochemistry, taxonomy, nutritional, and pharmacological studies of different Amarkand species. The literature was searched using Google Scholar, PubMed, Scopus, and Web of Science databases. Some textbooks and reference books were also used to collect information about traditional and ethnopharmacological records. Amarkand species have been used as a remedy for the treatment of various diseases such as diarrhea, stomach pain, rheumatoid arthritis, cancer, asthma, bronchitis, sexual impotency, tuberculosis, and so on. Nutritionally, Amarkand is considered as an excellent food for children and convalescents. Recent studies confirm antioxidant, anti-inflammatory, anti-diarrheal, and so forth activities to Amarkand species. These species are reported to possess various phytoconstituents such as flavonoids, terpenoids, and phenanthrene derivatives. The present review will help to understand overall ethnopharmacology, nutritional aspects, and taxonomy of Amarkand species. PMID:27104043

  13. Naturally Occurring Xanthones: Chemistry and Biology

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    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.

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

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    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.

  15. 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.

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

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    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.

  17. 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

  18. (+)-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

  19. 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.

  20. 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.

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

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    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.

  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. Emblica officinalis (Amla: A review of potential therapeutic applications

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    Prasan R Bhandari

    2012-01-01

    Full Text Available Emblica officinalis Gaertn. or Phyllanthus emblica Linn, commonly known as Indian gooseberry or Amla, is perhaps the most important medicinal plant in the Indian traditional system of medicine, the Ayurveda. Several parts of the plant are used to treat a variety of diseases, but the most important is the fruit. Many ailments are treated by the fruit which is used either alone or in combination with other plants. These include common cold and fever; as a diuretic, laxative, liver tonic, refrigerant, stomachic, restorative, alterative, antipyretic, anti-inflammatory, hair tonic; to prevent peptic ulcer and dyspepsia, and as a digestive. E. officinalis possesses antipyretic, analgesic, antitussive, antiatherogenic, adaptogenic, cardioprotective, gastroprotective, antianemic, antihypercholesterolemic, wound healing, antidiarrheal, antiatherosclerotic, hepatoprotective, nephroprotective, and neuroprotective properties as demonstrated in numerous preclinical studies. Furthermore, experimental studies have reported that E. officinalis and some of its phytochemicals also exhibit anticarcinogenic properties. E. officinalis is also reported to possess radiomodulatory, chemomodulatory, chemopreventive, free radical scavenging, antioxidant, anti-inflammatory, antimutagenic and immunomodulatory activities. These properties are efficacious in the treatment and prevention of cancer. This review summarizes the results related to these properties and also emphasizes the aspects that warrant future research establishing its activity and utility as a cancer preventive and therapeutic drug in humans.

  4. 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.

  5. 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

  6. 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.

  7. [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

  8. 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

  9. 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

  10. 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

  11. 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

  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. 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.

  14. Black henbane and its toxicity – a descriptive review

    Directory of Open Access Journals (Sweden)

    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.

  15. Environmental degradation and its health implications for children.

    Science.gov (United States)

    Shiva, M

    1992-01-01

    Several types of environmental degradation and their philosophical implications are discussed in this essay. Environmental degradation causes chemicalization and degradation of the health of the body and harm to the soul and mind because of the resulting unmet needs of the many and the greedy consumption of the few. Degradation of the water supply is caused by overuse of water for cash crops, contamination of water by night soil, and improper disposal and piping of sewage. The resulting water-borne diseases, such as cholera, are then mistreated by giving children anti-diarrheal drugs that keep the germs in the body. Bottling of mineral water further reduces the supply for the poor. People should instead put bottles of water in the sun or use wood apple or drumstick seeds to purify water. Chemicalization of the environment has resulted in major disasters such as Mina inmates disease, the Bhopal disaster, the Bichri acid drinking water tragedy, crippling of youths in Karnataka by pesticide-poisoned crabs, and poisoning by use of pesticide containers for food. Usually those responsible go free, and socially conscious officers are fired. People have to protect themselves by taking such action as: recycling envelopes, eating non-processed foods, composting instead of burning leaves, and trying to get codes passed for baby food, drugs, vehicle emissions, and factory effluents. PMID:12318352

  16. Xyloglucan for the Treatment of Acute Gastroenteritis in Children: Results of a Randomized, Controlled, Clinical Trial

    Science.gov (United States)

    Pleșea Condratovici, Cătălin; Bacarea, Vladimir; Piqué, Núria

    2016-01-01

    Background. Xyloglucan, a film-forming agent, improves intestinal mucosa resistance to pathologic damage. The efficacy, safety, and time of onset of the antidiarrheal effect of xyloglucan were assessed in children with acute gastroenteritis receiving oral rehydration solution (ORS). Methods. This randomized, controlled, open-label, parallel-group, multicenter, clinical trial included children (3 months–12 years) with acute gastroenteritis of infectious origin. Children were randomized to xyloglucan and ORS, or ORS only, for 5 days. Diarrheal symptoms, including stool number/characteristics, and safety were assessed at baseline and after 2 and 5 days and by fulfillment of a parent diary card. Results. Thirty-six patients (58.33% girls) were included (n = 18/group). Patients receiving xyloglucan and ORS had better symptom evolution than ORS-only recipients, with a faster onset of action. At 6 hours, xyloglucan produced a significantly greater decrease in the number of type 7 stools (0.11 versus 0.44; P = 0.027). At days 3 and 5, xyloglucan also produced a significantly greater reduction in types 6 and 7 stools compared with ORS alone. Xyloglucan plus ORS was safe and well tolerated. Conclusions. Xyloglucan is an efficacious and safe option for the treatment of acute gastroenteritis in children, with a rapid onset of action in reducing diarrheal symptoms. This study is registered with ISRCTN number 65893282.

  17. 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.

  18. 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.

  19. Clinical potential of eluxadoline in the treatment of diarrhea-predominant irritable bowel syndrome

    Directory of Open Access Journals (Sweden)

    Sobolewska-Włodarczyk A

    2016-05-01

    Full Text Available Aleksandra Sobolewska-Włodarczyk,1 Marcin Włodarczyk,1 Martin Storr,2 Jakub Fichna1 1Department of Biochemistry, Faculty of Medicine, Medical University of Lodz, Lodz, Poland; 2Center of Endoscopy, Starnberg, Germany Abstract: Diarrhea-predominant irritable bowel syndrome (IBS-D belongs to the group of functional gastrointestinal disorders and is characterized by abdominal pain in conjunction with diarrhea. The incidence of IBS-D is currently increasing, leading to a heavy economic burden for patients and health care systems worldwide. Recent studies suggest eluxadoline as an attractive new tool for the treatment of patients with IBS-D. Eluxadoline is an orally active µ- and κ-opioid receptor agonist and δ-opioid receptor antagonist, with powerful antidiarrheal and analgesic activity. Eluxadoline is believed to act locally in the enteric nervous system, and has no adverse effects in the central nervous system. In this review, we discuss the most recent findings on the mechanism of action of eluxadoline and the results of the clinical trials in patients with IBS-D. We also discuss possible side effects and analyze the potential of eluxadoline to be used in the treatment of IBS-D. Keywords: abdominal pain, health care, functional gastrointestinal disorders, IBS, constipation, discomfort

  20. 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

  1. Management of acute diarrhea in children by community pharmacists in Lagos, Nigeria

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    Ogbo PU

    2014-03-01

    Full Text Available Background: Acute diarrhea in children leads to dehydration and death if not appropriately managed. World Health Organization (WHO recommends treating diarrhea with oral rehydration therapy (ORT, fluids and foods. Proper management is hinged on accurate assessment of patients to identify the acute watery diarrhea. Objective: To compare the knowledge and attitude of community pharmacists in the management of acute diarrhea in children with their observed practice. Methods: This study was carried out using two instruments: structured self-administered questionnaire to assess knowledge and attitude of community pharmacists in the management of acute diarrhea in children and simulated patient visits to evaluate assessment of patients, recommendation of products and instructions on feeding and fluid intake. The simulated patient visits were done in 186 pharmacies in the city of Lagos, Nigeria. Results: The study reveals that the knowledge and attitude of community pharmacists in the management of acute diarrhea in children was different from their observed practice. The difference was statistically significant (p<0.05. During the simulations, 23% carried out appropriate assessment before recommending any products, and 15% recommended ORT alone. Although information to the pharmacists indicated non-dysentery, non-cholera, acute watery diarrhea, antibiotics and antidiarrheals were irrationally recommended and these were the mainstay of symptoms’ management in practice. Questionnaire data revealed that 24% of pharmacists knew the correct instructions to give on food and fluid intake during diarrhea, whereas 8% followed WHO guideline on food and fluid intake during the visits. Conclusions: Assessment of patients to determine acute diarrhea was inadequate. Observed practice in managing acute diarrhea in children was inappropriate and significantly different from their claims in the questionnaire. The recommendation of ORT was scanty and advice on food

  2. 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

  3. 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

  4. 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

  5. Clinical studies on rising and re-rising neurological diseases in Japan--a personal contribution.

    Science.gov (United States)

    Igata, Akihiro

    2010-01-01

    Throughout my research life, I experienced to discover the causes of some neurological diseases in Japan. 1) SMON (subacute myelo-optico-neuropathy). Since the early 1960s, a peculiar neurological disease became prevalent throughout Japan. Through the chemical analysis of the green urine, characteristic of this disease, it was found that this disease was caused by intoxication of the administered clioquinol, an anti-diarrheal drug. This discovery is a big topic in the history of Japanese medicine. 2) In early 1970s, I experienced many young patients with oedema and polyneuropathy in Kagoshima. Finally it was found that the disease was the long-forgotten beriberi, which had disappeared several decades ago. We must always be aware of beriberi even now, as far as we eat well-polished rice. 3) In 1972, we noticed a group of sporadic paraparesis in Kagoshima, which was 20 years later confirmed to be induced by human T lymphotropic virus type-I (HTLV-I). We named this disease as "HTLV-I associated myelopathy" (HAM). It gave a strong impact that the causative virus of adult T cell leukemia (ATL) can induce entirely different diseases, in terms of both the clinical course and the pathological features. It was also proven that HAM was identical with tropical spastic paraparesis, (TSP), which had been prevalent in many areas of tropical zones. These experiences are good examples of our slogan "to keep in mind to send message of scientific progress from the local area to the international stage. PMID:20431261

  6. Management strategies in the treatment of neonatal and pediatric gastroenteritis

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    Ciccarelli S

    2013-10-01

    Full Text Available Simona Ciccarelli,1 Ilaria Stolfi,1 Giuseppe Caramia2 1Neonatal Intensive Care Unit, Sapienza University of Rome, Rome, Italy; 2Division of Neonatology and Pediatrics, Maternal and Child Hospital "G. Salesi", Ancona, Italy Abstract: Acute gastroenteritis, characterized by the onset of diarrhea with or without vomiting, continues to be a major cause of morbidity and mortality in children in mostly resource-constrained nations. Although generally a mild and self-limiting disease, gastroenteritis is one of the most common causes of hospitalization and is associated with a substantial disease burden. Worldwide, up to 40% of children aged less than 5 years with diarrhea are hospitalized with rotavirus. Also, some microorganisms have been found predominantly in resource-constrained nations, including Shigella spp, Vibrio cholerae, and the protozoan infections. Prevention remains essential, and the rotavirus vaccines have demonstrated good safety and efficacy profiles in large clinical trials. Because dehydration is the major complication associated with gastroenteritis, appropriate fluid management (oral or intravenous is an effective and safe strategy for rehydration. Continuation of breastfeeding is strongly recommended. New treatments such as antiemetics (ondansetron, some antidiarrheal agents (racecadotril, and chemotherapeutic agents are often proposed, but not yet universally recommended. Probiotics, also known as “food supplement,” seem to improve intestinal microbial balance, reducing the duration and the severity of acute infectious diarrhea. The European Society for Paediatric Gastroenterology, Hepatology and Nutrition and the European Society of Paediatric Infectious Diseases guidelines make a stronger recommendation for the use of probiotics for the management of acute gastroenteritis, particularly those with documented efficacy such as Lactobacillus rhamnosus GG, Lactobacillus reuteri, and Saccharomyces boulardii. To date, the

  7. Targeted therapy of short-bowel syndrome with teduglutide: the new kid on the block.

    Science.gov (United States)

    Vipperla, Kishore; O'Keefe, Stephen J

    2014-01-01

    Extensive intestinal resection impairs the absorptive capacity and results in short-bowel syndrome-associated intestinal failure (SBS-IF), when fluid, electrolyte, acid-base, micro-, and macronutrient homeostasis cannot be maintained on a conventional oral diet. Several factors, including the length and site of the resected intestine, anatomical conformation of the remnant bowel, and the degree of postresection intestinal adaptation determine the disease severity. While mild SBS patients achieve nutritional autonomy with dietary modification (eg, hyperphagia, small frequent meals, and oral rehydration fluids), those with moderate-to-severe disease may develop SBS-IF and become dependent on parenteral support (PS) in the form of intravenous fluids and/or nutrition for sustenance of life. SBS-IF is a chronic debilitating disease associated with a poor quality of life, and carries significant morbidity and health care costs. Medical management of SBS-IF is primarily focused on individually tailored symptomatic treatment strategies, such as antisecretory and antidiarrheal agents to mitigate fluid losses, and PS. However, PS administration is associated with potentially life-threatening complications, such as central venous thromboses, bloodstream infections, and liver disease. In pursuit of a targeted therapy to augment intestinal adaptation, research over the past 2 decades has identified glucagon-like peptide, an intestinotrophic gut peptide that has been shown to enhance intestinal absorptive capacity by causing an increase in the villus length, crypt depth, and mesenteric blood flow and by decreasing gastrointestinal motility and secretions. Teduglutide, a recombinant analog of glucagon-like peptide-2, is the first targeted therapeutic agent to gain approval for use in adult SBS-IF. Teduglutide was shown to result in significant (20%-100%) reduction in PS-volume requirement and have a satisfactory safety profile in three randomized control trials. Further research

  8. 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

  9. 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.

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

    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.

  11. 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

  12. 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.

  13. 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

  14. 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

  15. 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.

  16. 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.

  17. 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

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

    Directory of Open Access Journals (Sweden)

    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.

  19. 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

  20. Prostacyclin inhibits gastric emptying and small-intestinal transit in rats and dogs

    International Nuclear Information System (INIS)

    Prostacyclin (PGI2) antagonizes 16,16-dimethyl prostaglandin E2-induced diarrhea in rats, presumably by inhibiting the fluid accumulation of ''enteropooling'' in the small intestine. The effect of PGI2 on gastric emptying, small intestinal transit, and colonic transit was examined in rats and dogs to determine if interference with propulsion might also contribute to the antidiarrheal properties of this compound. Rats implanted with chronic duodenal cannulas were given subcutaneous PGI2 (0.1-1000 microgram/kg) followed 10 min later by intragastric 2Cr and a visually detectable duodenal transit marker. Forty-five minutes later, the animals were killed. Subcutaneous PGI2 inhibited gastric emptying maximally at 10 micrograms/kg. Small-intestinal transit was significantly decreased at 50 micrograms/kg and almost completely suppressed at 1.0 mg/kg. Subcutaneous naloxone (0.5 mg/kg) given 10 min before and 20 min after subcutaneous PGI2 administration did not block PGI2's effects. Intravenous or oral PGI2, had none of these effects. Small intestinal transit was only decreased by PGI2 infusion, suggesting that this parameter was more sensitive to a sustained blood level than gastric emptying. Hourly injections of subcutaneous PGI2 (0.5 mg/kg) had no effect on rat colonic transit measured over a 3-h period after deposition of the transit marker through a colonic cannula in a manner similar to that described for small-intestinal transit above. Small-intestinal transit was also measured in dogs given a barium suspension through a chronic duodenal cannula. In vehicle-treated dogs, barium reached the cecal area in an average of 2.8 h after instillation. In PGI2-treated dogs, barium never reached the cecum in the 5-h examination period. Thus, PGI2 inhibits gastric emptying in rat and small-intestinal transit in rat and dog but has no effect on rat colonic transit

  1. 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。

  2. Teduglutide, a novel glucagon-like peptide 2 analog, in the treatment of patients with short bowel syndrome.

    Science.gov (United States)

    Jeppesen, Palle Bekker

    2012-05-01

    Short bowel syndrome results from surgical resection, congenital defect or disease-associated loss of absorption. Parenteral support (PS) is lifesaving in patients with short bowel syndrome and intestinal failure who are unable to compensate for their malabsorption by metabolic or pharmacologic adaptation. Together, the symptoms of short bowel syndrome and the inconvenience and complications in relation to PS (e.g. catheter-related blood steam infections, central thrombosis and intestinal failure associated liver disease) may impair the quality of life of patients. The aim of treatment is to maximize intestinal absorption, minimize the inconvenience of diarrhea, and avoid, reduce or eliminate the need for PS to achieve the best possible quality of life for the patient. Conventional treatments include dietary manipulations, oral rehydration solutions, and antidiarrheal and antisecretory treatments. However, the evidence base for these interventions is limited and treatments that improve the structural and functional integrity of the remaining intestine are needed. Teduglutide, an analog of glucagon-like peptide 2, improves intestinal rehabilitation by promoting mucosal growth and possibly by restoring gastric emptying and secretion, thereby reducing intestinal losses and promoting intestinal absorption. In a 3-week, phase II balance study, teduglutide reduced diarrhea by around 700 g/day and fecal energy losses by around 0.8 MJ/day. In two randomized, placebo-controlled, 24-week, phase III studies, similar findings were obtained when evaluating the fluid composite effect, which is the sum of the beneficial effects of teduglutide - reduction in the need for PS, increase in urine production and reduction in oral fluid intake. The fluid composite effect reflects the increase in intestinal fluid absorption (and the concomitant reduction in diarrhea) and may be used in studies in which metabolic balance assessments are not performed. In studies of up to 24 weeks

  3. 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

  4. 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.

  5. 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。

  6. 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.

  7. Management of acute gastroenteritis in healthy children in Lebanon - A national survey

    Directory of Open Access Journals (Sweden)

    Nahida Rifai

    2010-11-01

    Full Text Available Background: Acute gastroenteritis remains a common condition among infants and children throughout the world. In 1996, The American Academy of Pediatrics (AAP revised its recommendations for the treatment of infants and children with acute gastroenteritis. Aim: The purpose of this survey was to determine how closely current treatment among Lebanese pediatricians compares with the AAP recommendations and to determine the impact of such management on the healthcare system. Patients and Methods: The outline of the study was based on a telephone questionnaire that addressed the management of healthy infants and children below five years of age with acute gastroenteritis complicated by mild to moderate dehydration. In addition, the costs of medical treatment and requested laboratory studies were calculated. Results: A total of 238 pediatricians completed the questionnaire. Most pediatricians prescribed Oral Rehydration Solutions (ORS for rehydration (92.4%, advised breastfeeding during acute gastroenteritis (81.5%, and avoided parenteral rehydration for mild to moderate dehydration (89.1%. In addition to ORS, oral fluids such as soda, juices, and rice water were allowed for rehydration by 43.7% of pediatricians. Thirty-one percent of pediatricians delayed re-feeding for more than 6 hours after initiation of rehydration. Only 32.8% of pediatricians kept their patients on regular full-strength formulas, and only 21.8% permitted full-calorie meals for their patients. 75.4% of pediatricians did not order any laboratory studies in cases of mild dehydration and 50.4% did not order any laboratory studies for moderate dehydration. Stool analysis and culture were ordered by almost half of the pediatricians surveyed. Seventy-seven percent prescribed anti-emetics, 61% prescribed probiotics, 26.3% prescribed antibiotics systematically and local antiseptic agents, 16.9% prescribed zinc supplements, and 11% percent prescribed antidiarrheal agents. Conclusion

  8. Management of acute gastroenteritis in healthy children in Lebanon - A national survey

    Directory of Open Access Journals (Sweden)

    Aouni Alameddine

    2010-01-01

    Full Text Available Background: Acute gastroenteritis remains a common condition among infants and children throughout the world. In 1996, The American Academy of Pediatrics (AAP revised its recommendations for the treatment of infants and children with acute gastroenteritis. Aim: The purpose of this survey was to determine how closely current treatment among Lebanese pediatricians compares with the AAP recommendations and to determine the impact of such management on the healthcare system. Patients and Methods: The outline of the study was based on a telephone questionnaire that addressed the management of healthy infants and children below five years of age with acute gastroenteritis complicated by mild to moderate dehydration. In addition, the costs of medical treatment and requested laboratory studies were calculated. Results: A total of 238 pediatricians completed the questionnaire. Most pediatricians prescribed Oral Rehydration Solutions (ORS for rehydration (92.4%, advised breastfeeding during acute gastroenteritis (81.5%, and avoided parenteral rehydration for mild to moderate dehydration (89.1%. In addition to ORS, oral fluids such as soda, juices, and rice water were allowed for rehydration by 43.7% of pediatricians. Thirty-one percent of pediatricians delayed re-feeding for more than 6 hours after initiation of rehydration. Only 32.8% of pediatricians kept their patients on regular full-strength formulas, and only 21.8% permitted full-calorie meals for their patients. 75.4% of pediatricians did not order any laboratory studies in cases of mild dehydration and 50.4% did not order any laboratory studies for moderate dehydration. Stool analysis and culture were ordered by almost half of the pediatricians surveyed. Seventy-seven percent prescribed anti-emetics, 61% prescribed probiotics, 26.3% prescribed antibiotics systematically and local antiseptic agents, 16.9% prescribed zinc supplements, and 11% percent prescribed antidiarrheal agents. Conclusion

  9. 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.

  10. 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。

  11. 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

  12. Targeted therapy of short-bowel syndrome with teduglutide: the new kid on the block

    Directory of Open Access Journals (Sweden)

    Vipperla K

    2014-12-01

    Full Text Available Kishore Vipperla,1 Stephen J O'Keefe2 1Division of General Internal Medicine, University of Pittsburgh Medical Center, 2Division of Gastroenterology, Hepatology, and Nutrition, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA Abstract: Extensive intestinal resection impairs the absorptive capacity and results in short-bowel syndrome-associated intestinal failure (SBS-IF, when fluid, electrolyte, acid-base, micro-, and macronutrient homeostasis cannot be maintained on a conventional oral diet. Several factors, including the length and site of the resected intestine, anatomical conformation of the remnant bowel, and the degree of postresection intestinal adaptation determine the disease severity. While mild SBS patients achieve nutritional autonomy with dietary modification (eg, hyperphagia, small frequent meals, and oral rehydration fluids, those with moderate-to-severe disease may develop SBS-IF and become dependent on parenteral support (PS in the form of intravenous fluids and/or nutrition for sustenance of life. SBS-IF is a chronic debilitating disease associated with a poor quality of life, and carries significant morbidity and health care costs. Medical management of SBS-IF is primarily focused on individually tailored symptomatic treatment strategies, such as antisecretory and antidiarrheal agents to mitigate fluid losses, and PS. However, PS administration is associated with potentially life-threatening complications, such as central venous thromboses, bloodstream infections, and liver disease. In pursuit of a targeted therapy to augment intestinal adaptation, research over the past 2 decades has identified glucagon-like peptide, an intestinotrophic gut peptide that has been shown to enhance intestinal absorptive capacity by causing an increase in the villus length, crypt depth, and mesenteric blood flow and by decreasing gastrointestinal motility and secretions. Teduglutide, a recombinant analog of glucagon-like peptide-2

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

    Directory of Open Access Journals (Sweden)

    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

  14. Intensity-modulated whole pelvic radiotherapy in women with gynecologic malignancies

    International Nuclear Information System (INIS)

    Purpose: To describe our initial clinical experience with intensity-modulated whole pelvic radiotherapy (IM-WPRT) in women with gynecologic malignancies. Methods and Materials: Between February 2000 and August 2001, 40 gynecology patients underwent IM-WPRT. After fabrication of customized immobilization, all patients underwent contrast-enhanced CT, and a clinical target volume was contoured consisting of the upper vagina, parametria, uterus (if present), and presacral and pelvic lymph node regions. The clinical target volume was expanded by 1 cm to create a planning target volume (PTV). Using commercially available software, 7- or 9-field, 6-MV, coplanar IM-WPRT plans were generated for all patients. The worst acute gastrointestinal and genitourinary toxicity during treatment was scored on a 4-point scale: 0, none; 1, mild, no medications required; 2, moderate, medications required; and 3, severe, treatment breaks or cessation, hospitalization. As a comparison, acute toxicities in 35 previously treated conventional WPRT patients were analyzed. No significant differences were noted in the clinicopathologic and treatment factors between the two groups. Results: IM-WPRT plans provided excellent PTV coverage, with considerable sparing of the surrounding normal tissues. On average, 98.1% of the PTV received the prescription dose. The average percentage of the PTV receiving 110% and 115% of the prescription dose was 9.8% and 0.2%, respectively. IM-WPRT was well tolerated, with no patient developing Grade 3 toxicity. Grade 2 acute gastrointestinal toxicity was less common in the IM-WPRT group (60 vs. 91%, p=0.002) than in the conventional WPRT group. Moreover, the percentage of IM-WPRT and WPRT patients requiring no or only infrequent antidiarrheal medications was 75% and 34%, respectively (p=0.001). Although less Grade 2 genitourinary toxicity was seen in the IM-WPRT group (10% vs. 20%), this difference was not statistically significant (p=0.22). Conclusion: IM-WPRT is a

  15. 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

  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. 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

  19. 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

  20. 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

  1. 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.

  2. 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

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

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    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

  4. 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

  5. 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

  6. Pharmacopsychosocial Treatment of Opioid Dependence Harm Reduction Palliation or Simply Good Medical Practice

    Directory of Open Access Journals (Sweden)

    A.J. Reid Finlayson

    2011-01-01

    Full Text Available Opioid alkaloids have been used medicinally for centuries as analgesics, for their antidiarrheal and antitussive properties, and as hypnotics. Opioids were initially derived from the poppy plant (Papaver somniferum by the ancients of the Mediterranean Basin. Written records of the medicinal uses of opioids date to before the time of Hippocrates (460–377 BC. Paracelsus prescribed opium in a medicinal drink of wine and spices in the 16th century. Sir William Osler, the renowned Canadian physician of the late 1800’s remarked that opium was “God’s own Medicine”. Opioids are considered superb medications by modern physicians, who widely prescribed them still and for the most part without significant adverse consequences. Yet there is a “dark side” to opioids for those who develop dependence on these drugs (1. Opioids have significant dependence liability because of compelling biphasic central effects, behavioral activation at low doses and sedation at higher doses, accompanied by allostatic neuroadaptation of the CNS, leading to use of rapidly escalating doses. These dynamics may be amplified in persons having altered dopamine receptors in the limbic system, suggesting a possible genetic association (2. Dependent individuals may be unable to stop compulsive self-administration of opioids, in part because of these plastic changes in the brain akin to learning and memory that are highly resistant to modification. Synaptic alterations in neurons of the reward and limbic circuits may irreversibly modify emotions and responses to the environment, thereby permeating the behavioral repertoire of the addict. Accordingly, it may be impossible for most actively dependent individuals to live a fulfilling life simply because so much of their effort becomes devoted to activities necessary to obtain illicit opioids, use them, and recover from their use. Indeed, some individuals who have been dependent on opioids may never be able to return to a