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A review on phytochemical screening and pharmacological activities of fruit of Indian mallow 印度锦葵果实的植物化学筛选和药理活性综述
Pub Date : 2024-01-15 DOI: 10.18231/j.ijpp.2023.046
P. Pavithra, S. Kavimani, P. Pavazhaviji, A. Hemalatha, R. Snega
a native traditional plant commonly known as Indian Mallow, is a versatile plant species that brings enormous amounts of medicinal uses from the history of traditional culture. This review emphasizes the current body of knowledge surrounding the effects of , highlighting its potential therapeutic application. The plant is well renowned for its diverse phytochemical composition, including alkaloids, flavonoids, and polysaccharides, which contribute to its wide-ranging biological activity. It has been discovered through research that Abutilon indicum extracts possess noteworthy pharmacological effects, including anti-oxidant, anti-inflammatory, anti-microbial, anti-diabetic, and hepatoprotective properties. In addition to its immunomodulatory effects, larvicidal, anti-convulsant, neuroprotective, and cognitive-enhancing capacities have gained attention in recent years and serve as natural alternatives to available allopathic medicine.The focus of the review revolves around various noteworthy pharmacological effects of , including its anti-inflammatory, anti-microbial, anti-oxidant, and anti-convulsant properties. Furthermore, the examination of the plant extracts' phytochemical composition is also emphasized.Those activities were discussed and reported with standard methods and compared with the available standard drugs. Overall, this comprehensive review provides valuable insights into the pharmacological effects of , underscoring its potential as a source of novel therapeutic agents and paving the way for future research and development.
是一种本土传统植物,俗称印度锦葵,是一种用途广泛的植物物种,在传统文化历史中具有大量的药用价值。本综述强调了当前围绕苘麻功效的知识体系,突出了其潜在的治疗应用。该植物以其多种植物化学成分而闻名,包括生物碱、黄酮类化合物和多糖,这些成分为其广泛的生物活性做出了贡献。研究发现,Abutilon indicum 提取物具有显著的药理作用,包括抗氧化、抗炎、抗微生物、抗糖尿病和保护肝脏等特性。除了免疫调节作用外,杀幼虫剂、抗惊厥、神经保护和增强认知能力近年来也受到了关注,成为现有对抗疗法的天然替代品。此外,还强调了对植物提取物植物化学成分的研究,并用标准方法讨论和报告了这些活性,并与现有的标准药物进行了比较。总之,这篇全面的综述为我们深入了解缬草的药理作用提供了宝贵的资料,凸显了缬草作为新型治疗药物来源的潜力,并为未来的研究和开发工作铺平了道路。
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引用次数: 0
Knowledge, attitude and practices related to drug prescription among postgraduate medical students: A cross sectional study 医科研究生对药物处方的认识、态度和做法:横断面研究
Pub Date : 2024-01-15 DOI: 10.18231/j.ijpp.2023.049
Akshay Hasmukhbhai Parmar, A. Sukhlecha, K. Katariya
Pharmacology, being both the basic and applied science of drugs, forms the backbone of rational therapeutics. With an emphasis on learning the facts of medications, traditional pharmacology teaching is mostly teacher-centred. The erroneous prescribing that can result from inadequate understanding can cost a great deal of money and lives. The aim of the present study was to assess doctors' prescription knowledge, attitudes, and practices.The information was gathered from postgraduate students (residents) using questionnaires about their undergraduate training in clinical pharmacology and therapeutics, prescribing practices, frequently used drug information sources, and any perceived shortcomings in their undergraduate clinical pharmacology teaching. There was a calculation of descriptive statistics and a chi-square test.Among the 149 responses, 86 (57.71%) of them were male and 63 (42.28%) were female. Only 33 (22.1%) participants knew the components of a prescription, and 135 (90.6%) participants were aware that prescription writing was taught in their undergraduate course. Around 41 (27.5%) participants were aware of the concept of P drugs. Among them, 89 (59.73%) residents had good knowledge of prescriptions. Only 35 (23.5%) strongly agreed, and 113 (75.8%) agreed that undergraduate pharmacology training taught them to prescribe safely. About 83 (55.7%) participants disagreed, 33 (22.1%) strongly disagreed, and only 10 (6.7%) agreed that undergraduate pharmacology teaching should be improved. According to the patient's needs, 146 (98%) participants were prescribed additional vitamins and irons. Around 52 (34.9%) participants reported having difficulty prescribing during their internship rotation. Among them, 77 (51.67%) residents had good practice of prescription.A majority of postgraduate students believed that additional training should be provided on writing rational prescriptions to make them more confident in their prescribing practices.
药理学既是药物的基础科学,也是药物的应用科学,是合理治疗学的支柱。传统的药理学教学强调学习药物知识,大多以教师为中心。由于认识不足而导致的错误处方会造成巨大的金钱和生命损失。本研究旨在评估医生的处方知识、态度和实践。研究人员通过问卷调查的方式从研究生(住院医师)那里收集了有关临床药理学和治疗学的本科培训、处方实践、常用药物信息来源以及本科临床药理学教学中的不足之处等信息。在 149 份答复中,86 人(57.71%)为男性,63 人(42.28%)为女性。只有 33 名(22.1%)参与者知道处方的组成部分,135 名(90.6%)参与者知道本科课程教授处方书写。约 41 名(27.5%)参与者知道 P 类药物的概念。其中,89 名(59.73%)居民对处方有较好的了解。只有 35 人(23.5%)非常同意,113 人(75.8%)同意本科药理学培训教会他们安全处方。约 83 人(55.7%)不同意,33 人(22.1%)非常不同意,只有 10 人(6.7%)同意应改进本科药理学教学。根据病人的需要,146 名(98%)参与者获得了额外的维生素和铁剂处方。约有 52 名(34.9%)学员表示在实习轮转期间难以开处方。大多数研究生认为,应提供更多有关如何书写合理处方的培训,使他们对处方实践更有信心。
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引用次数: 0
ADR assessment of isoniazid induced psychosis: Case report and review of literature 异烟肼诱发精神病的 ADR 评估:病例报告和文献综述
Pub Date : 2024-01-15 DOI: 10.18231/j.ijpp.2023.053
K. K. Kurup, KP Shamabanu, NK Khadeejathul Nifana Nasrin, MM Hafshath, Muhammed Sinan Abdul Karim
Tuberculosis ranks among the top 10 causes of death globally and stands as the primary cause attributed to a single infectious agent. Among all antitubercular drugs, Isoniazid is most important role in the management of pulmonary tuberculosis.Various neuropsychiatric adverse effects have been documented in association with the use of isoniazid, both in therapeutic and overdose scenarios. This case report describes a 68-year-old male with multiple health issues, including disseminated tuberculosis, developed drug-induced psychosis, likely due to isoniazid in his anti-tubercular therapy. This case underscores the challenges of psychiatric adverse effects in tuberculosis treatment and emphasizes the importance of prompt recognition and intervention.
结核病是全球十大死因之一,也是由单一传染源引起的主要死因。在所有抗结核药物中,异烟肼在肺结核的治疗中扮演着最重要的角色。有记录显示,在治疗和过量使用异烟肼的情况下,会出现各种神经精神方面的不良反应。本病例报告描述了一名 68 岁的男性患者,他有多种健康问题,包括播散性肺结核,但却出现了药物性精神病,这很可能是由于他在抗结核治疗中使用了异烟肼。本病例强调了结核病治疗中精神疾病不良反应所带来的挑战,并强调了及时识别和干预的重要性。
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引用次数: 0
Antibiotic resistance and susceptibility pattern of different microorganisms against nadifloxacin 不同微生物对纳地沙星的耐药性及药敏模式
Pub Date : 2023-10-15 DOI: 10.18231/j.ijpp.2023.039
Monil Yogesh Neena Gala, Snehal Muchhala, Seema Bhagat, Arti Sanghavi, Rahul Rathod, Bhavesh Kotak, Rashmi Khadapkar
Skin and soft tissue infections (SSTIs) are common and can have serious implications.Nadifloxacin’s broad-spectrum antibiotic activity may potentially provide therapeutic benefits for skininfections. Also, it offers a viable alternative therapy for topical agent resistance. This study investigates the antimicrobial susceptibility of eight micro-organisms to four important topical antibiotics: Mupirocin, Clindamycin, Fusidic acid, and Nadifloxacin. Antibiotic susceptibility and minimum inhibitory concentration (MIC) were determined using Kirby-Bauer disk diffusion, Epsilometer test (E-Test), and Micro-broth dilution methods. Mueller Hinton and Brucella blood agar served as growth media. HiComb strips from HiMedia were used, and QC strains were tested. Kirby-Bauer assessed Zone of Inhibition; HiComb determined MIC via gradient; Micro-broth dilution gauged growth in antibiotic-diluted broth. The disk diffusion method revealed varying resistance percentages for antibiotics. Clindamycin had the highest resistance (62%) followed by fusidic acid (47%), Nadifloxacin (15%), and mupirocin (5%). Among gram-positive isolates, Nadifloxacin and mupirocin had 100% sensitivity, while Fusidic acid showed moderate resistance (19%) and clindamycin highest resistance (42%). Among gram-negative isolates, clindamycin and fusidic acid had 100% resistance, while Nadifloxacin (42%) and mupirocin (15%) showed comparatively low resistance. Among the 57 species isolates, including 49 isolates of and 8 isolates of the antibiotic susceptibility testing revealed a MIC value <4 μg/ml of Nadifloxacin, with a high level of sensitivity across all isolates. Nadifloxacin’s superior efficacy in the study can be attributed to its mechanism of action, targeting bacterial DNA gyrase and topoisomerase IV, making it suitable for bacterial infections, particularly those involving the skin and soft tissuesOut of four antibiotics tested, Nadifloxacin was found to be effective against both gram-positive and gram-negative strains of bacteria.
皮肤和软组织感染(SSTIs)是常见的,可以有严重的影响。纳地沙星的广谱抗生素活性可能对皮肤感染有潜在的治疗作用。此外,它提供了一个可行的替代治疗局部药物耐药性。本研究调查了八种微生物对四种重要外用抗生素的敏感性:莫匹罗星、克林霉素、福西地酸和纳地沙星。采用Kirby-Bauer纸片扩散法、Epsilometer试验(E-Test)和微肉汤稀释法测定抗生素敏感性和最低抑菌浓度(MIC)。Mueller Hinton和布鲁氏菌血琼脂作为生长培养基。采用HiMedia公司的HiComb试纸,对QC菌株进行检测。Kirby-Bauer抑制区评估;HiComb通过梯度测定MIC;微肉汤稀释测量抗生素稀释肉汤中的生长。纸片扩散法对抗生素的耐药百分比不同。耐药率最高的是克林霉素(62%),其次是福西地酸(47%)、纳地沙星(15%)和莫匹罗星(5%)。革兰氏阳性分离株对纳地沙星和莫匹罗星的敏感性为100%,对夫西地酸的敏感性为中等(19%),对克林霉素的敏感性最高(42%)。革兰氏阴性菌株中,克林霉素和夫西地酸的耐药率为100%,纳地沙星(42%)和莫匹罗星(15%)的耐药率较低。57株分离株中,49株和8株药敏试验显示纳地沙星的MIC值为<4 μg/ml,所有分离株均具有较高的敏感性。纳地沙星在本研究中的优越疗效可归因于其作用机制,其靶向细菌DNA回转酶和拓扑异构酶IV,使其适用于细菌感染,特别是涉及皮肤和软组织的细菌感染。在四种抗生素测试中,纳地沙星被发现对革兰氏阳性和革兰氏阴性菌株都有效。
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引用次数: 0
Cosmetovigilance: Emerging safety trends 化妆品警惕:新兴的安全趋势
Pub Date : 2023-10-15 DOI: 10.18231/j.ijpp.2023.028
John Praveen, Thirumalai Velu Swaminathan
The article offers an extensive evaluation of cosmetovigilance and its pivotal contribution to ensuring the safety and integrity of cosmetic products. It delves into the multifaceted cosmetics industry, encompassing segments like cosmeceuticals, nutricosmetics, and cosmetic devices, each tailored to enhance personal care. In addition to unveiling the details of cosmetovigilance, this article sheds light on a pressing concern – counterfeit beauty products. It underscores the hazards lurking within these deceptive imitations, emphasizing the necessity of consumer awareness and vigilance. The article equips readers with practical strategies to navigate the intricate landscape of cosmetics, evade harmful chemicals, and protect their well-being. Above all, this article underscores the profound significance of cosmetovigilance as the sentinel of product safety and consumer welfare. It offers insights into the latest industry trends, regulatory adaptations, and the responsibilities entailed in reporting adverse events. Serving as an enduring reminder, it reinforces the enduring necessity for unwavering vigilance in the realm of cosmetics.
本文提供了化妆品警惕性的广泛评价及其对确保化妆品的安全性和完整性的关键贡献。它深入研究了多方面的化妆品行业,包括药妆品、营养化妆品和化妆品设备等细分市场,每一个都是为了增强个人护理而量身定制的。除了揭示化妆品警惕的细节外,本文还揭示了一个迫切关注的问题-假冒美容产品。它强调了潜伏在这些欺骗性仿制品中的危险,强调了消费者意识和警惕的必要性。这篇文章为读者提供了实用的策略,帮助他们在错综复杂的化妆品中导航,避开有害化学物质,保护自己的健康。总之,本文强调了化妆品警惕作为产品安全和消费者福利的哨兵的深刻意义。它提供了对最新行业趋势、监管调整以及报告不良事件所涉及的责任的见解。作为一个持久的提醒,它加强了在化妆品领域坚定不移的警惕的持久必要性。
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引用次数: 0
Assessment of dissolution, disintegration time, and acid-neutralizing capacity of Butaproxyvon capsules (Paracetamol 325mg and diclofenac potassium 50mg) Butaproxyvon胶囊(对乙酰氨基酚325mg、双氯芬酸钾50mg)溶出度、崩解时间及中和酸能力的评价
Pub Date : 2023-10-15 DOI: 10.18231/j.ijpp.2023.034
Mayank Dhore, Snehal Muchhala, Dhananjay Panigrahi, Seema Bhagat, Rahul Rathod, Bhavesh Kotak
This study was carried out to assess the in vitro dissolution of Butaproxyvon Capsule (Paracetamol 325mg and Diclofenac 50mg) by calculating the percentage mean drug dissolved and disintegration time, as well as acid neutralizing time. The capsules were tested using three different types of dissolution medium, including pH6.8 phosphate buffer, pH7.5 phosphate buffer, and pH4.5 acetate buffer. The disintegration apparatus was used to calculate the disintegration time, and the acid neutralizing capacity was determined by titrating the capsule content mix with hydrochloric acid with 0.5N sodium hydroxide. Acid neutralizing capacity was found 12.33 mEq/g. Disintegration time was found in the range of 4.40 to 10.00 minutes. % Mean Paracetamol release was found to be almost similar after 60 minutes in all media. % Mean Diclofenac Potassium release was to be found almost similar after 60 minutes by using pH 6.8 and pH 7.5 phosphate media. % Mean drug released for Diclofenac Potassium was found 13% in 4.5 Acetate media, and the released pattern was not uniform. This may be attributed to the low solubility of Diclofenac potassium in 4.5 Acetate media.
本研究通过计算平均药物溶出率、崩解时间和酸中和时间,对布他proxyvon胶囊(对乙酰氨基酚325mg、双氯芬酸50mg)体外溶出度进行评价。采用pH6.8磷酸盐缓冲液、pH7.5磷酸盐缓冲液和pH4.5醋酸盐缓冲液三种不同类型的溶解介质对胶囊进行测试。用崩解仪计算崩解时间,用0.5N氢氧化钠滴定与盐酸混合的胶囊含量,测定其酸中和能力。酸中和能力为12.33 mEq/g。崩解时间为4.40 ~ 10.00 min。所有介质60分钟后扑热息痛的平均释放量几乎相同。pH为6.8和7.5的磷酸盐介质在60分钟后双氯芬酸钾的平均释放量几乎相同。双氯芬酸钾在4.5醋酸盐介质中的平均释药率为13%,释药模式不均匀。这可能是由于双氯芬酸钾在4.5醋酸盐介质中的溶解度较低。
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引用次数: 0
Positioning of PCSK9 Inhibitors in hypercholesterolemia PCSK9抑制剂在高胆固醇血症中的定位
Pub Date : 2023-10-15 DOI: 10.18231/j.ijpp.2023.030
Sunil Chaudhry, Abhijit Trailokya
PCSK 9 inhibitors currently have a market of 3 billion USD and by next 10 years it will raise to 13 billion USD in developed world. The rising prevalence of dyslipidemia and other lipid disorders are linked to lipid metabolism due to an unbalanced lifestyle and rising alcohol and tobacco use. PCSK9 inhibitors are injectable monoclonal antibodies that inactivate PCSK9 receptors. PCSK9 inhibition decreases degradation of the LDL receptor, thus raising the number of functioning LDL receptors on hepatocytes and lowering the number of LDL particles in the blood, which are atherogenic. For patients with very high cardiovascular risk, PCSK9 inhibitors and ezetimibe are added to statins, where they significantly lower absolute risk for myocardial infarction (MI) and stroke. Statins are known to upregulate PCSK9 encoding gene. PCSK9 inhibitors are given bimonthly or monthly and are reasonably safe. Familial Hypercholesterolemia (FH) a common inherited disorder of lipid metabolism, has mutations in one of these 3 genes: LDLR, APOB or PCSK9. These patients have 22 times more risk of coronary event than general population. Addition of a PCSK9 inhibitor to low dose statin therapy will be more effective in lowering LDL and avoiding the side effects of statins. PCSK9 inhibitors can contribute to both the stabilization and regression of atherosclerotic plaques and thereby avoid or delay major adverse cardiac events.
pcsk9抑制剂目前的市场规模为30亿美元,到未来10年,发达国家的市场规模将增至130亿美元。血脂异常和其他脂质疾病患病率的上升与不平衡的生活方式和不断增加的酒精和烟草使用导致的脂质代谢有关。PCSK9抑制剂是一种可注射的单克隆抗体,可灭活PCSK9受体。PCSK9抑制降低LDL受体的降解,从而增加肝细胞上具有功能的LDL受体的数量,降低血液中可致动脉粥样硬化的LDL颗粒的数量。对于心血管风险极高的患者,在他汀类药物中加入PCSK9抑制剂和依zetimibe,可显著降低心肌梗死(MI)和中风的绝对风险。已知他汀类药物可上调PCSK9编码基因。PCSK9抑制剂每两个月或一个月给药,相当安全。家族性高胆固醇血症(FH)是一种常见的遗传性脂质代谢疾病,在LDLR、APOB或PCSK9这三个基因中有一个发生突变。这些患者发生冠状动脉事件的风险是一般人群的22倍。在低剂量他汀类药物治疗中加入PCSK9抑制剂将更有效地降低LDL并避免他汀类药物的副作用。PCSK9抑制剂可以促进动脉粥样硬化斑块的稳定和消退,从而避免或延迟主要的不良心脏事件。
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引用次数: 0
Novel trend: Magic bullet to nanomedicine as targeted drug delivery-nanosponges 新趋势:纳米药物作为靶向药物递送的神奇子弹——纳米海绵
Pub Date : 2023-10-15 DOI: 10.18231/j.ijpp.2023.031
Saba Wahid Khan, Alina Bi Shaikh, Mahnaz Sayyed, Muskan Shaikh
Effective medication delivery at a specific location has made it possible to carry out the intended task of controlling release rates and have better compliance with the healthcare system, but the chemistry's complex form has complicated things. However, the development of nanosponges has provided a key solution to this issue. Nanosponges are extremely tiny sponges that are roughly the size of a virus and can contain a range of medications. These sponges can move throughout the body until they interact with a particular target spot, attach to the surface, and begin to release drugs under regulated circumstances. Some cyclodextrin-based nanosponges have been proposed as nano-delivery systems, and they produce porous, insoluble nanoparticles with crystalline and amorphous natures. The solubility of these sponges in liquids is a crucial property.
在特定位置有效的药物递送使得控制释放率的预期任务成为可能,并且更好地符合医疗保健系统,但化学物质的复杂形式使事情变得复杂。然而,纳米海绵的发展为解决这一问题提供了关键的解决方案。纳米海绵是一种极其微小的海绵,大约和病毒一样大,可以含有一系列药物。这些海绵可以在体内移动,直到它们与特定的目标点相互作用,附着在表面,并在规定的情况下开始释放药物。一些基于环糊精的纳米海绵已经被提出作为纳米递送系统,它们产生具有晶体和无定形性质的多孔,不溶性纳米颗粒。这些海绵在液体中的溶解度是一个至关重要的特性。
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引用次数: 0
A comparative study of the dissolution rate and Acid-Neutralizing capacity of Aceproxyvon with other marketed drugs 乙酰丙氧芬与其他市售药物溶出度及中和酸能力的比较研究
Pub Date : 2023-10-15 DOI: 10.18231/j.ijpp.2023.035
Kanharam Narayanlal Patel, Seema Vikas Bhagat, Dhananjay Panigrahi, Snehal Sameer Muchhala, Rahul Tarachand Rathod, Bhavesh Prabhudas Kotak
Quality is one of the most important issues in the pharmaceutical industry. Drugs must be marketed as safe and therapeutically effective formulations whose performance is consistent and foreseeable. evaluation verifies and ensures their quality, bioavailability, and optimum therapeutic activity. Aceclofenac and Paracetamol (acetaminophen) are commonly used for the relief of headaches and pain. The combination of these two drugs is available in different brands in the Indian market. The main objective of the present study was to conduct a comparative dissolution release test and acid neutralizing capacity test (ANC) of Test products versus Reference products. Brands that are similar in both composition and concentration were used in the study to compare the in vitro dissolution profile and ANC in different pH buffer solutions. Three marketed brands of Aceclofenac 100 mg and Paracetamol 325 mg, i.e., Aceproxyvon (test product Brand A), Brand B, and Brand C (Reference products), were used in the study. Brand D being an antacid was used as a reference product to compare the acid-neutralizing capacity of the drugs. The dissolution rates of paracetamol were similar across all formulations at various pH mediums. Aceclofenac showed a higher dissolution rate in Brand A as compared to Brand B and C at pH 4.5, while the dissolution rates of aceclofenac were comparable in all formulations using pH 6.8 and pH 7.5 phosphate media. The ANC of Brand A was found to be higher (7.42 mEq/g) compared to Brand B (6.74 mEq/g) and Brand C (7.18 mEq/g). Brand A showed faster dissolution and higher acid neutralizing capacity as compared to reference products. This enhancement in dissolution rate may further result in a rapid onset of action and better therapeutic efficacy.
质量是制药行业最重要的问题之一。药品必须作为安全和治疗有效的配方销售,其性能是一致的和可预见的。评估验证并确保它们的质量、生物利用度和最佳治疗活性。醋氯芬酸和扑热息痛(对乙酰氨基酚)通常用于缓解头痛和疼痛。这两种药物的组合在印度市场上有不同的品牌。本研究的主要目的是对试验产品与参比产品进行溶出释放试验和酸中和能力试验(ANC)的比较。在研究中使用了成分和浓度相似的品牌来比较不同pH缓冲溶液中的体外溶出曲线和ANC。研究中使用的是Aceclofenac 100 mg和Paracetamol 325 mg三个上市品牌,即Aceproxyvon(测试产品品牌A)、品牌B和品牌C(参考产品)。以抗酸剂D作为对照品,比较两种药物的中和酸能力。对乙酰氨基酚在不同pH介质下的溶出率相似。在pH为4.5时,Aceclofenac在品牌a中的溶出率高于品牌B和品牌C,而在pH为6.8和pH为7.5的磷酸盐介质中,Aceclofenac的溶出率在所有配方中都是相当的。A品牌的ANC (7.42 mEq/g)高于B品牌(6.74 mEq/g)和C品牌(7.18 mEq/g)。与参考产品相比,A品牌的溶解速度更快,酸中和能力更高。这种溶解速度的提高可能进一步导致快速起效和更好的治疗效果。
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引用次数: 0
Current views and prospects relating to the use of statins in patients with chronic liver disease and cirrhosis 他汀类药物在慢性肝病和肝硬化患者中的应用现状及展望
Pub Date : 2023-10-15 DOI: 10.18231/j.ijpp.2023.040
Joshua George, Pavana Reddy, Stefy Jacob, M Sunitha, Vineeth Chandy
The objective of this study is to examine the existing evidence concerning the utilization of statins in individuals diagnosed with chronic liver disease and cirrhosis. Chronic liver diseases, such as cirrhosis and hepatocellular carcinoma, present substantial challenges to public health worldwide. The use of statins in these conditions has been a subject of concern due to potential liver injury risks. However, recent evidence from pre-clinical and clinical studies suggests that statins may have positive effects on disease progression, portal hypertension, and hepatocellular carcinoma prevention. These cholesterol-lowering drugs exhibit pleiotropic effects, including anti-inflammatory, anti-fibrotic, and antiangiogenic properties, which contribute to their potential benefits in chronic liver disease. While further research and randomized controlled trials are needed, statins offer a promising therapeutic avenue to prevent disease progression and improve outcomes in patients with chronic liver diseases. Despite the global burden of chronic liver diseases and the limited availability of effective medications, statins have emerged as potential agents to address these conditions. Their primary cholesterol-lowering effect is complemented by additional mechanisms that positively impact inflammation, fibrosis, endothelial function, thrombosis, and coagulation. Although concerns persist regarding their hepatotoxic risks, studies have demonstrated the potential of statins to reduce the risk of disease progression, hepatic decompensation, hepatocellular carcinoma development, and mortality. Nonetheless, further large-scale randomized controlled trials focusing on clinical endpoints are necessary to ascertain the efficacy and safety of statin treatment in chronic liver diseases. Overall, statins hold promise as a valuable addition to the treatment armamentarium for chronic liver diseases, warranting further investigation and consideration in clinical practice.
本研究的目的是检查有关慢性肝病和肝硬化患者使用他汀类药物的现有证据。慢性肝病,如肝硬化和肝细胞癌,对全世界的公共卫生构成重大挑战。由于潜在的肝损伤风险,在这些情况下使用他汀类药物一直是一个值得关注的问题。然而,最近来自临床前和临床研究的证据表明,他汀类药物可能对疾病进展、门脉高压和肝细胞癌预防有积极作用。这些降胆固醇药物表现出多效性,包括抗炎、抗纤维化和抗血管生成特性,这有助于它们对慢性肝病的潜在益处。虽然需要进一步的研究和随机对照试验,但他汀类药物为预防慢性肝病患者的疾病进展和改善预后提供了一种有希望的治疗途径。尽管慢性肝病是全球负担,有效药物的可用性有限,但他汀类药物已成为解决这些疾病的潜在药物。它们的主要降胆固醇作用被其他积极影响炎症、纤维化、内皮功能、血栓形成和凝血的机制所补充。尽管对其肝毒性风险的担忧仍然存在,但研究已经证明他汀类药物具有降低疾病进展、肝失代偿、肝细胞癌发展和死亡率的潜力。然而,需要进一步的大规模随机对照试验来确定他汀类药物治疗慢性肝病的有效性和安全性。总的来说,他汀类药物有望成为治疗慢性肝病的有价值的补充,值得在临床实践中进一步研究和考虑。
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引用次数: 0
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Indian Journal of Pharmacy and Pharmacology
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