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Midostaurin – the First Targeted Therapy Drug for Patients with Acute Myeloid Leukaemia with FLT3 Mutation 米多舒林——首个FLT3突变急性髓系白血病的靶向治疗药物
IF 0.4 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2023-03-03 DOI: 10.32383/appdr/159470
A. Nowicka, E. Szałek, L. Gil, M. Šíma, A. Karbownik
The prognosis for patients with acute myeloid leukaemia (AML) varies depending on genetic factors. The presence of mutations in the fms-like tyrosine kinase 3 (FLT3) gene is found in approximately 30% of AML patients. Midostaurin, a first-generation multi-targeted tyrosine kinase inhibitor, is the first FLT3 inhibitor approved for the treatment of newly diagnosed AML patients with the FLT3 mutation in combination with standard induction and consolidation chemotherapy. However, as numerous clinical trials have shown, the list of indications for this drug is likely to be extended. Midostaurin can be administered orally, which improves the patient’s comfort during treatment. In general, it has a favourable safety profile, but interactions with other drugs, such as strong CYP3A4 inhibitors or inducers, which are often used in the concomitant therapy of AML patients, may lead to changes in midostaurin plasma concentrations. In consequence, such interactions may increase the toxicity of the treatment or reduce its therapeutic effect. The aim of this review is to summarise the current knowledge on midostaurin, i.e. its mechanisms of actions, dosage, adverse effects, mechanisms of resistance and limitations to its use. Due to the growing importance of the management of drug-drug interactions mediated via cytochrome CYP3A4, the main focus of this study is the pharmacokinetics of midostaurin and the variability of its plasma concentrations. The Authors emphasise therapeutic drug monitoring with midostaurin as a potential method of managing AML patients with FLT3 mutation.
急性髓性白血病(AML)患者的预后因遗传因素而异。在大约30%的AML患者中发现fms样酪氨酸激酶3 (FLT3)基因突变。midoblin是第一代多靶点酪氨酸激酶抑制剂,是第一个被批准用于治疗FLT3突变的新诊断AML患者的FLT3抑制剂,与标准诱导和巩固化疗联合使用。然而,正如许多临床试验所显示的那样,这种药物的适应症可能会延长。midoin可以口服,这可以改善患者在治疗期间的舒适度。一般来说,它具有良好的安全性,但与其他药物(如强CYP3A4抑制剂或诱导剂,通常用于AML患者的联合治疗)的相互作用可能导致midoin血浆浓度的变化。因此,这种相互作用可能增加治疗的毒性或降低其治疗效果。本综述的目的是总结目前对米多斯汀的认识,即其作用机制、剂量、不良反应、耐药机制和使用局限性。由于通过细胞色素CYP3A4介导的药物-药物相互作用的管理日益重要,本研究的主要重点是midosvin的药代动力学及其血浆浓度的变异性。作者强调使用midoin进行治疗药物监测是治疗FLT3突变AML患者的一种潜在方法。
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引用次数: 0
In vitro dissolution test of ketoprofene: development and evaluation of release from soft and hard gelatine capsules 酮洛芬的体外溶出度试验:软胶囊和硬胶囊的研制及释放度评价
IF 0.4 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2023-03-03 DOI: 10.32383/appdr/158885
K. Karłowicz-Bodalska, T. Han, N. Sauer, W. Szlasa, Olga Szczepańska, N. Janicka, K. Wacławczyk, E. Kuchar, A. Wiela-Hojeńska
Ketoprofen belongs to a group of widely used non-steroidal anti-inflammatory drugs (NSAIDs). It is found in several doses and various forms of medications. Therapeutic efficacy is related to the rate of release of the active substances, which depends on the formulation, the quality of the constituent substances and solubility. In order to determine the efficacy of drug products containing ketoprofen available on the pharmaceutical market in Poland, studies comparing the release profiles of the active substance contained in specific formulation and doses, Ketokaps MAX, 50 mg, soft capsules, Ketonal Active, 50 mg, hard capsules, Ketokaps MED, 100 mg, soft capsules, Refastin, 100 mg, film-coated tablets and Ketonal Forte, 100 mg, film-coated tablets have been conducted. Drug release has been tested using FaSSGF and FaSSIF bioequivalent media in a type IV flow apparatus. The results indicate that the product Ketokaps MAX, 50 mg has a shorter release time of ketoprofen and a faster reached maximum concentration of the released active substance than the market product Ketonal Active, 50 mg. The same outcomes will be achieved by the product Ketokaps MED, 100 mg compared to the market products Refastin, 100 mg and Ketonal Forte, 100 mg. In vitro studies confirm that the tested products differ noticeably in the kinetics of release of the active substance. Ketokaps MAX, 50 mg and Ketokaps MED, 100 mg achieve c max in a shorter time.
酮洛芬属于一类应用广泛的非甾体抗炎药。它存在于多种剂量和各种形式的药物中。疗效与活性物质的释放速率有关,这取决于配方、组成物质的质量和溶解度。为了确定波兰药品市场上可买到的含有酮洛芬的药物产品的疗效,研究比较了特定配方和剂量中所含活性物质的释放特性,Ketokaps MAX,50 mg,软胶囊,Ketonal active,50 mg硬胶囊,Ketokeps MED,100 mg,软囊剂,Refastin,100 mg薄膜包衣片和Ketonal Forte,已经进行了100mg的薄膜包衣片剂。已在IV型流动装置中使用FaSSGF和FaSSIF生物等效介质测试药物释放。结果表明,50 mg的产品Ketokaps MAX与50 mg的市场产品Ketonal active相比,酮洛芬的释放时间更短,释放的活性物质达到最大浓度的速度更快。与100 mg的市场产物Refastin和100 mg的Ketonal Forte相比,100 mg的产品将获得相同的结果。体外研究证实,测试产品在活性物质的释放动力学方面存在显著差异。50 mg Ketokaps MAX和100 mg Ketokeps MED在更短的时间内达到c MAX。
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引用次数: 0
In vivo evaluation of the antipsoriatic effect of hydrogel with lavandin essential oil and its main components after topical application 拉旺丁精油及其主要成分水凝胶局部应用后抗银屑病作用的体内评价
IF 0.4 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2023-03-03 DOI: 10.32383/appdr/160162
K. Sosnowska, M. Tomczykowa, K. Winnicka, D. Kalemba, M. Tomczyk
In our study, lavandin oil was hydrodistillated from Lavandula × intermedia (Lamiaceae), and new alginate-based hydrogel formulations containing lavandin oil, linalool, and linalyl acetate were prepared for the first time. Using the gas chromatography (GC) and gas chromatography - mass spectrometry (GC-MS) methods fifty eight components of obtained essential oil were identified. Subsequently, the antipsoriatic activity of the created formulations was investigated by applying an imiquimod-induced mouse model. Alginate-based hydrogels were used as carriers for lavandin oil, linalool, and linalyl acetate. The histopathological examination of imiquimod-induced psoriasis-like mice ear skin stained with H&E (haematoxylin and eosin) was conducted after applying the examined formulations. Additionally, the impact of lavandin oil, linalool, and linalyl acetate on the expression of CD3 (cluster of differentiation 3), CD68 (monoclonal mouse anti-human), and Ki67 (marker of proliferation Ki-67) were studied. Histopathological studies showed that analysed formulations decreased the mice ears’ thickness and the analysed psoriasis symptoms (parakeratosis epidermal thickening, hypertrophy of the spinous layer, inflammatory infiltrates, Munro's microabscesses, Kogoj's micro-pustules, and dermal papillae oedema). The prepared formulations inhibited proliferation of the cells (Ki67 staining method) and expression of CD3 and CD68. The most potent activity against the inflammation in psoriasis was the preparation containing 5% lavandin oil.
在我们的研究中,从Lavandula×intermedia(Lamiaceae)中提取了lavandin油,并首次制备了含有Lavandine油、芳樟醇和乙酸芳樟醇的新型海藻酸盐水凝胶制剂。采用气相色谱(GC)和气相色谱-质谱(GC-MS)方法对所获得的精油中的58种成分进行了鉴定。随后,通过应用咪喹莫特诱导的小鼠模型来研究所创建的制剂的抗银屑病活性。海藻酸盐基水凝胶被用作lavandin油、芳樟醇和乙酸芳樟醇的载体。在应用所检查的制剂后,对用H&E(苏木精和伊红)染色的咪喹莫特诱导的银屑病样小鼠耳朵皮肤进行组织病理学检查。此外,还研究了薰衣草油、芳樟醇和乙酸芳樟醇对CD3(分化簇3)、CD68(单克隆小鼠抗人)和Ki67(增殖标志物Ki-67)表达的影响。组织病理学研究表明,所分析的制剂降低了小鼠耳朵的厚度和所分析的银屑病症状(角化不良、表皮增厚、棘层肥大、炎症浸润、Munro氏微脓肿、Kogoj氏微脓疱和真皮乳头水肿)。所制备的制剂抑制细胞的增殖(Ki67染色法)以及CD3和CD68的表达。对抗银屑病炎症最有效的活性是含有5%拉旺丁油的制剂。
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引用次数: 1
Formulation, characterization, and in vitro evaluation release nimesulide from different rectal suppository bases 尼美舒利的配方,特性和体外评价释放尼美舒利从不同的直肠栓剂基础
IF 0.4 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2023-03-03 DOI: 10.32383/appdr/159289
B. Szulc-Musioł, L. Bułaś, B. Dolińska
Nimesulide is a poorly water-soluble, non-steroidal anti-inflammatory drug for both systemic and topical application. The aim of the study was to assess the influence of the type of base and surfactants (Tween80, Span80, soy lecithin, sodium lauryl sulphate) on drug release from rectal suppositories. Suppositories were prepared in the Unquator® using Cacao butter, Witepsol H15 and PEG1500:PEG400 as a base. The physicochemical properties of the prepared suppositories were in accordance to the Pharmacopoeia’s requirements. In vitro dissolution profile of the formulations was evaluated using USP apparatus 1. It has been shown that most of the nimesulide was released from suppositories prepared on PEG base. Addition of 2% surfactant to lipophilic base suppositories, significantly increased the amount of nimesulide released from all the investigated formulae. Among the formulations containing surfactants, only Witepsol H15 with Span 80 released a nearly complete drug during 210 minutes. The results indicate that the First-Order model is the best fit with the nimesulide in-vitro release from lipophilic suppositories, while the Higuchi model - to the PEG suppositories. The drug release kinetics from suppositories showed that the Cacao butter bases adequately fit data for zero-order kinetics model, while the Higuchi model - for the PEG suppositories.
尼美舒利是一种水溶性差的非甾体抗炎药,可全身和局部应用。本研究的目的是评估碱和表面活性剂(Tween80、Span80、大豆卵磷脂、十二烷基硫酸钠)的类型对直肠栓剂药物释放的影响。栓剂在Unquator®中以可可脂、Witepsol H15和PEG1500:PEG400为基质制备。所制栓剂的理化性质符合药典要求。采用USP仪器1评价制剂的体外溶出度。研究表明,大部分尼美舒利从PEG基栓剂中释放出来。在亲脂碱栓剂中加入2%的表面活性剂,可显著提高尼美舒利的释放量。在含有表面活性剂的制剂中,只有含有Span 80的Witepsol H15在210分钟内释放出接近完整的药物。结果表明,一阶模型最适合尼美舒利在亲脂栓剂中的体外释放,而Higuchi模型更适合PEG栓剂。栓剂的药物释放动力学表明,可可脂基完全适合于零级动力学模型,而PEG栓剂的模型适合于Higuchi模型。
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引用次数: 0
Korean and Siberian pine: Review of chemical composition and pharmacological profile 红松和西伯利亚松:化学成分和药理特征综述
IF 0.4 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2023-03-03 DOI: 10.32383/appdr/161040
M. Nikolić, V. Jakovljevic, Jovana V Bradic, M. Tomovic, B. Petrović, A. Petrovic
Background: Pinus sibirica and Pinus koraiensis are belonging to the same subsection Strobus, within the Pinaceae family. The most abundant classes of bioactive compounds isolated from them are terpenes, phenols and fatty acids. Different forms of the abovementioned plants have been used in folk medicine for the prevention and treatment of many diseases. Pinus sibirica has been used to cure rheumatism, arthritis as well as to treat infections, fungal diseases and wounds. It is also considered to exhibit a hypolipidemic, anti-allergic and antiseptic properties. Similarly, Pinus koraiensis is used tradidionaly to treat cough, infections, wounds and rheumatism. Furthermore, essential oil from Korean pine has antitumor, anti-ageing, and sedative effects. Objective: Our aim was to compile literature data regarding chemical composition and pharmacological effects of different preparations from Pinus sibirica and Pinus koraiensis plants, covering from pre-clinical data to upcoming clinical studies. Method: Articles were collected by searching databases: Medline/PubMed, SCOPUS, Embase, and Web of Science. There was no limitation for year of publication and search was not limited only on articles in English language. Results: Given the literature reports, both Siberian and Korean pines, rich in terpenes and phenols, are mainly used in investigations where they expressed antitumor, hepatoprotective or appetite suppressant properties. Conclusion: This review provided compilation of available data about chemical composition, biological profile and therapeutic usage of Pinus sibirica and Pinus koraiensis. Numerous ingredients found in those plants have great potential for examination of numerous pharmacological effects which can lead to production of innovative therapeutic agent.
背景:西伯利亚松(Pinus sibirica)和红松(Pinus koraiensis)同属松科松分节。从它们中分离出的最丰富的一类生物活性化合物是萜烯、酚类和脂肪酸。上述植物的不同形式已在民间医学中用于预防和治疗许多疾病。西伯利亚松被用来治疗风湿病、关节炎以及治疗感染、真菌疾病和伤口。它还被认为具有降血脂、抗过敏和防腐的特性。同样,红松传统上用于治疗咳嗽、感染、伤口和风湿病。此外,红松精油具有抗肿瘤、抗衰老和镇静作用。目的:收集西伯利亚松和红松植物不同制剂的化学成分和药理作用的文献资料,涵盖从临床前数据到即将进行的临床研究。方法:通过检索Medline/PubMed、SCOPUS、Embase、Web of Science等数据库收集文献。没有出版年份的限制,搜索不仅限于英文文章。结果:根据文献报道,西伯利亚松和红松富含萜烯和酚类物质,主要用于抗肿瘤、保肝或抑制食欲的研究。结论:本文综述了西伯利亚松和红松的化学成分、生物学特性和治疗用途等方面的资料。在这些植物中发现的许多成分具有巨大的潜力,可以用于研究许多药理作用,从而生产出创新的治疗剂。
{"title":"Korean and Siberian pine: Review of chemical composition and pharmacological profile","authors":"M. Nikolić, V. Jakovljevic, Jovana V Bradic, M. Tomovic, B. Petrović, A. Petrovic","doi":"10.32383/appdr/161040","DOIUrl":"https://doi.org/10.32383/appdr/161040","url":null,"abstract":"Background: Pinus sibirica and Pinus koraiensis are belonging to the same subsection Strobus, within the Pinaceae family. The most abundant classes of bioactive compounds isolated from them are terpenes, phenols and fatty acids. Different forms of the abovementioned plants have been used in folk medicine for the prevention and treatment of many diseases. Pinus sibirica has been used to cure rheumatism, arthritis as well as to treat infections, fungal diseases and wounds. It is also considered to exhibit a hypolipidemic, anti-allergic and antiseptic properties. Similarly, Pinus koraiensis is used tradidionaly to treat cough, infections, wounds and rheumatism. Furthermore, essential oil from Korean pine has antitumor, anti-ageing, and sedative effects. Objective: Our aim was to compile literature data regarding chemical composition and pharmacological effects of different preparations from Pinus sibirica and Pinus koraiensis plants, covering from pre-clinical data to upcoming clinical studies. Method: Articles were collected by searching databases: Medline/PubMed, SCOPUS, Embase, and Web of Science. There was no limitation for year of publication and search was not limited only on articles in English language. Results: Given the literature reports, both Siberian and Korean pines, rich in terpenes and phenols, are mainly used in investigations where they expressed antitumor, hepatoprotective or appetite suppressant properties. Conclusion: This review provided compilation of available data about chemical composition, biological profile and therapeutic usage of Pinus sibirica and Pinus koraiensis. Numerous ingredients found in those plants have great potential for examination of numerous pharmacological effects which can lead to production of innovative therapeutic agent.","PeriodicalId":7147,"journal":{"name":"Acta poloniae pharmaceutica","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43890091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of silymarin on the parameters of oxidative stress in hearts in the course of diabetes mellitus in Wistar rats 水飞蓟素对糖尿病大鼠心脏氧化应激参数的影响
IF 0.4 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2023-03-03 DOI: 10.32383/appdr/159412
Piotr Bramora, M. Zych, Weronka Borymska, Ilona Kaczmarczyk-Żebrowska
Chronic hyperglycemia is one of the most important causes of the formation of oxygen free radicals in diabetes, which damage various organs. Damage to proteins and lipids in the heart can lead to the development of diabetic cardiomyopathy, which in turn may cause cardiovascular failure. In order to counteract oxidative stress, the innate antioxidant mechanisms of the system should be supported by supplementation with exogenous antioxidants, for instance of plant origin. In this experiment, the role of silymarin, a plant-derived flavonolignan on the oxidative stress parameters and oxidative damage markers in the hearts was determined in an experimental model of diabetes. Male Wistar rats were injected with streptozotocin at a dose of 60 mg/kg (ip). Then, silymarin was administered at doses of 50 and 100 mg/kg for four weeks via a gastric tube. In diabetic animals an increase in malondialdehyde, advanced oxidation protein products, as well as increased activity of antioxidant enzymes in heart tissues was noted. Administration of silymarin inhibited oxidative stress by increasing the total antioxidant response, decreasing the concentration of malondialdehyde and advanced oxidation protein products and a slight increase in the level of glutathione. It can be concluded that the redox state in the examined tissue improved. Based on the results in can be concluded that silymarin demonstrates a potential in preventing the development of oxidative damage in the heart tissue in the course of experimental diabetes.
慢性高血糖是糖尿病中氧自由基形成的重要原因之一,氧自由基损害各器官。对心脏蛋白质和脂质的损害可导致糖尿病性心肌病的发展,这反过来又可能导致心血管衰竭。为了对抗氧化应激,系统的先天抗氧化机制应该通过补充外源抗氧化剂来支持,例如植物来源。本实验在糖尿病实验模型中测定水飞蓟素(植物源黄酮木脂素)对心脏氧化应激参数和氧化损伤标志物的作用。雄性Wistar大鼠注射链脲佐菌素,剂量为60 mg/kg (ip)。然后,通过胃管给药水飞蓟素,剂量为50和100 mg/kg,持续四周。在糖尿病动物中,丙二醛,高级氧化蛋白产物,以及心脏组织中抗氧化酶活性的增加被注意到。水飞蓟素通过增加总抗氧化反应、降低丙二醛和高级氧化蛋白产物的浓度以及轻微增加谷胱甘肽的水平来抑制氧化应激。可以得出结论,被测组织的氧化还原状态得到改善。综上所述,水飞蓟素在实验性糖尿病过程中具有预防心脏组织氧化损伤的作用。
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引用次数: 0
In silico and in vivo investigation of the neuroprotective benefits of Ketamine against isoflurane-induced cognitive impairment 氯胺酮对异氟醚诱导的认知障碍的神经保护作用的体内和计算机研究
IF 0.4 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2023-01-25 DOI: 10.32383/appdr/157502
P. Krishnamurthy, Shenghui Luan
Ketamine, a phencyclidine derivative, is most usually used to induce dissociative general anesthesia, but it is also beneficial for bronchospasm, a congenital cardiac disease with the right to left shunting, and, more recently, treatment of resistant depression. Several studies have revealed that ketamine may help damaged neurons recover. Ketamine has been proven to offer neuroprotection in a variety of neuro injury models. Following that, many routes and targets were identified to demonstrate how ketamine may protect the brain. Ketamine has been shown to modulate neuronal excitotoxicity, apoptosis, and inflammation, among other things. The present work examined the relative interaction of ketamine with potential targets of brain excitotoxicity, apoptosis, and inflammation using an in-silico approach. Furthermore, ketamine has been shown to protect against isoflurane-induced cognitive impairment in rats.
氯胺酮是一种苯环利定衍生物,最常用于诱导游离性全身麻醉,但它也有利于支气管痉挛,一种先天性心脏病右向左分流,最近,治疗难治性抑郁症。几项研究表明,氯胺酮可能有助于受损神经元的恢复。氯胺酮已被证明在各种神经损伤模型中提供神经保护。随后,许多途径和目标被确定,以证明氯胺酮如何保护大脑。氯胺酮已被证明可以调节神经元兴奋性毒性、细胞凋亡和炎症等。本研究使用计算机方法研究氯胺酮与脑兴奋毒性、细胞凋亡和炎症的潜在靶点的相对相互作用。此外,氯胺酮已被证明可以防止异氟醚引起的大鼠认知障碍。
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引用次数: 0
Composition development and in vitro evaluation of O/W emulsions based on natural emulsifier Olivem 1000 as tea tree oil carriers 以天然乳化剂Olivem 1000为茶树油载体的油水乳状液的组成及体外评价
IF 0.4 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2023-01-20 DOI: 10.32383/appdr/158784
M. Wróblewska, K. Winnicka
The frequent occurrence of bacterial skin infections makes it necessary to search new solutions. Due to the limited effectiveness of traditional antibacterial agents, novel treatment alternatives are investigated. The use of plant origin compounds seems to be beneficial, because they are usually well tolerated and do not cause as many side effects as synthetic substances. Tea tree oil (TTO) is noted for well-established antimicrobial activity, so it can be used in the treatment of various skin diseases. It is effective against Gram-negative as well as Gram-positive bacteria. The aim of this work was to develop the composition and preparation technology of emulsion with TTO using natural emulsifier Olivem 1000 - combination of cetearyl olivate and sorbitan olivate. The designed formulations were evaluated by testing pH, stability and droplets size of the dispersed phase in the prepared emulsions. The type of emulsions was determined by selective phase staining method. In addition, rheological, mechanical, ex vivo bioadhesive properties of the prepared emulsions were studied and their antibacterial activity against selected strains was estimated. Obtained formulations were non-Newtonian systems, showing a shear-thinning behaviour and thixotropic properties, with proper textural features and beneficial bioadhesive properties. It was also demonstrated that formulations with lower viscosity showed higher antimicrobial efficacy against tested microorganisms and larger zones of inhibition were observed in case of Escherichia coli strains. The results of the study showed that the prepared emulsions appear to be a suitable form of topical administration of TTO.
细菌性皮肤感染的频繁发生使得有必要寻找新的解决方案。由于传统抗菌药物的效果有限,新的治疗方案正在研究中。使用植物来源的化合物似乎是有益的,因为它们通常耐受性良好,不会像合成物质那样产生许多副作用。茶树油(TTO)以其良好的抗菌活性而闻名,因此它可用于治疗各种皮肤病。它对革兰氏阴性菌和革兰氏阳性菌都有效。研究了以天然乳化剂Olivem - 1000为原料,以棕榈醇酯和山梨醇酯为复配物,制备含TTO乳液的配方和工艺。通过测试所制乳剂的pH值、分散相的稳定性和液滴大小来评价所设计的配方。采用选择相染色法测定乳剂类型。此外,还研究了制备的乳剂的流变学、力学和离体生物粘附性能,并对所选菌株进行了抑菌活性评价。获得的配方是非牛顿体系,具有剪切变薄行为和触变性能,具有适当的纹理特征和有益的生物粘附性能。实验还表明,黏度越低的配方对微生物的抑菌效果越好,对大肠杆菌的抑菌效果也越明显。研究结果表明,所制备的乳剂似乎是局部给药的一种合适的形式。
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引用次数: 0
Study on dissolution behavior in vitro of an osteoporosis treatment drug: eldecalcitol soft capsule 骨质疏松治疗药物艾尔地骨糖醇软胶囊体外溶出行为的研究
IF 0.4 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2023-01-20 DOI: 10.32383/appdr/154948
Dan Liang, Zelian Chen, Jian Zhang, Lan Su, Zhifeng Chen
Objective:To establish a method for the dissolutions profile determination of Eldecalcitol softgels, evaluate the in vitro dissolutions behavior between domestic Eldecalcitol soft capsules and the original preparation。Methods:The effects of different stirring apparatus, different dissolutions medium, different agitation speeds on the dissolutions behavior of Eldecalcitol soft capsules were investigated, cumulative dissolutions were calculated by measuring the dissolutions samples with HPLC-MS/MS method. Results:The dissolutions test of Eldecalcitol soft capsules was carried out by rotating basket method, agitation speed of 75 rpm, temperature of 37℃ in four mediums。Conclusion:This dissolutions method can be effectively applied to the dissolutions test of soft Eldecalcitol capsules. and the selected generics have good dissolution consistency with the original drugs.Keywords:Eldecalcitol soft capsules;dissolutions method;dissolutions behavior;consistency evaluation
目的:建立接骨木醇软胶囊的溶出度测定方法,评价国产接骨木糖醇软胶囊与原制剂的体外溶出行为方法:考察不同搅拌装置、不同溶出介质、不同搅拌速度对接骨木醇软胶囊溶出行为的影响,采用HPLC-MS/MS法测定溶出样品的累积溶出度。结果:采用转篮法,搅拌速度75rpm,温度37℃,在四种介质中进行了接骨木醇软胶囊的溶出度测定结论:该方法可有效应用于接骨木醇软胶囊的溶出度测定。所选仿制药与原研药具有良好的溶出一致性。关键词:接骨木醇软胶囊溶解方法解散行为一致性评价
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引用次数: 0
Community pharmacist-driven interventions in COPD: improving knowledge, attitude and health status 社区药剂师驱动的COPD干预:改善知识、态度和健康状况
IF 0.4 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2023-01-20 DOI: 10.32383/appdr/155353
M. Ćulafić, Milena Kovačević, Marija Jovanović, M. Roganović, S. Vezmar Kovačević, K. Vučićević, B. Miljković
Background: COPD is a chronic condition requiring care from a multidisciplinary team in which pharmacists play an important role. Aim: We aimed to evaluate the impact of structured pharmacist-patient counseling on patient’s knowledge, attitudes about medicines and the impact of COPD on patients’ health status. Methods: A prospective study was conducted in ten community pharmacies. Patients were counseled using detailed approach after completing validated questionnaires. The patients returned to a pharmacy for a follow-up after three months. Four validated questionnaires have been used to assess different aspects of patient’s knowledge about the disease, their attitudes about medicines and the impact of disease on patients’ health status: COPD Assessment Test (CAT), Modified Medical Research Council Dyspnea Scale (mMRC), Bristol COPD Knowledge Questionnaire (BCKQ), and The Beliefs about Medicines Questionnaire (BMQ).Results: Pharmacists recruited 83 COPD patients, from which 73 patients attended a follow-up visit. Before pharmacist intervention, the CAT median score was 20. After counseling, the CAT score decreased to 18 (p<0.05). The highest improvement in patient’s knowledge was observed for inhaled bronchodilators (28.2%), vaccination (25.8%), oral steroids (24.4%), and smoking (24.2%). The median score for necessity increased, whereas the harm and concern median scores considerably decreased (p<0.05).Conclusion: The results showed significant improvements in all aspects covered throughout pharmacist-patient counseling. Based on our results, proactive role of the pharmacist in the care of COPD patients may be beneficial to patients, to physicians and to healthcare: improving care, alleviating the strain on overloaded doctors with containing the costs.
背景:慢性阻塞性肺病是一种慢性疾病,需要多学科团队的护理,药剂师在其中发挥着重要作用。目的:我们旨在评估结构化药剂师患者咨询对患者对药物的知识、态度的影响,以及COPD对患者健康状况的影响。方法:对10家社区药店进行前瞻性研究。患者在完成经验证的问卷调查后,采用详细的方法进行咨询。患者在三个月后返回药房进行随访。四份经过验证的问卷被用于评估患者对疾病的知识、他们对药物的态度以及疾病对患者健康状况的影响的不同方面:COPD评估测试(CAT)、改良医学研究委员会呼吸困难量表(mMRC)、Bristol COPD知识问卷(BCKQ),结果:药剂师招募了83名COPD患者,其中73名患者进行了随访。在药剂师干预之前,CAT中位得分为20。咨询后,CAT评分降至18分(p<0.05)。吸入支气管扩张剂(28.2%)、接种疫苗(25.8%)、口服类固醇(24.4%)和吸烟(24.2%)对患者知识的改善最高。必要性的中位评分增加,而伤害和关注中位得分显著降低(p<0.05)。结论:结果表明,在整个药剂师-患者咨询过程中,各方面都有显著改善。根据我们的研究结果,药剂师在COPD患者护理中的积极作用可能对患者、医生和医疗保健有益:改善护理,通过控制成本减轻超负荷医生的压力。
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Acta poloniae pharmaceutica
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