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New Insights in Topical Drug Delivery for Skin Disorders: A Review 皮肤病局部给药的新见解:综述
Pub Date : 2024-04-15 DOI: 10.22270/ajprd.v12i2.1323
Madhurima Saini, Dr. Shiv Garg, Dr. Piush Sharma, Dr. Shailendra Bhatt
Drug delivery systems are methods which are used to ensure that drugs get into the body and reach the area where they are needed. These systems must take a number of needs into account, ranging from ease of delivery to effectiveness of the drugs. The paper reviews an overview of a conventional and novel approach in the topical drug delivery system. Drug delivery via the skin is becoming progressively popular due to its convenience and affordability. The skin is the most important mechanical barrier to the penetration of many drug substances and acts as an ideal site to deliver the drug both locally and systemically. The topical route has been a favored route of drug administration over the last decades. Despite conventional topical drug delivery systems limits in poor retention and low bioavailability. To address some of the limitations posed by conventional dermatotherapy, nano-based technologies have been developed and have demonstrated a significant improvement in dermatotherapy. Their distinct physicochemical properties demonstrate their overall superior therapeutic efficacy in providing sustained and effective targeted drug release, as well as improved solubility of hydrophobic actives with optimized drug formulations. These nanocarriers are commonly classified as polymeric, lipid-based, metallic, and vesicular nanocarriers, including nanoemulsions, nanofibers, and microneedles. 
给药系统是用于确保药物进入人体并到达所需部位的方法。这些系统必须考虑到多种需求,从给药的方便性到药物的有效性。本文综述了局部给药系统中的传统和新型方法。通过皮肤给药因其方便性和经济性而逐渐流行起来。皮肤是许多药物渗透最重要的机械屏障,也是局部和全身给药的理想场所。在过去几十年中,局部给药一直是最受欢迎的给药途径。尽管传统的局部给药系统存在药物保留率低和生物利用度低等局限性。为了解决传统皮肤疗法的一些局限性,纳米技术应运而生,并在皮肤疗法方面取得了显著的进步。其独特的物理化学特性表明,它们在提供持续有效的靶向药物释放方面具有全面的卓越疗效,并通过优化药物配方提高了疏水性活性物质的溶解度。这些纳米载体通常分为聚合物纳米载体、脂基纳米载体、金属纳米载体和囊状纳米载体,包括纳米乳液、纳米纤维和微针。
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引用次数: 0
A Novel Approch for Nasal Drug Delivery System 鼻腔给药系统的新方法
Pub Date : 2024-04-15 DOI: 10.22270/ajprd.v12i2.1383
Avinash Jadhav, Prof.Vishweshwar Dharashive, Dr.Sameer Shafi, Saiprasad Chavan, Madhav Honrao, Rahul Inje, Akshay Biradar
The oral route is the most favored technique for administering the drug orally in the body. As a result of certain limitations such as drug absorption, poor bioavailability, first-pass hepatic metabolism and medicine target to particular organs, may cause problems for administration via oral route. Therefore parenteral route, transmucosal route and transdermal route are preferred over oral route. Intranasal route is deemed to be a desirable route because of the time profile of concentration a drug is close to that of the intravenous route. The nasal route has also been successfully used for bypassing the blood-brain barrier and afterword delivering drug molecules to the central nervous system .The in-situ gelling system is a process in which   is in a solution form before the administration in the body but it converts in to a gel form after administration . The formation of gel depends on factors like temperature modulation, pH change, presence of ions from which drug get released in sustained and controlled manner. Therefore this review focuses on nasal drug delivery, a variety of aspects of nasal anatomy and physiology, nasal absorption mechanism, and In-Situ gels evaluations. 
口服途径是人体最常用的口服给药技术。由于药物吸收、生物利用度低、肝脏首过代谢和药物靶向特定器官等某些限制,口服途径给药可能会造成问题。因此,与口服途径相比,肠外途径、经黏膜途径和透皮途径更受青睐。鼻内途径被认为是一种理想的途径,因为药物浓度的时间曲线与静脉途径接近。鼻腔途径也被成功用于绕过血脑屏障,然后将药物分子输送到中枢神经系统。凝胶的形成取决于温度调节、pH 值变化、离子存在等因素,药物会以持续、可控的方式从凝胶中释放出来。因此,本综述将重点关注鼻腔给药、鼻腔解剖和生理的各个方面、鼻腔吸收机制以及原位凝胶评估。
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引用次数: 0
A Review: A Comparative Study of Branded and Generic Anti-Hypertensive Drugs 综述:品牌和非专利抗高血压药物的比较研究
Pub Date : 2024-04-15 DOI: 10.22270/ajprd.v12i2.1359
Anuksh Telrandhe, Ketakee Phadnis, Nilakshi Dhoble, Nitin Padole, Jagdish Baheti
This comprehensive review investigates the market landscape of antihypertensive medications, undertaking a detailed comparative analysis of branded and generic options. In the face of rising global prevalence of hypertension, the study aims to provide a holistic perspective on the efficacy, safety, and market dynamics shaping the use of branded and generic drugs in the management of these chronic conditions.Utilizing data derived from market trends, sales analytics, and consumer preferences, the review scrutinizes the market behaviors and forces influencing the adoption of branded and generic antihypertensive drugs. Factors such as cost-effectiveness, patient adherence, and healthcare provider preferences are explored to shed light on the complexities associated with medication selection in the context of chronic disease management.Through an in-depth examination of industry strategies, regulatory frameworks, and the role of healthcare policies, the review aims to uncover the interplay between market dynamics and clinical considerations. It seeks to inform healthcare professionals, policymakers, and industry stakeholders about the evolving landscape of choices in antihypertensive therapies, fostering a nuanced understanding that can guide optimal decision-making in patient care and resource allocation. 
本综述调查了抗高血压药物的市场格局,对品牌药和非专利药进行了详细的比较分析。面对全球高血压患病率的不断上升,本研究旨在从整体角度探讨品牌药和非专利药在治疗这些慢性病方面的疗效、安全性和市场动态。本综述利用从市场趋势、销售分析和消费者偏好中获得的数据,仔细研究了影响品牌药和非专利药采用的市场行为和力量。通过深入研究行业战略、监管框架和医疗保健政策的作用,本综述旨在揭示市场动态与临床考虑之间的相互作用。本综述旨在向医疗保健专业人士、政策制定者和行业利益相关者介绍不断变化的降压疗法选择情况,促进他们对降压疗法有一个细致入微的了解,从而指导他们在患者护理和资源分配方面做出最佳决策。
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引用次数: 0
Exploring the Effectiveness of Pre-Exposure Prophylaxis (PrEP) Use for HIV Prevention among High-Risk Populations 探索在高危人群中使用暴露前预防疗法 (PrEP) 预防艾滋病毒的有效性
Pub Date : 2024-04-15 DOI: 10.22270/ajprd.v12i2.1333
Pallav Dave
Addressing the global burden of HIV requires effective preventative measures that have been shown to have high efficacy rates. PrEP is one of the preventative measures that is effective in preventing HIV. Different clinical trials and population studies have shown PrEPto have an efficacy rate of 40% to 90% when it comes to preventing HIV. Due to its high efficacy, PrEPcan reduce new HIV infections populations considered to be high risk. However, for efficacy to be high, there is a need to increase medication adherence and address the existing barriers that limit uptake. Some of these barriers are lack of knowledge, inadequate access, stigma,lack of trust in service providers, low perception of HIV risk, cost, and fear of side effects. Addressing these barriers can increase PrEP uptake and help in reducing HIV’s risk among high-risk populations. Some of the measures that can be put in place to address these barriers are providing education and training, allocating enough resources, leveraging technology, lowering PrEP costs, increasing insurance coverage, and improving communication among the targeted population. 
要解决艾滋病毒给全球带来的负担,就必须采取有效的预防措施,这些措施已被证明具有很高的有效率。PrEP 是有效预防艾滋病毒的预防措施之一。不同的临床试验和人群研究表明,PrEP 在预防艾滋病毒方面的有效率为 40% 至 90%。由于疗效高,PrEP 可以减少被认为是高危人群的艾滋病毒新感染病例。然而,要想达到高疗效,就需要提高服药依从性,并解决现有的限制服用的障碍。其中一些障碍包括缺乏知识、获取途径不足、污名化、对服务提供者缺乏信任、对 HIV 风险认识不足、费用以及对副作用的恐惧。消除这些障碍可以提高 PrEP 的使用率,有助于降低高危人群感染 HIV 的风险。为消除这些障碍,可以采取的一些措施包括提供教育和培训、分配足够的资源、利用技术、降低 PrEP 的成本、增加保险覆盖面以及加强目标人群之间的沟通。
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引用次数: 0
Isolation, NMR and Mass Characterization of Ducose - A Novel Tetrasaccharide from Goat Milk 山羊奶中的一种新型四糖--杜酮糖的分离、核磁共振和质量特性分析
Pub Date : 2024-04-15 DOI: 10.22270/ajprd.v12i2.1370
Pushpraj Singh
Milk is an excellent source of all the necessary nutrients in the proper proportions. Besides the other regular constituents it has oligosaccharides in it which are indigestible by the infant yet are consumed by the microbial populations in the developing intestine. These oligosaccharides are believed to facilitate enrichment of a healthy infant gastrointestinal micro biota, often associated with bifidobacteria. Goat milk is a rich source of oligosaccharides that have enormous biological activities such as anti-bacterial, immunological, anti-inflammatory, hypoallergenic and therapeutic properties. It is used against tuberculosis in folk medicine and also helps in the enhancement of platelet count during dengue fever. Goat milk oligosaccharides have anti-inflammatory properties and are involved in the repairing process after a dextran sodium sulphate-induced colitis. Keeping in mind the biological importance of goat milk and the role of oligosaccharides, in the present studies, goat milk was analyzed for its oligosaccharide content which led to the isolation of a novel tetrasaccharide, ducose, C28H48O21N2. The structure of the isolated oligosaccharide was elucidated by chemical transformation, chemical degradation, 1H, 13C, 2D-NMR (COSY, TOCSY, HMBC and HSQC) and mass spectrometry as under.The geometry of compound ducose was optimized by B3LYP method and 6-31 G (d,p) basis set. 
牛奶是按适当比例提供所有必需营养素的绝佳来源。除了其他常规成分外,牛奶中还含有婴儿无法消化的低聚糖,但却能被发育中的肠道微生物群所吸收。这些低聚糖被认为有助于丰富健康的婴儿胃肠道微生物群,通常与双歧杆菌有关。羊奶是低聚糖的丰富来源,具有抗菌、免疫、消炎、低过敏和治疗等多种生物活性。在民间医学中,它被用来防治结核病,还有助于提高登革热患者的血小板数量。山羊奶低聚糖具有抗炎特性,在葡聚糖硫酸钠诱发结肠炎后参与修复过程。考虑到羊奶的生物学重要性和低聚糖的作用,本研究对羊奶中的低聚糖含量进行了分析,从而分离出一种新的四糖--杜酮糖(C28H48O21N2)。通过化学转化、化学降解、1H、13C、2D-NMR(COSY、TOCSY、HMBC 和 HSQC)和质谱分析,阐明了所分离低聚糖的结构。
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引用次数: 0
Soluble Epoxide Hydrolase 可溶性环氧化物水解酶
Pub Date : 2024-04-15 DOI: 10.22270/ajprd.v12i2.1369
Pooja M. Sontakke, Suraj G. Malpani, Pooja R. Tange, MD Rayees Ahmad, Vishweshwar M. Dharashive
Epoxyeicosatrienoic acids (EETs) have numerous cardiovascular benefits, including vasodilation, anti-inflammatory actions, and anti-migratory effects on vascular smooth muscle cells. However, sEH, an enzyme that breaks down EETs into diols, limits these benefits. The development of sEH inhibitors (sEHIs), particularly those based on 1,3-disubstituted urea, has shown promise in enhancing the therapeutic properties of EETs. These inhibitors are antihypertensive and anti-inflammatory and can protect the heart, brain, and kidneys from damage. While there are still challenges to overcome, such as improving the drug-like properties of sEHIs and finding better ways to target specific tissues, the initiation of clinical trials for sEHIs highlights their potential as therapeutic agents. 
环二十碳三烯酸(EETs)对心血管有诸多益处,包括扩张血管、抗炎作用以及对血管平滑肌细胞的抗迁移作用。然而,将 EET 分解成二元醇的酶 sEH 限制了这些益处。sEH 抑制剂(sEHIs)的开发,尤其是基于 1,3-二取代脲的抑制剂的开发,已显示出增强 EETs 治疗特性的前景。这些抑制剂具有降压和抗炎作用,可保护心脏、大脑和肾脏免受损伤。虽然仍有一些挑战需要克服,如改进 sEHIs 的类药物特性和找到针对特定组织的更好方法,但 sEHIs 临床试验的启动凸显了它们作为治疗剂的潜力。
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引用次数: 0
A Case study- Jalaukavacharan-Leech Therapyin management of Vranagranthi (Keloid) 病例研究--Jalaukavacharan-Leech疗法在治疗瘢痕疙瘩(Vranagranthi)中的应用
Pub Date : 2024-04-15 DOI: 10.22270/ajprd.v12i2.1377
Dr. Sejal B.Padvi, Dr. Rajesh Kumar Sharma
Keloid is a type of scar that results from the overgrowth of dense fibrous tissue which is usually develops after healing of a skin injury. In other words, it represents an abnormal scar formation. The tissue extends beyond the borders of the original wound and does not usually regress spontaneously. It causes cosmetic deformity, itching, pain, and stress ultimately resulting in compromised quality of life and diminished functional performance. The treatment of Keloid is often difficult because there is an associated high risk of recurrence. Vrana represents a vast part of Shalyatantra and the pathogenesis of Keloid is similar to Vrana granthi which has been explained as a growth of mass at the site of Vrana following dietetic complications or any physical irritation in a Vrana patient. Jalaukavacharana (leech therapy) is a parasurgical type of Raktamokshana and is considered as the most unique and effective method of bloodletting. Leeches are widely used in most disorders ranging from skin disease with evidence of successful results. In the present paper, an effort has been made to case of keloid that have been conducted in Ayurveda as para surgical procedure. 
瘢痕疙瘩是一种由致密纤维组织过度生长而形成的瘢痕,通常在皮肤损伤愈合后形成。换句话说,它是一种异常瘢痕的形成。这种组织会延伸到原始伤口的边界之外,通常不会自动消退。瘢痕疙瘩会造成外观畸形、瘙痒、疼痛和压力,最终导致生活质量下降和功能减退。瘢痕疙瘩的治疗通常比较困难,因为复发的风险很高。Vrana 是 Shalyatantra 的重要组成部分,瘢痕疙瘩的发病机理与 Vrana granthi 相似,后者被解释为 Vrana 患者在饮食并发症或任何物理刺激后,在 Vrana部位增生的肿块。Jalaukavacharana(水蛭疗法)是 Raktamokshana 的一种寄生手术,被认为是最独特、最有效的放血方法。水蛭被广泛用于治疗皮肤病等大多数疾病,并取得了良好的效果。在本文中,阿育吠陀将瘢痕疙瘩作为辅助外科手术进行治疗。
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引用次数: 0
A Concise Review on Contemporary and Novel Treatments Addressing the Prevention and Control of Hyperpigmentation 预防和控制色素沉着的当代新型疗法简明综述
Pub Date : 2024-04-15 DOI: 10.22270/ajprd.v12i2.1363
Jagdale Onkar Nandraj, Khule Ashwini Gajanan, Dr. K.M. Karande
Hyperpigmentation is a common skin condition characterized by the darkening of certain areas of the skin due to an excess production of melanin. This condition can be caused by a variety of factors, including sun exposure, hormonal changes, inflammation, and skin injuries. Hyperpigmentation can have a significant impact on a person's self-esteem and quality of life. Hormonal changes, such as those experienced during pregnancy or menopause, can also lead to hyperpigmentation. Inflammation from conditions like acne or eczema can cause the skin to produce excess melanin, resulting in dark spots or patches. Additionally, skin injuries, such as cuts or burns, can trigger the body to produce more melanin as part of the healing process, leading to hyperpigmentation. Creams containing ingredients like hydroquinone, retinol, or vitamin C can help lighten dark spots and even out skin tone. Medications containing corticosteroids, may be recommended for more severe cases of hyperpigmentation. In addition, novel drug delivery systems such as liposomes, Transferosomes, Niosomes etc. have shown better penetration topically hence they can be used to treat pigmentation. Understanding the causes of hyperpigmentation and seeking appropriate treatment can help improve the overall health and appearance of the skin. By addressing the underlying factors contributing to hyperpigmentation and using targeted skincare products or treatments, individuals can achieve a more even complexion and feel more confident in their skin.Background: The topic of hyperpigmentation is of significant interest in dermatology and cosmetology due to its widespread prevalence and impact on individuals' skin health and appearance.several traditional treatments such as topical hydroquinone and retinoids have been utilized for managing hyperpigmentation, there is an increasing recognition of the need for more effective and targeted intervention. 
色素沉着是一种常见的皮肤病,其特征是由于黑色素分泌过多导致皮肤某些部位变黑。造成这种情况的原因有很多,包括日晒、荷尔蒙变化、炎症和皮肤损伤。色素沉着会严重影响一个人的自尊和生活质量。荷尔蒙变化,如怀孕或更年期期间的荷尔蒙变化,也会导致色素沉着。痤疮或湿疹等炎症会导致皮肤产生过多的黑色素,从而形成黑斑或斑块。此外,皮肤受伤(如割伤或烧伤)也会促使身体在愈合过程中产生更多黑色素,从而导致色素沉着。含有对苯二酚、视黄醇或维生素 C 等成分的面霜可以帮助淡化色斑,均匀肤色。对于较严重的色素沉着,可建议使用含有皮质类固醇的药物。此外,脂质体、转运体、Niosomes 等新型给药系统显示出更好的局部渗透性,因此可用于治疗色素沉着。了解色素沉着的原因并寻求适当的治疗有助于改善皮肤的整体健康和外观。通过解决导致色素沉着的潜在因素并使用有针对性的护肤产品或治疗方法,个人可以获得更均匀的肤色,并对自己的皮肤更有信心:背景:色素沉着这一话题在皮肤病学和美容学中备受关注,因为它普遍存在并影响着个人的皮肤健康和外观。传统的治疗方法,如外用氢醌和维甲酸,已被用于控制色素沉着,但人们越来越认识到需要更有效和更有针对性的干预措施。
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引用次数: 0
Child maltreatment and mental health- Ayurveda perspective 虐待儿童与心理健康--阿育吠陀的观点
Pub Date : 2024-04-15 DOI: 10.22270/ajprd.v12i2.1361
Preetha Karuvanthodi, Jithesh M
Child maltreatment is a pervasive and complex societal issue that encompasses various forms of abuse and neglect, posing significant threats to the well-being and development of children worldwide. The World Health Organization (WHO) defines child maltreatment as “all forms of physical and emotional ill-treatment, sexual abuse, neglect, and exploitation that results in actual or potential harm to the child’s health, development or dignity.” Abuse of children can have serious short and long term effects on physical, sexual, and mental health. These include physical harm, such as concussions and severe disabilities, especially in young children, as well as anxiety, sadness, and post-traumatic stress disorder. Child abuse has a strong correlation with alcohol and drug usage and can impact cognitive and academic performance.Priority must be for protecting and preserving the safety of abused children. The goals of ongoing treatment are to lessen the long-term psychological and physical effects of abuse as well as preventing reoccurrence.Child maltreatment is a global concern with profound implications for the physical, emotional, and psychological well-being of children. While conventional approaches in the field of child protection have made significant strides, there is growing interest in exploring complementary practices, such as Ayurveda, to enhance the overall well-being of maltreated children. The potential role of Ayurveda in addressing child maltreatment, considering its ancient roots in promoting holistic health and balance is to be highlighted.Ayurveda also proposes the principles for taking care of childhood and preventing maltreatment for them. Therapies, including herbal remedies, massage, and meditation is having the potential in managing and rehabilitating the children affected by maltreatment. Ayurveda focuses in addressing not only physical symptoms but also mental and emotional aspects that aligns with the comprehensive needs of maltreated children.
虐待儿童是一个普遍而复杂的社会问题,包括各种形式的虐待和忽视,对全世界儿童的福祉和发展构成重大威胁。世界卫生组织(WHO)将虐待儿童定义为 "对儿童的健康、发展或尊严造成实际或潜在伤害的一切形式的身体和精神虐待、性虐待、忽视和剥削"。虐待儿童会对儿童的身体、性和心理健康造成严重的短期和长期影响。这些影响包括身体伤害,如脑震荡和严重残疾,尤其是对幼儿而言,还包括焦虑、悲伤和创伤后应激障碍。虐待儿童与酗酒和吸毒密切相关,会影响儿童的认知能力和学习成绩。持续治疗的目标是减轻虐待对儿童心理和身体的长期影响,并防止其再次发生。虐待儿童是一个全球关注的问题,对儿童的身体、情感和心理健康有着深远的影响。虽然儿童保护领域的传统方法已经取得了长足的进步,但人们对探索阿育吠陀等辅助疗法以提高受虐待儿童的整体健康水平的兴趣与日俱增。考虑到阿育吠陀在促进整体健康和平衡方面的古老渊源,阿育吠陀在解决虐待儿童问题方面的潜在作用值得强调。包括草药疗法、按摩和冥想在内的各种疗法都具有管理和康复受虐待儿童的潜力。阿育吠陀不仅注重解决身体症状,还注重解决精神和情绪方面的问题,这与受虐待儿童的全面需求是一致的。
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引用次数: 0
Efficacy of Jatyadi Taila Uttarbasti in the Management of Urethral Stricture a Single Case Study Jatyadi Taila Uttarbasti 在治疗尿道狭窄方面的疗效--单个病例研究
Pub Date : 2024-04-15 DOI: 10.22270/ajprd.v12i2.1366
D. Varsadiya, Dr.Rajeshkumar Sharma, D. Kanani
In Ayurveda, Acharya Sushrut mentioned an excellent treatment named Uttarbasti for urethral stricture known as Mutrakruccha in classical scriptures. Mutrakruccha translates to difficulty in micturition. It can be associated with urethral stricture due to the similarity of symptoms. Urethral stricture disease is often seen in patients with recurrent urinary tract infections, urethral injuries, or post-surgical procedures conducted through the urethra. The most common causes of urethral stricture today are traumatic or iatrogenic. Inflammatory or infectious, malignant, and congenital aetiologies are less common. There is a low success rate of Western medical science treatment for urethral stricture disease. Surgical treatment of urethral stricture disease is indicated when the patient has severe voiding symptoms, bladder calculi, increased postvoid residual, urinary tract infection, or when conservative management fails. Urinary tract infections (UTIs) should be adequately treated before surgical intervention. In this case study, a 39-year-old male patient complained of suffering from symptoms like the strangury of urine, pain during micturition, the flow of urine is very poor, frequent micturition and occasionally burning micturition. After clinical examination and radiological testing, the patient was identified as having urethral stricture and treated with Jatyadi Taila Uttarbasti for 21 days at Shalyatantra OPD, Government Akhandanand Ayurved College and Hospital, Ahmedabad. After completion of treatment, the patient felt 75% relief in symptoms. So, we can conclude that non-invasive treatment such as Uttarbasti is highly advisable in patients having Urethral stricture. 
在阿育吠陀中,阿查里亚-苏斯鲁特(Acharya Sushrut)提到了一种名为 Uttarbasti 的绝佳疗法,用于治疗经典经文中被称为 Mutrakruccha 的尿道狭窄。Mutrakruccha 的意思是排尿困难。由于症状相似,它可能与尿道狭窄有关。尿道狭窄症常见于反复尿路感染、尿道损伤或通过尿道进行手术后的患者。目前,尿道狭窄最常见的原因是外伤或先天性的。炎症或感染性、恶性和先天性病因则不太常见。西医治疗尿道狭窄的成功率很低。当患者有严重的排尿症状、膀胱结石、排尿后残余物增多、尿路感染或保守治疗无效时,就需要对尿道狭窄疾病进行手术治疗。手术治疗前应充分治疗尿路感染(UTI)。在本病例研究中,一名 39 岁的男性患者主诉有尿痛、排尿时疼痛、尿流不畅、频繁排尿和偶尔排尿灼热等症状。经过临床检查和放射学检测,确定患者患有尿道狭窄,并在艾哈迈达巴德政府阿甘达南德阿育吠陀学院和医院的 Shalyatantra OPD 接受了为期 21 天的 Jatyadi Taila Uttarbasti 治疗。治疗结束后,患者的症状缓解了 75%。因此,我们可以得出结论,对于尿道狭窄患者来说,Uttarbasti 等非侵入性疗法是非常可取的。
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引用次数: 0
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Asian Journal of Pharmaceutical Research and Development
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