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Assessment of Interactions of Drugs Prescribed for Pediatric Patients in Bangladesh 孟加拉国儿科患者处方药物相互作用评估
Pub Date : 2021-07-10 DOI: 10.3329/BPJ.V24I2.54706
S. Ahmed, S. Yesmine, Mizanur Rahman, M. Shahriar
Drug-drug interactions (DDIs) represent an important clinical problem. During inpatient admissions, infants, children, and adolescents are typically exposed to different medications, increasing their risk of potential drug-drug interactions (pDDIs). While drug interactions are reported to be common, there are only few publications of the prevalence of such interactions among pediatric patients in Bangladesh. The present study tries to estimates the prevalence and characteristics of pDDI exposure of pediatric patients treated in children’s hospitals. This observational retrospective study was carried out on 155 patients admitted to a children’s hospital located at Dhaka during January 2019 to August 2019. The medications of the patients were analyzed for pDDIs by using Medscape drug interaction checker. The prescriptions were analyzed for demographic characteristics, medical and detailed drug history. Drug-drug interactions (DDIs) were evaluated for total numbers, types and severity of DDIs. Total 155 prescriptions with mean age 2.12±2.08 years were analyzed and a total of 25 pDDIs were recorded. The prevalence of pDDI was 17%, of which 12 (48%) were pharmacodynamic interactions, 10 (40%) were pharmacokinetic interactions and 3 (12%) of unknown mechanism. According to the severity of interaction, 4 (18%) cases were categorized as serious, 15 (55%) cases as moderate and 6 (27%) cases as minor. The occurrence of DDIs were significantly associated (r=0.912, p<0.05) with the number of drugs prescribed. The present study has identified pDDIs and also documented interactions in pediatrics patients. It has highlighted the need for screening prescriptions of pediatric patients for pDDIs and proactive monitoring of patients who have identified risk factors in order to promote detection and prevention of possible adverse drug interactions. Bangladesh Pharmaceutical Journal 24(2): 91-98, 2021
药物相互作用(ddi)是一个重要的临床问题。在住院期间,婴儿、儿童和青少年通常暴露于不同的药物,增加了他们潜在的药物-药物相互作用(pddi)的风险。虽然据报道药物相互作用很常见,但孟加拉国儿科患者中这种相互作用的患病率只有很少的出版物。本研究试图估计在儿童医院接受治疗的儿童患者的pDDI暴露的患病率和特征。这项观察性回顾性研究是在2019年1月至2019年8月期间对达卡一家儿童医院收治的155名患者进行的。采用Medscape药物相互作用检测仪对患者用药情况进行分析。对处方进行人口统计学特征、医疗和详细用药史分析。评估药物-药物相互作用(ddi)的总数、类型和严重程度。共分析处方155张,平均用药年龄(2.12±2.08)岁,共记录pddi 25张。pDDI患病率为17%,其中药效学相互作用12例(48%),药代动力学相互作用10例(40%),机制未知3例(12%)。根据相互作用的严重程度,严重4例(18%),中度15例(55%),轻微6例(27%)。ddi的发生与用药次数有显著相关(r=0.912, p<0.05)。目前的研究已经确定了pddi,并记录了儿科患者的相互作用。它强调了筛查儿科患者pddi处方和主动监测已确定风险因素的患者的必要性,以促进发现和预防可能的不良药物相互作用。孟加拉国药学杂志24(2):91-98,2021
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引用次数: 0
First-Time Generic Approvals Vol 24(2) 首次仿制药批准卷24(2)
Pub Date : 2021-07-10 DOI: 10.3329/BPJ.V24I2.54769
Akbar Hossain
Abstract not available Bangladesh Pharmaceutical Journal 24(2): 198-199, 2021
孟加拉药学杂志24(2):198- 199,2021
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引用次数: 0
Phytochemical Screening and In vivo Analgesic Activity of Ampelocissus barbata (Wall.) Planch. 蛇耳的植物化学筛选及体内镇痛活性研究木板。
Pub Date : 2021-07-10 DOI: 10.3329/BPJ.V24I2.54710
Labony Khandokar, Sanjida Rahman Mim, Rasel Rana
Ampelocissus barbata (Wall.) Planch. is a native medicinal herb in Bangladesh. The present study was aimed at exploring the phytochemical compositions and analgesic potential of the plant in vivo. The methanol extract of A. barbata along with its different fractions were subjected to phytochemical evaluation through established chemical tests for ascertaining the available pool of secondary metabolites within the plant. Eventually, the presence of at least eleven classes of phytoconstituents viz. alkaloids, flavonoids, phenolics, glycosides, saponins, starch, phytosterols, coumarins, tanins, resins and quinones were demonstrated. Among the four partitonates, ethyl acetate soluble fraction of A. barbata illustrated the maximum types of secondary metabolites qualitatively. The ability of the crude methanol extract (MEAB) and its ethyl acetate soluble fraction (EAAB) to suppress nociception both centrally and peripherally were investigated in Swiss albino mice by tail immersion method and acetic acid-induced writhing method, respectively. At the 90th minute of the tail immersion study, both MEAB and EAAB administered at the doses of 250 and 500 mg/kg body weight (MEAB1, MEAB2, EAAB1, EAAB2) exhibited 240.41%, 285.34%, 302.83% and 339.60% elongation of pain response, respectively, in comparison to the standard, pentazocine which effectuated 421.36% elongation at the same mark. Moreover, the test samples at the same doses as before exhibited reduction of pain sensation by 66.81%, 74.08%, 76.81%, and 83.52%, respectively, in the acetic acid-induced writhing response in mice. Both the central and peripheral analgesic potentials of EAAB were discernibly higher than those of MEAB at both doses. The findings of the study represents the pharmacological potential of this species in appropriate animal model for the first time and provides valid foundation to warrant future scientific endeavors into the plant. Bangladesh Pharmaceutical Journal 24(2): 117-124, 2021
水仙(山楂)木板。是孟加拉国的一种本土草药。本研究旨在探讨该植物在体内的化学成分和镇痛潜能。通过建立的化学试验,对芭芭拉甲醇提取物及其不同组分进行植物化学评价,以确定植物内次生代谢物的可用库。最后,证实了至少11类植物成分的存在,即生物碱、黄酮类、酚类、苷类、皂素、淀粉、植物甾醇、香豆素、单宁、树脂和醌类。其中,芭芭拉乙酸乙酯可溶性部位次生代谢产物种类最多。采用尾浸法和醋酸扭体法分别研究了粗甲醇提取物(MEAB)及其乙酸乙酯可溶部位(EAAB)对瑞士白化病小鼠中枢和外周伤害感觉的抑制作用。尾浸试验第90分钟,MEAB和EAAB分别以250和500 mg/kg体重(MEAB1、MEAB2、EAAB1、EAAB2)剂量给药,疼痛反应的延长率分别为240.41%、285.34%、302.83%和339.60%,而标准的戊唑嗪在相同时间点的延长率为421.36%。此外,在相同剂量下,实验样品对醋酸引起的小鼠扭体反应的疼痛感觉分别减少了66.81%,74.08%,76.81%和83.52%。在两种剂量下,EAAB的中枢和外周镇痛电位均明显高于MEAB。该研究结果首次在合适的动物模型上显示了该植物的药理潜力,为今后对该植物的科学研究提供了有效的基础。孟加拉药学杂志24(2):117-124,2021
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引用次数: 1
Current Health News Vol 24(2) 时事健康新闻第二十四卷(二)
Pub Date : 2021-07-10 DOI: 10.3329/BPJ.V24I2.54771
Akbar Hossain
Abstract not available Bangladesh Pharmaceutical Journal 24(2): 202, 2021
孟加拉药学杂志24(2):202,2021
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引用次数: 0
Computer-aided Approaches to Support the Ethnopharmacological Importance of Dillenia pentagyna Roxb.: An In silico Study 计算机辅助方法支持五龙花的民族药理学意义。一项计算机研究
Pub Date : 2021-07-10 DOI: 10.3329/BPJ.V24I2.54711
Safaet Alam, N. Emon, Sadman Hasib, M. Rashid, Mahfuza Afroz Soma, Tanoy Saha, M. R. Haque
Dillenia pentagyna Roxb., a deciduous and medium sized tree, is an ethnobotanically important species of several Asian countries including Bangladesh, Srilanka, and India. Various parts of this endangered tree including leaf, bark, root etc. are used in folkloric medicine systems for a very long time. It is locally used in the treatment of pain, wound healing, diabetes, diarrhea and other disease states. Molecular docking is an important technique to validate the exerted pharmacological actions of a plant or specific phytoconstituents by assessing the binding affinity and interaction pattern between small molecules and particular target receptors. Thus, to justify the notable ethnobotanical importances of D. pentagyna, an in silico study was designed employing selected phytochemicals i.e. isorhamnetin, lupeol, quercetin, kaempferol, and betulin isolated from this plant based on previous literature searches. The molecular docking revealed strong binding affinities (-4.8 to -12.9 kcal/mol) with the respective target proteins: 2OYE, 6COX, 4YK5, 5ZHP, and 1A5H. Besides, in accordance with the Lipinski’s rules, all five selected compounds of D. pentagyna showed promising orally active drug-like characteristics. To recapitulate, the present study has been found parallel with the existing ethnobotanical significance of D. pentagyna as the source of pain, fever, thrombosis, and diarrhea management agent. Bangladesh Pharmaceutical Journal 24(2): 125-132, 2021
迪勒尼娅。是一种中等大小的落叶乔木,是孟加拉、斯里兰卡和印度等几个亚洲国家在民族植物学上的重要物种。这种濒临灭绝的树的各个部分,包括叶子、树皮、根等,长期以来都被用于民间医学系统。局部用于治疗疼痛、伤口愈合、糖尿病、腹泻等疾病状态。分子对接是通过评估小分子与特定靶受体之间的结合亲和力和相互作用模式来验证植物或特定植物成分发挥的药理作用的重要技术。因此,为了证明D. pentagyna具有显著的民族植物学意义,我们设计了一项计算机研究,利用从该植物中分离出的植物化学物质,即异鼠李素、芦皮醇、槲皮素、山奈酚和白桦素,基于先前的文献检索。分子对接显示,该蛋白与目标蛋白2OYE、6COX、4YK5、5ZHP和1A5H具有较强的结合亲和力(-4.8 ~ -12.9 kcal/mol)。此外,根据Lipinski规则,五种化合物均表现出良好的口服药物活性特征。综上所述,本研究已经发现了与现有的民族植物学意义平行的五角草作为疼痛,发烧,血栓形成和腹泻管理剂的来源。孟加拉药学杂志24(2):125-132,2021
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引用次数: 5
Formulation and Evaluation of Fixed-Dose Combination Immediate Release Tablets of Ibuprofen and Famotidine through Quality by Design Approach 布洛芬法莫替丁联合定剂量速释片的处方及质量设计评价
Pub Date : 2021-07-10 DOI: 10.3329/BPJ.V24I2.54712
M. Alam, Shahidul Islam, K. Sikdar, Asm Monjur Al Hossain
Nonsteroidal anti-inflammatory drugs (NSAIDs) are frequently prescribed by the physicians for the management of pain due to their anti-inflammatory and analgesic properties. Long term use of NSAIDs causes gastrointestinal (GI) toxicity and the common GI disorders are indigestion, ulcers or bleeding. Therefore, the production of local oral tablets containing NSAIDs and gastro-protectant is inevitable. In this experiment, combination of ibuprofen 600 mg and famotidine 20 mg tablets were prepared by direct compression technique, which is unique in Bangladesh. To pursue the study Design of Experiments (DoE) approach was implemented to create fifteen trial formulations where Polyvinylpyrrolidone (PVPK30) 1%-3%, Microcrystalline Cellulose (Avicel PH-102) 1%-7% and Starch-1500 1%-13% were considered as independent variables and the responses were depicted in friability and disintegration time which were found 0.21–0.45% and 1.8–20.5 minutes respectively. Out of fifteen formulation trials (F-1 to F-15), seven formulations (F-3, F-6, F-8, F-9, F-10, F-13 and F-14) had met the acceptable criteria and one formulation (F-9) with independent variables PVP-K30 2.00%, Avicel PH-102 4.75% and Starch-1500 6.5% was selected because of its better disintegration, dissolution and friability profile. Data obtained from in-vitro dissolution tests were fitted to different kinetic models such as zero order, first order, Higuchi, Hixson-Crowell and Korsmeyer-Peppas models. Also, a compatibility study was conducted using Fourier Transform Infrared Spectroscopy (FTIR), Thermogravimetric Analysis (TGA) and X-Ray Diffraction (XRD). Furthermore, Scanning Electron Microscopy (SEM) was performed to analyze surface morphology. Finally, the selected formulation was compared to FDA regulated QC parameters and proved its superiority over conventional market products. Bangladesh Pharmaceutical Journal 24(2): 133-148, 2021
非甾体抗炎药(NSAIDs)由于其抗炎和镇痛的特性,经常被医生开处方用于治疗疼痛。长期使用非甾体抗炎药会引起胃肠道(GI)毒性,常见的胃肠道疾病是消化不良、溃疡或出血。因此,生产含有非甾体抗炎药和胃保护剂的局部口服片剂是不可避免的。本实验采用孟加拉国独有的直接加压法制备布洛芬600 mg与法莫替丁20 mg片剂。以聚乙烯吡啶酮(PVPK30) 1% ~ 3%、微晶纤维素(Avicel PH-102) 1% ~ 7%、淀粉-1500 1% ~ 13%为自变量,采用实验设计(DoE)的方法创建了15个试验配方,以脆性和崩解时间分别为0.21 ~ 0.45%和1.8 ~ 20.5 min来描述反应。在15个配方试验(F-1 ~ F-15)中,有7个配方(F-3、F-6、F-8、F-9、F-10、F-13、F-14)符合可接受标准,其中1个配方(F-9)因其崩解、溶出和易碎性较好,自变量为PVP-K30 2.00%, Avicel PH-102 4.75%, Starch-1500 6.5%。体外溶出试验数据拟合为零阶、一阶、Higuchi、Hixson-Crowell和Korsmeyer-Peppas动力学模型。并用傅里叶变换红外光谱(FTIR)、热重分析(TGA)和x射线衍射(XRD)对其相容性进行了研究。此外,用扫描电子显微镜(SEM)分析了表面形貌。最后,将所选配方与FDA规定的QC参数进行比较,证明其优于市场常规产品。孟加拉药学杂志24(2):133-148,2021
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引用次数: 0
Cytotoxicity and Sedative Activity of Steam Bark of Dillenia indica L. 水莲蒸汽树皮的细胞毒性及镇静作用。
Pub Date : 2021-07-10 DOI: 10.3329/BPJ.V24I2.54708
Mst Jasmin Akter, Sekendar Ali, Iffat Hasnin, N. A. Khatune, A. Rahman
The study aims to assess the cytotoxic activity of the methanolic extract (CME) and various fractions from the bark of Dillenia indica L (Family: Dilleniaceae) using brine shrimp lethality bioassay and sedative activities using hole cross, open field, and elevated-plus maze (EPM) test in Swiss albino mice. In brine shrimp assay, the LC50 for CME, pet-ether (PETF), chloroform (CHF) and aqueous (AQF) fraction were found to be 110, 24.55, 85 and 14.45 μg/ml, respectively, indicating significant cytotoxicity of PETF and AQF when compared to the standard vincristine sulfate (7.5 μg/ml). In open field test, the number of movements per min (after 120 min) was 40.90, 12.43, 5.45, 3.66, and 29.74 for control, standard diazepam, CME, CHF and AQF, respectively, indicating strong activity of the chloroform soluble fraction compared to the other test samples of D. indica. Similar data was observed in hole cross test where the number of movements per minute after 120 min were 3.60, 5.56, 4.77, and 7.99 for the standard, CME, CHF and AQF, respectively. In EPM test, the CME showed a significant decreased percentage of entries of mice into the open arms of EPM as well as the percentage of time spent in the open arms. The result indicates that the CHF significantly suppressed the locomotor activity than that of methanol and aqueous fractions. These findings will be helpful for bioassay-guided isolation of active principles responsible for cytotoxicity and sedative activities. Bangladesh Pharmaceutical Journal 24(2): 105-110, 2021
本研究旨在通过盐水对虾致死生物测定和孔交叉、空地和升高+迷宫(EPM)实验对瑞士白化病小鼠的镇静作用进行评价。在盐水对虾实验中,CME、pet-醚(PETF)、氯仿(CHF)和水溶液(AQF)的LC50分别为110、24.55、85和14.45 μg/ml,与标准硫酸长春新碱(7.5 μg/ml)相比,PETF和AQF具有显著的细胞毒性。在野外试验中,对照、标准安定、CME、CHF和AQF的运动次数分别为40.90次、12.43次、5.45次、3.66次和29.74次/ min (120 min后),表明氯仿可溶性部位的活性较其他样品强。在孔交叉试验中也观察到类似的数据,120 min后标准、CME、CHF和AQF的每分钟运动次数分别为3.60次、5.56次、4.77次和7.99次。在EPM测试中,CME显示小鼠进入EPM张开臂的百分比以及在张开臂中花费的时间百分比显着降低。结果表明,CHF对运动活性的抑制作用明显优于甲醇和水溶液组分。这些发现将有助于生物测定指导分离负责细胞毒性和镇静活性的活性成分。孟加拉药学杂志24(2):105-110,2021
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引用次数: 2
Prospective Plants with Corroborated Antimalarial Actions: A Review 具有抗疟作用的潜在植物:综述
Pub Date : 2021-07-10 DOI: 10.3329/BPJ.V24I2.54716
Anika Tabassum Obonti, Safaet Alam, Taslima Binte Kamal, A. Zaman, H. Hasnat, Tanoy Saha, A. Islam
Malaria is a serious illness resulted from parasites that are communicated to people through the bites of infected female Anopheles mosquitoes. Malaria is still in a worrying trend, particularly in tropical and subtropical climates although it is curable and preventable. In spite of a noteworthy abetment in incidence and death rates caused by malaria, even in 2017, a big number of people (219 million) have been affected by it along with 435 thousand confirmed death cases. Though a lot of synthetic drugs have been commercialized to treat malaria, those are compromised with some serious side effects. On the contrary, plant sources are always getting a big focus to develop novel and effective therapeutics in the treatment of different ailments i.e. quinine and artemisinin to treat malarial complications. The usage of herbal plants against malaria has also a very ancient root. Several families of plant species have showed potential antimalarial activities in previous research works. In this review work, families of these plants have been compiled so that prospective researchers can find a hint to discover more effective and safer plant-derived therapeutic options against malaria. Bangladesh Pharmaceutical Journal 24(2): 180-193, 2021
疟疾是一种由寄生虫引起的严重疾病,寄生虫通过受感染的雌性按蚊叮咬传播给人类。尽管疟疾是可以治愈和预防的,但它仍处于令人担忧的趋势,特别是在热带和亚热带气候中。尽管疟疾造成的发病率和死亡率显著上升,但即使在2017年,仍有大量人口(2.19亿)受到影响,并有43.5万确诊死亡病例。尽管许多用于治疗疟疾的合成药物已经商业化,但这些药物存在一些严重的副作用。相反,植物资源一直备受关注,以开发治疗不同疾病的新型有效疗法,例如用于治疗疟疾并发症的奎宁和青蒿素。使用草本植物治疗疟疾也有一个非常古老的根源。在以前的研究工作中,一些植物物种显示出潜在的抗疟活性。在这项综述工作中,这些植物的科被汇编,以便未来的研究人员可以找到一个线索,以发现更有效和更安全的植物源性治疗疟疾的选择。孟加拉国药学杂志24(2):180- 193,2021
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引用次数: 3
New Indications & Dosage Forms for Existing Drugs Vol 24(2) 现有药物的新适应症和剂型第24卷(2)
Pub Date : 2021-07-10 DOI: 10.3329/BPJ.V24I2.54770
Akbar Hossain
Abstract not available Bangladesh Pharmaceutical Journal 24(2): 200-201, 2021
孟加拉药学杂志24(2):200- 201,2021
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引用次数: 0
Studies of Physico-chemical Properties and Cytotoxicity of Fruits of Syzygium jambos L. against HeLa and Vero Cell Lines 杨木果实对HeLa和Vero细胞株的理化性质及细胞毒性研究
Pub Date : 2021-07-10 DOI: 10.3329/BPJ.V24I2.54709
Fajilatun Nesa, M. Shoeb, Mazharul Islam, N. Islam
Syzygium jambos L. belonging to the family Myrtaceae has a long history of using as a dietary fruit and folklore medicine. Investigation of this fruit was carried out to evaluate the different chemical properties and biological activities. The moisture and ash content of the fruit sample were calculated as 86.88 ± 0.61% and 0.29±0.02%, respectively. Dried powder of the fruit was extracted successively with nhexane, dichloromethane (DCM) and methanol (MeOH). UV-Visible and FT-IR spectral analyses confirmed the presence of unsaturated carboxylic acid in n-hexane, unsaturated ester in DCM and a diketone in MeOH extracts. Cytotoxicity assay of different extracts was carried out against HeLa and Vero cell lines and no extract was found to be cytotoxic. Total phenolic contents of the n-hexane, DCM and MeOH extracts were 15.39 ± 0.24, 31.32 ± 0.25 and 42.19 ± 0.16 mg gallic acid equivalent per gram of dry extract, respectively and total flavonoid content of n-hexane, DCM and MeOH extracts were 6.52 ± 0.18, 15.55 ± 0.16 and 8.36 ± 0.16 mg quercetin equivalent per gram of dry extract, respectively. This study establishes that S. jambos fruit can be a potential source of natural antioxidants. Bangladesh Pharmaceutical Journal 24(2): 111-116, 2021
枸杞属桃科,作为食用水果和民间医药有着悠久的历史。对该果实进行了研究,以评价其不同的化学性质和生物活性。果实样品的水分和灰分含量分别为86.88±0.61%和0.29±0.02%。用己烷、二氯甲烷(DCM)和甲醇(MeOH)依次提取果粉。紫外可见光谱和红外光谱分析证实,正己烷中存在不饱和羧酸,DCM中存在不饱和酯,甲醇提取物中存在二酮。不同提取物对HeLa和Vero细胞株进行了细胞毒性试验,均未发现提取物具有细胞毒性。正己烷、DCM和MeOH提取物的总酚含量分别为15.39±0.24、31.32±0.25和42.19±0.16 mg没食子酸当量/ g干提取物;总黄酮含量分别为6.52±0.18、15.55±0.16和8.36±0.16 mg槲皮素当量/ g干提取物。这项研究表明,大叶果可能是天然抗氧化剂的潜在来源。孟加拉国药学杂志24(2):111-116,2021
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引用次数: 5
期刊
Bangladesh Pharmaceutical Journal
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