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STM JOURNALSScientific Technical Medical
www.stmjournals.com
Jan - April 2014
ISSN : 2349-1299(RRJoP)
Research & Reviews
A Journal of Pharmacology
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Research & Reviews : Journal of Pharmacology
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Industrial Tribology Machine Dynamics & Maintenance
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Alternative Energy Technology Laboratory,
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I take the privilege to present the hard copy compilation for the [Volume 4 Issue (1)] of Research &
Reviews : A Journal of Pharmacology. The intension of RRJoP is to create an atmosphere that
stimulates creativeness, research and growth in the area of Pharmacology.
The development and growth of the mankind is the consequence of brilliant Research done by
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reviews in areas of Pharmacology found to be relevant for National and International recent
developments & research initiative.
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the advancement and dissemination of Research results that support high level learning, teaching and
research in the domain of Pharmacology.
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their continued support and invaluable contributions and suggestions in the form of authoring write-
ups/ reviewing and providing constructive comments for the advancement of the journals. With
regards to their due continuous support and co-operation, we have been able to publish quality
Research/Reviews findings for our customers base.
I hope you will enjoy reading this issue and we welcome your feedback on any aspect of the Journal.
Dr. Archana Mehrotra
Director
STM Journals
Director's Desk
STM JOURNALS
1. Analgesic Activity and Acute Toxicity Study of Zornia gibbosa Span (Samyojaki) in Mice Bipin Vithal Sawant, T. S. Bairy, Shrikanth P. Acharya 1
2. Evaluation of Anti-inflammatory Activity of Zornia gibbosa Span (Samyojaki) Bipin Vithal Sawant, T. S. Bairy, Shrikanth P. Acharya 5
3. Prescribing Patterns of Analgesics in Surgical Departments in a Tertiary Care HospitalVarun HV, Usha Rani D, Sangita G Kamath, Sathisha Aithal, Umakant N Patil 9
4. Stavudine Lamivudine Efavirenz Combination Therapy for Treatment of HIV Infection in Tertiary Care Hospital - A Retrospective Observational StudySomashekar HS, Keerthi Sagar J, Reshma SR, Vaneet Aggarwal,Dinakar KR, Narendranath S, Navin A Patil 17
5. Therapeutic Potential of Silver: An OverviewMohd Tariq, Khaleequr Rahman, Shaikh Imtiyaz, Roohi Zaman,Shahid Shah Chaudhary 23
ContentsResearch & Reviews : Journal of Pharmacology
RRJoP (2014)© STM Journals 2014. All Rights Reserved
Research & Reviews: A Journal of Pharmacology ISSN: 2349-1299
Volume 4, Issue 1
www.stmjournals.com
Analgesic Activity and Acute Toxicity Study of
Zornia gibbosa Span (Samyojaki) in Mice
Bipin Vithal Sawant1*, T. S. Bairy
2, Shrikanth P. Acharya
2
1G. J. Patel Institute of Ayurvedic Studies & Research, Behind G.I.D.C.,
New Vallabh Vidyanagar, Gujarat, India 2Department of Dravyaguna, S. D. M. College of Ayurveda, Udupi, Karnataka, India
Abstract The herb Zornia gibbosa Span is a member of fabaceae family and commonly known as
Nellujollusoppu/Haradahacchaga in Udupi district of Karnataka. The drug is widely
used in the treatment of fracture by folklore practitioners to pacify pain and inflammation. In fracture the pain is generated by multiple nociceptors presence in
response to discontinuity of periosteum and endosteum during trauma. So in order to
justify the folklore claims, pharmacological analysis of drug was undertaken to evaluate analgesic activity using Eddy’s hotplate method. The test drug was administered in the
form of freshly prepared Phant kalpana (hot infusion) in dose prescribed to humans which was then converted to animal dose based on body surface area ratio. In the present
study, gradual and statistically significant increase in the reaction time was observed
suggesting the peak latency period at 150 min. Phant of Zornia gibbosa showed significant analgesic activity (p = 0.035) by hot plate method suggests its role on
opioid receptors for analgesic action. In order to understand the comprehensive
mechanism of analgesic action, the drug needs to be further screened for peripheral antinociceptive activity.
Keywords: Zornia gibbosa span., analgesic activity, hot plate method
RRJoP (2014)© STM Journals 2014. All Rights Reserved
Research & Reviews: Journal of Pharmacology ISSN: 2349-1299
Volume 4, Issue 1
www.stmjournals.com
Evaluation of Anti-inflammatory Activity of
Zornia gibbosa Span (Samyojaki)
Bipin Vithal Sawant1*, T. S. Bairy
2, Shrikanth P. Acharya
2
1G. J. Patel Institute of Ayurvedic Studies & Research
2Department of Dravyaguna, S. D. M. College of Ayurveda, Udupi, Karnataka
Abstract 93% of wild medicinal plants used for making Ayurvedic medicines in the country are endangered. Hence the usage of drugs which are common and abundantly available
should be encouraged to control the extensive overuse of few classical drugs. An
Ayurveda states that every drug possesses medicinal property, so it’s our prime duty to
scrutinise those drugs which are abundantly available & cost-effective for their
medicinal value. The herb Zornia gibbosa Span is commonly available and highly used
by folklore practitioners from Udupi district of Karnataka for the treatment of fracture. Hence a pharmacological study of Zornia gibbosa span was carried out to evaluate its
anti-inflammatory action using carrageenan induced paw oedema, as introduced by Winter et al. [1962]. The test drug was administered in the form of freshly prepared
Phant kalpana (Hot infusion) in dose prescribed to humans which was then converted to
animal dose based on body surface area ratio. An apparent and statistically significant inhibition of paw oedema was observed in test group at 60 min & 120 min which shows
the Phant of Zornia gibbosa Span possess anti-inflammatory activity which may be due to
its ability to inhibit the enzyme cyclo-oxygenase leading to inhibition of prostaglandin synthesis and other inflammatory mediators and antagonising their interactions with
their respective receptors or it may be due to general mechanism like increasing the
membrane stability in cell.
Keywords: Zornia gibbosa span, anti-inflammatory activity, carrageenan
RRJoP (2014) © STM Journals 2014. All Rights Reserved
Research & Reviews: Journal of Pharmacology ISSN: 2349-1299
Volume 4, Issue 1
www.stmjournals.com
Prescribing Patterns of Analgesics in Surgical
Departments in a Tertiary Care Hospital
Varun HV*, Usha Rani D, Sangita G Kamath, Sathisha Aithal, Umakant N Patil
Department of Pharmacology, SSIMS & RC, Davangere, Karnataka, India
Abstract Analgesics are routinely employed in the management of pain in surgical departments.
Drug utilization studies evaluate the present trends of drug usage, drug
expenditures, appropriateness of prescriptions and adherence to evidence-based recommendations. The Objectives were to study the prescribing pattern, approval status,
inclusion in World Health Organization (WHO) essential medicines list/National List of
Essential Medicines (NLEM), cost and rationality of analgesics prescribed in surgical departments. Data were collected from records of inpatients who had undergone surgical
procedures, from SSIMS & RC Hospital, Davangere. The prescribing patterns, approval of analgesics by Drug Controller General of India (DCGI) and United States Food and
Drug Administration (USFDA), cost and listing of analgesics in WHO essential
medicines list/NLEM were analysed. The analgesics were classified into different groups based on WHO‐ Anatomical Therapeutic Chemical (ATC) classification. The results
show a total of 276 analgesics prescribed to 126 patients, of which 207(75%) were single drug formulations, 69(25%) fixed dose combinations (FDCs), 255(92.4%)
and 219(79.3%) analgesics were approved by DCGI and USFDA, respectively,
195(70.65%) and 3(1.08%) analgesics were included in NLEM and WHO essential medicines list, respectively. Parenteral formulations [174(63.04%)] were most commonly
prescribed. The most commonly prescribed analgesics as per WHO-ATC class were N02A
(Opioids) [132(47.83%)]. Only 51(18.48%) analgesics were prescribed by their recommended international non-proprietary names (rINN) [generic name]. Owing to the
vital role of analgesics in the management of pain in surgical departments, more drugs need to be included in the essential medicines list..
Keywords: Prescribing patterns, analgesics, essential medicines, drug utilization
studies, WHO-ATC
RRJoP (2014) © STM Journals 2014. All Rights Reserved
Research & Reviews: Journal of Pharmacology ISSN: 2349-1299
Volume 4, Issue 1
www.stmjournals.com
Stavudine Lamivudine Efavirenz Combination Therapy
for Treatment of HIV Infection in Tertiary Care
Hospital - A Retrospective Observational Study
Somashekar HS, Keerthi Sagar J*, Reshma SR, Vaneet Aggarwal,
Dinakar KR, Narendranath S, Navin A Patil
Department of Pharmacology, JJM Medical College, Davangere, Karnataka, India
Abstract Highly Active Antiretroviral Therapy has transformed human immunodeficiency virus
(HIV) infection into a chronic manageable disease. Compliance is the biggest challenge
in low and middle income country like India where social and religious agenda play an important role. Efavirenz based HAART is current standard of care in management of
HIV infected patients. The objective of the present study was to know efficacy of
combination regimen of stavudine, lamivudine and efavirenz in the treatment of HIV infected individuals and also to assess the compliance of the patients. A retrospective
study was conducted in the ART center of CG Hospital, a tertiary care center at Davangere. Data were collected for duration of 12 months (June 2012 to May 2013).
Study was carried out after obtaining the permission from institutional ethical committee.
We have included patients of all the age groups. For inclusion in the study patients had to be antiretroviral (ARV) naive and receiving their ARV medication that is combination
of stavudine lamivudine and efavirenz therapy through the Government HAART Program. Among the 50 patients included CD4 Counts after six months of treatment was
235 cells/mm3 compared to baseline counts of 111 cells/mm
3. Likewise an improvement
was recorded in Hb% and body weight by approximately 2% and 5 kg. Conclusion shows that in the present study response to CD4 counts, hemoglobin percentage and body
weight is significant in six months when compared to baseline with combination of
stavudine lamivudine and efavirenz therapy. Thus combination therapy of 2 nucleoside reverse transcriptase inhibitors and 1 non-nucleoside reverse transcriptase inhibitors
improve the survival of the HIV infected patients with less resistance to anti HIV drugs.
Keywords: HAART regimen, CD4 counts, body weight, hemoglobin
RRJoP (2014) © STM Journals 2014. All Rights Reserved
Research & Reviews: Journal of Pharmacology ISSN: 2349-1299
Volume 4, Issue 1
www.stmjournals.com
Therapeutic Potential of Silver: An Overview
Mohd Tariq*1, Khaleequr Rahman
1, Shaikh Imtiyaz
2, Roohi Zaman
1,
Shahid Shah Chaudhary1
1Department of Ilmul Saidla (Pharmacy), National Institute of Unani Medicine, Bangalore, India
2Department of Moalajat (Medicine), National Institute of Unani Medicine, Bangalore, India
Abstract Metals play an important role in human body, the deficiency of which leads to various
disorders. Earlier there was a perception that metals are not compatible to human body
at all, but now it has been reported that numbers of metallic compounds are essential for
body and some are in the category of essential elements. Metals are present in human
body in different concentration and combination at various sites and help the respective
body tissues to perform their normal activities. Perfect health is attributed to the state of equilibrium of these metals in body tissues. Any imbalance in them disturbs the body
metabolism. Silver is one of the metals known since antiquity. It was used for medicinal purpose since time immemorial. The first recorded use of silver for medicinal purposes
dates back to 8th
cent. AD where Avicenna used silver filings for palpitation of heart. In
Unani system of medicine it is used in the form of kushta and warq. It is highly recommended in fever, chest affections, impotency, seminal weakness, painful and
irritable conditions of the stomach, heart burn, chronic diarrhea and nervous affections. This review is an effort to summarize the detailed prospects of ancient literature on silver
along with recent pharmacological studies.
Keywords: Nuqra, silver, unani