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1.
Pak J Pharm Sci ; 33(5(Special)): 2423-2430, 2020 Sep.
Article in English | MEDLINE | ID: mdl-33832885

ABSTRACT

Obesity is a common disease of developing countries, including Pakistan. Obesity is a risk factor for many diseases which can be life threatening or making the person unable to perform daily routine work. In the current study, clinical trials were designed to evaluate the effects of medical intervention by comparing the effects of placebo control drug "Plasicure" with the herbal medicinal formulation "Obesecure". The test drug formulation was designed on the basis of the screening study for Leptogenic drugs. To evaluate the safety of the test drug, the toxicity index and the safety profile of test formulation was assessed on animal models. The drug was found safe for further clinical study. Randomized Controlled Clinical Trials were conducted. The statistical analysis was carried out by the application of Two-Way Repeated Analysis of Variance test. The clinical findings of randomized controlled trial revealed that the test drug was Leptogenic and effective in weight reduction as compared to control drug Plasicure therapy as the p-value deduced was 0.001 in leptin level and 0.000 in case of BMI after the conduction of Two-Way Repeated Analysis of Variance test. Hence it is concluded that obscure therapy is more significant than control drug Plasicure therapy in the management and treatment of obesity.


Subject(s)
Anti-Obesity Agents/therapeutic use , Drugs, Chinese Herbal/therapeutic use , Obesity/drug therapy , Weight Loss/drug effects , Adult , Anti-Obesity Agents/adverse effects , Biomarkers/blood , Body Mass Index , Double-Blind Method , Drugs, Chinese Herbal/adverse effects , Female , Humans , Leptin/blood , Male , Middle Aged , Obesity/blood , Obesity/diagnosis , Obesity/physiopathology , Pakistan , Prospective Studies , Time Factors , Treatment Outcome , Young Adult
2.
Pak J Pharm Sci ; 29(6 Suppl): 2321-2326, 2016 Nov.
Article in English | MEDLINE | ID: mdl-28167473

ABSTRACT

Glimepiride and atorvastatin in combination are commonly employed for treating the hyperglycemia and dyslipidemia, respectively, in patients of type 2 diabetes. The present study was designed to find out the influence of atorvastatin on urinary excretion and renal clearance of Glimepiride in healthy adult male volunteers. In each experimental subject, Glimepiride 2mg was given orally after an overnight fasting. Samples of blood and urine were taken at different specific time intervals. After a washout period of ten days, Glimepiride 2mg was co-administered with atorvastatin 20mg orally. Post-medication, blood and urine samples were collected following the same sampling schedule as for Glimepiride alone. The samples were analyzed for Glimepiride and creatinine concentration by HPLC-UV and Spectrophotometer, respectively. Mean (±SE) values for blood pH 7.445±0.05 and 7.382±0.05, urine pH 4.972±0.08 and 5.08±0.10, diuresis 0.0207±0.00 and 0.0237±0.00ml/min/kg, endogenous creatinine in plasma 9.048±0.33 and 8.613±0.024µg/ml, endogenous creatinine in urine 512.34±18.20 and 556.72±4.60µg/ml, Glimepiride plasma concentration 0.16069±0.00 and 0.3227±0.01µg/ml, Glimepiride urine concentration 1.5994±0.03 and 0.8665±0.04µg/ml, renal clearance of creatinine 1.224±0.09 and 1.550±0.09ml/min/kg, renal clearance of Glimepiride 0.2064±0.01 and 0.0641±0.00ml/min/kg and clearance ratio 0.1791±0.01 and 0.0414±0.00 were observed for Glimepiride alone and its concurrent administration with atorvastatin, respectively. Atorvastatin decreased the urinary excretion and renal clearance of Glimepiride due to which chances of hypoglycemia provokes and renal handling of Glimepiride involves back diffusion besides glomerular filtration and no influence of atorvastatin was seen on these mechanisms.


Subject(s)
Atorvastatin/administration & dosage , Cytochrome P-450 CYP2C9 Inhibitors/administration & dosage , Hydroxymethylglutaryl-CoA Reductase Inhibitors/administration & dosage , Hypoglycemic Agents/urine , Kidney/drug effects , Renal Elimination/drug effects , Sulfonylurea Compounds/urine , Adult , Atorvastatin/adverse effects , Chromatography, High Pressure Liquid , Cytochrome P-450 CYP2C9/metabolism , Cytochrome P-450 CYP2C9 Inhibitors/adverse effects , Drug Interactions , Healthy Volunteers , Humans , Hydroxymethylglutaryl-CoA Reductase Inhibitors/adverse effects , Hypoglycemic Agents/administration & dosage , Hypoglycemic Agents/pharmacokinetics , Kidney/metabolism , Male , Spectrophotometry, Ultraviolet , Sulfonylurea Compounds/administration & dosage , Sulfonylurea Compounds/pharmacokinetics
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