Journal of Drug Delivery and Therapeutics (JDDT)
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A Study on the Risk Factors associated with Stroke in young adults and its Management Practices
The various risk factors causing premature stroke and cardiovascular diseases in young adults and their management are increasing problems in both developed and developing countries. Cardiovascular diseases include heart conditions that involve diseased vessels, structural problems, and blood clots. This is a prospective observational study which was conducted for 6 months in the general medicine department of Gandhi Hospital, Hyderabad. The study was initiated after the approval by Institutional Ethical Committee. During the study period a total number of 80 cases were collected. Out of these cases (55 cases, 69%) were of ischemic stroke and (25 cases, 31%) of hemorrhagic stroke. It was observed that males were more prone to strokes and females are more prone to cardiovascular diseases. The most common risk factor associated with stroke was hypertension. The age group of 41–50 years was mostly affected by stroke and cardiovascular diseases. Therefore, from our study we observe that timely treatment and patient counselling on disease, disease management and medications are important parameters for better patient care and improving quality of life.
Keywords: Stroke, cardiovascular diseases, hypertension
Correlation of hyperprolactinemia, Subclinical hypothyroidism with Polycystic Ovary Syndrome and infertility
Background: Polycystic ovarian syndrome (PCOS) is a hyperandrogenic condition characterized by polycystic ovarian morphology and chronic oligo-anovulation. When it is combines with hypothyroidism and hyperprolactinemia, this condition can have severe consequences, may even lead to infertility.
Case Presentation: This case study illustrates the complexity of PCOS and the significance of a multidisciplinary approach to its diagnosis and therapy. The patient is a 24-year-old non diabetic nonsmoker female with PCOS who has been attempting to conceive for seven years. The patient presented to the hospital with irregular menstrual cycles and a desire to become pregnant. The patient had previously been unsuccessfully treated with Clomid and letrozole. The patient\u27s BMI was determined to be 23. 3 and a pelvic scan indicated PCO ovaries. Laboratory results revealed hyperprolactinemia (53 ng/ml) and subclinical hypothyroidism (TSH 12.6 uIU/ml, T4 0.54 ng/dL- TPO antibodies:187 IU/mL, Anti thyroglobulin antibodies 235 IU/mL), but a pituitary gland MRI was normal. Thyroid US features going with Hashimoto thyroiditis. The patient\u27s PCOS symptoms were initially managed with metformin and Duphaston, and then Cabergoline was introduced to address hyperprolactinemia. The patient became pregnant shortly following hyperprolactinemia medication. Prenatal screenings revealed elevated fasting glucose levels and gestational diabetes. The patient\u27s blood sugar was initially controlled by Metformin, but she later required multiple insulin doses to maintain control. The patient was scheduled for induction of labor at 38 weeks, but a lower segment emergency cesarean surgery was performed due to fetal distress.
Conclusion: Regular monitoring and management of both PCOS and related conditions such as hypothyroidism and hyperprolactinemia are crucial to ensure the best outcome for the patient. Additionally, we suggest Metformin, Duphaston, Cabergoline to treat PCOS patient having subclinical hypothyroidism and hyperprolactinemia.
Keywords: Polycystic ovarian syndrome, subclinical hypothyroidism, hyperprolactinemia, gestational diabetes
Exploration of drug addiction prevalence among young generation of Pabna district, Bangladesh
Drug addiction has spread at a frightening rate in the whole world, especially in the South Asian countries such as Bangladesh which needs to be analyzed, discussed and eradicated. This present survey based study was conducted with an aim to discover the scenery of drug addiction in northern region of Bangladesh. Researchers also uncovered the factors, problems and effects of drug addiction, age of first drug used, source of money to buy drugs and effective measures to prevent this problem etc. Total 600 youngsters from Pabna, a northern part of Bangladesh were directly interviewed by using self-construct questionnaire. Age range of the participants was between 12 and 35. Result showed, low income participants were highly addicted (58.62%) and family problems (43.93%) were the most prevalent cause of addiction. Participants involved in sports had lower drug addiction propensity (36.38%). Addicted young consumed more nicotine (95.04%), alcohol (63.93%) and marijuana (44.28%). Among addicts, youngs started using drugs mostly between 15 to 18 years age. Parent’s income (42%) was the prime source of money to buy drugs and 91% of addicted young faced complications. Counseling (71.2%) and systematic penalty (66.4%) were the best preventive measures for drug addiction. The young generations of Bangladesh are cankering their crucial youth time in addiction and they should be rescued by counseling, monitoring and treating them with care and affection from the parents, society and government.
Keywords: Drug Addiction, Survey, Young People, Pabna, Banglades
Doxorubicin layer-by-layer nanoparticles for controlled delivery and effective treatment of pancreatic cancer
Introduction: Layer-by-layer (LbL) nanoparticles consist of a versatile drug delivery technique, for targeted and controlled delivery. The Doxorubicin (DRC) is being widely used for treatment of pancreatic cancer (PCR). The present study was performed to develop and evaluation LbL nanoparticles (NP’s) of DRC to provide controlled and targeted delivery for effective treatment of PCR.
Materials and Method: A liposomal based polymeric pH sensitive NP’s were prepared by utilizing LbL techniques. The NP’s were composed lipids, poly (b-amino ester) (PAE) and hyaluronic acid (HAC). The physiochemical properties of DRC-LbL NPs was evaluated such as particle size, zeta potential, percent entrapment efficiency (%EE), loading of drug and In-vitro drug release behavior. The surface morphology of LbL NP’s was evaluated by scanning electronic microscopy (SEM). The in vitro release of DRC-LbL-NP’s was determined by using Dialysis technique at pH 5 and 7.
Results: Results showed that developed DRC-LbL NP’s having average particle size of 182.94 + 4.11 nm, zeta potential (ZP) of -42.78± 3.2mV, higher drug entrapment efficiency (EE) of 74.94±3.45. The in-vitro drug release from DRC-LbL NP’s exhibited sustained release pattern and it was triggered by lower pH. The surface morphology of developed DRC-LbL NP’s exhibited smooth and uniform particle size in nano range. The results from in-vitro drug release showed that there was significant difference in amount of DRC release in both pH media. In phosphate buffer pH 7.4 the total amount of DRC release was found to be 44.82 % after 48 hour of study whereas in pH 5.0 it was recorded 98.24% after 48 hours.
Conclusion: The results from present study conclude that DRC-LbL NPs might be a promising candidate for the effective treatment of pancreatic cancer.
Keywords: Layer-by-layer, Nanoparticles, Doxorubicin, Controlled delivery, Targeted Deliver
Efficacy of Irsal-i-Alaq (Hirudotheraphy) in the Management of Venous Ulcer: A Case Report
Background: The most frequent and recurring type of leg ulcers seen in general practise is a venous ulcer (stasis ulcer). Its neglect has a considerable negative influence on quality of life, might result in gangrene, and may necessitate amputating the affected limb. The most serious and incapacitating complication of chronic venous insufficiency is venous ulcer. The conventional system of medicine offers limited clinical evidence for its effectiveness and usually needs amputation. Hence, it can be managed well by one of the Unani regimens, i.e., Irsal-e-Alaq (Hirudotherapy). Objective: The purpose of this case report is to provide insight into the effects of Irsal-e-Alaq (Hirudotherapy) in venous ulcer. Intervention: A 53-year-old male who has complaints of ulcer in left lower leg near lateral malleolus with swelling, pain, discharge and darkening of skin of left lower limb. Four leeches were applied once every 15 days for 45 days. Ulcer was assessed on 0th day, 15th day, 30th day and 45th day on the basis of area of the wound in a square centimetre, appearance of healthy granulation tissues, epithelization in percentage and depth of wound in centimetres, pain (VAS scoring), discharge, smell and number of wounds. Results: on the first day wound size was 4 cm long, 3 cm wide, 2 cm deep and the floor filled with dark granulation tissue with 0 % epithelization, discharge, pain and smell. On the 45th day ulcer was completely healed with 100% epithelization. Conclusion: Irsal-e-Alaq has been proven beneficial in treating venous ulcers and enhancing patients\u27 quality of life. To determine the effectiveness of Irsal-e-Alaq in the management of venous ulcer, rigorous, controlled, randomised, blinded, and long-term follow-up studies on high sample sizes are required.
Keywords: Hirudotherapy, Unani Medicine, Leech Therapy, Varicose Ulcer
Pharmacological evaluation of analgesic, anti-pyretic and anti-inflammatory activities of ethanolic root extract of Amaranthus caudatus
Background: Amaranthus caudatus Linn, belonging to a family Amaranthaceae. Amaranthus caudatus is found in South America, India, or Indo-Chinese district, Mexico, and the Mediterranean area. Amaranthus caudatus contains different kinds of substance constituents which are responsible for its therapeutic potential. Amaranthus caudatus is usually utilized in the treatment of jaundice, amoebiasis, and kidney ailment, as a blood purifier, diuretic, abortifacient, vermifuge, astringents, and for liver illness. The research work deals with the screening of the analgesic, antipyretic and anti-inflammatory activities of ethanolic root extract of Amaranthus caudatus. For this, the alcoholic extract of the selected plant was used for analgesic activity, anti-inflammatory activity and anti-pyretic activities.
The result: In current investigation, diclofenac sodium (10mg/kg, p.o.) was used as a standard drug. The effects of ethanolic root extract (200 and 400mg/kg, p.o.) of Amaranthus caudatus on Wistar albino rats for the assessment of analgesic, anti-inflammatory as well as antipyretic activities. The current research revealed that EEAC (200 and 400mg/kg,p.o.) possessed significant (P<0.05) analgesic, anti-inflammatory and antipyretics activities in a dose-dependent manner. Furthermore EEAC (200 and 400mg/kg p.o) were effective as standard drug (Diclofenac sodium 10mg/kg, p.o). All these methods were performed under highly supervised conditions and by proper handling of experimental animals having been granted permission by IAEC.
The conclusion: In the present study, it was concluded that the EEAC was effective in a dose-dependent manner and possessed potent analgesic, anti-inflammatory and antipyretic activities.
Keywords: Amaranthus caudatus, Analgesic, Anti-pyretic, Anti-inflammatory, Diclofenac sodium, Phytochemical screening
Design, Development and Characterization of Hyaluronic Acid Based pH Sensitive Liposomal In Situ Gel for the Treatment of Keratoconjunctivitis Sicca
The recent advances in ocular drug delivery have been successful in surpassing conventional therapy, owing to its considerable limitations. This study aims to develop and optimize in-situ liposomal ocular system to design once-daily liquid preparation to treat Keratoconjunctivitis sicca. Liposomes of Hyaluronic acid were prepared using soya lecithin by a thin film hydration method. Eight trial formulations were made by keeping drug as fixed ratio and varying the concentration of cholesterol and soya lecithin. The optimized formulation was selected for the formulation of liposomal in-situ hydrogel. Optimization was carried out by Central Composite Design (CCD) studying the factors, amount of cholesterol and soya lecithin and its effects on the responses, % In- vitro drug release (R1) and Percent Entrapment Efficiency (% EE) (R2). The best predicted model for R1 was the Quadratic model and, for R2 was Two-Factor Interaction model (2FI) without any significant lack of fit. Optimum formulation was found to be at 1:1:4 (drug: cholesterol: soya lecithin) showed sustained drug release of 31.28% in 8 hours with highest %EE of 47.36%. Liposomal in-situ gel preparation retained better stability throughout the study period when stored at refrigerator temperature and displayed prolonged action (76.44%) when compared to liposomal formulation (68.72%).
Keywords: Liposomes, Hyaluronic acid, Optimized formulation, CCD, sustained drug release, in-situ hydrogel
A Review on the Some Biological Activities of the Hydantoin Derivatives: .
Hydantoin derivatives are commonly used anticonvulsants. In general, they are effective for partial-onset seizures and tonic-clonic seizures, but not for absence seizures. Phenytoin is the most important drug in this group, and other drugs, ethotoin, and mephenytoin, are also commonly used to treat epilepsy. Prodrugs such as derivatives have been created. Phenytoin is effective in some cases of trigeminal neuralgia and related neuralgia. Phenytoin is also used to treat arrhythmias. Hydantoins or glycolylureas are heterocyclic organic compounds with the formula CH2C(O)NHC(O)NH. It is a colorless solid formed by the reaction of glycolic acid and urea. It is an oxidized derivative of imidazolidine. In a more general sense, hydantoins can refer to groups and classes of compounds that share the same ring structure as their parent. For example, phenytoin (see below) has two phenyl groups substituted at the 5th carbon of the hydantoin molecule. Actual chemotherapy for epilepsy dates back to the 1850s when "inorganic bromides" were introduced. However, it is worth noting that around the 1920s, the therapeutic and beneficial use of \u27phenobarbital\u27 usheredin an era of meaningful treatment of epilepsy. Hydantoin ring chemistry is the synthesis of rings by various methods and their applications in the medical field. Previous descriptions of hydantoin-containing compounds have broad pharmacological and biological activities, including anticancer, anti-inflammatory, anti-immune, antimetabolite, antioxidant, antibacterial, CNS-related, anticonvulsant, antitussive, and cytoprotective activities.
Keywords: Hydantoin derivatives, anticonvulsants, partial-onset seizures and tonic-clonic seizure
A Stability Indicating Method was Developed and Validation for the Estimation of Carbamazepine in Bulk and Tablet Dosage form by UV-Spectroscopic Techniques
Carbamazepine is an anticonvulsant. It works by decreasing nerve impulses that cause seizures and nerve pain, such as trigeminal neuralgia and diabetic neuropathy. It is well known that contemporary pharmaceutical analysis establishes robust, sensitive, economic, stability-indicating analytical procedures. The current study aimed to develop and assess UV-spectrophotometric (zero order, first order, second order, area under the curve) methods for estimating carbamazepine in its pharmaceutical dosage form. Method A is a simple zero-order spectrophotometric method for determining carbamazepine at 285 nm, and the correlation coefficient in the linearity study was found to be 0.9976, LOD, and LOQ are 0.45 and 1.48 µg/ml. Method B is a first-order spectrophotometric method for determining carbamazepine at 269 nm, and the correlation coefficient in the linearity study was found to be 0.9944, LOD, and LOQ are 0.29 and 0.96 µg/ml. Method C is a second-order spectrophotometric method for determining carbamazepine at 254 nm, and the correlation coefficient in the linearity study was found to be 1.00, LOD, and LOQ are 0.62 and 2.04 µg/ml. Method D is an area under the curve spectrophotometric method for determining carbamazepine at 266 to 300 nm, and the correlation coefficient in the linearity study was found to be 0.9975, LOD, and LOQ are 0.14 and 0.46 µg/ml. All developed methods demonstrated good repeatability and recovery with %RSD < 2. Studies on stress degradation show that oxidation and acid degradation mostly impact carbamazepine solutions.
Keywords: Carbamazepine, UV-spectrophotometric, Tegrital, Degradation study
Pyrogallol is a key component for xanthine oxidase inhibition by the leaves of Ammannia baecifera: Pyrogallol as XOD inhibitor of A. baecifera leaves
Ammannia baecifera Linn is an important plant in traditional medication system of Bangladesh. In order to give the scientific clarification for using this plant in the treatment of gout, this study was designed to identify the xanthine oxidase (XO) inhibitors present in the extract of Ammannia baecifera leaves along with evaluating its antioxidant effect. First aqueous extract was prepared from leaves and then water insoluble part (WIP) was separated from water soluble part (WSP) as precipitate with ethanol. In DPPH and ABTS assays, WSP with rich amount of phenolic compound exhibited high radical scavenging activity than WIP. WSP also showed potent XO inhibition with IC50: 18.03 ± 1.65 μg/mL value. Using different chromatographic techniques, the key XO inhibitor was isolated from WSP and identified as pyrogallol based on its different spectroscopic data. In XO inhibition assay, pyrogallol (IC50: 11.67 ± 0.45 μg/mL) showed potent inhibitory effect as compared to a known XO inhibitor (allopurinol; IC50 = 27.35 ± 1.15 μg/mL) and it also displayed strong DPPH and ABTS radical scavenging effect. In addition, an inhibition kinetics study indicated that WSP and pyrogallol are mixed competitive inhibitors of XO. The overall results suggest that the presence of pyrogallol as XO inhibitor and free radical scavenger in Ammannia baecifera leaf justifies the traditional uses of this plant.
Keywords: Ammannia baecifera, Leaves, Xanthine oxidase, Pyrogallol, Inhibito