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Vol 68, No 4 (2019)

Articles

A MODERN VIEW ON ALLERGIC RHINITIS: PATHOGENESIS, DIAGNOSIS, AND THERAPY

Khadzhiyeva Z.D., Pozdnyakov D.I., Rybalko A.E., Lezhneva L.P., Aleynikova N.S.

Abstract

The paper reviews the etiology, features of pathophysiology, diagnosis, and pharmacotherapy of allergic rhinitis. Allergic rhinitis is a common disease. The classic symptoms of the disease are nasal congestion, nasal itching, rhinorrhea, and sneezing. The negative sequelae of allergic rhinitis include sleep disorders, fatigue, decreased concentration, and restricted daily activities and are associated with chronic nasal mucosal inflammation, which leads to nasal congestion and adversely affects a patient’s general condition; in particular ventilation dysfunction of the nasal passages can provoke insomnia. Significant clinical symptom variability, risk factors, and sequelae of allergic rhinitis necessitate an accurate diagnosis of allergic rhinitis and also require the elaboration of an optimal treatment strategy for the disease. The criteria for the most accurate diagnosis of allergic rhinitis are history data, physical examination, and allergy skin testing. The use of anti-allergic drugs, such as second- and third-generation oral antihistamines, as well as intranasal corticosteroids, which are basic therapy for allergic rhinitis, plays a decisive role in the rational therapy of allergic rhinitis.
Farmaciya (Pharmacy). 2019;68(4):5-10
pages 5-10 views

ELABORATION OF APPROACHES TO STANDARDIZING WILD BERGAMOT (MONARDA FISTULOSA L.) HERB

Lapina A.S., Kurkin V.A.

Abstract

Introduction. Wild bergamot ( Monarda fistulosa L.) is a North American species of the plant of the family Lamiaceae . The relevance of the study of wild bergamot is due to the high bactericidal effect exceeding that of some antibiotics. In addition, the wild bergamot raw material has anti-inflammatory, fungicidal, anthelmintic, antispasmodic, immunomodulatory, and antiseborrheic activities. Despite a variety of pharmacological effects, the wild bergamot raw material is not pharmacopoeial in both Russia and foreign countries. For introduction of wild bergamot herb into the State Pharmacopoeia of the Russian Federation, it is necessary to conduct a set of pharmacognostic studies, including the development of regulatory documentation confirming the quality of medicinal plant raw material. Objective: to develop a procedure for the quantitative determination of the amount of flavonoids in the wild bergamot herb. Material and methods. The object of the investigation was wild bergamot herb harvested in the Samara University Botanical Garden in July 2016-2018. The UV spectra of its extracts were spectrophotometrically measured and obtained on a Specod 40 spectrophotometer (Analytik Jena, Germany). Results. A procedure was developed to quantify the amount of flavonoids in the wild bergamot herb with the differential spectrophotometric method using the state standard sample of cynaroside at an analytical wavelength of 394 nm. The error of a measurement at a 95% confidence interval is ±2.23%. The developed procedure was used to analyze a number of wild bergamot herb samples. The amount of flavonoids in the raw material samples ranged from 3.92±0.4% to 4.28±0.1% (in terms of cynaroside). Conclusion. A spectrophotometric method for quantifying the amount of flavonoids was proposed for the standardization of wild bergamot herb. The flavonoid amount of less than 3.0% was recommended as the lower limit.
Farmaciya (Pharmacy). 2019;68(4):11-16
pages 11-16 views

A METHOD FOR SALIFICATION IN THE TECHNOLOGY OF PREPARING THE INJECTABLE FORMULATIONS OF POORLY SOLUBLE ANTITUMOR COMPOUNDS

Orlova O.L., Nikolaeva L.L., Dmitrieva M.V., Lantsova A.V., Polozkova A.P., Shprakh Z.S., Kulbachevskaya N.Y., Konyaeva O.I., Oborotova N.A.

Abstract

Introduction. To design a drug is a complex multistep process that begins with studies of the physicochemical properties of an active pharmaceutical ingredient and with selection on an optimal formulation on the basis of the information obtained. Many biologically active substances, including antitumor agents, are poorly soluble in water and highly toxic. These compounds include the folic acid antagonist methotrexate that is widely used in the therapy of cancer and the new alkyl nitrosourea derivative ormustine. Salification is one of the most acceptable ways to overcome low solubility. Objective: to design injectable formulations of antitumor drugs, by converting the active ingredient into the salt formulation, in case of the Russian substance ormustine and a generic version of methotrexate. Material and methods. The investigation objects were methotrexate substance ser. EP 120813 (Hu Zhou Zhanwan Pharmaceutical Co., Ltd., China); ormustine substance (I.Ya. Postovsky Institute of Organic Synthesis, Ural Branch, Russian Academy of Sciences, Russia). Various chemicals, solvents, and reagents, which met the requirements of regulatory documents (GOST, TU, Russian and foreign pharmacopoeias) were used in the investigation. Results. Taking into account the physicochemical properties of antitumor substances, the investigators designed a parenteral ormustine formulation and reproduced a technology for obtaining methotrexate solutions. Water-soluble compounds were prepared through salification: by adding sodium hydroxide for methotrexate and by dissolving in 0.1 M hydrochloric acid for ormustine. Conclusion. Considering the properties of active pharmaceutical ingredients, the authors proposed a new original Ormustin lyophilisate formulation to prepare an injectable solution 125 mg and generic methotrexate injectable solutions 10 and 100 mg/ml.
Farmaciya (Pharmacy). 2019;68(4):17-26
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SORPTION AND DESORPTION OF LIQUID PLANT EXTRACT

Gulenkov A.S., Mizina P.G.

Abstract

Introduction. Alcoholic plant extracts are widely used in the therapy of many diseases. However, this formulation has a number of disadvantages that can be eliminated by transferring the liquid extract to the solid state. In this case, the adsorption technique allows one to preserve the entire complex of biologically active substances of the extract and does not affect its therapeutic efficacy. Objective: to select the optimal adsorbent for converting a liquid plant extract to the solid state, by using the drug Rotocan as an example. Materials and methods. The investigation object was the combined plant remedy Rotokan that is a mixture of liquid extracts from wild chamomile (Matricaria chamomilla) flowers, marigold (Calendula) flowers, and milfoil (Achillea) herb (hereinafter referred to as the extract). The investigators used solid carriers having sorption activity, such as microcrystalline cellulose (MCC), colloidal silicon dioxide (CSD), and microcapsules (MC) of vaterite, which were prepared extempore. Adsorption was carried out at room temperature in a glider mixer at different ratios of the extract and solid carriers. The technological characteristics of the adsorbents before and after adsorption were established according to the requirements of the Russian Federation State Pharmacopoeia, 13th edition (RF SP, 13th Edition) by using an electronic GTB flow tester and a SWM 102 bulk density tester. A Cary-100 UV spectrophotometer was used to spectrophotometrically determine flavonoids calculated with reference to luteolin. Results. It was established that the technological characteristics of the microcapsules of vaterite before and after the adsorption of the extract did not meet the requirements of the RF SP, 13th Edition. When desorbed from MCC and CSD powders, the biologically active substances of the extract were transferred to a desorbate, unlike MC, the desorbate from which failed to react to flavonoids and to quantify the latter. Conclusion. To convert the amount of plant extracts from wild chamomile flowers, marigold flowers, and milfoil herb from a liquid formulation to the solid phase by adsorption, it is promising to use microcellulose and colloidal silicon dioxide.
Farmaciya (Pharmacy). 2019;68(4):27-31
pages 27-31 views

Development of composition and technology of granules with dry extracts of corn silk and roots of achyranthes bidentata

Nguyen T.N., Ozhigova M.G., Kaukhova I.E., Vainshtein V.A.

Abstract

Introduction. Researching new effective drugs and developing the dosage forms based on medicinal plants are the most important achievements of modern pharmacy. Drying extracts of corn silk (DECS), roots of Achyranthesbidentata (DEAB) and the substance of Rutin are the perspective sources to get phytopreparations. Aim.To develop the composition and technology of granules with dry extracts and rutin. This research will be suitable for making solid gelatin capsule dosage form recommended to be used as potassium-sparing diuretics Materials and methods. The research subjects are dry extracts of CS, AB andRutin.Excipients used in the granulation process are Lactose (anhydrous), magnesium carbonate, calcium carbonate, corn starch and microcrystalline cellulose (MCC 101). Technology properties and quality of granules were evaluated according to the methods described in the Russian State Pharmacopoeia (RSP). Results and discussion. Analyzing the technology properties of the DECS and DEAB showed that all of them were unsatisfactory. Therefore, to combine them in a single dosage form, granulation needs to be used, and the excipients were selected. This selection allowed obtaining a flowability mass with homogeneous fractional composition. Many different compositions of DECS: DEAB: Rutin (1: 3: 1) and excipients were evaluated.The technology properties of the granules were studied to discover the optimal composition and technology which were selected for drug production. Choosing size of solid gelatin capsules for encapsulating. Based on the values of bulk density of granules and reasonable therapeutic dosage, capsules N0 00 were selected for packing. Conclusion. The composition and technology of granules with dry extracts and rutin, satisfied technological characteristics. They can be used to produce a solid gelatin capsule dosage form. The selected size of solid gelatin capsules to meet production conditions is № 00.
Farmaciya (Pharmacy). 2019;68(4):32-38
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DEVELOPMENT OF A HIGHLY EFFICIENT TECHNOLOGY FOR PURIFICATION OF RECOMBINANT TISSUE PLASMINOGEN ACTIVATOR

Chashchinova D.V., Shamonov N.A., Vassarays R.A., Kudlay D.A.

Abstract

Introduction. Alteplase (recombinant tissue plasminogen activator (rtPA)) is the main thrombolytic agent recommended for the therapy of ischemic stroke and myocardial infarction. Alteplase is obtained by a recombinant DNA technique in CHO cell culture. Revelyse® manufactured by AO «GENERIUM» is the first registered Actilyse (alteplase, Boehringer Ingelheim) biosimilar. The existing technologies to obtain alteplase are involved and have a low yield. Objective: to develop a highly efficient procedure for purification of alteplase. Material and methods. Alteplase-containing culture fluid (CF) (AO «GENERIUM»), Actilyse® (alteplase, Boehringer Ingelheim), the affinity sorbent CaptureSelect tPA (ThermoScientific). Results. A commercial alteplase purification procedure based on the affinity sorbent CaptureSelect tPA (Thermo Scientific) was developed and scaled. Conclusion. The developed alteplase purification procedure allows one to obtain a drug that is biosimilar to Actilyze® and meets the requirements of the Pharmacopoeia.
Farmaciya (Pharmacy). 2019;68(4):39-46
pages 39-46 views

THE ECONOMIC COSTS OF CORRECTION OF ADVERSE DRUG REACTIONS IN THERAPEUTIC PATIENTS

Krysanova V.S., Krysanov I.S., Zhuravleva M.V., Gurevich K.G., Ermakova V.Y.

Abstract

Introduction. Adverse drug reactions (ADR) are one of the causes of disability and deaths worldwide, putting a substantial social and economic burden. Information about the nature of the costs makes it possible to reveal what causes the highest costs and to what one you should pay attention during investigations. Objective: to make an economic assessment of the costs of ADR correction in therapeutic patients. Material and methods. The 2014 to 2018 works estimating the cost of ADR correction in therapeutic patients, in whom the proportion of diseases was 47%, were sought in the eLibrary.ru database. Works on the following nosological entities: rheumatology, cardiology, pulmonology, neurology, endocrinology, nephrology, and gastroenterology were selected. Results. Among the analyzed nosological entities, «Rheumatology» (8 publications) held the lead in the number of studies; «Cardiology» (6 publications) was next, and «Pulmonology» (5 publications) ranked third. The maximum costs of correction within 1 year were in the «Nephrology» profile (293.7 thousand rubles), the minimum ones were in the «Gastroenterology» profile (15.5 thousand rubles). The total cost of ADR in the treatment of therapeutic diseases profile can amount to 1.1 million rubles per year. Conclusion. The costs of ADR correction considerably increase the direct expenditures on the management of therapeutic patients.
Farmaciya (Pharmacy). 2019;68(4):47-53
pages 47-53 views

EFFECTS OF A ZINC-CONTAINING BIOCOMPOSITE ON THE PARIETAL MICROFLORA OF THE COLON

Kim A.D., Lepekhova S.A., Koval E.V., Kostiro Y.A., Trofimova N.N., Apartsin K.A., Chashkova E.Y., Pivovarov Y.I.

Abstract

Introduction. The development of intestinal dysbiosis is one of the components in the pathogenesis of inflammatory bowel diseases. A zinc-containing biocomposite (L15) has been designed, which is a hydrophobic rectal ointment. Its composition contains a zinc-containing metal complex dihydroquercetin derivative that has antimicrobial and prebiotic properties. Objective: to assess the qualitative and quantitative changes in the composition of the parietal microflora of the animal colon after rectal administration of the zinc-containing biocomposite in the presence of induced ulcerative colitis. Material and methods. The study was conducted on 54 male Wistar rats divided into 2 groups. Ulcerative colitis was induced by the original procedure. The animals underwent general clinical observation and determination of the quantitative and qualitative composition of the parietal microflora of the distal colon. Results. The rectal administration of a zinc-containing biocomposite to the animals with simulated ulcerative colitis after 10 days led to maintenance of a high level of the representatives of obligate bacteria, such as Bifidobacterium spp. and Lactobacillus spp., which was 47.6% each in progressive disorders with the development of dysbiosis in the parietal microflora of the colon in the control group. Conclusion. In all experimental periods, the changes in the qualitative and quantitative composition of the parietal microflora of the colon in the experimental animals treated with the test zinc-containing biocomposite for a simulated ulcerative lesion of the colon mucosa were positive compensatory as a significant increase in the concentration of Bifidobacterium spp. at 10 days of the experiment and proceeded without the opportunistic microflora.
Farmaciya (Pharmacy). 2019;68(4):54-59
pages 54-59 views

ANTHELMINTIC ACTIVITY OF NOVEL ARYLSALICYLAMIDE DERIVATIVES

Sevbo D.P., Malahova A.J., Kuklin V.N.

Abstract

Introduction. The incidence of intestinal helminthiases ranks fourth among diseases and injuries. Analysis of a range of anthelmintic drugs has shown that most of the agents registered in the Russian Federation are manufactured in foreign countries; the main drugs of which are salicylamide derivatives. Objective: to synthesize novel substituted salicylic acid amides with anthelmintic activity and to establish a structure-biological activity relationship. Material and methods. To identify the synthesized compounds, their melting point, UV and IR spectra in potassium bromide disks, and 1H NMR spectra in a DMSO-d6 solution were determined. Various methods for chromatographic analysis, such as TLC, GLC, HPLC, were also employed. Biological activity and toxicity were investigated in male albino mice. Results. The synthesized arylsalicylamides were found to have a higher anthelmintic activity than fenasal. Their acute toxicity (LD50) was determined; most of the synthesized compounds were practically non-toxic. A study of the relationship of their anthelmintic activity and toxicity to the structure showed that the amides containing chlorine atoms in the acid fragment were more active than those containing bromine atoms; replacing the methyl group in an amide to the alkoxy group in the arylamine fragment led to a decrease in acute toxicity and an increase in anthelmintic activity. Acetylation of phenolic hydroxyl arylsalicylamides reduced acute toxicity. Conclusion. The relationship of the anthelmintic activity and toxicity of arylsalicylamides to their structure was studied, which showed how the nature of the substituent in the salicyloyl and arylamine fragments affected toxicity and anthelmintic activity. 2,4-dichloro-6-([4-methyl-3chlorophenyl] carbamoyl)phenyl acetate was proposed to extend tests.
Farmaciya (Pharmacy). 2019;68(4):60-64
pages 60-64 views

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