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Vol 68, No 6 (2019)

Articles

Development of the Russian pharmaceutical market, by using the index analysis

Trofimova E.O., Denisova M.N., Orlov A.S.

Abstract

Introduction. In 2017, the Russian pharmaceutical market showed an increase in both wholesale prices and volume terms. However, long-term trends indicate a slowdown in the dynamics of its development. The main growth of the Russian pharmaceutical market in 2017 was achieved through public procurements, rather than pharmacy sales to the population, as was typical of previous years. Different government regulatory instruments are gaining more and more influence on the pharmaceutical market Objective: to analyze development trends of the main segments of the Russian pharmaceutical market in 2017. Material and methods. The study was conducted using the IQVIA drug sales data. A system of interrelated indices (price index, structural change index, weighted average price index, sales volume change index) was used. The indices were calculated for the segment of pharmacy sales to the population, as well as for individual segments of the government procurement market. Results. Various factors were determined to contribute to the growth of individual market segments in value terms in 2017. There was a general tendency to lower prices and positive structural changes in the segments of the public procurement market. Total purchase volumes rose in proportion to the growth of financing. The weighted average prices basically either unchanged or decreased, which can be considered as evidence for the enhanced efficiency of using the public funds. The pharmacy market segment exhibited a slight positive price changes with reduced sales volumes. The main factor ensuring an increase in retail sales in value terms in 2017 was a change in the structure of demand in favor of more expensive products. There was evidence that there was a relationship between price changes and the degree of centralization of purchasing. Conclusion. A tendency to lower prices in the main segments of the government medicine procurement market, a change in the market structure in favor of more expensive innovative drugs, and an increase in the volume of purchases are suggestive of the enhanced efficiency of using the public funds.
Farmaciya (Pharmacy). 2019;68(6):5-10
pages 5-10 views

Patent studies of wound healing, antimicrobial, and regenerating drug

Aleshnikova C.Y., Dzhavakhyan M.A., Gribkova E.I.

Abstract

Introduction. Patent studies are the most important analysis tool to solve technical and legal problems that are directly related to the development of new products containing scientific and technological achievements. In modern conditions, these are precisely the patent studies that are of great importance in ensuring the competitive ability of output products [1]. Objective: to study the current state of developments in designing topical wound healing, antimicrobial and anti-inflammatory drugs based on plant substances and to assess the relevance and scientific novelty of a designed wound healing agent, such as medical pencils with eucalimin. Material and methods. This patent study was conducted using the database of the Patent Office of the Russian Federation via the Internet (www.fips.ru). Results. A total of 100 patents for medicines having antimicrobial, wound healing and anti-inflammatory activities were selected. The patents for the drugs were ranked according to their pharmacological action and proposed formulations. The dosage form of medicinal pencils was not identified. Conclusion. The design of medical pencils with eucalimin, which have wound healing, antimicrobial, and antiviral effects, is a promising area in pharmaceutical technology.
Farmaciya (Pharmacy). 2019;68(6):11-15
pages 11-15 views

Licorice (Glycyrrhiza) roots: analysis of the requirements of the pharmacopoeia

Ermakova V.A., Samylina I.A., Kovaleva T.Y., Brovchenko B.V., Dorovskikh E.A., Bobkova N.V.

Abstract

Medicines derived from licorice (Glycyrrhiza) roots are used to treat various diseases worldwide. They have a beneficial effect on almost all human organs and systems. More than 1770 medicines based on licorice roots have been currently patented in the world; more than 30 drugs have been registered in the Russian Federation today. The chemical composition of licorice has been studied quite thoroughly; more than 400 compounds have been isolated from various species of licorice. Triterpene saponins and flavonoids are the most valuable biologically active substances for medicine and pharmaceutical industry. A large number of drugs, the production of which uses licorice roots, require that the regulatory documentation of up-to-date methods should be included in the standardization of the original pharmaceutical substance based on the plant licorice roots. The requirements for the quality of raw materials in the pharmacopoeias of various countries are analyzed; the way of improving Russian documentation is shown.
Farmaciya (Pharmacy). 2019;68(6):16-19
pages 16-19 views

The content of tannins in the rhizomes of yellow iris (Iris pseudacorus) growing in the Moscow Region

Sorokina A.A., Tikhomirova E.A., Kostikova E.N., Suleimanova F.S., Sokolskaya T.A.

Abstract

Introduction. Tannins are widespread in the plant world. Their quantitative determination in medicinal plant raw materials requires the use of titrimetric and spectrophotometric assays, each of them has its own advantages and disadvantages. More in-depth information on tannins contained in the raw material is needed to completely describe the metabolome of yellow iris (Iris pseudacorus) rhizomes. Objective: to determine certain groups of tannins in the rhizomes of yellow iris growing in the Moscow Region. Material and methods. The investigation object was the dried rhizomes of wild yellow iris, which had been harvested in autumn in the Shatursky District, Moscow Region. The content of tannins in the raw materials was determined titrimetrically (permanganatometrically) and spectrophotometrically on a tannin basis and after precipitation with a collagen solution on a gallic acid basis. Results. The yellow iris rhizome content of tannins, namely the total amount of tannins precipitated with a 1% solution of collagen and phenolic compound, was found after extraction of condensed tannins. The specific absorbance was calculated for the aqueous solutions of standard samples of tannin and gallic acid used in the work at experimental wavelengths. Conclusion. Extended information was obtained on the content of tannins in the rhizomes of yellow iris growing in the Moscow Region.
Farmaciya (Pharmacy). 2019;68(6):20-26
pages 20-26 views

Morphological and anatomical study of crown sawwort (Serratula coronata L.) herb

Konyaeva E.A., Alentyeva O.G., Mizina P.G.

Abstract

Introduction. Crown sawwort (Serratulacoronata L.) is used in folk medicine as an astringent, choleretic, anti-inflammatory, antifebrile, antiemetic, and sedative agent. The herb of this plant is a promising source of ecdysteroids for the design of drugs. The quality control of medicinal plant raw materials is carried out according to identity criteria, such as the characteristics of external and microscopic signs. Objective: to investigate the morphological and anatomical structure of crown sawwort to identify the diagnostic signs of raw materials. Material and methods. The investigation object was crown sawwort herb stored in 2017 in the VILAR experimental field and in the Belgorod Region, Samara Region, and Komi Republic (a mixture of 3 species). Gross and microscopic analyses of the raw materials were carried out in accordance with the requirements of the Russian Federation' State Pharmacopoeia 14th edition (RF SP-14). Results. The paper describes the external signs of crown sawwort. There are anatomical and diagnostic signs of its microscopic structure: an anomocytic stomatal complex, simple unicellular retort-shaped hairs, multicellular thin-walled sinuous and capitate hairs. Conclusion. The established diagnostic signs of the appearance and anatomical structure of crown sawwort herb allow its raw materials to be diagnosed.
Farmaciya (Pharmacy). 2019;68(6):27-30
pages 27-30 views

The elemental composition of the leaves and fruits of Chinese magnolia vine (Schizandra chinensis) growing in the Voronezh Region

Slivkin A.I., Dobrina Y.V.

Abstract

Introduction. Chinese magnolia vine (Schizandra chinensis) preparations belong to a group of the most popular phytoadaptogens. Chinese magnolia vine fruits and seeds are used in officinal medicine. The shoots and leaves of the plant are being investigated to expand its raw materials base. The pharmacological effect of Chinese magnolia vine is due to the minerals contained in the plant raw materials. Objective: to investigate the elemental composition of the leaves and fruits of Chinese magnolia vine growing in the Voronezh Region. Material and methods. The investigation objects were the leaves and fruits of Chinese magnolia vine grown in the Voronezh Region, as well as the soil from the place of its growth. The elemental composition of Chinese magnolia vine leaves and fruits was determined by inductively coupled plasma-chromatography-mass spectroscopy. Results. The leaves and fruits of Chinese magnolia vine growing in the Voronezh Region were shown to have a similar mineral composition. It was represented by 62 elements, including 10 and 41, which belonged to gross and trace elements, respectively; 11 elements were defined as heavy metals. There was an uneven distribution of elements between the plant organs. The investigators calculated biological absorption coefficients for minerals in the Chinese magnolia vine leaves and fruits; and their variability was shown. Conclusion. The elemental composition of Chinese magnolia vine leaves and fruits stored in the Voronezh Region has been established. The studied objects are promising sources of essential and conditionally essential gross and trace elements.
Farmaciya (Pharmacy). 2019;68(6):31-36
pages 31-36 views

Effect of dimethyl sulfoxide on the magnitude of the anti-inflammatory and analgesic activities of hymantane gels

Matyushkin A.I., Ivanova E.A., Voronina T.A., Blynskaya E.V., Alekseev K.V., Marakhova A.I.

Abstract

Introduction. Dimethyl sulfoxide (DMSO) is widely used to improve the penetration of topical drugs into tissues, allowing their therapeutic dose to be reduced. This property of DMSO has become one of the reasons for incorporating it as an absorption activator into the composition of hymantane gels for topical application. Objective: to evaluate the analgesic and anti-inflammatory activities of hymantane gels with compositions characterized by the presence of the absorption activator DMSO. Material and methods. The investigation objects were 5% hymantane gels and placebos of various compositions. The analgesic activity of the gels was evaluated in a formalin test on male rats. Results. 5% hymantane gels were ascertained to have a comparable analgesic effect against pain caused by an inflammatory process. Hymantane gel containing DMSO as an absorption activator reduced the intensity of acute-phase formalin pain characterized by the effect of algogen on primary afferents of pain and showed anti-inflammatory activity comparable to that of 1% sodium diclofenac gel. Conclusion. Addition of DMSO as an absorption activator to 5% hymantane gel enhances the analgesic and anti-inflammatory effects of the active ingredient.
Farmaciya (Pharmacy). 2019;68(6):37-41
pages 37-41 views

Physicochemical activity of solutions as an integral part of the mechanism of local drug action

Urakov A.L., Urakova N.A., Alyes M.Y., Nikityuk D.B., Gurevich K.G., Lovtsova L.V., Kasatkin A.A., Reshetnikov A.P.

Abstract

Introduction. In recent years, there has been evidence that local post-injection tissue damage may be caused by injectable solutions themselves, since they are produced without monitoring for their local physicochemical aggressiveness for patient's tissues, particularly without controlling their local irritant effect. The current standards for injections do not include monitoring for changes in tissues at the sites of injection of drug solutions and in blood viscosity within the veins and intravascular catheters. Objective: to reveal the dependence of the local irritant effect of injectable solutions on their temperature, osmotic and acidic (alkaline) activities. Material and methods. Changes in the symptoms of tissue inflammation through the routes of drug administration were evaluated in 20 wakeful Landrace piglets. The test substances were injected into the conjunctival cavity and subcutaneously into the anterior abdominal wall. The osmotic activity of the solutions was determined by the cryoscopic method using an Osmomat-030 RS osmometer. The degree of ocular inflammation in the piglet was assessed according to changes in the symptoms of conjunctivitis. Skin inflammation at the injection site was assessed by changes in local hyperthermia, hyperemia, and swelling of drug-induced infiltration; the duration and completeness of its resorption and the appearance of post-injection necrosis were also analyzed. Local temperature changes were examined by infrared radiation using a Thermal Tracerth91xx imager. Venous blood, extremity veins, and their inserted intravascular catheters were studied in 200 patients. Blood viscosity was scrutinized using a Brookfield DV-II viscometer; blood coagulation was examined by the Lee-White method; vein lumen size and walls were assessed using a Logiq Book XP ultrasound apparatus. The skin, subcutaneous fat, and saphenous veins at the injection sites were additionally investigated by thermal infrared imaging; information was subsequently processed according to thermal explorer and image processor programs. The results were statistically processed using the Biostat program according to the generally accepted methods. Results. The physicochemical and local inflammatory activities of 40 quality solutions for injection were determined before and after their dilution with water. Subcutaneous injections of drug solutions at a more than 10% concentration of active ingredients gave rise to subcutaneous fat infiltrates that failed to resolve, but became inflamed, increasing in sizes and causing necrosis. Immediate chipping of the subcutaneous infiltrates with 5% sodium citrate or 5% ethylenediaminetetraacetic acid disodium salt solution prevented necrosis of the skin and subcutaneous fat. Zones of hyperthermia were found to emerge in the veins at the location of the pointed tips of vascular catheters. The temperature of the injected solutions affects that of the venous wall. The simultaneous administration of 4% sodium hydrogen carbonate solution with drugs prevented the formation of a focus of local hyperthermia. Conclusion. It has been experimentally shown that the physicochemical activity of injectable solutions may underlie their local action on subcutaneous fat and blood during subcutaneous and intravenous injections. Dilution of injectable drug solutions with water to the total concentration of ingredients being less than 2% eliminates the physicochemical aggressiveness of drugs and ensures their safety during their local application. The acidifying and heating effect of drugs can cause blood clots and occlusion of the lumen of veins and catheters.
Farmaciya (Pharmacy). 2019;68(6):42-49
pages 42-49 views

Quality of life of patients with psoriasis based on EQ-5D-5L questionnaire: an analysis at specialized hospital in Vietnam

Nguyen Thi Thu Thuy -., Dinh Hoang Yen -., Doan Ngoc Bao Chau -., Nguyen Trong Hao -.

Abstract

Introduction. Psoriasis is a chronic proliferative skin inflammation associated with an immune-allergic mechanism. With long-term treatment regimen, abnormal recurrences can negatively affect the quality of life of patients. In Vietnam, the quality of life of psoriatic patients has not been fully and comprehensive researched. Objectives: To survey characteristics of psoriatic patients;To estimate quality of life (QoL) of psoriatic patients;Analyze impact factors on quality of life of psoriatic . Materials and methods. Cross-sectional study based on data collected by surveying patients with EuroQuality of life-5 Dimensions-5 Level (EQ-5D-5L) and visual analogue scale (VAS) from psoriatic patients treated at HCMC Hospital of Dermato Venerelogy, satisfying inclusion and exclusion criteria. Analyzing impact factors were performed with relevant statistical tests and multivariate linear regression model with the 95% confidence intervals, using SPSS 20.0. Results. Sample size included 310 patients with the mean age of48.84±16.27 years; the mean disease duration of 11.51±9.82 years; the male: female ratioof 1.4:1; 52.6% patients with under high school and 68.4% living in HCMC. The mean HRQoL was 0.787±0.128 (according to EQ-5D-5L) and 0.773±0.124 (according to VAS). Withthe 95% confidence interval, gender had positive correlation with HRQoL with low level (r=0.229, p=0.000). Conclusion. The mean HRQoL of psoriatic patients was accounted for 0.787±0.128 (EQ-5D-5L) and 0.773±0.124 (VAS). Gender was an impact factor on QoL.
Farmaciya (Pharmacy). 2019;68(6):50-54
pages 50-54 views

Rastitel'nyy preparat Femo-Klim: vozmozhnosti primeneniya

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Farmaciya (Pharmacy). 2019;68(6):55-56
pages 55-56 views

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