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Vol 69, No 5 (2020)

Articles

HARMONIZATION OF METHODOLOGICAL APPROACHES TO THE STANDARDIZATION OF THE PHARMACOPOEIAL TYPES OF PLANT MATERIALS CONTAINING FLAVONOIDS

Samylina I.A., Moiseev D.V., Marchenko S.I., Veremchuk O.A., Moiseeva A.M., Sorokina A.A.

Abstract

The paper considers pharmacopoeial approaches to the standardization of flavonoid-containing medicinal plant raw materials (MPRM) from different manufacturers in the Eurasian Economic Union (EAEU) countries. Two or three countries produce 31 names of MPRMs that are standardized according to the content of flavonoids. The breadth of use of this MPRM creates prerequisites for including these types in the common EAEU pharmacopeia. It is proposed to standardize a number of MPRM types, such as birch (Betula) leaves, black elder (Sambucusnigra) flowers, knotweed (Polygonumaviculare) herb, marjoram (Oreganum) herb, common horsetail (Equisetum arvense) herb, and beggarticks (Bidens) herb, according to the content of flavonoids, by using the unified chromatographic conditions for their determination by high performance liquid chromatography (HPLC). Using a new MPRM type (common heather (Calluna vulgaris) shoots) as an example, the authors consider the main stages of HPLC assay validation, by quantifying the amount of flavonoids in the plant materials, as calculated with reference to the analytical marker.
Farmaciya (Pharmacy). 2020;69(5):5-11
pages 5-11 views

THE PHARMACEUTICAL MARKET FOR AN AEROSOL AND SPRAY PACKAGE: ITS REQUIREMENTS GIVEN IN THE PHARMACOPOEIAS

Kinev M.Y., Petrov A.Y., Dudorova O.A.

Abstract

The current state of the Russian and foreign pharmaceutical markets for aerosol and spray packages was monitored according to the manufacturing company and country. In most cases, the foreign manufacturers were shown to produce a package for aerodisperse dosage forms (sprays and aerosols). There are few Russian manufacturers of packages for aerodisperse dosage forms. A comparative analysis of the pharmacopoeial requirements for spray and aerosol packages revealed that the packaging requirements for aerodisperse dosage forms are most described in detail in the State Pharmacopoeia of the Russian Federation, 14th edition. In the foreign pharmacopoeias, the packaging requirements for sprays and aerosols coincide partially or completely. Separately established packaging requirements for sprays are absent in the pharmacopoeias of the Republic of Kazakhstan, the United Kingdom, and the USA. The Pharmacopoeias of the Republic of Belarus and the United Kingdom provide requirements for an individual type of aerodisperse dosage forms, such as medical foams.
Farmaciya (Pharmacy). 2020;69(5):12-17
pages 12-17 views

VALIDATION OF A PROCEDURE FOR QUANTIFYING THE AMOUNT OF FLAVONOIDS IN IN THE GROUND BURNUT (TRIBULUS TERRESTRIS) HERB

Abdulkarim A., Blinova O.L., Gileva A.A., Belonogova V.D., Turyshev A.Y.

Abstract

Introduction. To standardize the raw materials of ground burnut (Tribulus terrestris) herb, the authors have developed a procedure to measure the amount of flavonoids calculated with reference to rutin. To ensure that this procedure guarantees reliable and accurate test results, a technique is provided to validate the developed procedure. Objective: to validate a procedure for quantitative determination of the amount of flavonoids calculated with reference to rutin in the ground burnut herb, by using differential spectrophotometry. Material and methods. The procedure was validated on a combined sample of ground burnut herb. The validation parameters were determined using SF-2000 and SHIMADZU UV-1800 spectrophotometers. Results. The investigators established validation characteristics, such as linearity, precision (repeatability, reproducibility), and accuracy. Linearity was determined at five concentration levels. The correlation coefficient was 0.995, which indicates a linear relationship between the optical density and the total flavonoid content in extracts. The repeatability of the procedure was determined with tenfold replication under identical conditions within a short time interval. The intralaboratory reproducibility of the procedure was determined using three samples in triplicate. Its interlaboratory reproducibility was carried out on three samples in triplicate in two laboratories. The determination results confirmed the precision of the procedure under intralaboratory and interlaboratory reproducibility conditions, since the relative standard deviation did not exceed 15%. The accuracy of the procedure was established by adding the required amount of the standard to the extract. The results showed that the error in analysis was within the error in one determination and did not exceed 2.89%. Conclusion. The developed procedure is valid for the spectrophotometric determination of the sum of flavonoids calculated with reference to rutin in the ground burnut herb. The procedure requires no expensive reagents, is accurate, reproducible, and affordable, which allows it to be used for a reliable assessment of the quality of raw materials.
Farmaciya (Pharmacy). 2020;69(5):18-23
pages 18-23 views

TYPES OF CRYSTALLINE GLUCOSE FOR THE PREPARATION OF SOLUTIONS AND TABLET DOSAGE FORMS

Khvorova L.S.

Abstract

Crystalline glucose is used in the pharmaceutical industry to design a number of essential medicines. Currently, the world produces three main types of crystalline glucose (а-glucose in hydrated and anhydrous forms and p-glucose in anhydrous form), which differ in their physicochemical and technological properties. This fact should be decisive in the rational use of a specific form of glucose to obtain solutions or tablet dosage forms. It also affects the quality of medicines and the profitability of their production. For the preparation of infusion solutions, it is advisable to use the glucose types that have a high solubility, an insignificant content of impurities, whereas microbiological purity is guaranteed by the appropriate production technology with crystallization at temperatures above 55°C: these are anhydrous а- and p-glucoses. To obtain infusion solutions of glucose with sodium chloride, it is rational to use the pharmaceutical substance developed by the authors as a double compound of glucose with sodium chloride (DC), which contains glucose and sodium chloride in the single-crystal lattice with the chemical formula (C6H12O6)2-NaCl-H2O. The chemical composition of the product is similar to that of 2.5% glucose solution + 0.4% sodium chloride and is ideal for its preparation. To obtain the medicinal product 5% glucose solution + 0.9% sodium chloride, it is advisable to use the second version of the substance, which is additionally enriched with sodium chloride under production conditions. The product has a high solubility and microbiological purity. Hydrated glucose that has a lower solubility than the other types of glucose, but has a high moisture content of 9% and crystals as thin plates, readily amenable to the direct compression of tablets without additional moistening is recommended as a preferred substance for the preparation of tablet dosage forms.
Farmaciya (Pharmacy). 2020;69(5):24-29
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INVESTIGATION OF MAIN INDICATORS FOR IMPLEMENTING A REGIONAL PREFERENTIAL DRUG PROVISION PROGRAM FOR THE POPULATION OF THE SAMARA REGION

Petrukhina I.K., Yagudina R.I., Ryazanova T.K., Egorova A.V., Bubnova A.A., Loginova L.V.

Abstract

Introduction. Preferential drug provision programs had a significant impact on the development of the pharmaceutical market. They are a measure of social support for citizens of all age groups, who live in different subjects of the Russian Federation. The public authorities of the subjects of the Russian Federation have authority to organize the provision of certain categories of citizens with essential medicines (regional preferential drug provision programs (RPDPP)). An analysis of the indicators of RPDPP implementation for a number of years makes it possible to comparatively investigate the cost structure of drugs and to scientifically substantiate approaches to rationally spending the budget funds, to creating the program budget, and to predicting the future demand for medicines. Objective: to investigate the features of drug use by beneficiaries of regional responsibility as part of RPDPP implementation in case of the Samara Region. Materials and methods. The investigation object was data on the nomenclature of drugs dispensed to the population of the Samara Region as part of RPDPP implementation in the period 2014 to 2018. The investigators analyzed the structure of a drug assortment according to the amount of financial costs; the price characteristics of groups in accordance with the anatomical therapeutic chemical (ATC) classification; and the scope of using the prescribed drugs in natural and monetary terms. The investigation used techniques for comparative, retrospective, logical, graphical, and content analyses and a method for data grouping according to the ATC classification. Results. By using the Samara Region as an example, the investigators carried out a comparative analysis of the changes in the main RPDPP implementation indicators (funding amounts for the implementation of the program; the actual average drug acquisition cost per applying beneficiary; the average cost of one prescription; the structure of costs depending on the category of beneficiaries, etc.), which had occurred in 2014-2018. It was established that more than 50% of the RPDPP budget allocated for the purchase of drugs is spent on drugs that affected the digestive tract and metabolism (mainly drugs for the treatment of diabetes mellitus), antineoplastic agents, and immunomodulators. Synthetic antidiabetic medications, as well as antiasthmatic drugs constituted a significant portion of the consumption structure in natural terms within the RPDPP. Conclusion. The analysis of changes in the main indicators of implementing RPDPP in the Samara Region over 2014-2018 identified the most costly categories of diseases for the RPDPP budget. The results of this analysis can be used as the basis for the development of methodological recommendations for the rational spending of budgetary funds, the creation of the program budget, and the prediction of future demand for drugs.
Farmaciya (Pharmacy). 2020;69(5):30-36
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THE CONCEPT OF VALUE-BASED HEALTHCARE: OPPORTUNITIES FOR DRUG PRICING

Lemeshko V.A., Musina N.Z.

Abstract

The paper reviews methodological approaches to value-based pricing (VBP), within which the principles of determining the values of drugs and converting the resulting value into a price. At the value determination stage, the investigators identify two main approaches: 1) to use the indicator the number of years of life in terms of its quality (quality-adjusted life-year (QALY)) as a value criterion and 2) to determine multicriteria values. On this evidence, an approach to calculating the drug price is subsequently determined. The classic approach is to use the cost-effectiveness analysis and the established willingness-to-pay threshold for an additional QALY; however, it does not make it possible to take into account all aspects of value and requires that cost-effectiveness should be used as the main driver in making a reimbursement decision. The alternative approaches are to determine the willingness to pay per unit of aggregate value (taking into account multiple criteria) using the net monetary benefit method or establishing a premium system in terms of a drug's value level. Currently, only the United Kingdom fully uses cost-effective VBP, while other countries employ its elements.
Farmaciya (Pharmacy). 2020;69(5):37-42
pages 37-42 views

DETERMINATION OF THE LIMITATION PERIOD FOR TAKING DRUG SUBSTANCES BY THE HAIR FOR THE DIAGNOSIS OF INTOXICATION

Krysko M.V., Slustovskaya Y.V., Strelova O.Y., Kuklin V.N.

Abstract

Introduction. One of the main advantages of studying human hair over biofluids is that hair analysis allows one to determine the time course of changes in the use of psychoactive substances over several weeks, months, and even years. The role of testing the hair as an alternative, complementary human biomatrix has expanded across the spectrum of toxicological studies. Objective: to identify the possibility of determining the limitation period for taking a drug substance on hair samples from laboratory animals after discontinuing the drug. Material and methods. Phenobarbital and diphenhydramine were model drug substances (MDSs). The investigation was conducted using an Agilent 7890 A/5977 MSD GC/MS sampler. The experiments were done on laboratory animals (red and black male guinea pigs). Hair samples were prepared using the enzymes chymopsin, chymotrypsin, trypsin, and papain. Results. MDSs were detected in the urine of laboratory animals within 12 (phenobarbital) and 4 (diphenhydramine) days after their administration. These substances were found in the hair on 42 days of the experiment after the sample being prepared using the authors' procedure for enzymatic hydrolysis with the above proteases. Phenobarbital was seen in the amounts comparable to those in the chronic use of the substance, whereas the amount of diphenhydramine was 3-4 times lower than that in chronic intoxication. These results were consistent with the pharmacokinetic characteristics of the substances, with their half-lives and the features of their metabolism. It should be noted that or phenobarbital and diphenhydramine, the amount of the substance detected after 42 days to be greater for red hair than for black one. Conclusion. The procedure for hair sample preparation by enzymatic hydrolysis in combination with GC-MS analysis makes it possible to detect substances in the human biological object, even after urine and blood tests yield negative results. However, the high determination error makes it impossible to quantify.
Farmaciya (Pharmacy). 2020;69(5):43-50
pages 43-50 views

SOME ASPECTS OF THE CEREBROPROTECTIVE EFFECTS OF EXTRACTS FROM THE HERB OF REPRESENTATIVES OF THE GENUS PRUNELLA

Shamilov A.A., Pozdnyakov D.I., Bubenchikova V.N., Chernikov M.V., Garsiya E.R.

Abstract

Introduction. Cerebral protection mediated by the administration of herbal agents is a promising approach to the adjuvant therapy of ischemic stroke. The genus Prunella L. (self-heal) has 15 species that are characterized by a broad spectrum of pharmacological activity. Objective: to experimentally evaluate the cerebroprotective effect of extracts from the herb of three self-heal species. Material and methods. The investigation objects were aqueous and aqueous-alcoholic extracts from the herb of big-flowered self-heal (Prunella grandiflora), cut-leaved self-heal (Prunella laciniata), and common self-heal (Prunella vulgaris) gathered in the North Caucasus. Their cerebroprotective effect was evaluated on a rat model of permanent focal ischemia, by determining changes in the rate of cerebral blood flow, in the size of a brain necrotic area, and in the serum concentration of lactic acid. Results. The use of dry residues obtained with 70% and 40% ethyl alcohol from the herb of big-flowered, cut-leaved, and common self-heals assisted in decreasing serum lactate levels in the animals, restoring cerebral blood flow rate, and reducing the cerebral necrotic area to a comparable extent with the standardized extract of ginkgo biloba (EGB 671). Conclusion. Further investigations of extracts from the herb of three self-heal species were shown to be promising in identifying the possible mechanisms of cerebroprotective action.
Farmaciya (Pharmacy). 2020;69(5):51-56
pages 51-56 views

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