Medicines And Drugs Used In Amoebiasis

Amoebiasis is a worldwide disease, particularly common in tropical countries and places where public hygiene and sanitation are poor. Amoebic infection is caused by an organism, Entamoeba histolytica (EH) which usually spreads through contaminated food and water. Since the causative organism of amoebiasis derives its nutrition from the normal bacterial flora of the large intestine, the latter is the chief site of infection. However, in some cases it may spread to other organs of the body, liver being the most susceptible to infection. Based on the site of the infection, the disease has been divided into intestinal and extra-intestinal amoebiasis.

Intestinal Amoebic Infection: During the acute phase of intestinal amoebiasis the patient may have loose motions, with or without mucus and blood, besides griping pain in the abdomen which may be severe at the time of evacuation. In chronic amoebiasis, a patient may complain of a dull pain in the lower abdomen, alternate constipation and diarrhoea, foul smell in the stools, formation of gases, and loss of appetite. Some people with amoebic infection may remain symptom-free or experience little discomfort but they may pass cysts in their stools (free cyst passers) and are potential carriers of the disease which spread it to others.

Extra-intestinal Infection: This amoebiasis infection is usually associated with a previous history of intestinal amoebiasis. When the liver is involved, the patient ‘may have pain in the right upper abdomen, fever, sweating, loss of weight, and anaemia.

Importance of Diet: Successful treatment of amoebiasis depends both on drugs and on proper diet and good hygiene. For quick recovery it is best to eat a protein-rich, low-roughage and lowcarbohydrate diet. Use of clean drinking water and avoidance of contamination are important.

Drugs for Intestinal Amoebiasis

The drugs used in treating amoebiasis can be divided into three categories according to their effectiveness.

Metronidazole (Flagyl, Metrogyl, Unimezol)

This is a drug of choice in all forms of amoebiasis except in asymptomatic cyst carriers. Since most of it is absorbed in the intestines, another drug which acts in intestinal amoebiasis should be used along with it to avoid relapse and to eradicate the disease. It is given in a dose of 400 to 800 mg, 3 times a day, for 10 days.

Adverse Effects: The incidence of adverse effects is low and include nausea, an unpleasant metallic taste in the mouth, a furry tongue, ulcers in the mouth, loss of appetite, distress, and pain in the abdomen. Sometimes it may affect nerves and may, in rare cases, cause convulsions. Depression of the bone marrow may lead to a short lasting fall in white blood cell count. A relapse can occur if the full course is not taken.

Precautions

Alcohol consumption should be avoided with this drug as it causes a severe reaction leading to vomiting and flushing. Also avoid its use during initial months of pregnancy.

Those suffering from epilepsy or any other nervous system disorder should avoid it.

It depresses the bone marrow. White blood cell count must be monitored by those taking the drug repeatedly.

The Origins Of Alternative Medicine

The origins of alternative medicine, also known as holistic medicine, can be traced back thousands of years to the very roots of medicine. Many millennia ago, physicians or healers would assess the sick persons emotional condition in addition to their physical symptoms before beginning treatment. The roots of alternative medicine deal with the symptoms of the whole person, not merely the physical signs of illness. This is radically different from traditional medicine today.

In medicine today, people demand to be cured immediately, and the demand for medicines and treatments that do so is very high. Most physicians today are trained to assess physical symptoms and base treatments on that, without much consideration of the persons emotional or intellectual state.

Since its inception, alternative medicine has survived the ages and stages of the field of medicine. Despite the prevalence of modern medical practices, there are still millions of people worldwide that take advantage of alternative treatments for ailments or well-being. Some of these alternative treatments include massage therapy, herbal remedies, and meditation. Massage is one of the most long-standing forms of alternative treatment, and it is highly popular today as a treatment for aches and pains, and as a means of stress release and relaxation. Most people probably dont even think about massage as a type of alternative medicine.

Through the ages, every society has used their own forms of alternative medicines and treatments. There is over 5000 years of history and many types of treatments that were used far and wide, and many traditional medical treatments can even find their roots in alternative medicine from long ago.

Long ago in Europe, medical issues were treated by one of two types of healers, the physicians or the folk healers. The folk healers appealed to the poorer factions of society, in that they used natural treatments that were more affordable and easier to come by. Folk healers were often highly respected in these underprivileged sections of society. Folk healers often incorporated philosophy and religious faith into their healing practices, which helped to strengthen a sick persons mind and spirit, as well as his body.

Eventually, folk medicine evolved into the traditional medicine we are familiar with in todays world. With each passing century, many great advances have been made in treatments and cures for various diseases and conditions.

Despite the dominance of traditional medicine in the world today, there is still a place for alternative medicine. It is alive and well, and used by many people around the world through massage therapy, acupuncture, aromatherapy, herbal remedies, meditation, and many other forms of alternative treatments. Many physicians now support many of these treatments, making them less alternative.

The origins of alternative medicine were very forward thinking. Alternative medicine has survived through the millennia because it has real validity, despite a great deal of ridicule through the ages. Though they do not have the immediate effect that many drugs and treatments of traditional medicine, they are a feasible option for a person to consider.

Acne Medicine

Acne is a combined term that is used to describe a number of skin conditions, like blackheads, blemishes, lumps, and whiteheads. Teenagers and adults can have acne. Stress, hormonal activity, bacteria, steroids, and overactive glands can cause acne.

The various forms of acne are:

Blackheads due to melanin pigment

Whiteheads due to the bacteria inside a blocked pore

Papules are tiny, tender and red spots.

Pustules are red spots filled with pus, and inflamed.

Nodules are bumps under the skin which are large and hard.

Cysts are nodules accompanied by severe inflammation and infection.

The different types of acne include:

ACNE VULGARIS: is a chronic inflammatory condition wherein fluid (sebum) is created by overactive oil and sweat glands.

ACNE ROSEACA: is similar to acne vulgaris, but people also experience skin flushing and a general redness of the area. Sufferers should avoid spicy food and alcohol.

ACNE COSMETICA: is due to the prolonged use of cosmetics, especially those containing isopropyl myristate or greasy ingredients such as lanolin. The best treatment is to stop using the cosmetic causing the acne.

ACNE EXCORIEE: is caused when the skin is damaged by the fingernails and unable to heal due to persistent scratching, which leaves a broad, shallow scar.

CYSTIC ACNE: Cystic acne usually occurs in males. It generally persists beyond 20 years of age and may lead to permanent scarring. This type of Acne can be medically treated with a specialists advice.

OCCUPATIONAL ACNE: This is a common condition suffered by motor mechanics who are frequently exposed to oils and grease.

CLIMATE CHANGE: Changes of climate can cause acne, particularly when one moves to a warm climate from a cool one. This is because warm skin releases more oils and sweat, to keep the body cool. One should use a light moisturizer and cleanse the skin regularly.

Alexandria Alternative Medicine Practitioners

Traditional practitioners commonly treat pain and other ailments. However, Alexandria alternative medicine practitioners offer more choices for the individual who wishes to take a different path toward wellness. Among the alternatives offered for medical treatments are acupuncture, acupressure, massage, bodywork and therapeutic massage.

Acupuncture is a Chinese medicine practice used to relieve pain. It is alternately used for therapeutic purposes. The procedure consists of inserting thin, disposable, stainless steel needles into specific points of the body in a near-painless experience. The needles are then manipulated to control what is known as “qi” or blood flow. Traditional Chinese medicine is based on treating “patterns of disharmony” instead of biomedical treatments.

Acupressure, on the other hand, can be thought of as a mixture of acupuncture and pressure together. It is another alternative medical technique that is derived from acupuncture, only physical pressure is applied to the points in the body that would normally be treated with needles during acupuncture. In acupressure, these areas are called, “acupoints.”

The practice of acupressure is controversial, as are most alternative treatments. However, many people report to have benefited from the practice.

Massage or massage therapy is another alternative medicine treatment that is used to treat stress, headaches, muscle aches and other pains, as well as for total relaxation. It is also used to alleviate lower back pain, which helps improve range of motion. Pregnant women often use massage therapy to help them during labor to have easier experiences. It also serves the purpose of helping to ease the dependence on addictive medications. The motion of massage therapy is said to enhance immunity by positively affecting the lymph flow. It has also been used to help athletes recover from injuries.

Massage therapy has also been known to help people who suffer from depression and anxiety as well as migraine headaches.

Bodywork is a therapeutic treatment that focuses on manipulating the energy fields that are associated with the body. The therapys practitioners hold the view that a lot of health conditions result from issues with the physical aspects of ones body such as tight muscles, tension or a blockage of some times. Types of bodywork include Rolfing, lymph massage, Shiatsu, lomi-lomi and other deep tissue massage techniques. This method of treatment is being used more and more in mainstream sports medicine.

Therapeutic massage is used in the same way as bodywork, but does not always include deep tissue massage. It is used to treat tension, anxiety, stress and any number of other ailments. While used in some mainstream practices, therapeutic massage is ultimately considered an alternative medicine practice.

STANDARDIZATION OF HERBAL MEDICINE

STANDARDIZATION OF HERBAL MEDICINE

Herb is a plant that is valued for flavor, scent, or other qualities. Herbs are used in cooking, as medicines, and for spiritual purpose. Medicinal plants, herbs, spices and herbal remedies are known to Ayurveda in India since long times. The value of medicinal plants, herbs and spices as herbal remedies is being lost due to lack of awareness, and deforestation. The result is many valuable medicinal herbs are becoming rare and precious information is lost. Less pollution we make, more ecological balance we maintain, will add to happiness of humankind. Preserve the knowledge of medicinal plants, herbs, spices and herbal remedies, which humankind has received from the past generations, for posterity. Infusions are steeping herbs or spices, with parts like leaves and flowers with boiling water for some time. Filtered or unfiltered use this water extracts of spices as herbal remedies. Decoction is boiling roots, bark and hard parts of herbs and spices with water for along time. Infusion and decoction both are known as herbal teas. Some times essential oil of herbs and spices are also used as herbal remedies. Action of herbal remedies may vary from human to human and care should be observed in using it. Herbs have a variety of uses including culinary, medicinal, or in some cases even spiritual usage. Culinary herbs Culinary use of the term “herb” typically distinguishes between herbs, from the leafy green parts of a plant, and spices, from other parts of the plant, including seeds, berries, bark, root, fruit, and even occasionally dried leaves or roots. Medicinal herbs Plants contain phytochemicals that have effects on the body.. For instance, some types of herbal extract, such as the extract of St. John’s-wort (Hypericum perforatum) or of kava (Piper methysticum) can be used for medical purposes to relieve depression and stress Sacred herbs Herbs are used in many religions – such as in Christianity myrrh and frankincense which was used to honor kings. In Hinduism a form of Basil called Tulsi is worshipped as a goddess for its medicinal value since the Vedic times. Pest control Herbs are also known amongst gardeners to be useful for pest control. Mint, Spearmint, Peppermint, and Pennyroyal are a few of such herbs

INTRODUCTION ON HERBAL STANDARDIZATION

Standardized Herbal Drug: It means the manufacturer has verified that the active ingredient believed to be present in the herb is present in the preparation and that the potency and the amount of active ingredient are assured in the preparation.

The Herbal Standardization Process

Over the past years, recognized world authorities on botanical alternative medicine have defined, and established, specific standards of excellence for herbal extracts. Most importantly, we should standardize for the individual key compounds which have been empirically and scientifically proven to be the most advantageous for the human system.Our standardization process should guarantee a consistent and appropriate level of each plant’s medicinal elements within each of the product formulations we sell.

Standardization Standardization of herbal products is a controversial issue. On one hand, herbalists sometimes feel that highly purified and standardized extracts don’t genuinely represent all the best qualities of herbs and can sometimes lead to safety issues, especially when they are highly concentrated and purified. On the other hand, when herbs are harvested and shipped overseas to faraway places and then made into commercial products such as capsules or tablets, it is very difficult to follow what happens to those herbs along the way. For instance, how long ago were those herbs harvested, how long they have been stored in the warehouse, and what adverse environmental conditions such as excessive heat could have contributed to the degradation in the quality of the herbs.

Modern Testing Today, we have highly sensitive analytical equipment such as high-pressure liquid chromatography (HPLC) to ensure proper identification, levels of active constituents, and purity of the finished product. This can be accomplished without materially altering the internal balance of the original herb. Many modern standardized products today do follow a philosophy that takes the whole plant as the best standard for quality, not isolated and purified individual constituents, though these types of products also are sold. Look at the label, and if you see products where the active constituent is 40 or 50%, even up to 80% of the total weights of the product, then you have a highly purified standardized extract. Need of Standardizations In the global perspective, there is a shift towards the use of medicine of herbal origin. As the dangers and the shortcoming of modern medicine have started getting more apparent, majority of Ayurvedic formulation are prepared from herbs. It is the cardinal responsibility of the regulatory authorities to ensure that the consumers get the medication, which guarantee purity, safety, potency and efficacy. Herbal product has been enjoying renaissance among the customers throughout the world. However, one of the impediments in the acceptance of the Ayurvedic formulation is the lack of standard quality control profile. The quality of herbal medicine i.e. the profile of the constituents in the final product has implication in efficacy and safety. Standardization and Quality Control of Herbal Crude Drugs

According to WHO, it is the process involving the physicochemical evaluation of crude drug covering the aspects, as selection and handling of crude material, safety, efficacy and stability assessment of finished product, documentation of safety and risk based on experience, provision of product information to consumer and product promotion.

?Macro and Microscopic Examination: For Identification of right variety and search of adulterants. ?Foreign Organic Matter: Remove of matter other than source plant to get the drug in pure form. ?Ash Values: It is criteria to judge the identity and purity of crude drug – Total ash, sulfated ash, water soluble ash and acid insoluble ash etc. ?Moisture Content: To check moisture content helps prevent degradation of product. ?Extractive Values: These are indicating the approximate measure of chemical constituents of crude drug. ?Crude Fiber: To determine excessive woody material Criteria for judging purity. ?Qualitative Chemical Evaluation: It covers identification and characterization of crude drug with respect to phytochemical Constituent. ?Chromatographic Examination: Include identification of crude drug based on use of major chemical constituent as marker. ?Qualitative Chemical Evaluation: Criteria to estimate amount the major class of constituents. ?Toxicological Studies: Pesticide residue, potentially toxic elements, and Microbial count approach to minimize their effect in final product.

Physical evaluation: Each monograph contains detailed botanical, macroscopic and microscopic descriptions of the physical characteristics of each plant that can be used to insure both identity and purity.

Microscopic evaluation Full and accurate characterization of plant material requires a combination of physical and chemical tests. Microscopic analyses of plants are invaluable for assuring the identity of the material and as an initial screening test for impurities. Most manufacturers of herbal products lack the quality control personnel to accurately assess plant identity and purity microscopically. Ideally, submitted materials should be in their whole or semi-whole form for microscopic assessments.

Chemical evaluation A chemical method for evaluation covers the isolation, identification and purification. The chemical tests include colour reaction test, these tests help to determine the identity of the drug substance and possible adulteration.

Biological evaluation Pharmacological activity of certain drugs has been applied to evaluate and standardize them. The assays on living animal and on their intact or isolated organs can indicate the strength of the drug or their preparations. All living organism are used, these assays are known as Biological assays or Bioassay.

Analytical Methods Critical to compliance with any monograph standard is the need for appropriate analytical methods for determining identity, quality, and relative potency. There are a plethora of analytical methods available. However, it is often difficult to know which is the most appropriate to use.

Chromatographic Characterization

Chromatography Chromatography is the science which is studies the separation of molecules based on differences in their structure, composition. Chromatographic separations can be carried out using a variety of supports, including immobilized silica on glass plates (thin layer chromatography), very sensitive High Performance Thin Layer Chromatography (HPTLC), volatile gases (gas chromatography), paper (paper chromatography), and liquids which may incorporate hydrophilic, insoluble molecules (liquid chromatography).

Purity Determination Each monograph includes standards of purity and other qualitative assessments which include when appropriate: foreign matter, ash, acid-insoluble ash, moisture content, loss of moisture on drying, and extractives.

Quantitative Analysis The primary goal of the method is to provide validated methods to be used for the quantization of the compound most correlated with pharmacological activity or qualitative markers as determined by the primary pharmacological literature, constituent declaration in product labeling, and a survey of experts.. In this context, validation consists minimally of a two-lab validation using the same procedures, samples, and reference standards. Primary factors for considering a method as appropriate include accuracy of the findings, speed, basic ruggedness, applicability to a large segment of the manufacturing community, and avoidance of the use of toxic reagents and solvents. In an attempt to promote harmonization, primary consideration is given to those methods which are already accepted in official pharmacopoeias. When necessary, comparative tests shall be conducted to determine which of the available method is most appropriate. The validation process minimally includes: standard precision, linearity, sample precision using replicate samples, sample linearity, selectivity , retention times, and limits of detection..

Difference between a herbal extract and standardized herbal extract “Herbal extract” is sometimes also referred to as a tincture, or liquid herbal extract. This is a preparation where a whole herb is steeped in alcohol, water or a combination. A “standardized herbal extract” is a measurable marker substance that is extracted from the herb. This marker may be an active ingredient, or just one that is easily determined, but often, it is a compound that has been used in scientific research.

HPTLC ANALYSIS ON HERBS HPTLC is the most simple separation technique today available to the analyst. HPTLC is a qualitative tool for separation of simple mixtures where speed, low cost and simplicity are required and it is also a tool for quantitative analysis . High-Performance Thin-Layer Chromatography for the analysis of medicinal plants presents the theoretical and technical information needed to perform reliable and reproducible results in order to establish the identity, purity, quality, and stability of raw materials, extracts, and finished botanical products.

Major features High performance thin layer chromatography (HPTLC) is valuable quality assessment tool for the evaluation of botanical materials. It allows for the analysis of a broad number of compounds both efficiently and cost effectively. Additionally, numerous samples can be run in a single analysis thereby dramatically reducing analytical time. With HPTLC, the same analysis can be viewed using different wavelengths of light thereby providing a more complete profile of the plant than is typically observed with more specific types of analyses.

APPLICATIONS OF SPECTROFLUORIMETRY ON HERBS When a beam of light is incident on certain substances, they emit visible light or radiations. This phenomenon is known as fluorescence. In fluorescence measurement two wavelengths are involved i.e. the excitation wavelength (?ex) and emission wavelength (?em).The fluorescence phenomenon involves the absorption of excitation radiation by molecule which then loses energy by internal conversion processes, before emitting a photon of radiation at lower energy. The excitation wavelength maximum (?ex) is lower than the wavelength of maximum fluorescence emission (?em) Advantage High Sensitivity Substances that are reasonably fluorescent in the herbals like flavonoids, tannins, steroids, etc. may be determined at concentrations up to 1000 times lower than those required for absorption spectrophotometry.

Selectivity The facility to vary independently the wavelength of excitation and the wavelength of fluorescence allow the analyst to select the optimum combination of wavelength for the analyte and to reduce interference from other fluorescing species in the sample.