Professional Documents
Culture Documents
The use of herbal medicine is the oldest form of healthcare. About 80% of the
world’s population has faith in traditional medicine, particularly herbal drugs
for their primary healthcare. India has a rich tradition of herbal medicine as
evident from Ayurveda. As growing public interest in use of herbal medicines,
it is necessary to development of modern and objective standards for evaluating
quality of herbal medicines. So that it is a need for validation in manufacturing
of herbal drugs for control the quality of herbal drugs.
Drugs may interact with other drugs or any diet or dietary supplement taken at
the same time. Interactions may be pharmacodynamic in which interaction is
close to the target organ and involves direct antagonism or addition of
pharmacological properties. Alternatively interaction may be pharmacokinetic
in which one drug, or dietary supplement, alters the absorption, distribution,
metabolism or excretion of another drug. The induction or inhibition of drug
metabolizing enzymes is a particularly important cause of clinically significant
interactions. However, although some interactions may be life threatening,
many are only theoretical or clinically trivial. Nevertheless it is always wise to
check interactions in an appropriate reference work.
PHARMACOKINETIC INTERACTIONS:
Pharmacokinetic herb-drug interactions are due to altered absorption,
metabolism, distribution and excretion of drugs. The primary mechanism
of absorption is passive diffusion of nonionized drug molecules via the
lipophilic gastrointestinal (GI) mucosa. Therefore, drugs that change pH,
gastric emptying time, or GI motility will interact with the absorption of
other agents. The most popular stimulant laxative herbs of the anthranoid-
containing senna (Cassia senna and C. angustifolia), cascara sagrada
(Rhamnus purshiana), aloe vera (Aloe barbadensis), frangula (Rhamnus
frangula), yellow dock (Rumexcrispus), and Chinese rhubarb (Rheum
officinale) will accelerate intestinal transit, and thus may interfere with
the absorption of almost any intestinally absorbed drugs . It is well-
known that metal ions and tannic acid present in herbal medicine form
insoluble chelates or complexes with some western drugs such as
antibiotics, isoniazid and levodopa, resulting in reduction of drug
absorption. It is also reported that alkaloids or other flavonoids form
precipitates with some western drugs containing aluminium, bismuth,
calcium, ferrous and magnesium ions. More recently, induction and
inhibition of intestinal P-glycoprotein have been described in significant
drug interactions. The P-glycoprotein drug transporter is a glycoprotein
encoded by the MDR1 gene and functions as a transmembrane efflux
transporter that pumps drugs out of cells. P-glycoproteins are found in
many tissues and especially in organs responsible for drug absorption or
elimination, such as the intestine, liver, and kidneys. P-glycoprotein is
vulnerable to inhibition, activation, or induction by herbs and herbal
constituents. Curcumin, ginsenosides, piperine, some catechins from
green tea, and silymarin from milk thistle were found to be inhibitors of P
glycoprotein . Drug metabolism is divided into 2 categories of phase I
and phase II transformation reactions. Phase I reactions include oxidation,
hydrolysis, and reduction, resulting in a compound that is generally less
toxic and more hydrophilic, allowing for easy excretion. Phase II
reactions primarily result intermination of biologic activity of the drug.
Phase II transformation reactions include glucuronidation, sulfation,
acetylation, and methylation. The CYP450 is the most important phase I
drug-metabolizing enzyme system and it is a family of monooxygenase
enzymes that are mainly found in intestinal and liver cells and catalyzes
several Phase I metabolic processes including oxidation, hydroxylation,
Sand O-demethylation, and oxidative deamination. Many herbs and
natural compounds isolated from herbs (e.g., flavonoids, coumarins,
furanocoumarins, anthraquinones, caffeine and terpenes) have been
identified as substrates, inhibitors or inducers of various CYP enzymes .
An investigation of pharmacokinetic interaction between the active
compound and other drug or substance is of particular importance for
synthetic drugs with narrow therapeutic window. If it comes to herbal
medicines, we have to take into account that those products have a
relatively wide therapeutic window probably because the human CYO
system was originally conditioned to work with compounds of natural
origin. The study of herbal pharmacokinetic is a unique field, which is
extraordinarily complex for the following reasons:
The chemical complexity of plant medicines and thud potential
interactions between constituents.
The different bioavailability of different compounds
The active components are not known, so the components in the
plant which should be studied cannot be identified.
Herbal medicines are not designed for predictable pharmacokinetic
characteristics and in particular, natural compounds are often
metabolised in the digestive tract that is, they act like pro- drugs.
Often large polar molecules are involved, which might be expected
to have poor and unpredictable bioavailability.
For evaluating the herbal pharmacokinetics the following
parameters need to be considered:
Information to further assess the traditional and anecdotal
uses of medicinal plant and better information on which to
base rational dosages.
A better appreciation of the safety and toxicity of plant and
anticipation of potential herbal-drug interactions.
Supporting evidence for the synergistic nature of herbal
medicines.
The fat solubility of the molecule- the more fat-soluble, the
better the bioavailablilty.
Specific factors related to crossing the gut wall. eg- active
transport.
The presence or absence of food may also influence the
absorption and bioavailability of plant constituents.
WHO GUIDELINES:
Contain protein and fixed oil. Crude drugs are microscopically identified by
taking thin TS (Transverse section), LS (Longitudinal Section) in a bark, wood
and leaf. The various parameters included in microscopy are given bellow. I.
Stomata II. Trichomes III. Leaf Content IV. Quantitative Microscopy.
Where; n = No. of chart particles in 25 field. S = No. of spores in the same area
of 25 fields. W = Weight in mg of lycopodium taken. M= weight in mg of the
sample P= number of characteristics particles per mg of the pure foreign matter.
94,000= number of spores per mg of lycopodium.
GAS CHROMATOGRAPHY:
It is well-known that many pharmacologically active components in herbal
medicines are volatile chemical compounds. Thus, the analysis of volatile
compounds by gas chromatography is very important in the analysis of herbal
medicines. The GC analysis of the volatile oils has a number of advantages.
Firstly, the GC of the volatile oil gives a reasonable “finger print” which can be
used to identify the plant. The composition and relative concentration of the
organic compounds in the volatile oil are the characteristic of the particular
plant and the presence of impurities in the volatile oil can be readily detected.
Secondly, the extraction of the volatile oil is relatively straight forward and can
be standardized and the components can be readily identified using the GC-MS
analysis.
HPLC:
HPLC is a popular method for the analysis of herbal medicines. Because it is easy to
learn and use and is not limited by the volatile or stability of the sample compound.
In general, HPLC can be used to analyse almost all the compounds in the herbal
medicines. Reversed- phase (RP) columns may be most popular columns used in the
analytical separation of herbal medicines. the increasing usage of LC- MS and
HPLC-DAD in the analysis of herbal medicines is quite obvious. Several good
reviews have been published for the analysis of the bioactive chemical compounds
in plants and medicines, in which the technique used most in HPLC, especially the
hyphenated HPLC technique. Moreover, combined HPLC-DAD-MS technique take
advantage of chromatography as a separation method and both DAD and MS as an
identification method. DAD and MS can provide on- line UV and MS information
for each individual peak in a chromatography. With the help of this hyphenation, in
most cases, one could identify the chromatography peaks directly online by
compression with literature data. Recently, the hyphenation between HPLC and
NMR also available, which might become a vital and an attractive analytical tool for
the analysis of herbal medicines.
Chromatographic fingerprinting: Chromatographic fingerprinting is the most
powerful approach for the quality ontrol of herbal medicines. Chromatographic
fingerprint of Herbal Medicine is a chromatographic pattern produced from extract
of some common chemical components which may be pharmacologically active or
have some chemical characteristics. This chromatographic profile should be
featured by the fundamental attributions of - integrity and - fuzziness or - sameness
and - differences so as to chemically represent the herbal medicines investigated.
This suggest that chromatographic fingerprint can successfully demonstrate both
sameness and differences between various samples and the authentication and
identification of herbal medicines can be accurately conducted even if the number
and/or concentration of chemically characteristic constituents are not very similar in
different samples of herbal medicine. Thus chromatographic fingerprint should be
considered to evaluate quality of herbal drugs.
DNA fingerprinting: DNA analysis has been proved as an important tool in
herbal drug standardization which is useful for the identification of
phytochemically indistinguishable genuine drug from substituted or adulterated
drug. DNA fingerprint genome remains the same irrespective of the plant part
used while the phytochemical constituents will vary with the part of plant used,
physiology and environment. The other useful application of DNA
fingerprinting is the availability of intact genomic DNA specificity in
commercial herbal drugs which helps in distinguishing adulterants even in
processed samples.