• Title/Summary/Keyword: Analgesic drug

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Phase IV Clinical Trial, the Evaluation of Efficacy and Safety of Deoxyribonuclease-Bromelain Tablet in Patients with Traumatic Edema (외상성 부종에 대한 데옥시리보뉴클레아제-브로멜라인정의 유효성 및 안전성 평가를 위한 제IV상 임상시험)

  • Choi, Hyung-Suk
    • Korean Journal of Clinical Pharmacy
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    • v.14 no.1
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    • pp.24-31
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    • 2004
  • There was clinical study to support the efficacy that the anti-inflammatory and analgesic properties of deoxyribonuclease, bromelain helped to reduce symptoms of inflammation. The current study investigated the effects of deoxyribonuclease, bromelain on local traumatic edema. The author used a drug containing proteolytic and mucolytic enzymes, deoxyribonuclease and bromelain, into 61 patients from 16 to 89 years old. The therapeutic response and tolerance had been excellent, which was permitted to a swift resolution on local traumatic edema and a prompt functional reestablishment. These results demonstrated that the drug was effective in local edema symptoms, pains and improving general condition suffering from trauma. Consequently, the use of the proteolytic and mucolytic enzyme$(Deanase^{(R)})$ require improvement in the rehabilitation of the injured.

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Pharmacological Studies on Forsythiae Fructus (연교(連翹)추출물의 일반(一般) 약리작용(藥理作用))

  • Lee, Eun-Bang;Keum, Hye-Jeong
    • Korean Journal of Pharmacognosy
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    • v.19 no.4
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    • pp.262-269
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    • 1988
  • The Forsythiae fructus is described to be used as an antiinflammatory drug, diuretics, antidotes and antibacterials in oriental literatures. In order to investigate the efficacy of Forsythiae viridissima (Oleaceae), the methanol extract and its fraction have been evaluated for the acute toxicity, antiinflammatory, analgesic and spasmolytic action in animals. The methanol extract of Forsythiae fructus was found to have significant antiinflammatory activity in the acute and subacute antiinflammatory model in rats, but have no analgesic action. Furthermore, through fractionation procedure, it was found that the active compounds were easily soluble in chloroform and butanol. It is also noted that the extracts had spasmolytic activities in the rat fundus and uterus and had low acute toxicity in mice.

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Antinociceptive Effects of an Ethyl Acetate Soluble Fraction of Spirodela polyrrhiza

  • Ko, Sung-Hoon;Kim, Jin-Kyu;Kim, Jong-Soo;Lee, Jae-Hyuk;Park, Sang-Youel;Jeon, Hoon
    • Natural Product Sciences
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    • v.17 no.4
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    • pp.303-308
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    • 2011
  • Spirodela polyrrhiza L. Schleid. (Lemnaceae), also known as 'duckweed', is a traditional medicine in Korea. The whole plant is used to treat many diseases, including the common cold, edema, acute nephritis, and urticaria. The present study investigated antinociceptive properties of the EtOAc soluble fraction of S. polyrrhiza (ESP). The antinociceptive activities of ESP were studied using experimental models of pain, including thermal nociception methods, such as the tail immersion test and the hotplate test. Moreover, we studied chemical nociception induced by intraperitoneal acetic acid and subplantar formalin in mice. ESP exhibited dose-dependent antinociceptive activity in both thermal and chemical pain models. In a drug combination test using the opioid receptor antagonist naloxone, diminished analgesic activities of ESP were observed, indicating that the antinociceptive activity of ESP is mediated by opioid receptors.

Studies on the Efficacy of Combined Preparations of Crude Drug (II) -The Effect of ‘Kamisamhwang-Tang’ on Cardiovascular System and Antibacterial Activities- (생약복합제제(生藥複合製劑)의 약효연구(藥效硏究) (제2보)(第2報) -가미삼황탕(加味三黃湯)이 순환기계(循環器系) 및 항균작용(抗菌作用)에 대(對)하여-)

  • Hong, N.D.;Kim, J.W.;Song, I.B.;Kim, N.J.
    • Korean Journal of Pharmacognosy
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    • v.12 no.4
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    • pp.190-194
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    • 1981
  • It was prevously shown that 'Kamisamhwang-Tang' had been examined for effects of the anticonvulsion, antipyretic, analgesic and sedative. To investigate the effect on cardiovascular system and antibacterial activities, pharmacological studies have been carried out with each extract. The results of this investigation were summarized as follows: 1) 'Kamisamhwang-Tang' depressed central convulsion induced by strychnine, picrotoxine and caffeine in mice. 2) Antipyretic, analgesic and sedative action were observed. 3) Hypotensive effect was observed in rabbits. 4) Antibacterial activities was observed.

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Some pharmacological studies with Cycleanine, a diphenylbisbenzylisoquinoline alkaloid from Stephania hernandifolia

  • Maitra, Suparna;Seal, Tapan;Mallik, Sujit;Khasnobis, Arnab;Nandi, RP;Vedasiromoni, J. Rajan;Mukherjee, Biswapati
    • Advances in Traditional Medicine
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    • v.3 no.3
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    • pp.123-128
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    • 2003
  • Stephania hernandifolia belonging to the family Menispermaceae is the biggest storehouse of diphenylbisbenzylisoquinoline (DBBI) alkaloids. Exhaustive chemical processing of the bulb of S. hernandifolia by the application of modern separation techniques yielded a DBBI alkaloid which was identified as cycleanine using spectroscopic methods (UV, IR, $^1HNMR$. $^{13}CNMR$, Mass). Cycleanine showed significant anti-inflammatory activity against carrageenin induced paw oedema, comparable to that produced by diclofenac sodium, used as standard drug. It exhibited potent analgesic effects against chemical and thermal noxious stimuli. It was also found to possess anticonvulsive activity in the strychnine induced convulsion model.

Biopharmaceutical Studies of 1,2-Ethanediolester and 1,4- Butanediolester of Flurbiprofen (플루비푸로펜의 1,2-에탄디올에스테르와 1,4-부탄디올에스테르의 생물 약제학적 연구)

  • Rho, Jae-Il;Lee, Wan-Ha
    • Journal of Pharmaceutical Investigation
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    • v.21 no.2
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    • pp.85-90
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    • 1991
  • Prodrugs of flurbiprofen, 1,2-ethanediolester(FE) and 1,4-butanediolester(FB) were prepared and their biopharmaceutical studies were performed. The prodrugs showed high stability in simulated gastric fluid, simulated intestinal fluid and pancreatin-saturated solution. Pharmacokinetic parameters of the prodrugs were similar to those of their parent drug. However they showed less acute toxicity and gastric irritation and higher anti-inflammatory and analgesic effects.

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A Study of Factors Influencing Drug Use in High School Students (고등학생들의 일반의약품 사용 및 관련요인 분석)

  • 이소영
    • Journal of Korean Academy of Nursing
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    • v.27 no.4
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    • pp.777-786
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    • 1997
  • The purpose of this study was to examine the conditions of drug use and to find the main factors that lead students to start and select drugs in their circumstances. The "other drugs" in this study means analgesics, hypnotics, stimulants, tranqualizers, and drinks including caffeine. The sample was 1,900 students and 1,412 responses were analyzed. Variables in the study included prescription provision by parents, drug use by friends, attitudes to drugs, drinking and smoking activities, and poly drug use Analysis of the data was done using descritive statistics, chi square, and, to find the determinants on other drug use, multiple logistic regression was performed. Data were analysed by SAS/PC programs. Of the subjects 86.6% of the students have had experienced with alcohol and 49.8% of them continue to use it, and 37.9% of the students have had experienced with smoking and 22.1% of them continue to smoke. The rates of using other drugs were as followed : analgesic 33.3%, hypnotics 4.3%, sedatives 4.4%, stimulants 8.7%, and 242 students have had experienced with more than two different kinds of drugs of the same time including alcohol and smoking. With the exception of alcohol and smoking, 126 students were continuing to use more than two different kinds of drugs. And 2.3 kinds of drugs were the average that were being used at the same time by poly drug users, alcohol and smoking excepting. In conclusion, the determinants of other drug use can be summarized as poly drug use, drug use by friends, obedience to drug prescription of parents, and time of first using drugs.

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A STUDY OF ANALGESIC EFFECT ON PULP INDUCED BY PULSED Nd : YAG LASER (Pulsed Nd ; YGA 레이저의 치수마취효과에 관한 연구)

  • Kim, Do-Hyeong;Lee, Chang-Seop;Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.24 no.1
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    • pp.301-312
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    • 1997
  • The purpose of this study was to evaluate the analgesic effect on pulp induced by pulsed Nd : YAG laser according to the power density, irradiated time and the method of application (Non-contact vs contact) in vivo. Experiments were carried out on 90 volunteers who have sound 4 canines. Each canine was grouped by the intensity and the time of irradiation of pulsed Nd : YAG laser was measured. Mean EPT response(units) was measured at 5 min, 30 min, and 60 min after irradiation with various intensity(1.5-3W, 15-30Hz), irradiated time (1.5min, 3min), and application method (Non-contact and contact). The results were as follows: 1. 5 minutes after irradiation, the mean EPT response(units) was increased by 32 % in the non-contact method and by 35% in the contact method of application. Which showed significant difference in mean EPT response(units) compared to not-lased canine in each groups(P<0.05). 2. The mean EPT response(units) with irradiating condition according to the various laser intensity, and the irradiation time stastically did not show significant difference in each groups as time elapsed. 3. There was no significant difference between the non-contact and contact method in the mean EPT response(units). 4. The mean EPT response(units) returned to the baseline value within 30 miuntes. In regard to the above results, the analgesic effect on pulp induced by pulsed Nd : YAG laser resulted a slight increase of pulpal pain threshold, but it was not as high as to replace the role of drug analgesia as whole. This technique can be used for inducing pulpal analgesia as adjunct to other pain control methods and is needed to develop better analgesic effects.

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The Analgesic Effect of Nefopam with Fentanyl at the End of Laparoscopic Cholecystectomy

  • Lee, Ju Hwan;Kim, Jae Hong;Cheong, Yong Kwan
    • The Korean Journal of Pain
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    • v.26 no.4
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    • pp.361-367
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    • 2013
  • Background: Nefopam is a centrally acting analgesic that is used to control pain. The aim of this study was to find an appropriate dose of nefopam that demonstrates an analgesic effect when administered in continuous infusion with fentanyl at the end of laparoscopic cholecystectomy. Methods: Ninety patients scheduled for laparoscopic cholecystectomy were randomly assigned to receive analgesia with fentanyl alone (50 ${\mu}g$, Group 1, n = 30), or with fentanyl in combination with nefopam 20 mg (Group 2, n = 30) or in combination with nefopam 40 mg (Group 3, n = 30) at the end of surgery. Pain and side effects were evaluated at 10 minutes, 30 minutes, 1 hour, 2 hours, 6 hours, and 12 hours after arrival in the post-anesthesia care unit (PACU). Results: Pain was statistically significantly lower in Groups 2 and 3 than in Group 1 at 10 minutes, 2 hours, and 6 hours after arrival in the PACU. Nausea was statistically significantly lower in Group 2 than in Groups 1 and 3 at 10 minutes after arrival in the PACU. Shivering was statistically significantly lower in Groups 2 and 3 than in Group 1 at 10 minutes after arrival in the PACU. Conclusions: Nefopam is a drug that can be safely used as an analgesic after surgery, and its side effects can be reduced when fentanyl 50 ${\mu}g$ is injected with nefopam 20 mg.

Enhancement of Antinociception by Co-administrations of Nefopam, Morphine, and Nimesulide in a Rat Model of Neuropathic Pain

  • Saghaei, Elham;Zanjani, Taraneh Moini;Sabetkasaei, Masoumeh;Naseri, Kobra
    • The Korean Journal of Pain
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    • v.25 no.1
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    • pp.7-15
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    • 2012
  • Background: Neuropathic pain is a chronic pain due to disorder in the peripheral or central nervous system with different pathophysiological mechanisms. Current treatments are not effective. Analgesic drugs combined can reduce pain intensity and side effects. Here, we studied the analgesic effect of nimesulide, nefopam, and morphine with different mechanisms of action alone and in combination with other drugs in chronic constriction injury (CCI) model of neuropathic pain. Methods: Male Wistar rats (n = 8) weighing 150-200 g were divided into 3 different groups: 1- Saline-treated CCI group, 2- Saline-treated sham group, and 3- Drug-treated CCI groups. Nimesulide (1.25, 2.5, and 5 mg/kg), nefopam (10, 20, and 30 mg/kg), and morphine (1, 3, and 5 mg/kg) were injected 30 minutes before surgery and continued daily to day 14 post-ligation. In the combination strategy, a nonanalgesic dose of drugs was used in combination such as nefopam + morphine, nefopam + nimesulide, and nimesulide + morphine. Von Frey filaments for mechanical allodynia and acetone test for cold allodynia were, respectively, used as pain behavioral tests. Experiments were performed on day 0 (before surgery) and days 1, 3, 5, 7,10, and 14 post injury. Results: Nefopam (30 mg/kg) and nimesulide (5 mg/kg) blocked mechanical and thermal allodynia; the analgesic effects of morphine (5 mg/kg) lasted for 7 days. Allodynia was completely inhibited in combination with nonanalgesic doses of nefopam (10 mg/kg), nimesulide (1.25 mg/kg), and morphine (3 mg/kg). Conclusions: It seems that analgesic drugs used in combination, could effectively reduce pain behavior with reduced adverse effects.