参照透皮贴剂设计 Lazūq(一种传统的乌那尼剂型);过去与现在:批判性评论

Amreen Amreen, Asif Iqbal Siddiqui, Mohd Nauman Saleem
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引用次数: 0

摘要

目的:本文试图对拉祖克(Lazūq)的经典适应症、制剂和应用进行批判,即使它已经诞生了许多世纪。背景:根据经典的乌纳尼文献,Lazūq 主要用于治疗头痛、偏头痛、牙痛、颈椎痛、悬雍垂和不同类型的疼痛,如坐骨神经痛、背痛、肌痛和一些骨科疾病。其方法仍然是传统的,即在布或厚纸上粘贴厚厚的药物/粘稠物,因此,由于角质层(起屏障作用的皮肤层)的存在,药性的最大比例仍然微乎其微。传统的 Lazūq 给药方式给患者带来了不便,从而降低了患者的依从性和预期疗效。在当今时代,由于其设计和经典文献中记载的适应症有限,尤那尼医生并不经常开这种药。因此,它现在已被淘汰。而现代医学正在采用一种新方法,即透皮贴剂,用于治疗多种疾病,如急性术后疼痛、老年痴呆症、心绞痛、止吐贴剂、心房颤动、注意缺陷多动障碍、痴呆症、抑郁症、痛经、高血压、局部皮肤镇痛、更年期症状、晕动病、骨质疏松症、膀胱过度活动症、帕金森病、带状疱疹后神经痛、戒烟、抽搐症、抽动秽语综合征和避孕。在透皮贴剂中,药物是以微米/纳米形式使用的,并采用了化学生产的渗透促进剂(CPEs)和其他智能物理化学技术,使其非常易于使用,并能最大限度地提高药物的活性成分,控制药物的释放。方法:评估了拉祖克(Lazūq)的古代经典乌纳尼配方,然后回顾了其与当今新型透皮贴剂配方的发展历程,利用制药和相关科学的创新优势,研究其在新型剂型中的进展和应用。结论必须根据透皮给药系统的标准操作程序(SOPs),对拉祖克的经典乌纳尼配方进行审查、改造、评估、应对和应用。未来前景:应针对不同的治疗条件,从尤那尼医学体系的药用宝库中设计和评估新的 Lazūq 配方。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Devising of Lazūq (A Conventional Unani Dosage Form) with reference to Transdermal Patch; Then and Now: A Critical Review
Objective: The endeavor is made to criticize the classical indications, preparations and application of Lazūq even after passing many centuries since its inception. Background: According to classical Unani literature, Lazūq is primarily formulated for headache, migraine, toothache, cervical pain, dropping of uvula and different types of pain like sciatica, backache, myalgia and some orthopedic conditions. Its approach is still conventional that encompasses thick sticky stuff of drug/s which is pasted over a cloth or thick paper, consequently, maximum ratio of medicinal properties remains insignificant owed to stratum corneum (layer of skin that functions as a barrier). Devising and method of drug delivery in classical form of Lazūq makes it inconvenient to the patient, thus, it drops patient’s compliance and anticipated efficacy. In this day and age, Unani practitioners do not prescribe it very often because of its devising and limited indications documented in classical literature. Hence, it’s now becoming out of practice. Whereas, modern medicine is practicing its novel approach epitomized as Transdermal patch for several bodily conditions like Acute post-operative pain, Alzheimer disease, Angina pectoris, Anti-emetic patch, Atrial fibrillation, Attention deficit hyperactivity disorder, Dementia, Depression, Dysmenorrhea, Hypertension, Local dermal analgesia, Menopausal symptoms, Motion sickness, Osteoporosis, Overactive bladder, Parkinson’s disease, Post herpetic neuralgia pain, Smoking cessation, Tic disorder, Tourette syndrome and to prevent pregnancy. In transdermal patch, drug is used in micro/nano form with chemically produced permeation enhancers (CPEs) and other smart physio-chemical techniques that makes it very easy to apply, imparts maximum active pharmaceutical ingredients with controlled release of drug. Methodology: Ancient classical Unani formulations of Lazūq was appraised and then its course with respect to today’s newer formulations as transdermal patch was reviewed to look for its progress and application in novel dosage form with the advantage of innovations in pharmaceutical and allied sciences. Conclusion: Classical Unani formulations of Lazūq must be reviewed, transformed, evaluated, coped and applied as per the standard operating procedures (SOPs) of transdermal drug delivery system. Future Prospects: New formulations of Lazūq should be designed and appraised from the medicinal treasure of Unani system of medicine for different therapeutic conditions.  
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