Evaluation of Acute and Repeated Dose Toxicity of the Polyherbal Formulation Linkus Syrup in Experimental Animals
Allah Nawaz1,2, Saira Bano1, Zeeshan Ahmed Sheikh1, Khan Usmanghani1,3*, Iqbal Ahmad4, Syed Faisal Zaidi5, Aqib Zahoor1, Irshad Ahmad6,7
1Research and Development Department, Herbion Pakistan (Pvt.) Limited, Karachi, Pakistan.
2First Department of Internal Medicine, Faculty of Medicine, Graduate School of Medical & Pharmaceutical Sciences, University of Toyama, Toyama, Japan.
3Jinnah University for Women, Karachi, Pakisntan.
4Baqai Institute of Pharmaceutical Sciences, Baqai Medical University, Karachi, Pakistan.
5Department of Basic Medical Sciences, College of Medicine, King Saud bin Abdulaziz University of Health Sciences, Jeddah, KSA.
6Department of Pharmacy, The Islamia University of Bahawalpur, Bahawalpur, Pakistan.
7Clinical Pharmacy and Health Care, Jinnah University for Women, Karachi, Pakistan.
DOI: 10.4236/cm.2014.54022   PDF   HTML   XML   4,613 Downloads   6,042 Views   Citations

Abstract

The objective of the present study was to evaluate the pre-clinical efficacy and toxicity of polyherbal cough syrup Linkus. Method: Animals (healthy Wistar albino rats; (150 - 250 g) of either sex) were housed under standard environmental conditions; i.e. 25°C ± 1°C and 12 h dark/light cycle. Food and water were available at libitum. The rats were treated orally with the recommended doses of the test drug (Linkus). After 15 minutes, they were individually placed in a closed Plexiglas chamber (20 × 10 × 10 cm) and exposed to citric acid (0.1 g/ml) inhalation for 7 minutes. The cough reflexes were produced and counted for the last 5 minutes and compared with those of the control animals. The following studies were conducted to evaluate the toxicity of the test drug in healthy Wistar albino rats: lethal dose50 (LD50); rats of either sex (n = 10/sex) were treated orally with doses (1 or 5 g/kg) of the test drug. Mortality and behavioral changes were observed for 1 week. Repeated dose toxicity on the healthy Wistar albino rats of both sexes (n = 5/dose/sex) was treated orally with doses of 20 mg/kg (adult human dose = ~1400 mg), 500 mg/kg (adult human dose = ~35,000 mg) and 1000 mg/kg (adult human dose = ~70,000 mg) of test drug (Linkus) for 14 days. Additionally, the control animals were treated orally with water for 14 days. Results: In female rats, the test drug (Linkus) at the dose of 300 mg/kg caused significant (p < 0.01) reduction in the cough reflexes as compared to the control. However, in male rats, a significant reduction was observed at the tested dose of 200 mg/kg (p < 0.05) and 300 mg/kg (p < 0.01). The test product did not cause mortality in rats at the given doses of 1 or 5 g/kg. Other signs of toxicity like hair loss and weight reduction were not observed. In female and male rats, the test drug (Linkus) at different doses did not show any abnormal effects on complete blood count profile of rats. Serum enzyme markers, i.e. alanine aminotransferase (ALT), alakaline phosphatase, gamma glutamyle transferase (GGT), direct bilirubin, creatinine, and proteins were also observed and found that the test drug at a higher dose did not cause any of the abnormality and had shown significant p value as compared to the control. Conclusion: The test drug (Linkus) could be an effective and safe cough syrup because it did not show any of the side effects or toxicity on experimental animals.

Share and Cite:

Nawaz, A. , Bano, S. , Sheikh, Z. , Usmanghani, K. , Ahmad, I. , Zaidi, S. , Zahoor, A. and Ahmad, I. (2014) Evaluation of Acute and Repeated Dose Toxicity of the Polyherbal Formulation Linkus Syrup in Experimental Animals. Chinese Medicine, 5, 179-189. doi: 10.4236/cm.2014.54022.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Irwin, R.S. and Madison, J.M. (2000) The Diagnosis and Treatment of Cough. New England Journal of Medicine, 343, 1715-1721.
http://dx.doi.org/10.1056/NEJM200012073432308
[2] French, C.L., Irwin, R.S., Curley, F.J. and Krikorian, C.J. (1998) Impact of Chronic Cough on Quality of Life. Archives of Internal Medicine, 158, 1657-1661.
http://dx.doi.org/10.1001/archinte.158.15.1657
[3] Irwin, R.S., Boulet, L.P. and Cloutier, M.M. (1998) Managing Cough as a Defense Mechanism and as a Symptom. Chest, 114, 133S-181S.
http://dx.doi.org/10.1378/chest.114.2_Supplement.133S
[4] Salawu, O.A., Chindo, B.A., Tijani, A.Y., Obidike, I.C., Salawu, T.A. and Akingbasote, A.J. (2009) Acute and Sub-Acute Toxicological Evaluations of the Methanolic Stem Bark Extract of Crossopteryx febrifuga in Rats. African Journal of Pharmacy and Pharmacology, 3, 621-626.
[5] Angell, M. and Kassierr, J.P. (1998) Alternative Medicine—The Risk of Untested and Unregulated Remedies. New England Journal of Medicine, 339, 839-841.
http://dx.doi.org/10.1056/NEJM199809173391210
[6] Nadig, P.D. and Laxmi, S. (2005) Study of Anti-Tussive Activity of Ocimum Sanctum Linn in Guinea Pigs. Indian Journal of Physiology and Pharmacology, 49, 243-245.
[7] Dhawan, K. and Sharma, A. (2002) Antitussive Activity of the Methanol Extract of Passiflora incarnate Leaves. Fitoterapia, 73, 397-399.
http://dx.doi.org/10.1016/S0367-326X(02)00116-8
[8] Dhule, J.N. (1999) Antitussive Effect of Adhatoda Vasica Extract on Mechanical or Chemical Stimulation-Induced Coughing in Animals. Journal of Ethnopharmacology, 67, 361-365.
http://dx.doi.org/10.1016/S0378-8741(99)00074-4
[9] Chang, H.M. and Butt, P.P.H. (1986) Pharmacology and Applications of Chinese Materia Medica. Vol. 1, World Scientific, Singapore, 304.
http://dx.doi.org/10.1142/0284
[10] Suekawa, M., Ishige, A., Yuasa, K., Sudo, K., Aburada, M. and Hosoya, E. (1984) Pharmacological Studies on Ginger. I. Pharmacological Actions of Pungent Constitutents, (6)-Gingerol and (6)-Shogaol. Journal of Pharmacobio-Dynamics, 7, 836-848.
http://dx.doi.org/10.1248/bpb1978.7.836
[11] Mandal, S.C., Kumar, C.K.A., Mohana Lakshmi, S., Sinha, S., Murugesan, T., Saha, B.P. and Pal, M. (2000) Antitussive Effect of Asparagus racemosus Root against Sulfur Dioxide-Induced Cough in Mice. Fitoterapia, 71, 686-689.
[12] Srinath, K., Murugesan, T., Kumar, C.A., Suba, V., Das, A.K., Sinha, S., Arunachalam, G. and Manikandan, L. (2002) Effect of Trichodesma indicum Extract on Cough Reflex Induced by Sulphur Dioxide in Mice. Phytomedicine, 9, 75-77.
http://dx.doi.org/10.1078/0944-7113-00086
[13] Mandal, S.C., Ashok-Kumar, C.K., Lakshmi, S.M., Sanghamitra, S., Murugesan, T., Saha, B.P. and Pal, M. (2000) Antitussive Effect of Asparagus racemosus Root against Sulfur Dioxide-Induced Cough in Mice. Fitoterapia, 71, 686689.
http://dx.doi.org/10.1016/S0367-326X(00)00151-9
[14] Nosál’ová, G., Mokry, J. and Hassan, K.M. (2003) Antitussive Activity of the Fruit Extract of Emblica officinalis Gaertn. (Euphorbiaceae). Phytomedicine, 10, 583-589.
http://dx.doi.org/10.1078/094471103322331872
[15] Keter, L.K., Mwikwabe, N.M., Mbaabu, M.P., Sudhee, H.M., Tolo, F.M., Dhanani, P. and Orwa, J.A. (2013) Validation of Safety and Efficacy of Antitussive Herbal Formulations. African Journal of Pharmacology and Therapeutics, 2, 26-31.
[16] Gupta, Y.K., Kaytyal, J., Kumar, G., Mehla, G., Katiyar, C.K., Sharma, N. and Yav, S. (2009) Evaluation of Antitussive Activity of Formulations with Herbal Extracts in Sulphur Dioxide (SO2) Induced Cough Model in Mice. Indian Journal of Physiology and Pharmacology, 53, 61-66.
[17] Calixto, J.B. (2000) Efficacy, Safety, Quality Control, Marketing and Regulatory Guidelines for Herbal Medicines (Phytotherapeutic Agents). Brazilian Journal of Medical and Biological Research, 33, 179-189.
http://dx.doi.org/10.1590/S0100-879X2000000200004
[18] Firenzuoli, F. and Gori, L. (2007) Herbal Medicine Today: Clinical and Research Issues. Evidence-Based Complementary and Alternative Medicine, 4, 37-40.
http://dx.doi.org/10.1093/ecam/nem096
[19] Greenblatt, D.J. and Shader, R.I. (1971) Uses and Toxicity of Belladonna Alkaloids and Synthetic Anticholinergics. Seminars in Psychiatry, 3, 449-476.
[20] Red Book (2007) Guidance for Industry and Other Stakeholders Toxicological Principles for the Safety Assessment of Food Ingredients. Revised Edition, Chapter IV, 000045.
http://www.cfan.fda.gov/guidance.html
[21] ICH Harmonized Tripartite Guideline (2002) Guidance for Good Clinical Practice. E6 (R1); PMP/ICH/135/95. European Agency, London.
[22] Yasmeen, I. and Siddiqui, H. (2012) Study of the Antitussive Potential of Glycyrrhiza glabra and Adhatoda vasica Using a Cough Model Induced by Sulphur Dioxide Gas in Mice. International Journal of Pharmaceutical Sciences and Research, 3, 1668-1674.
[23] Nosal’ova, G., Saab, B.R., Pashayan, N. and El, C.S. (1992) Antitussive Efficacy of the Complex Extract and the Polysaccharide of Marshmallow (Althaea officinalis L. var. Robusta). Pharmazie, 47, 224-226.
[24] Al-Snafi, A.I. (2013) The Pharmaceutical Importance of Altahea officinalis and Althaea rosea. International Journal of PharmTech Research, 5, 1378-1385.
[25] Sutovska, M., Capek, P., Franova, S., Joskova, M., Sutovsky, J., Marcinek, J. and Kalman, M. (2011) Antitussive Activity of Althaea officinalis L. Polysaccharide Rhamnogalacturonan and Its Changes in Guinea Pigs with OvalbumineInduced Airways Inflammation. Bratislavské lekárske listy, 112, 670-675.
[26] Clarke, M.L. and Clarke, E.G.C. (1967) Veterinary Toxicology. Bailliere Tindall, London.
[27] Zbinden, G. and Roversi, F. (1981) Significance of the LD50 Test for the Toxicological Evaluation of Chemical Substances. Archives of Toxicology, 47, 77-99.
http://dx.doi.org/10.1007/BF00332351
[28] Daswani, G.P., Brijesh, S. and Birdi, J.T. (2006) Preclinical Testing of Medicinal Plants: Advantages and Approaches. Workshop Proceedings on Approaches towards Evaluation of Medicinal Plants Prior to Clinical Trial, Foundation for Medical Research at Yashwantrao Chavan Academy of Development Administration (YASHADA), 60-77.
[29] Ogbonnia, S.O., Mbaka, G.O., Anyika, E.N., Osegbo, O.M. and Igbokwe, N.H. (2010) Evaluation of Acute Toxicity in Mice and Subchronic Toxicity of Hydro-Ethanolic Extract of Chromolaena odorata (L.) King and Robinson (Fam. Asteraceae) in Rats. Agriculture and Biology Journal of North America, 1, 859-865.
http://dx.doi.org/10.5251/abjna.2010.1.5.859.865
[30] Stewart, M.J., Moar, J.J., Steenkamp, P. and Kokot, M. (1999) Findings in Fatal Cases of Poisoning Attributed to Traditional Remedies in South Africa. Forensic Science International, 101, 177-183.
http://dx.doi.org/10.1016/S0379-0738(99)00025-0
[31] Saad, B., Azaizeh, H., Abu-Hijleh, G. and Said, O. (2006) Safety of Traditional Arab Herbal Medicine. EvidenceBased Complementary and Alternative Medicine, 3, 433-439.
http://dx.doi.org/10.1093/ecam/nel058
[32] Colson, C.R. and De Broe, M.E. (2005) Kidney Injury from Alternative Medicines. Advances in Chronic Kidney Disease, 12, 261-275.
http://dx.doi.org/10.1016/j.ackd.2005.03.006
[33] Cheng, C.W., Bian, Z.X. and Wu, T.X. (2009) Systematic Review of Chinese Herbal Medicine for Functional Constipation. World Journal of Gastroenterology, 15, 4886-4895.
http://dx.doi.org/10.3748/wjg.15.4886

Copyright © 2023 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.