Startseite Efficacy of Habb-e-Asab in diabetic peripheral neuropathy: a randomized placebo control study
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Efficacy of Habb-e-Asab in diabetic peripheral neuropathy: a randomized placebo control study

  • Fathima Nafha Nizamdeen , Mohd Aleemuddin Quamri EMAIL logo und Md Anzar Alam ORCID logo
Veröffentlicht/Copyright: 14. Januar 2022

Abstract

Objectives

Diabetic peripheral neuropathy (DPN) is a common diabetes complication. The prevalence of neuropathy is 55% for type 1 and 66% for type 2 diabetes. In Unani medicine neuropathy is known as Khidr (numbness). It is treated with drugs possessing hypoglycemic and analgesic properties, etc. Habb-e-Asab, a polyherbal Unani formulation used for the treatment of Waja-ul-Asab (neuralgia) is routinely used for its indications in neurological pain in Unani medicine. The aim of this study to investigate the efficacy of Habb-e-Asab in diabetic peripheral neuropathy.

Methods

Thirty patients with DPN were randomly assigned to test (n=20) and control (n=10) groups in a randomized single-blind placebo control study. For 45 days, the test group was given 250 mg Habb-e-Asab twice a day and the control group 250 mg placebo twice a day. The subjective parameters Pain in feet, burning in feet, and tingling in feet was assessed by the arbitrary scale and VAS fortnightly and objective parameters MNSI, and VPT was assessed in pre–post-treatment.

Results

The research drug revealed highly statistically significant with p<0.001 on VAS score and MNSI whereas VPT is significant with p<0.01 on few points. But control group exhibits no significant effect in any of the parameters. No adverse effects had been reported in either group.

Conclusions

Our finding indicated that the Habb-e-Asab for 45 days improved and reduced the severity of DPN in a patient with diabetes (CTRI/2018/02/011725).


Corresponding author: Mohd Aleemuddin Quamri, Department of Moalajat, National Institute of Unani Medicine, Kottigepalya, Magadi Main Road, Bangalore 560091, India, Phone: +91 7019383563, E-mail:

Acknowledgments

This study was a partial fulfillment of the MD dissertation which was supported by the National Institute of Unani Medicine (NIUM), Bangalore (Ministry of AYUSH Government of India). Work duly acknowledges our colleagues for their valuable suggestions and support throughout the study and especially to the human subjects who were recruited for the study. I am also thanks to Dr. K.P. Suresh, Scientist (Biostatistics), National Institute of Veterinary Epidemiology and Disease Informatics (NIVEDI), Bangalore, for data analysis.

  1. Research funding: None declared.

  2. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: Authors state no conflict of interest.

  4. Informed consent: Informed consent was obtained from all individuals included in this study.

  5. Ethical approval: The protocol was approved by the Institutional Ethical Committee of NIUM, IEC No. NIUM /IEC/201 6-17/008/Moal/08, Dated.18.05.2017.

References

1. Juster-Switlyk, K, Smith, AG. Updates in diabetic peripheral neuropathy. F1000 Res 2016;5:1–7.10.12688/f1000research.7898.1Suche in Google Scholar PubMed PubMed Central

2. Khdour, MR. Treatment of diabetic peripheral neuropathy: a review. J Pharm Pharmacol. 2020;72:863–72. https://doi.org/10.1111/jphp.13241.Suche in Google Scholar PubMed

3. Yoo, M, Sharma, N, Pasnoor, M, Kluding, PM. Painful diabetic peripheral neuropathy: presentations, mechanisms, and exercise therapy. J Diabetes Metab 2013;(10 Suppl):005.https://doi.org/10.4172/2155-6156.s10-005.Suche in Google Scholar PubMed PubMed Central

4. Dy, SM, Bennett, WL, Sharma, R, Zhang, A, Waldfogel, JM, Nesbit, SA, et al.. Preventing complications and treating symptoms of diabetic peripheral neuropathy. Rockville (MD): Agency for Healthcare Research and Quality (US); 2017. Report No.: 17-EHC005-EF.Suche in Google Scholar

5. Tesfaye, S, Boulton, AJ, Dyck, PJ, Freeman, R, Horowitz, M, Kempler, P, et al.. Diabetic neuropathies: update on definitions, diagnostic criteria, estimation of severity, and treatments. Diabetes Care 2010;33:2285–93.10.2337/dc10-1303Suche in Google Scholar PubMed PubMed Central

6. Iqbal, Z, Azmi, S, Yadav, R, Ferdousi, M, Kumar, M, Cuthbertson, DJ, et al.. Diabetic peripheral neuropathy: Epidemiology, diagnosis, and pharmacotherapy. Clin Ther 2018;40:828–49.10.1016/j.clinthera.2018.04.001Suche in Google Scholar PubMed

7. Liu, X, Xu, Y, An, M, Zeng, Q. The risk factors for diabetic peripheral neuropathy: a meta-analysis. PLoS One. 2019;14:e0212574.10.1371/journal.pone.0212574Suche in Google Scholar PubMed PubMed Central

8. Almuhannadi, H, Ponirakis, G, Khan, A, Malik, RA. Diabetic neuropathy and painful diabetic neuropathy: Cinderella complications in South East Asia. J Pak Med Assoc 2018;68:85–9.Suche in Google Scholar

9. Pop-Busui, R, Boulton, AJ, Feldman, EL, Bril, V, Freeman, R, Malik, RA, et al.. Diabetic neuropathy: a position statement by the American diabetes association. Diabetes Care 2017;40:136–54.10.2337/dc16-2042Suche in Google Scholar PubMed PubMed Central

10. Ang, L, Cowdin, N, Mizokami-Stout, K, Pop-Busui, R. Update on the management of diabetic neuropathy. Diabetes Spectr 2018;31:224–33. https://doi.org/10.2337/ds18-0036.Suche in Google Scholar PubMed PubMed Central

11. Yang, H, Sloan, G, Ye, Y, Wang, S, Duan, B, Tesfaye, S, et al.. New perspective in diabetic neuropathy: from the periphery to the brain, a call for early detection, and precision medicine. Front Endocrinol (Lausanne) 2020;10:929. https://doi.org/10.3389/fendo.2019.00929.Suche in Google Scholar PubMed PubMed Central

12. Weng, YC, Tsai, SS, Lyu, RK, Chu, CC, Ro, LS, Liao, MF, et al.. Diabetic distal symmetrical polyneuropathy: correlation of clinical, laboratory, and electrophysiologic studies in patients with type 2 diabetes mellitus. J Diabetes Res. 2020;2020:635–45. https://doi.org/10.1155/2020/6356459.Suche in Google Scholar PubMed PubMed Central

13. Røikjer, J, Mørch, CD, Ejskjaer, N. Diabetic peripheral neuropathy: diagnosis and treatment. Curr Drug Saf 2020;16:2–16. 10.2174/1574886315666200731173113.10.2174/1574886315666200731173113Suche in Google Scholar PubMed

14. Bodman, MA, Varacallo, M. Peripheral diabetic neuropathy. StatPearls. Treasure Island (FL): StatPearls Publishing; 2021.Suche in Google Scholar

15. Rosenberger, DC, Blechschmidt, V, Timmerman, H, Wolff, A, Treede, RD. Challenges of neuropathic pain: focus on diabetic neuropathy. J Neural Transm (Vienna). 2020;127:589–624. https://doi.org/10.1007/s00702-020-02145-7.Suche in Google Scholar PubMed PubMed Central

16. Feldman, EL, Callaghan, BC, Pop-Busui, R, Zochodne, DW, Wright, DE, Bennett, DL, et al.. Diabetic neuropathy. Nat Rev Dis Primers. 2019;5:42. https://doi.org/10.1038/s41572-019-0092-1.Suche in Google Scholar PubMed

17. Ardeleanu, V, Toma, A, Pafili, K, Papanas, N, Motofei, I, Diaconu, CC, et al.. Current pharmacological treatment of painful diabetic neuropathy: a Narrative review. Medicina (Kaunas). 2020;56:25. https://doi.org/10.3390/medicina56010025.Suche in Google Scholar PubMed PubMed Central

18. Malik, RA. Diabetic neuropathy: a focus on small fibres. Diabetes Metab Res Rev. 2020;36(1 Suppl):e3255. https://doi.org/10.1002/dmrr.3255.Suche in Google Scholar PubMed

19. Ardeleanu, V, Toma, A, Pafili, K, Papanas, N, Motofei, I, Diaconu, CC, et al.. Current pharmacological treatment of painful diabetic neuropathy: a Narrative review. Medicina (Kaunas). 2020;56:25. https://doi.org/10.3390/medicina56010025.Suche in Google Scholar

20. Liampas, A, Rekatsina, M, Vadalouca, A, Paladini, A, Varrassi, G, Zis, P. Pharmacological management of painful peripheral neuropathies: a systematic review. Pain Ther 2020;10:55–68. https://doi.org/10.1007/s40122-020-00210-3.Suche in Google Scholar PubMed PubMed Central

21. Razi, Z. Al Hawi Fit Tib (Urdu Translation). New Delhi: CCRUM; 1997, vol 1:9, 29, 40, 43, 44, 46, 47 pp [Urdu].Suche in Google Scholar

22. Sina, I. Al-Qanoon Fit-Tib. Part-1. New Delhi: Department of Islamic Studies, Jamia Hamdard; 1998:50–51, 177–179, 202–206, 350–352 pp.Suche in Google Scholar

23. Cohen, K, Shinkazh, N, Frank, J, Israel, I, Fellner, C. Pharmacological treatment of diabetic peripheral neuropathy. P T. 2015;40:372–88.Suche in Google Scholar

24. Anonymous. National Formulary of Unani Medicine. New Delhi; 2007, vol 1 part 2:47, 186, 191. 33 pp.Suche in Google Scholar

25. Ghani, HN. Khazainul Advia. New Delhi: Idara Kitabus Shifa; 2011:549–684 pp [Urdu].Suche in Google Scholar

26. Kabeerudeen, H. Makhzanul-ul-Mufradath. New Delhi: Idara Kitab-us-Shifa; 2007 [Urdu].Suche in Google Scholar

27. Anonymous. Qarabadin Sarkari. part 2. Govt. of AndraPradesh; 1988:26 p [Urdu].Suche in Google Scholar

28. Bhati, R, Singh, A, Saharan, VA, Ram, V, Bhandari, A. Strychnos nux-vomica seeds: pharmacognostical standardization, extraction, and antidiabetic activity. J Ayurveda Integr Med. 2012;3:80–4. https://doi.org/10.4103/0975-9476.96523.Suche in Google Scholar PubMed PubMed Central

29. Ranasinghe, P, Jayawardana, R, Galappaththy, P, Constantine, GR, de Vas Gunawardana, N, Katulanda, P. Efficacy and safety of ‘true’ cinnamon (Cinnamomum zeylanicum) as a pharmaceutical agent in diabetes: a systematic review and meta-analysis. Diabet Med 2012;29:1480–92. https://doi.org/10.1111/j.1464-5491.2012.03718.x.Suche in Google Scholar PubMed

30. Motilal, S, Maharaj, RG. Nutmeg extracts for painful diabetic neuropathy: a randomized, double-blind, controlled study. J Altern Complement Med 2013;19:347–52. https://doi.org/10.1089/acm.2012.0016.Suche in Google Scholar PubMed

31. Olajide, OA, Ajayi, FF, Ekhelar, AI, Awe, SO, Makinde, JM, Alada, AR. Biological effects of Myristica fragrans (nutmeg) extract. Phytother Res 1999;13:344–5. https://doi.org/10.1002/(sici)1099-1573(199906)13:4<344::aid-ptr436>3.0.co;2-e.10.1002/(SICI)1099-1573(199906)13:4<344::AID-PTR436>3.0.CO;2-ESuche in Google Scholar

32. Hussain, Z. Assessment of therapeutic efficacy and safety of delphinium denudatum wall (Jadwar) and local application of Iris Florentina (Roghan sosan) in painful diabetic neuropathy: a randomised single blind standard controlled study. Glob J Res Anal 2018;7:23–5.Suche in Google Scholar

33. Daneshfard, B, Yekta, NH, Khoshdel, A, Heiran, A, Cheraghi, R, Yarmohammadi, H. The effect of Delphinium denudatum (Jadwar) on fatigue: a randomized double blind placebo-controlled clinical trial. Complement Ther Med 2019;46:29–35. https://doi.org/10.1016/j.ctim.2019.05.027.Suche in Google Scholar

34. Khalilzadeh, E, Hazrati, R, Saiah, GV. Effects of topical and systemic administration of Eugenia caryophyllata buds essential oil on corneal anesthesia and analgesia. Res Pharm Sci 2016;11:293–302. https://doi.org/10.4103/1735-5362.189297.Suche in Google Scholar

35. World Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA 2013;310:2191–4. https://doi.org/10.1001/jama.2013.281053.Suche in Google Scholar

36. Ravinetto, R. The revision of the ICH good clinical practice guidelines: a missed opportunity? Indian J Med Ethics. 2017;2:255–9. https://doi.org/10.20529/IJME.2017.057.Suche in Google Scholar

37. Morello, CM, Leckband, SG, Stoner, CP, Moorhouse, DF, Sahagian, GA. Randomized double-blind study comparing the efficacy of gabapentin with amitriptyline on diabetic peripheral neuropathy pain. Arch Intern Med 1999;159:1931–7. https://doi.org/10.1001/archinte.159.16.1931.Suche in Google Scholar

38. Suresh, K, Chandrashekara, S. Sample size estimation and power analysis for clinical research studies. J Hum Reprod Sci 2012;5:7–13. https://doi.org/10.4103/0974-1208.97779.Suche in Google Scholar

39. Nadkarni, KM. Indian Materia Medica. Mumbai: Bombay Popular Prakashan; 1954:1175–82 pp.Suche in Google Scholar

40. Abbas, G, Al-Harrasi, AS, Hussain, H, Hussain, J, Rashid, R, Choudhary, MI. Antiglycation therapy: discovery of promising antiglycation agents for the management of diabetic complications. Pharm Biol 2016;54:198–206. https://doi.org/10.3109/13880209.2015.1028080.Suche in Google Scholar

Received: 2021-11-15
Accepted: 2021-12-20
Published Online: 2022-01-14

© 2022 Walter de Gruyter GmbH, Berlin/Boston

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