Efficacy and tolerance of Harpagophytum procumbens versus diacerhein in treatment of osteoarthritis

作者: P. Chantre , A. Cappelaere , D. Leblan , D. Guedon , J. Vandermander

DOI: 10.1016/S0944-7113(00)80001-X

关键词:

摘要: In a double-blind, randomized, multicentre clinical study, the efficacy and tolerance of herbal medicine product, Harpadol (6 capsules/day, each containing 435 mg powdered cryoground powder Harpagophytum procumbens), was compared with diacerhein 100 mg/day in treatment, for 4 months, 122 patients suffering from osteoarthritis knee hip. Assessments pain functional disability were made on 10 cm horizontal visual analogue scale; severity evaluated by Lequesne's index. Spontaneous showed significant improvement during course study there no difference two treatments. Similarly, progressive reduction Lequesne index statistical found between diacerhein. At completion taking using significantly less NSAIDs antalgic drugs. The frequency adverse events lower group. most frequent event reported diarrhea, occurring 8.1% 26.7% respectively. global assessment at end treatment favoured Harpadol. results this demonstrate that is comparable superior safety to

参考文章(19)
R Altman, R Moskowitz, M Lequesne, C J Menkes, K Brandt, N Bellamy, J P Pelletier, Guidelines for testing slow acting drugs in osteoarthritis. The Journal of Rheumatology Supplement. ,vol. 41, pp. 65- 73 ,(1994)
J. H. Kellgren, J. S. Lawrence, Radiological Assessment of Osteo-Arthrosis Annals of the Rheumatic Diseases. ,vol. 16, pp. 494- 502 ,(1957) , 10.1136/ARD.16.4.494
Minh Nguyen, Maxime Dougados, Laurent Berdah, Bernard Amor, Diacerhein in the treatment of osteoarthritis of the hip Arthritis & Rheumatism. ,vol. 37, pp. 529- 536 ,(1994) , 10.1002/ART.1780370413
S Chrubasik, H Junck, H Breitschwerdt, Ch Conradt, H Zappe, Effectiveness of Harpagophytum extract WS 1531 in the treatment of exacerbation of low back pain: a randomized, placebo-controlled, double-blind study. European Journal of Anaesthesiology. ,vol. 16, pp. 118- 129 ,(1999) , 10.1046/J.1365-2346.1999.00435.X
Sanford H. Roth, Nonsteroidal Anti-inflammatory Drug Gastropathy Archives of Internal Medicine. ,vol. 147, pp. 2093- 2100 ,(1987) , 10.1001/ARCHINTE.1987.00370120029008
S. Chrubasik, F. Sporer, M. Wink, Zum Wirkstoffgehalt in Arzneimitteln aus Harpagophytum procumbens Complementary Medicine Research. ,vol. 3, pp. 57- 63 ,(1996) , 10.1159/000210204
Marie-Claire Lanhers, Jacques Fleurentin, François Mortier, Annie Vinche, Chafique Younos, Anti-inflammatory and analgesic effects of an aqueous extract of Harpagophytum procumbens. Planta Medica. ,vol. 58, pp. 117- 123 ,(1992) , 10.1055/S-2006-961411
A. G.L. Kay, L. G. Griffiths, G. N. Volans, R. Grahame, Preliminary experience with diacetylrhein in the treatment of osteoarthritis. Current Medical Research and Opinion. ,vol. 6, pp. 548- 551 ,(1980) , 10.1185/03007998009109485
L. Guillerault, E. Ollivier, R. Elias, G. Balansard, Determination of Harpagide, 8-Para-Coumaroyl Harpagide, and Harpagoside by High Performance Liquid Chromatography in Harpagophytum Procumbens Drugs and in a Commercial Extract Journal of Liquid Chromatography & Related Technologies. ,vol. 17, pp. 2951- 2960 ,(1994) , 10.1080/10826079408013512