Volume : 11, Issue : 05, May – 2024

Title:

ROLE OF HERBAL PROKINETICS IN TREATMENT OF FUNCTIONAL DYSPEPSIA

Authors :

Shayestha Nishath, Sameera Taranum, Safoora Naaz, Madiha Naazish, Shaista Tamkanat

Abstract :

Dyspepsia, a common gastrointestinal disorder characterized by upper abdominal discomfort. Its etiology includes gastric predisposition, GERD, peptic ulcer disease, H pylori infection, gastric malignancy, and various physiological and psychological mechanisms such as impaired gastric motility, visceral hypersensitivity, delayed gastric emptying, impaired gastric accommodation, central nervous system dysfunction etc. Although dyspepsia is not related to increased mortality, but it may impact the patient quality of life by causing complications like chronic indigestion, anxiety and depression. The conventional pharmacological treatment includes use of proton pump inhibitors, dopamine-2 receptor antagonists, antidepressants, prokinetic agents etc. But the conventional treatment often come with limitations and potential adverse effects such as nausea, diarrhea etc. Some conventional prokinetic drugs, particularly those like metoclopramide, can aggravate stomach discomfort or cause gastric irritation in some individuals, while herbal prokinetics on the other hand may be kind on the stomach and less likely to exacerbate dyspeptic symptoms.
Hence, the alternative and complementary therapies are considered for the treatment of dyspepsia such as herbal prokinetics, derived from various plants offers promising effects for modulating gastrointestinal motility and reducing symptoms associated with dyspepsia.
The herbal prokinetics may be considered a better choice than conventional prokinetics in the treatment of dyspepsia, because of their minimal side effects, effectiveness in reducing the symptoms such as gastric discomfort and various other advantages over the conventional prokinetic agents.
By exploring various treatment options and comparing the safety and efficacy of herbal prokinetics and conventional prokinetics, this review critically examines the mechanism of action of various herbal prokinetics and evaluates the available clinical evidence supporting their efficacy and safety in dyspepsia management.
This review article aims to show the advantages of using herbal prokinetics over conventional prokinetics and their contribution in improving patient’s quality of life without causing serious adverse effects.
While herbal prokinetics offer these potential benefits, it’s important to recognize that responses to herbal prokinetics can vary from person to person, and their effectiveness and safety may not be fully confirmed through various clinical trials.
Key Words:Dyspepsia, Herbal prokinetics, Conventional prokinetics

Cite This Article:

Please cite this article in press Shayestha Nishath et al., Role Of Herbal Prokinetics In Treatment Of Functional Dyspepsia., Indo Am. J. P. Sci, 2024; 11 (05).

Number of Downloads : 10

References:

1. Alexander C. Ford, Nicholas J. Talley 10 January 2014 Epidemiology of Dyspepsia wiley online library[1]
2. JAN TACK, RAF BISSCHOPS, and GIOVANNI SARNELLI October 2004 Pathophysiology and Treatment of Functional Dyspepsia GASTROENTEROLOGY [1]
3. Francis P 1, Zavala SR 1 StatPearls Publishing, Treasure Island (FL), 03 Mar 2020 Functional Dyspepsia Europe PMC plus [2][5]
4. Journal of Neurogastroenterology and Motility.2022[3]
5. S Kindt, J Tack 19 July 2006 Impaired gastric accommodation and its role in dyspepsia BMJ JOURNALS[7]
6. MARIA PI´A CALDARELLA, FERNANDO AZPIROZ, and JUAN–R. MALAGELADA May 2003 Antro-Fundic Dysfunctions in Functional Dyspepsia GASTROENTEROLOGY[8]
7. JAN TACK, HUBERT PIESSEVAUX, BERNARD COULIE, PHILIP CAENEPEEL, and JOZEF JANSSENS DECEMBER1998 Role of Impaired Gastric Accommodation to a Meal in Functional Dyspepsia GASTROENTEROLOGY[9]
8. JAN TACK, PHILIP CAENEPEEL, BENJAMIN FISCHLER, HUBERT PIESSEVAUX, and JOZEF JANSSENS SEPTEMBER 2001 Symptoms Associated With Hypersensitivity to Gastric Distention in Functional Dyspepsia GASTROENTEROLOGY[10]
9. Feinle†,a, O Meiera, B Ottob, M D’Amatoc, M FriedaMarch 1, 2001. Role of duodenal lipid and cholecystokinin A receptors in the pathophysiology of functional dyspepsia BMJ JOURNLE [11]
10. CHRISTINE FEINLE,* THOMAS RADES,‡ BA¨RBEL OTTO,§ and MICHAEL FRIED* APIRL 2001 Fat digestion modulates gastrointestinal sensations induced by gastric distention and duodenal lipid in humans.GASTROENTEROLOGY[12]
11. CHRISTINE FEINLE,* MASSIMO D’AMATO,‡ and NICHOLAS W. READ* MAY 1996 Cholecystokinin-A Receptors Modulate Gastric Sensory and Motor Responses to Gastric Distention and Duodenal Lipid.GASTROENTEROLOGY[13]
12. Ram Chandra Subedi, Binit Upadhaya Regmi, Bishnu Deep Pathak, Bishal Dhakal, Deekshanta Sitaula4, Ujjawal Paudel2, Prabal KC4, Srijana Maharjan5, Anurag Karki, Sunil Baniya, Sushil Joshi, Chiranjibi Pant3, Kumar Roka 2023 RESEARCH ARTICLE Prevalence of Helicobacter pylori infection in dyspeptic patients presenting to a tertiary care center of a developing country: a cross-sectional study F1OOOResearch[14]
13. Emad M. El-Omar ∗, Ian D. Penman ∗, Joy E.S. Ardill ‡, Ravi S. Chittajallu ∗, Catherine Howie ∗, Kenneth E.L. McColl ∗September 1995, Pages 681-691 Helicobacter pylori infection and abnormalities of acid secretion in patients with duodenal ulcer disease.Gastroenterology[15]
14. Muhammad Ali Khan, MD, and Colin W. Howden, MD March 2018 – Volume 14, Issue 3 The Role of Proton Pump Inhibitors in the Management of Upper Gastrointestinal Disorders Gastroenterology & Hepatology[17]
15. Thaise Boeing1, Priscila de Souza 1 , Luisa Mota da Silva1, Arquimedes Gasparotto Junior September 2, 2021 Herbal Medicines in the Treatment of Dyspepsia: An Overview, Thieme [18]
16. B. E. Lacy*, N. J. Talley†, G. R. Locke III‡, E. P. Bouras§, J. K. DiBaise¶, H. B. El-Serag**, B. P. Abraham**,C. W. Howden††, P. Moayyedi‡‡& C. Prather§Review article: current treatment options and management offunctional dyspepsia 7 febubary 2012 Alimentary Pharmacology & Therapeutics Volume 36, Issue 1[19]
17. Young Joo Yang, Chang Seok Bang, Gwang Ho Baik,Tae Young Park,Suk Pyo Shin, Ki Tae Suk & Dong Joon Kim 26 June 2017 volume 17, Article number: 83 Prokinetics for the treatment of functional dyspepsia: Bayesian network meta-analysisBMC Gastroenterology [20][27]
18. Pittayanon R, Yuan Y, Bollegala NP, Khanna R, Leontiadis GI, Moayyedi P 18 October 2018 Prokinetics for functional dyspepsiaCochrane Library[21][25]
19. A. O. Quartero, M. E. Numans, R. A. De Melker, A. W. Hoes, N. J. De Wit 08 Jul 2009Research ArticleDyspepsia in Primary Care: Acid Suppression as Effective as Prokinetic Therapy. A Randomized Clinical Trial Scandinavian Journal of Gastroenterology Volume 36, 2001 – Issue 9[22]
20. Michael Camilleri*Jessica Atieh 24 August 2021New Developments in Prokinetic Therapy for Gastric Motility Disorders Frontiers in Pharmacolog Sec.Gastrointestinal and Hepatic PharmacologyVolume 12 – 2021 [23]
21. Lorenzo Drago1, 1, Luigi Pasquale2, Giuseppe Milazzo3, Fabio Monica4, Salvatore Aragona5, Leonardo Ficano6, Roberto Vassallo7, and Gastrobiota Group Journal of International Medical ResearchVolume 49, Issue 1, January 2021Evaluation of main functional dyspepsia symptoms after probiotic administration in patients receiving conventional pharmacological therapies.[24]
22. Leonard Ho1 , Claire C. W. Zhong2 , Charlene H. L. Wong2 , Justin C. Y. Wu3 , Karina K. H. Chan4 , Irene X. Y. Wu5*, Ting Hung Leung1 and Vincent C. H. Chung1,2 20 December 2021 Chinese herbal medicine for functional dyspepsia: a network meta-analysis of prokinetic-controlled randomised trials Chinese Medicine[26]
23. Germán Báez Camila Vargas,Marcelo Arancibia,Cristian Papuzinski15 June 2023 Non‐Chinese herbal medicines for functional dyspepsia cochrane libray[28]
24. Kazumi Inokuchi,Tatsuhiro Masaoka*,Takanori Kanai 08 June 2021
25. Sec. Gastrointestinal and Hepatic Pharmacology Volume 12 – 2021 Rikkunshito as a Therapeautic Agent for Functional Dyspepsia and its Prokinetic and Non-Prokinetic Effects Frontiers in Pharmacology[29]
26. Toshitaka Kido1,2,*, Yoichiro Nakai2 , Yoshio Kase2 , Iwao Sakakibara2 , Masaaki Nomura3 , Shuichi Takeda2 , and Masaki Aburada2,4April 20, 2005 Effects of Rikkunshi-to, a Traditional Japanese Medicine, on the Delay of Gastric Emptying Induced by NG-Nitro-L-arginine Journal of Pharmacological Sciences[30]
27. Stephanie Abiola Tijani , Samuel B. Olaleye and Ebenezer O. Farombi April 19, 2018 Anti-ulcerogenic effect of the methanol extract of Chasmanthera dependens (Hochst) stem on male Wistar rats Journal of Basic and Clinical Physiology and Pharmacology[31]
28. Muhammad Ali Hashmi,1Afsar Khan,1Muhammad Hanif,1Umar Farooq,1and Shagufta Perveen2 23 Feb 2015 Traditional Uses, Phytochemistry, and Pharmacology of Olea europaea (Olive)Evidence-Based Complementary and Alternative Medicine[32]
29. Dahee Yeo a 1, Su Jung Hwang a b 1, Woo Jean Kim c 1, Hyun-Joo Youn a, Hyo-Jong Lee Biomedicine & PharmacotherapyVolume 99, March 2018, Pages 681-687 The aqueous extract from Artemisia capillaris inhibits acute gastric mucosal injury by inhibition of ROS and NF-kB Journals & Books[33]
30. Brena Ramos Athaydes a, Gisele Maziero Alves b, Arícia Leone Evangelista Monteiro de Assis c, João Victor Dutra Gomes d, Ricardo Pereira Rodrigues a, Bianca Prandi Campagnaro b, Breno Valentim Nogueira c, Dâmaris Silveira d, Ricardo Machado Kuster e, Thiago Melo Costa Pereira b f, Rodrigo Rezende Kitagawa a, Rita de Cássia Ribeiro Gonçalves Food Research International Volume 119, May 2019, Pages 751-760 Avocado seeds (Persea americana Mill.) prevents indomethacin-induced gastric ulcer in miceJournals & Books[34]
31. Chul-Hong Park,Hyeong-U Son,Chi-Yeol Yoo &Sang-Han Lee Pages 2110-2115 05 Sep 2017Research Article Low molecular-weight gel fraction of Aloe vera exhibits gastroprotection by inducing matrix metalloproteinase-9 inhibitory activity in alcohol-induced acute gastric lesion tissues taylor& francis online[35]
32. .Antonisamy Paulrayer1,†,Aravinthan Adithan 1,†,Jeong Ho Lee 2,†,Kwang Hyun Moon 2,DaeGeunKim 2,SoYeon Im2,Chang-Won Kang 1,Nam Soo Kim 1 andJong-Hoon Kim 1,*17 May 2017Aronia melanocarpa (Black Chokeberry) Reduces Ethanol-Induced Gastric Damage via Regulation of HSP-70, NF-κB, and MCP-1 Signaling International jornals of molecular sciences[36]
33. Luis Jardelino de Lacerda Neto a, Andreza Guedes Barbosa Ramos a, Valterlucio Santos Sales a, Severino Denicio Gonçalves de Souza a, Antonia Thassya Lucas dos Santos a, Larissa Rolim de Oliveira a, Marta Regina Kerntopf a, Thais Rodrigues de Albuquerque a, Henrique Douglas MeloCoutinho a, Lucindo Jose Quintans-Júnior c, Almir Gonçalves Wanderley b, Irwin Rose Alencar de Menezes aChemico-Biological InteractionsVolume 261, 5 January 2017, Pages 56-62Gastroprotective and ulcer healing effects of hydroethanolic extract of leaves of Caryocar coriaceum: Mechanisms involved in the gastroprotective activity Journals & Books[37]
34. M. A. Ovalı,A. Yılmaz&M. Alpaslan Published online: 20 Sep 2018Gastroprotective effect of apricot kernel oil in ethanol-induced gastric mucosal injury in rats taylor& francis online[38]
35. PuthanpuraSasidharan Sreeja a, Karuppusamy Arunachalam b, Sathyanarayanan Saikumar a, Muniyandi Kasipandi a, Sivaraj Dhivya a, Rajan Murugan a, Thangaraj Parimelazhagan Biomedicine & Pharmacotherapy Volume 97, January 2018, Pages 1109-1118 Gastroprotective effect and mode of action of methanol extract of Sphenodesme involucrata var. paniculata (C.B. Clarke) Munir (Lamiaceae) leaves on experimental gastric ulcer models Journals & Books[39]
36. Tati Ishikawa a, Raquel dos Santos Donatini a, Ingrit Elida Collantes Diaz b, Massayoshi Yoshida b c, Elfriede Marianne Bacchi a, Edna Tomiko Myiake KatoJournal of Ethnopharmacology Volume 118, Issue 3, 13 August 2008, Pages 527-529Evaluation of gastroprotective activity of Plinia edulis (Vell.) Sobral (Myrtaceae) leaves in rats Journals & Books[40]
37. Madisch, A; Andresen, V; Enck, P; Labenz, J; Frieling, T; Schemann, M 2018 The Diagnosis and Treatment of Functional Dyspepsia aerzteblatt.de[41]
38. Jiang SM, Jia L, Liu J, Shi MM, Xu MZ. Beneficial effects of antidepressant mirtazapine in functional dyspepsia patients with weight loss. World J Gastroenterol 2016; 22(22): 5260-5266 [42]
39. Kok-Ann Gwee, Gerald Holtmann, Jan Tack, Hidekazu Suzuki, Jinsong Liu, Yinglian Xiao, Min-Hu Chen, Xiaohua Hou, Deng-Chyang Wu, Clarissa Toh, Fang Lu, Xu-Dong Tang30 November 2020 Neurogastroenterology & MotilityVolume 33, Issue 2Herbal medicines in functional dyspepsia—Untapped opportunities not without risks[43]