Q-Check Pharmaceuticals

The Nature’s way to treat UTI with UVA Ursi

Uva ursi remains one of the most important and commonly used urinary tract disinfectants in modern herbal medicine, widely used in the treatment of uncomplicated acute and recurrent urinary tract infections. In vitro studies using crude leaf preparations and extracts of uva ursi leaf have demonstrated mild antimicrobial activity against known UTI causing organisms, including C. albicans, E. coli, S. aureus, and Proteus vulgaris, and others.

Uva ursi possess diuretic, antiseptic, and astringent properties. Traditionally, it has been used for cystitis, urethritis, dysuria, pyelitis, lithuria, and, specifically, acute catarrhal cystitis with dysuria and highly acidic urine (British Herbal Pharmacopoeia, 1983; Wren, 1988). The antiseptic and diuretic properties claimed for uva ursi can be attributed to its hydroquinone derivatives, especially the constituent arbutin. Arbutin is absorbed intact from the gastrointestinal tract and during renal excretion is hydrolyzed to yield the active principle, hydroquinone, which exerts antiseptic and astringent actions on the urinary mucous membranes

In a double-blind, placebo-controlled, randomized clinical trial, 57 women with more than three episodes of cystitis in the previous year received UVA ursi extract or placebo. Treatment for 1 month significantly reduced the recurrence of cystitis during the 1-year follow-up, with no cystitis in the treated group and 23% recurrence in the placebo group. No adverse effects were reported .It should be noted that alkaline urine is necessary for arbutin to work.

Regular use may prevent bladder infections. Uva-ursi increases susceptibility of bacteria to antibiotics such as β-lactams.

Some authors postulate that a reduced urinary pH inhibits the efficacy of the herb; others argue that increasing the alkalinity of the urinary environment enhances the efficacy of the herb, while still others state that activity is not dependent on urinary pH

The question of whether this herb is safe for use in pregnancy is difficult to definitely answer based on the available evidence. Not to be used in pregnancy, a caution that is reiterated by many authorities. However, the reasons for contraindication are variable and not well supported, ranging from alleged uterotonic and oxytocic activity to “theoretical fetotoxicity.”

Pharmaco Nutritional approach in Metabolic disorders (Probiotics)

Metabolic syndrome is a complex disorder caused by a cluster of interrelated factors that increases the risk of cardiovascular diseases and type 2 diabetes. Obesity is the main precursor for metabolic syndrome that can be targeted in developing various therapies. With this view, several physical, psychological, pharmaceutical and dietary therapies have been proposed for the management of obesity. Application of probiotics and prebiotics as biotherapeutics is the new emerging area in developing dietary strategies. Recent studies established the role of probiotics and prebiotics in weight management with possible mechanisms of improved microbial balance, decreased food intake, decreased abdominal adiposity and increased mucosal integrity with decreased inflammatory tone.

A new study by Danisco indicates that probiotic strain Bifidobacterium (B.) animalis subsp. lactis 420 (B420) could significantly improve the MetS by counteracting the adverse effects of a high-fat diet. The outcome of this study revealed that, the probiotic treatment led to significant reduction in tissue inflammation and metabolic endotoxaemia. A different but related multicenter, double-blind, randomized placebo-controlled intervention trial was conducted on 87 subjects with high body mass index who were randomly assigned to receive Lactobacillus (L.) gasseri SBT 2055 (LG2055). In this study, the probiotic LG2055 was provided as an adjunct culture in yoghurt that had been fermented using conventional yoghurt cultures, Streptococcus thermophilus and L. delbrueckii ssp. bulgaricus; yoghurt without LG2055 was used as placebo. The outcome of this study concludes that the probiotic strain significantly reduced the abdominal adiposity, body weight and other measures suggesting its beneficial influence on metabolic disorders.

In a subsequent study, the same research workers used visceral adiposity as a measure of obesity, and the level of soluble intercellular adhesion molecule-1 (sICAM-1) in the blood as an inflammatory marker that is elevated in obesity. The results of the study showed that the probiotic strain inhibited the enlargement of visceral adipocytes and prevented up regulation of sICAM-1.

Melatonin, Magnesium, Zinc and B12 combination in sleep disorders J Am Geriatr Soc. 2011 Jan;59(1):82-90. The effect of melatonin, magnesium, and zinc on primary insomnia in long-term care facility residents in Italy: a double-blind, placebo-controlled clinical trial

Rondanelli M et al To determine whether nightly administration of melatonin, magnesium, and zinc improves primary insomnia in long-term care facility resident

The primary goal was to evaluate sleep quality using the Pittsburgh Sleep Quality Index. The Epworth Sleepiness Scale, the Leeds Sleep Evaluation Questionnaire (LSEQ), the Short Insomnia Questionnaire (SDQ), and a validated quality-of-life instrument (Medical Outcomes Study 36-item Short Form Survey (SF-36)) were administered as secondary end points. Total sleep time was evaluated using a wearable armband-shaped sensor. All measures were performed at baseline and after 60 days.

The food supplement with melatonin Mg, Zn resulted in considerably better overall PSQI scores than placebo (difference between groups in change from baseline PSQI score=6.8; 95% confidence interval=5.4-8.3, P<.001). Moreover, the significant improvements in all four domains of the LSEQ (ease of getting to sleep, P<.001; quality of sleep, P<.001; hangover on awakening from sleep, P=.005; alertness and behavioral integrity the following morning, P=.001), in SDQ score (P<.001), in total sleep time (P<.001), and in SF-36 physical score (P=.006) suggest that treatment had a beneficial effect on the restorative value of sleep.

The administration of nightly melatonin, magnesium, and zinc appears to improve the quality of sleep and the quality of life in long-term care facility residents with primary insomnia

Diabetes and Sleep Disorders

Diabetes and sleep are intricately connected, and many people with type 2 diabetes experience poor sleep quality or Insomnia But careful attention to diet, exercise, and blood sugar levels can make a world of difference to sleep quality and, in turn, to overall health.

It’s estimated that one in two people with type 2 diabetes have sleep problems due to unstable blood sugar levels and accompanying diabetes-related symptoms, High blood sugar (hyperglycemia) and low blood sugar (hypoglycemia) during the night can lead to Insomnia and next-day fatigue. As with many chronic conditions, feelings of depression or stress about the disease itself may also keep you awake at night.

When blood sugar levels are high the kidneys overcompensate by causing to urinate more often. During the night, these frequent trips to the bathroom lead to disrupted sleep. High blood sugar may also cause headaches, increased thirst, and tiredness that can interfere with falling asleep. By contrast, long hours of fasting, eating or taking the wrong balance of diabetes medication can also lead to low blood sugar levels at night causing nightmares, break out into a sweat, or irritation or confusion when you wake up.

Just as diabetes can cause sleep problems, sleep problems also appear to play a role in diabetes. Getting poor sleep or less restorative slow wave sleep has been linked to high blood sugar levels in people with diabetes and prediabetes Researchers believe that sleep restriction may affect blood sugar levels due to its effects on insulin, cortisol, and oxidative stress One-quarter of people with diabetes report sleeping less than six hours or more than eight hours a night, which puts them at a higher risk of having elevated blood sugar. Sleep deprivation also raises the risk of developing insulin resistance

Sleep deprivation raises levels of ghrelin, the hunger hormone, and decreases levels of leptin, the hormone that makes us feel full. To compensate for lower energy levels, people who sleep poorly may be more likely to seek relief in foods that raise blood sugar and put them at risk of obesity, which is a risk factor for diabetes. Adults with type 2 diabetes who experience disturbed sleep or frequent night time awakenings may also be less likely to follow other standards for diabetes self-care, such as getting enough exercise and closely monitoring blood glucose levels.

In addition to its immediate effects on blood sugar levels, poor sleep can take a long-term toll on individuals with type 2 diabetes. Those who resort to sleep medication or who have trouble staying asleep are more likely to report feeling serious psychological distress. There is also tentative evidence to suggest that people with diabetes who do not get enough sleep may be at a higher risk for cognitive decline later in life.

Red Yeast Rice and Statins

Red yeast rice contains chemicals that are similar to statin medications. One of these, called monacolin K, has the same formula as the drug lovastatin.