Anticonvulsant
Activity of Apasmarari rasa – An Experimental Study
Research Article
Vikas Saroch1*,
Hiremath RS2, Patil
PA3
1. PG Scholar 2. Asst. Professor,
KLEU’s Shri BMK AM and Research Centre Belgaum, Karnataka.
3.Professor, Department of
Pharmacology. KLEU’S Dental College Bangalore,Karnataka.
*Corresponding Author: Vikas Saroch, PG
Scholar, KLEU’s Shri BMK AM and Research Centre
Belgaum, Karnataka
E-mail: dr.vsaroch@gmail.com
Abstract
Apasmarari rasa, a unique
Ayurvedic preparation having hingulottha shuddha parad (HSP), Shuddha Gandhaka (SG) and Shuddha Tuttha (ST) and Bhavana dravya (Trituration) as Tinospora cordifolia (Guduchi) as
ingredients. The pharmaceutical processing involved preparation of chakrikas (pellets) by triturating the ingredients and
sealing them in Sharava (shallow earthen disc) samputa (uniform smeared and dried) and subjecting the
apparatus to Agni. After self-cooling (swangasheeta),
the mixture was triturated with kadali kanda swarasa for one day and the
final product was subjected to analysis.
Apasmarari rasa
was subjected to assess the LD 50 and Anti convulsant
activity on Male Albino rats was by means of MES (Maximal Electro convulsing
Shock) Method. A supra maximal strength was 150mA in rats for 0.2 seconds and
stimulus was applied via ear clip electrodes. The animal dose of Phenytoin (7.2mg/kg), Smriti sagar rasa (18mg/kg) and Apasmarari
rasa (5.4mg/ kg) was given orally to different groups. The animals were
observed for a period of 180 minutes after being subjected to electro
convulsions. Experimental study had shown some significant result when compared
to other drugs. No doubt, that both standard drugs also shown good results when
it comes to HLE (hind limb extension), but other factors such as time duration
of flexion, tonus, clonus, recovery time amongst
others in test drug group (Apasmarari rasa) showed
significantly better results. Some other observation such as nasal bleeding and
orbital bleeding was also absent in test drug group (Apasmarari
rasa).
Keywords: Apasmarari rasa, LD 50, Anti convulsant
activity, MES Method.
Introduction
Epilepsy is a major neurological disorder
and up to 5% of the world population develops epilepsy in their lifetime. As
per the present impact of epileptic seizures, it affects nearly 1-5 % of
population (1). The current
therapy of epilepsy
with modern antiepileptic
drugs is associated with side
effects, dose-related and chronic toxicity, as well as teratogenic
effects, and approximately 30%
of the patients continue to
have seizures with
current antiepileptic drugs therapy
(2-4). Epileptic seizures have
been known to represent an occasional discharge in the nervous tissue (5),
characterized by recurrent paroxysmal changes in the neurological function
caused by abnormalities in the electrical activity of the brain. Traditional
systems of medicine are popular in developing
countries and up
to 80% of
the population relies on
traditional medicines or folk remedies
for their primary
health care need. Even herbs used for the treatment of
epilepsy (i.e. Carissa carandas Linn.) in different
systems of traditional medicine
have shown activity when
tested in modern
bioassays for the detection of anticonvulsant activity.(6)
But as Rasaaushadhis are consider to be more persuasive and as it is the need of hour
for their endorsements so Apasmarari rasa chosen for
this experimental study.
Apasmarari Rasa (7) (ARR)
is one among those formulations which is exclusively indicated in Apasmara as explained in Rasakamdhenu
(mayoortuttha rasagandho yoryut guduchika toya vimerditam driddham), having minimum ingredients like hingulottha shuddha parad (processed mercury), shudha
gandhaka(processed sulphur) and shudha
tuttha (processed copper sulphate), and bhavana (Trituration) dravya’s like Tinnospora cordifolia (Willd.) Miers. (Guduchi) and
Musa paradisiaca linn (kadali kanda swarasa)
tuber juice.
Based
on the above information, the present study was designed to consider the effect
of Apasmarari rasa as an anti convulsant
drug, on a well –established MES animal model of convulsion preceded by LD 50
determination. Induction of maximal electroshock seizures (MES), using an
electro convulse meter (ECM), is a commonly used model for evaluation of
anticonvulsant drugs (8).
Material
and Methods:
Animals:
Adult male albino rats weighing
between 150-200gms were used in the study. Initially, they were maintained on
rat pallet diet and tap water (unless mentioned otherwise) at a 12 hour light
dark schedule. They were group housed at a temperature of 25 ± 1 0C. Animals
were randomly selected, marked to permit individual identification and kept in
their cages for one week prior to dosing to allow for acclimation to the
laboratory condition.
DETERMINATION
OF LD 50 (TEST COMPOUND) (9) – Fixed dose method (OECD guideline No. 420 of
CPCSEA).
The
test substance is orally administered in a single dose by using a stomach tube.
Animals were fasted for 24 hrs prior to dosing. And observation is made for 24
hours.
TEST
PROCEDURE WITH STARTING DOSE OF 2000MG/KG BODY WEIGHT
TABLE-01:
Showing dose schedule for LD 50 Determination (Apasmarari
rasa)
GROUP |
DOSE |
ROUTE OF ADMINISTRATION |
OBSERVATION |
LD
– 50 |
2000mg/kg |
Orally |
24
hrs |
LD
– 50 |
2000mg/kg |
Orally |
24
hrs |
LD
– 50 |
2000mg/kg |
Orally |
24
hrs |
Screening
of Anti Epileptic Activity(10):
MES
Method:
An electrical stimulus of sufficient
intensity to induce maximal seizure is applied by means of an external device
stimulator or convulsiometer. A supra maximal
strength is 150mA in rats for 0.2 seconds is used .The stimulus is applied via
corneal or ear clip electrodes. MES seizures remain the primary screening for
potential Antiepileptic activity.
Requirement:
Animals
- Healthy Male Wister Albino Rats
(150-200 mg)
Drugs - Phenytoin (300mg/ kg) (11) and Smritisagar
rasa (12) (1000mg/kg)
Test
Drugs - Apasmarari rasa (300mg/kg)
Equipments-Electro-convulsiometer, Corneal or Ear Electrodes (apply 150mA
current for 0.2sec)
Preparation
of doses /vehicle:
The Drug was in powder form so
triturated with distilled water.
Administration
of doses:
The
test substance is orally administered in a single dose by using a stomach tube.
Animals were fasted overnight prior to dosing.
Procedure
1. Weigh and number the animals. Divide
them into four groups each consisting of 6 rat’s first group is used as control
and second for drug phenytoin as a standard (A) and
third group as Ayurvedic standard drug (B) i.e. Samritisagar
rasa to be given, and for fourth test drug Apasmarari
rasa should be given respectively.
2. Hold the animal properly, place corneal
or ear electrodes on the cornea or ear pinna and
apply the prescribed current, note different stages of convulsion i.e. A) Tonic flexion B) Tonic extensor phase C) Clonic convulsions D) Stupor E) recovery or death. Note the
time in seconds spent by the animal in each phase of the convulsions. Repeat
with other animals of control group.
3. Administer Phenytoin, Samritisagar rasa and Apasmarari
rasa orally to different groups. Wait for 180 min and subject the animals to
electro convulsions as described earlier.
Note
the reduction in time or abolition of tonic extensor of MES convulsions
TABLE
NO.02: Showing dose schedule for all
groups
GROUP |
DRUG |
NO. OF RATS |
DOSE |
ROUTE OF ADMIN. |
TIME OF ADMINI.* |
Control |
DW** |
06 |
1.5
ml/rat |
Orally |
180
min |
SD
(A) |
Phenytoin |
06 |
7.2mg/kg |
Orally |
180
min |
SD
(B) |
Samritisagar rasa |
06 |
18mg/kg |
Orally |
180
min |
Test |
Apasmarari Rasa |
06 |
5.4mg/
kg |
Orally |
180
min |
*
Prior To Induce MES, ** Distilled Water
STATISTICALS
STUDY METHOD (13)
Fishers
Exact Test:
TABLE
NO.03: Showing Effect of therapeutic dose of Apasmarari
rasa and its anti convulsant effect with other
therapeutic equivalent drugs on MES
SR. NO |
DRUG/DOSE |
+VE |
-VE |
% |
P VALUE |
1 |
Apasmarari rasa |
2 |
4 |
66.6 |
>
0.22 |
2 |
Smritisagar rasa |
2 |
4 |
66.6 |
>0.22
|
3 |
Control
|
5 |
1 |
16.6 |
<
0.0075 |
4 |
Phenytoin |
0 |
6 |
100 |
>1 |
• Control group failed to provide
significant protection.
• P> 0.05 denotes insignificant
difference as compare to Apasmarari rasa
(anticonvulsant dose group)
TABLE
NO.04: Master Chart Showing duration of all the stages in seconds
Group/Dose |
Sl.No |
Flexion |
Extension |
Clonus |
Stupor |
Recovery time |
Control. 1.5ml/200gm |
1H |
4sec |
8
sec |
0
sec |
120
sec |
130
sec |
2N |
3
sec |
11
sec |
Absent |
149
sec |
165
sec |
|
3B |
1
sec |
12
sec |
0
sec |
200
sec |
207
sec |
|
4T |
3
sec |
12
sec |
66
sec |
430
sec |
301
sec |
|
5L |
2
sec |
Absent |
95
sec |
145
sec |
129
sec |
|
6UM |
2
sec |
7
sec |
0
sec |
120
sec |
129
sec |
|
Phenytoin. 7.2mg/200gm |
1H |
12
sec |
Absent |
0
sec |
144
sec |
156
sec |
2N |
4
sec |
Absent |
16
sec |
122
sec |
142
sec |
|
3B |
3
sec |
Absent |
0
sec |
155
sec |
158sec |
|
4T |
7
sec |
Absent |
0
sec |
147
sec |
154
sec |
|
5L |
14
sec |
Absent |
24
sec |
66
sec |
104
sec |
|
6UM |
All stages are absent |
|||||
Smritisagar Rasa.
18mg/200gm |
1H |
4
sec |
Absent
|
20
sec |
330
sec |
624
sec |
2N |
3
sec |
Absent
|
00
sec |
158
sec |
161
sec |
|
3B |
1
sec |
Absent
|
10
sec |
158
sec |
169
sec |
|
4T |
3
sec |
9
sec |
8
sec |
62
sec |
82
sec |
|
5L |
9
sec |
Absent |
1.29
sec |
98
sec |
196
sec |
|
6UM |
2
sec |
15
sec |
8
sec |
123
sec |
148
sec |
|
Apasmarari Rasa. 5.4mg/200gm
|
1H |
10
sec |
3sec |
36
sec |
173
sec |
222
sec |
2N |
All stages are absent |
|||||
3B |
All stages are absent |
|||||
4T |
4
sec |
4
sec |
13
sec |
147
sec |
168
sec |
|
5L |
13
sec |
Absent
|
8
sec |
68
sec |
89
sec |
|
6UM |
00
sec |
Absent
|
00
sec |
00
sec |
00
sec |
Discussion
Study
showed some significant results in test drug when compared to other two
standards. No doubt, that both standard drug also shown good results when it
comes to HLE (hind limb extension) ,but if we consider other factors such as
time duration of flexion, tonus, clonus, recovery
etc. in test drug group these all
factors shown better results. Some other observation such as nasal bleeding and
orbital bleeding was also absent in test drug group. Abolition of Hind limb
Extension, and fast recovery was an experimental observation.
Conclusion
Animal
study of Apasmarari Rasa has shown some significant
result when compared to other drugs like Phenytoin
and Samritisagar rasa. Here one of the main criteria
was HLE (Hind Limb Extension) and other factors we found that recovery period
and other different stages shown better results with Apasmarari
rasa. On the basis of the present results and available reports, it can be
concluded that the anti- convulsion activity elucidated by Apasmarari
Rasa possesses significant consequence in animals.
References:
1.
Sander
JWAS, Shorvon SD.
Epidemiology of epilepsies.
J Neurol Neurosurg Psychiatry, 1996;61: 433- 43.
2.
Smith
MC, Bleck TP. Convulsive Disorders
- Toxicity of anticonvulsants. Clinical Neuropharmacol,
1991; 14,97-115.
3.
Mattson
RH. Efficacy and adverse effects of established
and new antiepileptic drugs. Epilepsia, 1995;36 (2), S13-26.
4.
Samrjn EB, Van Duijn CM , , Koch S, Hiidesmaa
VK, Klepel
H, Bardy AH, Mannagetta GB et
all Maternal use of antiepileptic drugs
and the risk of major congenital
malformations a joint European prospective
study of human teratogenesis
associated with material epilepsy .Epilepsia,
1997;38,981.
5.
Theodore
WR
and Leonard SS, Goodman, Gilimans. Pharmacological
basis of therapeutics, 8th ed
.New York: Macmillan: 1991.436.
6.
Karunakar Hegde, Shalin P Thakker, Arun B Joshi, CS Shastry, KS Chandrashekhar.
Anticonvulsant Activity of Carissa carandas Linn. Root
Extract in Experimental Mice. Tropical Journal of Pharmaceutical Research,
April 2009; 8 (2): 117-25
7.
Mishra Gulraj Sharma, commented by Mishra
Chudamani Rasa kamdhenu , 2nd ed. Varanasi: Chaukhambha Orientalia ;1999.157p.
8.
Swinyard EA, Brown WC,
Goodman LS. Comparative assays of antiepileptic drugs in mice and rats. J Pharmacol Exp Ther 1952;
106,319-30.
9.
http://www.oecdlibrary.org/docserver/download/fulltext/9742001e.pdf
10.
Robert.A.Turner.Screening methods in Pharmacology.Vol 1st .2nd ed. Newyork : Academy press;
1965. 166-67p.
11.
Tripati.K.D. Essentials of
Medical Pharmacology, 4th ed. New Delhi: Jaypee Brothers Medical publishers; 2004.383-86p.
12.
Anonymous.
The Ayurvedic Formulary of India, Vol. 2nd .New Delhi: Govt. of India, Ministry
of Health and Family welfare; 2000.16:64. 293p.
13.
P.Armitage,Statical Methods In
Medical Research ,1st ed. Oxford :Blackwell Scientific Publication; 1977.IV
.135-38p.
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