Department Pharmacology, Baqai Medical University Karachi, Karachi, Pakistan.
Department Pharmacology Dow Medical College DUHS Karachi, Karachi, Pakistan.
Pak J Pharm Sci. 2024 Sep;37(5):1033-1041.
Phytomedicine is gaining acceptance as well preference in health care management for various diseases. Drug combinations are mostly used clinically for hyperlipidemia, as single-agent therapy is insufficient. Statins remain the cornerstone of hyperlipidemia. The objective of the present research is to manage hyperlipidemia with the least amount of medicine effective clinically, thereby limiting its side effects. Study was carried out with 140 registered hyperlipidemia patients, divided into two groups. Group-A received simvastatin 20mg oral daily & Group B received a combination of simvastatin and beta-valgaris capsules twice a day for 90 days. Pre and post treatment values were compared within the groups and between the groups. Group B shows statistically significant decrease (p<0.05) in serum total cholesterol, low density lipoprotein (LDL), triglycerides (TG) and CRP levels. Also significant improvement (p<0.05) was noted for high density lipoprotein (HDL) levels (20.1% to 57.4%) in group B after completion of study. On the basis of our study results, we can conclude that statins remained to be the mainstay treatment for patients with elevated cholesterol levels. However, the combination has a synergistic effect and reduces oxidative stress (OS) as well.
植物药在各种疾病的医疗保健管理中越来越受到认可和青睐。药物联合治疗在临床上主要用于治疗高血脂症,因为单一药物治疗效果不足。他汀类药物仍然是高血脂症的基石。本研究的目的是以最少量有效的药物来管理高血脂症,从而限制其副作用。研究共纳入 140 名注册高血脂症患者,分为两组。A 组给予辛伐他汀 20mg 口服,每日一次;B 组给予辛伐他汀和β-缬草胶囊联合治疗,每日两次,疗程为 90 天。在组内和组间比较治疗前后的数值。B 组的血清总胆固醇、低密度脂蛋白(LDL)、甘油三酯(TG)和 C 反应蛋白(CRP)水平均有统计学意义的降低(p<0.05)。研究结束后,B 组的高密度脂蛋白(HDL)水平也有显著改善(p<0.05)(从 20.1%提高到 57.4%)。基于我们的研究结果,我们可以得出结论,他汀类药物仍然是治疗胆固醇水平升高患者的主要治疗方法。然而,联合治疗具有协同作用,并且还可以降低氧化应激(OS)。