111 results on '"Tolnaftate"'
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2. Formulation and Evaluation of Liposomal Cream Containing Tolnaftate.
- Author
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D., Darshini, B., Likhita, Y. B., Mohitha, V., Aruna Kumari, Hema, M., and Ahasanuzzaman
- Abstract
The current study's objective was to formulate and evaluate a liposomal cream containing tolnaftate in order to improve the drug's bioavailability. Tolnaftate is a drug having low permeability which results in decreased drug absorption and so is the bioavailability. To overcome these problems tolnaftate is incorporated in liposomes. Liposome vesicular drug delivery system was preferred due to its greater solubility, permeability and bioavailability. It carries a substantial amount of drug which increased the drug's penetration. The liposomes were prepared using a variety of phospholipids, specifically soy lecithin and egg phosphatidylcholine in varying ratios. Liposomes were prepared by ethanol injection method and evaluated for morphology, percentage practical yield, percentage entrapment efficiency, drug content and invitro drug release study. The formulation with the best result according to the evaluation parameters was F2 with greater percentage drug entrapment, drug content and in-vitro drug release was considered to be optimized formulation and this F2 formulation was further evaluated by SEM, DSC and XRD. Liposomal cream was formulated using the optimized formulation. Spreadability, Viscocity, pH measurement and in-vitro drug release were evaluated for liposomal cream. Formulation F2 and optimized liposomal cream formulation showed in-vitro drug release of 92.44% and 77.48% respectively at the end of 8th hour. [ABSTRACT FROM AUTHOR]
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- 2025
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3. Transungual Penetration and Antifungal Activity of Prescription and Over-the-Counter Topical Antifungals: Ex Vivo Comparison.
- Author
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Elabbasi, Ali, Kadry, Ahmed, Joseph, Warren, Elewski, Boni, and Ghannoum, Mahmoud
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ANTIFUNGAL agents , *FUNGAL growth , *MYCOSES , *ONYCHOMYCOSIS , *TOENAILS , *ACID solutions - Abstract
Introduction: Topical antifungals for toenail onychomycosis must penetrate the nail to deliver an inhibitory concentration of free drug to the site of infection. In two ex vivo experiments, we tested the ability of topical antifungals to inhibit growth of Trichophyton rubrum and Trichophyton mentagrophytes, the most common causative fungi in toenail onychomycosis. Methods: Seven topical antifungals were tested: three U.S. Food and Drug Administration-approved products indicated for onychomycosis (ciclopirox 8% lacquer; efinaconazole 10% solution; tavaborole 5% solution) and four over-the-counter (OTC) products for fungal infections (tolnaftate 1% and/or undecylenic acid 25% solutions). The ability to inhibit fungal growth was tested in the presence and absence of keratin. Products were applied either to human cadaverous nails or keratin-free cellulose disks prior to placement on an agar plate (radius: 85 mm) seeded with a clinical isolate of T. rubrum or T. mentagrophytes. After incubation, the zone of inhibition (ZI), defined as the radius of the area of no fungal growth, was recorded. Results: In the nail penetration assay, average ZIs for efinaconazole (T. rubrum: 82.1 mm; T. mentagrophytes: 63.8 mm) were significantly greater than those for tavaborole (63.5 mm; 39.1 mm), ciclopirox (7.4 mm; 3.6 mm) and all OTC products (range: 10.5–34.2 mm against both species; all P < 0.001). In the cellulose disk diffusion assay, efinaconazole and tavaborole demonstrated maximal antifungal activity against both species (ZIs = 85 mm); average ZIs against T. rubrum and T. mentagrophytes were smaller for ciclopirox (59.0 and 55.7 mm, respectively) and OTC products (range: 31.2–57.8 mm and 25.7–47.7 mm, respectively). Conclusions: Among all antifungals tested, the ability to penetrate human toenails to inhibit growth of both T. rubrum and T. mentagrophytes was greatest for efinaconazole, followed by tavaborole. These results indicate superior transungual penetration of efinaconazole compared to the other antifungals, suggesting lower keratin binding in the nail. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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4. Quantitative analysis of mixed lipid nanostructures in rat skin by HPLC-MS
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Al-Tannak Naser F., Abouelatta Samar M., Fahmy Nesma M., and Hemdan Ahmed M.
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dermato-kinetic ,hplc-ms ,mlns ,tolnaftate ,clioquinol ,betamethasone ,Chemistry ,QD1-999 - Abstract
Liquid chromatography-mass spectrometry (LC-MS) is a very sensitive technique for determining small concentrations of drugs in fixed dose combinations or even those deposited in skin layers. Therefore, an LC-MS method was applied for determining the drugs under investigation, namely, clioquinol (CLIO), tolnaftate (TOL), and betamethasone (BETA) in Quadriderm® cream and mixed lipid nanostructures (MLNs) prepared in laboratory in the presence of potential interferents, and was applied as a dermato-kinetic study in rat’s skin. The separation was achieved within 4.5 min by using C18 column as a stationary phase and the mobile phase used were 20% phase A composed of 0.1% formic acid (v/v) and 80% phase B composed of 0.1% formic acid in acetonitrile (v/v), coupled with triple quadrupole mass spectrometer. MLNs were prepared and characterized to be compared with the conventional commercially available Quadriderm® cream. The proposed method was accurate and precise with a linearity range of 0.2–20.0 µg·mL−1 for BETA, and 0.5–400.0 µg·mL−1 for CLIO and TOL and a better bioavailability of the new formulation was obtained ensuring the capability of the nanoparticles to accumulate the drugs within the skin layers. In conclusion, the LC-MS method was accurate and precise for the determination of the three drugs under investigation in cream dosage form and skin tissues.
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- 2024
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5. Implementing polymeric pseudorotaxanes for boosting corneal permeability and antiaspergillus activity of tolnaftate: formulation development, statistical optimization, ex vivo permeation and in vivo assessment
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Diana Aziz, Sally Mohamed, Saadia Tayel, and Amal Makhlouf
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Keratitis ,Tolnaftate ,ocular permeability ,susceptibility ,Aspergillus niger ,Therapeutics. Pharmacology ,RM1-950 - Abstract
Fungal keratitis (FK) is a devastating ocular disease that can cause corneal opacity and blindness if not treated effectively. Tolnaftate (TOL) is a selective fungicidal drug against Aspergillus spp. which are among the most common causes of mycotic keratitis. TOL is lipophilic drug with low water solubility and permeation which act as obstacles for its clinical ocular efficacy. Hence, this study aimed to statistically optimize a novel polymeric pseudorotaxanes (PSRs) containing TOL for enhancing its ocular permeability and antifungal effect. For achieving this goal, a full 31.22 factorial design was fashioned for preparing and optimizing TOL-PSRs using film hydration technique. Three formulation variables were studied: drug amount (X1), weight ratio of Pluronics to HPβCD (X2) and Pluronic system (X3). Entrapment efficiency percent (EE%) (Y1), particle size (PS) (Y2) and zeta potential (ZP) (Y3) were set as dependent variables. The selected optimal TOL-PSRs (PSR1) showed EE% of 71.55 ± 2.90%, PS of 237.05 ± 12.80 nm and ZP of −32.65 ± 0.92 mV. In addition, PSR1 was compared to conventional polymeric mixed micelles (PMMs) and both carriers significantly increased the drug flux and resulted in higher amount permeated per unit area in 8 h compared to drug suspension. The histopathological studies assured the safety of PSR1 for ocular use. The in vivo susceptibility testing using Aspergillus niger confirmed that PSR1 displayed sustained antifungal activity up to 24 h. The obtained results revealed the admirable potential of PSR1 to be used as novel nanocarriers for promoting TOL ocular delivery.
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- 2022
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6. A Validated Stability-Indicating HPLC-PDA Method for Tolnaftate: Identification, Characterization and In Silico Toxicity Predictions of Major Degradation Products.
- Author
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Waghela, Nikky, Parmar, Ishvarchandra, Devale, Titiksh, and Desai, Sonal
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LIQUID chromatography , *DETECTION limit , *RF values (Chromatography) , *MASS spectrometry , *HIGH performance liquid chromatography - Abstract
Simple and rapid stability indicating High Performance Liquid Chromatography-Photo Diode Array (HPLC-PDA) method was developed and validated for the estimation of tolnaftate in the presence of its forced degradation products. The method employed SunQSil C18 column (250 mm × 4.6 mm, 5 μm) as stationary phase and acetonitrile:water (85:15, v/v) as mobile phase. Retention time of tolnaftate was 6.9 min. Acid and alkali hydrolysis, oxidation, photo degradation and thermal degradation studies were carried out to evaluate the degradation behavior of tolnaftate. The developed and optimized method was validated as per International Conferences on Harmonization (ICH) guidelines. Limit of detection and limit of quantitation were found to be 0.092 and 0.276 μg/mL, respectively. Linearity was observed in a concentration range of 0.276–6 μg/mL with R2 = 0.9936. %Recovery was found to be between 98.28% and 100.71%. The developed and validated Reversed Phase-High Performance Liquid Chromatography (RP-HPLC) method was successfully applied for quantification of tolnaftate in in-house topical solution. Major base and oxidative degradation products were identified and characterized by liquid chromatography–electrospray ionization mass spectrometry. The probable mechanisms for the formation of degradation products were predicted based on the fragmentation pattern of degradation products. The in silico dermal penetration predictions and carcinogenicity of degradation products were evaluated by using QikProp and CarcinoPred-EL functionality. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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7. Implementing polymeric pseudorotaxanes for boosting corneal permeability and antiaspergillus activity of tolnaftate: formulation development, statistical optimization, ex vivo permeation and in vivo assessment.
- Author
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Aziz, Diana, Mohamed, Sally, Tayel, Saadia, and Makhlouf, Amal
- Subjects
FUNGAL keratitis ,PERMEABILITY ,ASPERGILLUS niger ,CORNEA ,CORNEAL opacity ,LIPOSOMES ,ANTIFUNGAL agents ,ITRACONAZOLE - Abstract
Fungal keratitis (FK) is a devastating ocular disease that can cause corneal opacity and blindness if not treated effectively. Tolnaftate (TOL) is a selective fungicidal drug against Aspergillus spp. which are among the most common causes of mycotic keratitis. TOL is lipophilic drug with low water solubility and permeation which act as obstacles for its clinical ocular efficacy. Hence, this study aimed to statistically optimize a novel polymeric pseudorotaxanes (PSRs) containing TOL for enhancing its ocular permeability and antifungal effect. For achieving this goal, a full 31.22 factorial design was fashioned for preparing and optimizing TOL-PSRs using film hydration technique. Three formulation variables were studied: drug amount (X1), weight ratio of Pluronics to HPßCD (X2) and Pluronic system (X3). Entrapment efficiency percent (EE%) (Y1), particle size (PS) (Y2) and zeta potential (ZP) (Y3) were set as dependent variables. The selected optimal TOL-PSRs (PSR1) showed EE% of 71.55 ± 2.90%, PS of 237.05 ± 12.80 nm and ZP of -32.65 ± 0.92 mV. In addition, PSR1 was compared to conventional polymeric mixed micelles (PMMs) and both carriers significantly increased the drug flux and resulted in higher amount permeated per unit area in 8 h compared to drug suspension. The histopathological studies assured the safety of PSR1 for ocular use. The in vivo susceptibility testing using Aspergillus niger confirmed that PSR1 displayed sustained antifungal activity up to 24 h. The obtained results revealed the admirable potential of PSR1 to be used as novel nanocarriers for promoting TOL ocular delivery. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
8. Enhanced Ocular Anti-Aspergillus Activity of Tolnaftate Employing Novel Cosolvent-Modified Spanlastics: Formulation, Statistical Optimization, Kill Kinetics, Ex Vivo Trans-Corneal Permeation, In Vivo Histopathological and Susceptibility Study.
- Author
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Aziz, Diana, Mohamed, Sally A., Tayel, Saadia, and Makhlouf, Amal
- Subjects
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FUNGAL keratitis , *HISTOPATHOLOGY , *FACTORIAL experiment designs , *ASPERGILLUS niger , *ZETA potential , *PROPYLENE glycols - Abstract
Tolnaftate (TOL) is a thiocarbamate fungicidal drug used topically in the form of creams and ointments. No ocular formulations of TOL are available for fungal keratitis (FK) treatment due to its poor water solubility and unique ocular barriers. Therefore, this study aimed at developing novel modified spanlastics by modulating spanlastics composition using different glycols for enhancing TOL ocular delivery. To achieve this goal, TOL basic spanlastics were prepared by ethanol injection method using a full 32 factorial design. By applying the desirability function, the optimal formula (BS6) was selected and used as a nucleus for preparing and optimizing TOL-cosolvent spanlastics according to the full 31.21 factorial design. The optimal formula (MS6) was prepared using 30% propylene glycol and showed entrapment efficiency percent (EE%) of 66.10 ± 0.57%, particle size (PS) of 231.20 ± 0.141 nm, and zeta potential (ZP) of −32.15 ± 0.07 mV. MS6 was compared to BS6 and both nanovesicles significantly increased the corneal permeation potential of TOL than drug suspension. Additionally, in vivo histopathological experiment was accomplished and confirmed the tolerability of MS6 for ocular use. The fungal susceptibility testing using Aspergillus niger confirmed that MS6 displayed more durable growth inhibition than drug suspension. Therefore, MS6 can be a promising option for enhanced TOL ocular delivery. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
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9. Studies on formulation development and evaluation of tolnaftate-loaded glycerosomes.
- Author
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Mohammed, Yasmin Begum, Alqahtani, Ali, Lakshmi, Sai, Gnanaprakash, Kalimuthu, and Kumarappan, CT
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TRANSDERMAL medication , *DRUG delivery systems , *LIPOSOMES , *GUINEA pigs , *THIN films - Abstract
The aim was to formulate and evaluate glycerosomes as novel carrier for dermal (trans) drug delivery systems (tDDDS). Tolnaftate Loaded Glycerosomes were prepared by thin film hydration technique. The thin-film was hydrated using aqueous solution of glycerol (30 %v/v) against liposomes as control and were characterized. Glycerosome formulations were sphere-shaped with a mean diameter of 165.5 nm and narrow size distribution (P.I: 0.744). Zeta potential was –22.8mv indicating good stability. Tolnaftate loading capacity was found to be between 17.5±0.56 % and 91.32±0.57%. In-vitro permeation experiments showed an improved skin deposition and permeation of tolnaftate (5mg) when 30% glycerol, DSPC (100mg), cholesterol (25mg) content were used. Ex-vivo skin penetration studies showed an improved drug release than conventional liposomes and drug suspension. Skin irritancy studies on guinea pig showed no signs of toxicity. Glycerosomes must be an ideal novel transdermal drug delivery system for the effective delivery of tolnaftate. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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10. With Appreciation.
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CHRISTIANITY - Abstract
Rosmarinus, tolnaftate, christianity, no-observed-effect level, superfund amendments and reauthorization act. [Extracted from the article]
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- 2019
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11. Formulation, development and evaluation of topical nanoemulgel of tolnaftate.
- Author
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Gadkari, P. N., Patil, P. B., and Saudagar, R. B.
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DRUG delivery systems ,DIFFUSION - Abstract
Nanoemulsion has been identified as a promising delivery system for various drugs including Biopharmaceuticals. Nanoemulsion is heterogeneous system composed of one immiscible liquid dispersed as droplets within another liquid. Aim of the present study was to investigate the nanoemulgel as transdermal delivery system for poorly water soluble drug, Tolnaftate in order to overcome the troubles associated with its oral delivery. Different nanoemulsion components (Oil, Surfactant and Cosurfactant) were selected on the basis of solubility and emulsification ability. High pressure Homogenization techninique were used for the preparation of Nanoemulsion. Carbopol 934 was added as gel matrix to convert nanoemulsion into nanoemulgel. Drug loaded Nanoemulgels were characterized for particle size, SEM, Viscosity, Spreadability, Diffusion study using egg membrane, Nanoemulgel containing 3% Almond oil, 5.25% Tween 80, Proplene glycol as Cosurfactant, 1% drug, Water upto Quantity sufficient was concluded as optimized formulation (F1). [ABSTRACT FROM AUTHOR]
- Published
- 2019
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12. In vitro activity of 23 antifungal drugs against 54 clinical and environmental Aspergillus oryzae isolates
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Mahdi Abastabar, Arezoo Zaedi, Shafigheh Shabanzadeh, Mohsen Nosratabadi, Maryam Moazeni, Seyed Reza Aghili, Iman Haghani, Shaghayegh Khojasteh, Javad Javidnia, Sanaz Nargesi, Tahereh Shokohi, Mohammad Taghi Hedayati, Jacques F. Meis, and Hamid Badali
- Subjects
Nystatin ,Antifungal Agents ,Miconazole ,Natamycin ,Aspergillus oryzae ,Microbial Sensitivity Tests ,Dermatology ,General Medicine ,Anidulafungin ,Griseofulvin ,Tolnaftate ,Ketoconazole ,Infectious Diseases ,Amphotericin B ,Humans ,Voriconazole ,Clotrimazole ,Econazole ,Itraconazole ,Fluconazole ,Terbinafine - Abstract
The treatment of invasive aspergillosis caused by cryptic species remains a challenge due to the lack of randomised clinical trials and investigation of the efficacy and safety of different therapeutic strategies. We aimed to evaluate the in vitro activity of 23 conventional and new antifungal drugs against 54 clinical and environmental Aspergillus oryzae isolates by using the Clinical and Laboratory Standards Institute (CLSI) standard M38-A3. The lowest geometric mean MIC values were found for luliconazole and lanoconazole (0.001 μg/ml), followed by anidulafungin (0.104 μg/ml), posaconazole (0.15 μg/ml), itraconazole (0.37 μg/ml), efinaconazole (0.5 μg/ml), voriconazole (0.51 μg/ml), tavaborole (0.72 μg/ml), and amphotericin B (0.79 μg/ml). In contrast, ketoconazole, terbinafine, econazole, tioconazole, ravuconazole, miconazole, nystatin, clotrimazole, griseofulvin, sertaconazole, natamycin, tolnaftate, and fluconazole had no or low activity. Further studies are required to determine how well this in vitro activity translates into in vivo efficacy.
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- 2022
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13. The solid-state conformation of the topical antifungal agent O-naphthalen-2-yl N-methyl-N-(3-methylphenyl)carbamothioate.
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Ho, Douglas M. and Zdilla, Michael J.
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ANTIFUNGAL agents , *THIOCARBAMATES - Abstract
Tolnaftate, a classic antifungal compound, has been found to crystallize from 1:1 (v/v) acetone-water as large flat colorless needles in the centrosymmetric monoclinic space group P21/c. These crystals contain a 50:50 mixture of the (+ap,-sp,+ac,-ac) and (-ap,+sp,-ac,+ac) conformers. The bond lengths in the central CNOS unit are 1.3444 (19), 1.3556 (18) and 1.6567 (15) A À for C--N, C--O and C--S, respectively, and the CNOS and C3N moieties are flat and nearly coplanar with each other, consistent with the C--N bond possessing partial double-bond character. Tolnaftate and the four most closely related N,N-disubstituted thiocarbamates in the Cambridge Structural Database (CSD) all exist as E-conformational isomers in the solid state. Among these five compounds, tolnaftate is the only one in which the N-tolyl moiety is positioned trans to the S atom, i.e. the N-aryl substituent in each of the other compounds is positioned cis to their respective S atom. Notably, and more importantly, our experimental X-ray structure is unlike all prior theoretical models available for tolnaftate. The implication, either directly or indirectly, is that some of those theoretical models used in earlier studies to explain the spectroscopic properties of tolnaftate and to suggest which protein-ligand interactions are responsible for the binding of tolnaftate to squalene epoxidase are either inappropriate or structurally unreasonable, i.e. the results and conclusions from those prior studies are in need of critical reassessment. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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14. Tolnaftate-graphene composite-loaded nanoengineered electrospun scaffolds as efficient therapeutic dressing material for regimen of dermatomycosis.
- Author
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Misra, Shashi Kiran, Ramteke, Pramod W., Pandey, Himanshu, Patil, Sandip, and Pandey, Avinash C.
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GRAPHENE ,DERMATOMYCOSES ,NANOTECHNOLOGY ,ANTI-infective agents ,ELECTROSPINNING ,THERAPEUTICS - Abstract
Graphene “The novel carbon nano-trope” tailors auspicious platform for designing antimicrobial regimen by virtue of its conspicuous molecular interaction with the microorganism. In this work, Tolnaftate (Tf), an antifungal drug, was mingled with Graphene nanoplatelets (Gn) to develop composite (Tf-Gn) via the wet chemical route, embedded in a biocompatible polymeric blend of Eudragit RL100/Eudragit RS100 (EuRL100/EuRS100) and subjected to electrospinning to obtain nonwoven nanoengineered scaffolds (nanofibers) for enhanced anti-dermatophytic virtue. Pursuing cluster of optimization experiments, 20% w/v EuRL100/EuRS 100 was found to be adequate for formation of smooth, defect-free, and regular fibers. Field emission electron microscopy (FESEM) acknowledged zestfully fabrication of smooth, shiny, nano-range, and mesh-like architecture, comprising distinct pockets within their structure. Fourier transform infrared spectroscopy (FTIR) and differential scanning calorimeter (DSC) conceded formation of the composite Tf-Gn, its physical compatibility with polymers, and improved thermal behavior. Exceptional swelling capacity, significant hydrophilicity, and immense drug entrapment efficiency were obtained of nanofibers fabricated from 3:1 ratio of EuRL100/EuRS100 polymers blend owing to relatively higher permeability which gratified essential benchmark for fabrication of nanofibrous scaffold to alleviate fungal infections caused by dermatophytes. In vitro drug release interpreted controlled liberation of Tf in dissolution media, following Korsmeyer-Peppas model kinetics, and suggested a diffusion-based mechanism. Microdilution broth method was performed for in vitro antifungal efficacy against extremely devastating dermatophytes, i.e., anthropophilic Trichophyton rubrum and zoophilic Microsporum canis, exhibited preeminent growth inhibition against T.rubrum and scanty for M.canis. Findings revealed the superior antifungal activity of Tf-Gn-loaded nanofibers as compared to Tf-loaded nanofibers and recommended potential dressing materials for an effective regimen of dermatomycosis. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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15. Dissimilar Associations Between Stunting and Low Ponderosity Defined Through Weight for Height (Wasting) or Body Mass Index for Age (Thinness) in Under-Five Children
- Author
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L. Naga Rajeev, Monika Saini, Ashish Kumar, and Harshpal Singh Sachdev
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Male ,Thinness ,Wasting Syndrome ,Pediatrics, Perinatology and Child Health ,Prevalence ,Infant ,Humans ,Female ,Child ,Growth Disorders ,Body Height ,Body Mass Index ,Tolnaftate - Abstract
Wasting and stunting commonly coexist, sup-posedly due to biological and social mechanisms. In under-five children, low-ponderosity is defined as-2SD of WHO standards for either weight for height (wasted) or body mass index for age (thin) metrics. Unlike body mass index for age, weight for height ignores physiological changes in ponderosity with age, resulting in overestimation of wasting in comparison to thinness in under-5 populations with high stunting prevalence. This suggests a plausi- ble statistical explanation for the wasting-stunting association.To test the null hypothesis that wasting-stunting (WaSt) and thinness-stunting (ThSt) associations are similar.Demographic Health Survey datasets (2010-2020) from South and South-East Asia (7 countries) and Sub-Saharan Africa (13 countries) were evaluated. WaSt and ThSt asso-ciations were estimated as odds ratio (OR) for individual data-sets, which was pooled (random-effects meta-analysis). Strati-fied analyses were done for sex, age and region.Young infants (0-6 months) comprised 8-14% of under-five children, with equal representation of boys and girls. Participants, especially Asians, were mostly shorter with lower ponderosity than WHO standards. WaSt prevalence was higher than ThSt in the 6-59 months age group, but lower in young infants. Pooled WaSt estimates were not significant: Asia (OR 0.95; 95% CI 0.75-1.14), Africa (1.17; 0.95-1.40), and combined (1.09; 0.93-1.24). In contrast, pooled ThSt associations were significantly negative: Asia (0.63; 0.50-0.76), Africa (0.82; 0.68-0.96), and combined (0.75; 0.65-0.85). In girls, these associations were attenuated for WaSt (0.96; 0.8-1.1), but enhanced for ThSt (0.6; 0.5-0.7).WaSt and ThSt associations are dissimilar. This suggests a primary statistical explanation for the reported was-ting-stunting association, originating from ignoring physiological changes with age.
- Published
- 2022
16. Baicalein-loaded silk fibroin peptide nanofibers protect against cisplatin-induced acute kidney injury: Fabrication, characterization and mechanism
- Author
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Shuai Liu, Xintao Gao, Yaqi Wang, Jing Wang, Xueju Qi, Kehong Dong, Dayong Shi, Xiaochen Wu, and Chuanlong Guo
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Superoxide Dismutase ,Nanofibers ,Pharmaceutical Science ,Water ,Apoptosis ,Biocompatible Materials ,Acute Kidney Injury ,Kidney ,Nucleotidyltransferases ,Antioxidants ,Tolnaftate ,Creatinine ,Flavanones ,Humans ,Cisplatin ,Fibroins ,Peptides ,Reactive Oxygen Species - Abstract
Silk fibroin (SF) is a natural polymeric biomaterial widely used in the preparation of drug delivery systems. Herein, silk fibroin peptide (SFP) was self-assembled into nanofibers, encapsulated a poorly water-soluble drug baicalein (SFP/BA NFs), and then used to protect against cisplatin-induced acute kidney injury (AKI). Specifically, the SFP/BA NFs significantly enhanced the aqueous dispersity, storage stability, and in vitro antioxidant activity of BA. SFP/BA NFs increased the drug uptake and localization to mitochondria. In vitro results demonstrated that SFP/BA NFs can relieve the cisplatin-induced HK-2 cell damage, and inhibit the cisplatin-induced accumulation of reactive oxygen species (ROS) and mitochondrial membrane potential (MMP) disruption. Mechanism studies demonstrated that SFP/BA NFs may exert nephroprotective effects by inhibiting both the cisplatin-induced DNA damage and the cGAS/STING pathway activation. In vivo results showed that cisplatin treatment resulted in decreased body weight, increased serum creatinine (SCr), and increased blood urea nitrogen (BUN) levels, while SFP/BA NFs reversed the above symptoms. Furthermore, SFP/BA NFs reversed the cisplatin-induced abnormal changes of antioxidant enzymes (e.g., SOD and GSH), and inhibited the cisplatin-induced DNA damage as well as the activation of cGAS/TING. Above all, our results revealed the potential of SFP/BA NFs to protect against cisplatin-induced AKI.
- Published
- 2022
17. Tolnaftate-Loaded PolyacrylateElectrospun Nanofibers for an Impressive Regimen on Dermatophytosis.
- Author
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Misra, Shashi Kiran, Pandey, Himanshu, Patil, Sandip, Ramteke, Pramod W., and Pandey, Avinash C.
- Subjects
RINGWORM ,CARBON nanofibers ,CARBON nanotubes ,COMPOSITE materials ,NANOPARTICLES - Abstract
Dermatophytosis, topical fungal infection is the most common cause of skin bug in the world, generally underestimated and ignored. It is commonly caused by immensely mortifying and keratinophilic fungal eukaryotes which invade keratinized tissues and generate different tinea diseases in Mediterranean countries. We herein fabricated nanofibers/scaffolds embedded with thiocarbamate derivative topical antifungal tolnaftatefor the first time to target the complete elimination of dermatophyte at the site of infection. In this regard, variable combinations of biocompatible Eudragit grades (ERL100 and ERS100) were selected to provide better adhesion on the site of dermatophytosis, ample absorption of exudates during treatment, and customized controlled drug release. Surface topography analysis indicated that the fabricated nanofibers were regular and defect-free, comprising distinct pockets with nanoscaled diameters. Characterization and compatibility studies of tolnaftate, polymers, and their nanofibers were performed through ATR-FTIR, TGA, and PXRD. Remarkable hydrophilicity and an excellent swelling index were obtained from a 3:1 ratio of ERL100/ERS100 electrospun D3 nanofibers, which is an essential benchmark for the fabrication of nanofibrous scaffolds for alleviating dermatophytosis. In vitro drug release investigation revealed that a nonwoven nanomesh of nanofibers could control the rate of drug release for 8 h. A microdilution assay exhibited inhibition of more than 95% viable cells of Trichophyton rubrum for 96 h. However, Microsporum species rigidly restricted the effect of bioactive antifungal nanofibers and hence showed resistance. In vivo activity on Trichophyton rubrum infected Swiss albino mice revealed complete inhibition of fungal pathogens on successive applications of D3 nanofibers for 7 days. This investigation suggests potential uses of tolnaftate loaded polyacrylate nanofibers as dressing materials/scaffolds for effective management of dermatophytosis. [ABSTRACT FROM AUTHOR]
- Published
- 2017
- Full Text
- View/download PDF
18. Comparing the Therapeutic Effect of Clotrimazole and Tolnaftate in Treating the Variety of Fungal Species Producing Otomycosis in two Educational Hospital, Isfahan, Iran
- Author
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Nezamodin Berjis, Seyed Ahmadreza Okhovat, Zeynab Soleimani Koujani, and Shahrzad Baradaran
- Subjects
Otomycosis ,Clotrimazole ,Tolnaftate ,Medicine ,Medicine (General) ,R5-920 - Abstract
Background: Otomycosis is the superficial mycotic infection of the external ear canal which occurs as acute, subacute and chronic infection. It is the cause of 6.5% to 12.5% of external otitis. More than 62 species and 28 genera of fungi have been identified in patients with otomycosis among which the most common organisms are Aspergillus Niger and Candida Albicans. Recommended topical medications include steroids, anti-septic, acidic solutions, antifungal, and drying agents. The commonly recommended antifungal drugs are clotrimazole, amphotericin B, otosporin, and tolnaftate. This study aimed to identify two genera of fungus, and compare the efficacy of the treatment of clotrimazole and tolnaftate and the recurrence rate after the treatment. Methods: This was a clinical trial study conducted on 54 patients diagnosed with otomycosis (based on culture and smear with identification of the fungus genus and species). We compared the effect of clotrimazole and tolnaftate on the treatment and its recurrence on different types of fungus. Findings: After finishing the treatment course, 22 patients were improved in clotrimazole (81.5%); however, in the tolnaftate group, there were 21 improved patients (77.8%). Besides, Chi-square test showed no significant difference between the two groups (P = 0.99). Furthermore, out of 43 patients who have improved after the treatment, recurrence was seen in 15 of them (34.9%). Disease recurrence cases in the group treated with clotrimazole and tolnaftate were 8 and 7 patients respectively (36.4% vs. 33.3%). Although, the frequency distribution of disease recurrence was lower in the tolnaftate group, according to chi-square test, there was no significant difference between the two groups (P = 0.99). Conclusion: According to the results of this study and its comparison with other studies, both clotrimazole and tolnaftate had an appropriate impact on treating fungal infections of the ear. Given the non-improvement and recurrence cases, we should attempt to detect other therapeutic methods of otomycosis, and currently aspects such as financial and economic issues should be taken into account in choosing to use either of the drugs.
- Published
- 2012
19. Re-FIT-ting Colorectal Cancer Screening During and Beyond COVID
- Author
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Catherine Dubé
- Subjects
Oncology ,medicine.medical_specialty ,2019-20 coronavirus outbreak ,Hepatology ,Coronavirus disease 2019 (COVID-19) ,SARS-CoV-2 ,business.industry ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,Gastroenterology ,MEDLINE ,COVID-19 ,Article ,Tolnaftate ,Colorectal cancer screening ,Occult Blood ,Internal medicine ,medicine ,Humans ,Colorectal Neoplasms ,business ,Early Detection of Cancer - Published
- 2021
- Full Text
- View/download PDF
20. Sediment carbon sequestration and sources in peri-urban tidal flats and adjacent wetlands in a megacity
- Author
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Zhao Liang Chen and Shing Yip Lee
- Subjects
Carbon Sequestration ,Wetlands ,Hong Kong ,Aquatic Science ,Oceanography ,Pollution ,Carbon ,Tolnaftate - Abstract
We investigated the sediment carbon (C) stocks, sequestration and sources in tidal flats and their adjacent mangroves in two coastal wetlands in Hong Kong (the Mai Po Nature Reserve (MPNR) and Ting Kok (TK)), part of a megacity of ∼20 million. At both locations, the C stock of tidal flats was lower than that of mangroves. In MPNR, tidal flats indicated a higher C burial rate (75.2 g C m
- Published
- 2022
21. Systematic assessment of mineral distribution and diversity of microbial communities and its interactions in the Taiwan subduction zone of mud volcanoes
- Author
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Viji Nagarajan, Hsin-Chi Tsai, Jung-Sheng Chen, Suprokash Koner, Rajendran Senthil Kumar, Hung-Chun Chao, and Bing-Mu Hsu
- Subjects
Geologic Sediments ,Minerals ,Bacteria ,RNA, Ribosomal, 16S ,Microbiota ,Taiwan ,Methane ,Biochemistry ,Phylogeny ,Tolnaftate ,General Environmental Science - Abstract
Mud volcanoes are the most dynamic and unstable sedimentary structures in the areas of tectonic compression like the subduction zones. In this study, we comprehensively analyzed the distribution of minerals as well as diversity, abundance and metabolic potential of the microbial communities of major mud volcanic groups across Taiwan namely Chu-kou Fault (CKF), Gu-ting-keng Anticline (GTKA), Chi-shan Fault (CSF), and Longitudinal Valley Fault (LVF). The mud volcano fluids recorded relatively higher Na and Cl contents than the other elements, particularly in the CKF and GTKA groups. The highest microbial diversity and richness were observed in the CSF group, followed by the GTKA group, whereas the lowest microbial diversity was observed in the CKF and LVF groups. Proteobacteria were common in all the sampling sites, except WST-7 and WST-H (Wu-Shan-Ting) of the CSF group, which were abundant in Chloroflexi. The halophilic genus Alterococcus was abundant in the Na-and Cl-rich CL-A sites of the CKF group. Sulfurovum was dominant in the CLHS (Chung-Lun hot spring) site of the CKF group and was positively correlated with sulfur/thiosulfate respiration, which might have resulted in a higher expression of these pathways in the respective group. Aerobic methane-oxidizing microbial communities, such as Methylobacter, Methylomicrobium, Methylomonas, and Methylosoma, constituted a dominant part of the LVF and CSF groups, except for the YNH-A and YNH-B (Yang-Nyu-Hu) sites. The WST-7 and JS sites were abundant in both methane-producing and methane-oxidizing microbial communities. The LGH-F1 (Lei-Gong-Huo) site was dominated by both methanotrophic and methylotrophic genera, such as Methylomicrobium and Methylophaga, respectively. Methylotrophy, methanotrophs, and hydrocarbon-degrading pathways were more abundant in the LVF and CSF groups but not in the remaining groups. The results of this study extend our knowledge of the diversity, abundance, and metabolic functions of prokaryotes in major terrestrial mud volcanoes in Taiwan.
- Published
- 2023
- Full Text
- View/download PDF
22. Development of UV Spectrophotometric Method for Qualitative and Quantitative Estimation of Tolnaftate in Different Formulations
- Author
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Bhoyar, Naina, Giri, Tapan Kumar, Alexander, Amit, Tripathi, Dulal Krishna, and Ajazuddin
- Published
- 2012
23. FRET-ting about RhoA signalling in heart and vasculature: a new tool in our cardiovascular toolbox.
- Author
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Bruche, Susann and Zaccolo, Manuela
- Subjects
- *
BLOOD vessels , *CARDIOVASCULAR diseases , *HOMEOSTASIS , *CYTOKINESIS , *CELL adhesion - Published
- 2018
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- View/download PDF
24. Tolnaftate-Loaded PolyacrylateElectrospun Nanofibers for an Impressive Regimen on Dermatophytosis
- Author
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Shashi Kiran Misra, Himanshu Pandey, Sandip Patil, Pramod W. Ramteke, and Avinash C. Pandey
- Subjects
dermatophytosis ,polyacrylate nanofibers ,tolnaftate ,dressing materials ,Chemicals: Manufacture, use, etc. ,TP200-248 ,Textile bleaching, dyeing, printing, etc. ,TP890-933 ,Biology (General) ,QH301-705.5 ,Physics ,QC1-999 - Abstract
Dermatophytosis, topical fungal infection is the most common cause of skin bug in the world, generally underestimated and ignored. It is commonly caused by immensely mortifying and keratinophilic fungal eukaryotes which invade keratinized tissues and generate different tinea diseases in Mediterranean countries. We herein fabricated nanofibers/scaffolds embedded with thiocarbamate derivative topical antifungal tolnaftatefor the first time to target the complete elimination of dermatophyte at the site of infection. In this regard, variable combinations of biocompatible Eudragit grades (ERL100 and ERS100) were selected to provide better adhesion on the site of dermatophytosis, ample absorption of exudates during treatment, and customized controlled drug release. Surface topography analysis indicated that the fabricated nanofibers were regular and defect-free, comprising distinct pockets with nanoscaled diameters. Characterization and compatibility studies of tolnaftate, polymers, and their nanofibers were performed through ATR-FTIR, TGA, and PXRD. Remarkable hydrophilicity and an excellent swelling index were obtained from a 3:1 ratio of ERL100/ERS100 electrospun D3 nanofibers, which is an essential benchmark for the fabrication of nanofibrous scaffolds for alleviating dermatophytosis. In vitro drug release investigation revealed that a nonwoven nanomesh of nanofibers could control the rate of drug release for 8 h. A microdilution assay exhibited inhibition of more than 95% viable cells of Trichophyton rubrum for 96 h. However, Microsporum species rigidly restricted the effect of bioactive antifungal nanofibers and hence showed resistance. In vivo activity on Trichophyton rubrum infected Swiss albino mice revealed complete inhibition of fungal pathogens on successive applications of D3 nanofibers for 7 days. This investigation suggests potential uses of tolnaftate loaded polyacrylate nanofibers as dressing materials/scaffolds for effective management of dermatophytosis.
- Published
- 2017
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- View/download PDF
25. In vitro activities of antifungal drugs against a large collection of Trichophyton tonsurans isolated from wrestlers
- Author
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Firoozeh Kermani, Mahmoud Fami Zaghrami, Mojtaba Didehdar, Mahdi Abastabar, Mohammad Taghi Hedayati, Iman Haghani, Tahereh Shokohi, and Javad Javidnia
- Subjects
0301 basic medicine ,Antifungal Agents ,Sertaconazole ,Itraconazole ,Butenafine ,030106 microbiology ,Antifungal drug ,Dermatology ,Microbial Sensitivity Tests ,Iran ,030207 dermatology & venereal diseases ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Drug Resistance, Fungal ,Medicine ,Dermatomycoses ,Humans ,Wrestling ,Trichophyton tonsurans ,biology ,Traditional medicine ,business.industry ,Arthrodermataceae ,General Medicine ,Griseofulvin ,biology.organism_classification ,Tolnaftate ,Infectious Diseases ,chemistry ,Athletes ,Terbinafine ,business ,medicine.drug - Abstract
Background Trichophyton tonsurans is the most common agent causing tinea gladiatorum in wrestlers and limited data on susceptibility profiles of Trichophyton tonsurans is available. Objectives We aimed to assess the in vitro activity of the common antifungal drug against a large collection of T. tonsurans. Materials/methods The in vitro activities to eight common antifungal drugs (sertaconazole, itraconazole, clotrimazole, fluconazole, butenafine, tolnaftate, terbinafine, and griseofulvin) against 128 clinical isolates of T. tonsurans strains, obtained from wrestlers with dermatophytosis, was performed according to CLSI M38-A2 broth microdilution document. Results The geometric mean minimum inhibitory concentration was the lowest for tolnaftate (0.022 µg/ml), followed by itraconazole (0.026 µg/ml), terbinafine (0.033 µg/ml), butenafine (0.088 µg/ml), griseofulvin (0.566 µg/ml), sertaconazole (2.875 µg/ml), clotrimazole (3.419 µg/ml), and fluconazole (12.540 µg/ml). Conclusions Evaluation of antifungal susceptibility of dermatophytes showed that tolnaftate and itraconazole were the most effective drugs against Trichophyton tonsurans and fluconazole had the least effect.
- Published
- 2020
26. Naphthalene, a versatile platform in medicinal chemistry: Sky-high perspective
- Author
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Sushil Kumar Singh, Tanmay Saha, and Subhajit Makar
- Subjects
Chemistry, Pharmaceutical ,Naphthalenes ,Conjugated system ,01 natural sciences ,Structure-Activity Relationship ,03 medical and health sciences ,chemistry.chemical_compound ,Nabumetone ,Drug Discovery ,medicine ,Humans ,Moiety ,030304 developmental biology ,Naphthalene ,Pharmacology ,0303 health sciences ,Dose-Response Relationship, Drug ,Molecular Structure ,010405 organic chemistry ,Chemistry ,Drug discovery ,Organic Chemistry ,General Medicine ,Antimicrobial ,Combinatorial chemistry ,0104 chemical sciences ,Tolnaftate ,Naphyrone ,medicine.drug - Abstract
Naphthalene, a cytotoxic moiety, is an extensively explored aromatic conjugated system with applications in various pathophysiological conditions viz. anticancer, antimicrobial, anti-inflammatory, antiviral, antitubercular, antihypertensive, antidiabetic, anti-neurodegenerative, antipsychotic, anticonvulsant, antidepressant. Naphthalene epoxides and naphthoquinones are most reactive metabolites of naphthalene and are responsible for the covalent interaction with cysteine amino acid of cellular proteins for cytotoxic nature. Many naphthalene derived bioactive phytoconstituents are present in nature including podophyllotoxins (Etoposide, teniposide), bis-ANS 82, Rifampicin, Justiprocumin A, B, Patentiflorin A. The naphthalene-based molecules, viz. Naphyrone, tolnaftate, naftifine, nafcillin, terbinafine, propranolol, nabumetone, nafimidone, naproxen, duloxetine, lasofoxifene, bedaquiline etc. have also been approved by FDA and are being marketed as therapeutics. Thus, the naphthalene scaffold emerges as an important building block in drug discovery owing to its broad spectrum of biological activities through varying structural modifications. This review incorporates the pharmacological aspects of different types of chemically modified naphthalene-based molecules along with their activity profile. This compiled information may serve as a benchmark for the alteration of existing ligands to design novel potent molecules with lesser side effects.
- Published
- 2019
- Full Text
- View/download PDF
27. Comparing the Therapeutic Effect of Clotrimazole and Tolnaftate in Treating Variety of Fungal Species Producing Otomycosis in Alzahra and Kashani Hospitals, Iran.
- Author
-
Berjis, Nezamodin, Okhovat, Seyed Ahmadreza, Koujani, Zeynab Soleimani, and Baradaran, Shahrzad
- Subjects
- *
OTOMYCOSES , *ASPERGILLUS niger , *CANDIDA albicans , *CHI-squared test , *DRUGS - Abstract
Background: Otomycosis is the superficial mycotic infection of external ear canal which occurs as acute, subacute and chronic infection. It is the cause of 6.5 to 12.5 percent of external otitis. More than 62 species and 28 genera of fungi have been identified in patients with otomycosis among which the most common organisms are Aspergillus Niger and Candida Albicans. Recommended topical medications include steroids, anti-septic, acidic solutions, antifungal and drying agents. Among the antifungal, commonly recommended drugs are clotrimazole, amphotericin B, otosporin and tolnaftate. This study aimed to identify two genera of fungus and comparing the efficacy treatment of clotrimazole and tolnaftate and the recurrence rate after the treatment. Methods: This was a clinical trial study conducted on 54 patients diagnosed as proved otomycosis (based on culture and smear with identification of the fungus genus and species). We compared the effect of "clotrimazole and tolnaftate" on the treatment and its recurrence on types of fungus. Findings: After finishing the treatment course, 22 patients were improved in clotrimazole (81.5%); however, in the tolnaftate group, there were 21 improved patients (77.8%). Besides, Chi-square test showed no significant difference between the two groups (P = 0.99). Furthermore, out of 43 patients who have been improved after the treatment, recurrence was seen in 15 of them (34.9%). Disease recurrence cases in the group treated with clotrimazole and tolnaftate were 8 and 7 patients respectively (36.4% vs. 33.3%) and despite the frequency distribution of disease recurrence was lower in the tolnaftate group, according to Chi-square test, statistically there was no significant difference between the two groups (P = 0.99). Conclusion: According to the results of this study and its comparison with other studies, both clotrimazole and tolnaftate had an appropriate impact on treating era fungal infections and given to non-improvement and recurrence cases, we should attempt to detect other therapeutic methods of otomycosis, and currently therapeutic aspects such as financial and economic issues should be taken into account to use either of the drugs. [ABSTRACT FROM AUTHOR]
- Published
- 2012
28. Monitoring of particle growth at a low concentration of a poorly water soluble drug using the NanoSight LM20
- Author
-
Gillespie, Cheska, Halling, Peter, and Edwards, Darren
- Subjects
- *
NANOPARTICLES , *LIGHT scattering , *DIMETHYL sulfoxide , *SOLUBILITY , *PARTICLE size distribution , *DISTRIBUTION (Probability theory) - Abstract
Abstract: The purpose of this work was to investigate the precipitation of a poorly water soluble drug (tolnaftate) from low, μM concentration solutions. This was to test the applicability of nanoparticle tracking analysis (NTA; the NanoSight instrument), with comparison to results from dynamic light scattering (DLS). Samples containing 30μM of tolnaftate, 1% dimethylsulfoxide (DMSO) (by volume) were prepared by mixing a concentrated DMSO stock solution and an aqueous buffer. The samples were then analysed over time either using the NanoSight instrument or by DLS. Obtaining meaningful results from the former required careful attention to instrument settings. From NTA there was initially a fairly narrow size distribution around 200nm, with concentration of around 4×108 nanoparticles/mL. Over 3h, the particles grew, with increasing polydispersity, and skewed distribution up to 800nm, whilst the concentration fell to around 1×108 particles/mL. DLS was consistent in showing the size increase, but could not detect the remaining smaller particles and polydispersity. Conclusions: The growth of particles of a poorly water soluble drug was successfully monitored using NTA, which gives additional information not offered by DLS. Nanoparticle precipitation at the concentrations used here is of relevance to high throughput screening in early drug discovery. [Copyright &y& Elsevier]
- Published
- 2011
- Full Text
- View/download PDF
29. Highly sensitive and selective spectrofluorimetric determination of tolnaftate through the formation of ternary inclusion complex of β-naphthol/β-cyclodextrin/anionic surfactant system
- Author
-
Tang, Bo, Wang, Xu, Wang, Guangli, Yu, Chengguang, and Chen, Zhenzhen
- Subjects
- *
CYCLODEXTRINS , *SURFACE active agents , *SUPRAMOLECULAR electrochemistry , *FLUORESCENCE - Abstract
Abstract: An indirect spectrofluorimetric method with high sensitivity and selectivity was developed for the determination of antifungal drug: tolnaftate (TNF), depending on the supramolecualr multirecognition interaction among the anionic surfactant sodium laurylsulfate (SLS), β-cyclodextrin (β-CD) and β-naphthol (ROH). The mechanism of the inclusion was studied and discussed by means of fluorescence spectrum, infra-red spectrograms and 1HNMR spectroscopy. Results showed that the naphthalene ring of ROH and the hydrophobic hydrocarbon chain of SLS were included into the β-CD''s cavity to form a ROH:SLS:β-CD ternary inclusion complex with stoichiometry of 1:1:1 at room temperature, which provided effective protection for the excited state of ROH. At λ ex/λ em =273/360nm, the fluorescence intensity was linear over a tolnaftate concentration range of 2.46×10−9 to 2.10×10−6 molL−1. The detection limit and relative standard deviation was 7.50×10−10 molL−1 and 1.4%, respectively. The interference of 31 foreign substances was slight. The proposed method had been successfully applied to the determination of tolnaftate in artificial mixed samples with almost quantitative recovery. [Copyright &y& Elsevier]
- Published
- 2006
- Full Text
- View/download PDF
30. Inspection of electrochemical behavior of tolnaftate a topical antifungal agent and its active hydrolysis products by disposable screen-printed carbon electrode
- Author
-
Mohamed Khairy and Ahmed A. Khorshed
- Subjects
Detection limit ,Chemistry ,General Chemical Engineering ,02 engineering and technology ,010402 general chemistry ,021001 nanoscience & nanotechnology ,Electrochemistry ,01 natural sciences ,Dosage form ,0104 chemical sciences ,Analytical Chemistry ,Tolnaftate ,Hydrolysis ,Electrode ,medicine ,Differential pulse voltammetry ,Cyclic voltammetry ,0210 nano-technology ,medicine.drug ,Nuclear chemistry - Abstract
Inspection of the electrochemical behavior tolnaftate (TNF), of a topical antifungal agent and its active hydrolysis products, was carried out by utilizing a disposable screen-printed carbon electrode (SPCE) for the first time. The voltammetric behavior of TNF was studied in various pH values using cyclic voltammetry and differential pulse voltammetry. A well-defined irreversible oxidation wave of TNF was observed at 1.20 V (vs. pseudo Ag/AgCl) and did not shift with different pH of solutions. The electro-analytical performance of the disposable SPCE was investigated in wide concentration ranges with limits of detection (LOD) of 0.24 μM and 3.76 μM in 0.1 M H2SO4 and B.R. buffer pH 7, respectively. Thus, the disposable SPCEs offer a sensitive and reproducible electrochemical platform for TNF in dosage forms. Further, the TNF was hydrolyzed in an alkaline medium to release its possible lethal products i.e. 2- Naphthol which can be analyzed voltammetrically without any interference so it is considered as a first selective stability-indicating assay for TNF.
- Published
- 2020
- Full Text
- View/download PDF
31. Coupling of liquid-liquid extraction and mathematical filtration techniques for the separation and quantification of five components in semisolid dosage form with severely overlapped spectra
- Author
-
Hayam M. Lotfy and Nesma M. Fahmy
- Subjects
Accuracy and precision ,Drug Compounding ,Liquid-Liquid Extraction ,02 engineering and technology ,Derivative ,Pharmaceutical formulation ,010402 general chemistry ,Betamethasone ,01 natural sciences ,Semisolid Dosage Form ,Analytical Chemistry ,chemistry.chemical_compound ,Limit of Detection ,Liquid–liquid extraction ,Derivatization ,Instrumentation ,Spectroscopy ,Analysis of Variance ,Chromatography ,Chloroform ,Chemistry ,Extraction (chemistry) ,Reproducibility of Results ,Clioquinol ,Models, Theoretical ,021001 nanoscience & nanotechnology ,Atomic and Molecular Physics, and Optics ,Tolnaftate ,0104 chemical sciences ,Spectrophotometry ,Calibration ,Solvents ,Gentamicins ,0210 nano-technology ,Filtration - Abstract
Quadriderm cream was a combination of four components; Clioquinol (CLIO), Betamethasone (BETA), Tolnaftate (TOL), Gentamicin (GEN) in addition to the preservative Chlorocresol (CC). Four components CLIO, TOL, BETA, and CC were extracted in methanol and determined by mathematic filtration spectrophotometric techniques. The partially overlapped spectrum of CLIO was determined by constant value, constant multiplication, and concentration value methods then eliminated via spectrum subtraction (SS) to get the resolved ternary mixture of TOL, BETA, and CC with severely overlapping spectra. TOL was determined by derivative ratio at zero crossing point of BETA using CC as a divisor. While, BETA could be determined using TOL as a divisor at zero crossing of CC. BETA and CC were obtained using novel (DD1FS) followed by SS. By applying these novel procedures, the DD1 spectrum of each component alone was recovered where Pmax-min was directly proportional to its concentration. Liquid-liquid extraction technique was used for the semisolid dosage form where GEN was extracted with a mixture of chloroform: water (50:50, v/v); and the induced fluorescence obtained by derivatization with o-phthalaldehyde was measured at 419 nm after excitation at 359 nm. Accuracy and precision testing of the developed methods showed good results. Specificity of the methods was ensured and was successfully applied for the analysis of pharmaceutical formulation of the five components in combination. ICH guidelines were used for validation of the proposed methods. Statistical data were calculated, and the results were satisfactory revealing no significant difference regarding accuracy and precision.
- Published
- 2020
- Full Text
- View/download PDF
32. An In Vitro Method of Evaluating Tolnaftate Release from Topical Powder.
- Author
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Viegas, Tacey, Kibbe, Arthur, Hikal, Ahmed, Cleary, Robert, and Jones, Alan
- Abstract
A dissolution apparatus was constructed to evaluate tolnaftate release from topical powders. It consisted of a mesh unit to support the powder, a receptor phase, and a sink. This report describes three parameters that were used to evaluate this technique. First, three different areas of contact were examined using 52-, 41-, or 30-µm mesh supports. Second, the effect of the pH on the dissolution rate was studied, using aqueous buffers of pH 3, 5, 7, or 8 as the receptor phase. Finally, different topical powder formulations containing different amounts of tolnaftate were tested. The results obtained showed that the percentage of tolnaftate released from topical powders increased at low pH levels and with the larger mesh support. The percentage released was greater in a starch-talc preparation than in a talc-only preparation. The mesh was replaced by a semipermeable membrane (2.5- to 4 nm pore size) to function as an in vitro model for intradermal diffusion. The results showed that a cream initially released more drug than powder formulations. [ABSTRACT FROM AUTHOR]
- Published
- 1986
- Full Text
- View/download PDF
33. BET-ting on Nrf2: How Nrf2 Signaling can Influence the Therapeutic Activities of BET Protein Inhibitors
- Author
-
Nirmalya Chatterjee and Dirk Bohmann
- Subjects
0301 basic medicine ,BRD4 ,NF-E2-Related Factor 2 ,Inflammation ,chemical and pharmacologic phenomena ,Nerve Tissue Proteins ,Biology ,digestive system ,environment and public health ,General Biochemistry, Genetics and Molecular Biology ,Article ,03 medical and health sciences ,0302 clinical medicine ,Neoplasms ,Gene expression ,medicine ,Animals ,Humans ,Transcription factor ,hemic and immune systems ,respiratory system ,Small molecule ,Tolnaftate ,Crosstalk (biology) ,Oxidative Stress ,030104 developmental biology ,030220 oncology & carcinogenesis ,Cancer cell ,Cancer research ,medicine.symptom ,Signal transduction ,Signal Transduction - Abstract
BET proteins such as Brd3 and Brd4 are chromatin-associated factors, which control gene expression programs that promote inflammation and cancer. The Nrf2 transcription factor is a master regulator of genes that protect the organism against xenobiotic attack and oxidative stress. Nrf2 has demonstrated anti-inflammatory activity and can support cancer cell malignancy. This review describes the discovery, mechanism and biomedical implications of the regulatory interplay between Nrf2 and BET proteins. Both Nrf2 and BET proteins are established drug targets. Small molecules that either activate or suppress these proteins are currently tested in clinical trials. The crosstalk between Nrf2 and BET proteins may have important, and until now overlooked, implications for the therapeutic effects of these drugs. Based on the information covered in this review, it should be possible to design combinatorial treatment strategies for cancer and inflammatory diseases, which may improve the efficacy of targeting a Nrf2 or BET proteins individually.
- Published
- 2018
34. Tolnaftate inhibits ergosterol production and impacts cell viability of Leishmania sp.
- Author
-
Yamamoto, Eduardo Seiji, de Jesus, Jéssica Adriana, Bezerra-Souza, Adriana, Brito, Juliana R., Lago, João Henrique G., Laurenti, Márcia Dalastra, and Passero, Luiz Felipe Domingues
- Subjects
- *
FUNGAL enzymes , *LEISHMANIA , *AMASTIGOTES , *CELL survival , *CELL membranes , *FUNGI physiology - Abstract
• Tolnaftate kills promastigote and amastigote forms of Leishmania sp. • Tolnaftate altered cell membrane and mitochondria of L. amazonensis. • Parasites treated with tolnaftate presented low levels of ergosterol. • Tolnaftate showed low cytotoxicity to macrophages. Leishmaniasis is an infectious disease caused by protozoan parasites of the genus Leishmania. The treatment of all forms of leishmaniasis relies on first-line drug, pentavalent antimonial, and in cases of drug failure, the second-line drug amphotericin B has been used. Besides the high toxicity of drugs, parasites can be resistant to antimonial in some areas of the World, making it necessary to perform further studies for the characterization of new antileishmanial agents. Thus, the aim of the present work was to evaluate the leishmanicidal activity of tolnaftate, a selective reversible and non-competitive inhibitor of the fungal enzyme squalene epoxidase, which is involved in the biosynthesis of ergosterol, essential to maintain membrane physiology in fungi as well as trypanosomatids. Tolnaftate eliminated promastigote forms of L. (L.) amazonensis, L. (V.) braziliensis and L. (L.) infantum (EC 50 ~ 10 μg/mL and SI ~ 20 for all leishmanial species), and intracellular amastigote forms of all studied species (EC 50 ~ 23 μg/mL in infections caused by dermatotropic species; and 11.7 μg/mL in infection caused by viscerotropic species) with high selectivity toward parasites [SI ~ 8 in infections caused by dermatotropic species and 17.4 for viscerotropic specie]. Promastigote forms of L. (L.) amazonensis treated with the EC 50 of tolnaftate displayed morphological and physiological changes in the mitochondria and cell membrane. Additionally, promastigote forms treated with tolnaftate EC 50 reduced the level of ergosterol by 5.6 times in comparison to the control parasites. Altogether, these results suggest that tolnaftate has leishmanicidal activity towards Leishmania sp., is selective, affects the cell membrane and mitochondria of parasites and, moreover, inhibits ergosterol production in L. (L.) amazonensis. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
35. Synthesis and antimicrobial activity of some novel substituted 1,2,4-triazoles bearing 1,3,4-oxadiazoles or pyrazoles
- Author
-
Mehdi Kalhor, Maryam Tohidpour, Akbar Dadras, and Akbar Mobinikhaledi
- Subjects
Ethanol ,Organic Chemistry ,Hydrazine ,Antifungal drug ,Oxadiazole ,Pyrazole ,Medicinal chemistry ,Tolnaftate ,chemistry.chemical_compound ,chemistry ,medicine ,Ethyl chloroacetate ,Hydrate ,medicine.drug - Abstract
Several derivatives of substituted 1,2,4-triazole bearing the pyrazole (or oxadiazole) ring were synthesized via the reaction of 2,4-dihydro-4-benzyl-5-(isomeric pyridyl)-3H-1,2,4-triazole-3-thione 1a, 1b, 1c with ethyl chloroacetate, hydrazine hydrate, and acetyl acetone (or CS2/KOH) in absolute ethanol. The intermediate then undergoes an intramolecular cyclization in acidic medium. The newly synthesized compounds 4a, 4b, 4c to 7a, 7b, 7c were characterized using IR, NMR, and MS Spectroscopy. Some of the synthesized compounds 4,5,7a, 7b, 7c were evaluated for their antibacterial and antifungal activities. Most of these compounds indicated activity comparable to Gentamycine. Also some of them are more active than Tolnaftate, a known antifungal drug. J. Heterocyclic Chem., (2011)
- Published
- 2011
- Full Text
- View/download PDF
36. Identification of Hedgehog signaling inhibitors with relevant human exposure by small molecule screening
- Author
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Wade Bushman and Robert J. Lipinski
- Subjects
Patched Receptors ,Antifungal Agents ,Cyclopamine ,Receptors, Cell Surface ,Biology ,Toxicology ,Zinc Finger Protein GLI1 ,Article ,Chemical library ,Small Molecule Libraries ,Mice ,chemistry.chemical_compound ,Toxicity Tests ,Animals ,Humans ,Hedgehog Proteins ,Hedgehog ,Cells, Cultured ,Oncogene Proteins ,Genetics ,Dose-Response Relationship, Drug ,Estradiol ,Estrogens ,Environmental Exposure ,General Medicine ,Environmental exposure ,Isoflavones ,Small molecule ,Hedgehog signaling pathway ,Tolnaftate ,Cell biology ,Lead ,chemistry ,Dietary Supplements ,Trans-Activators ,Signal transduction ,Signal Transduction - Abstract
In animal models, chemical disruption of the Hedgehog (Hh) signaling pathway during embryonic development causes severe birth defects including holoprosencephaly and cleft lip and palate. The exact etiological basis of correlate human birth defects remains uncertain but is likely multifactorial, involving the interaction of genetic and environmental or chemical influences. The Hh transduction mechanism relies upon endogenous small molecule regulation, conferring remarkable pathway sensitivity to inhibition by a structurally diverse set of exogenous small molecules. Here, we employed small molecule screening to identify human exposure-relevant Hh signaling inhibitors. From a library of 4240 compounds, including pharmaceuticals, natural products, and pesticides, three putative Hh pathway inhibitors were identified: tolnaftate, an antifungal agent; ipriflavone, a dietary supplement; and 17-β-estradiol, a human hormone and pharmaceutical agent. Each compound inhibited Hh signaling in both mouse and human cells. Dose–response assays determined the three compounds to be 8- to 30-fold less potent than the index Hh pathway inhibitor cyclopamine. Despite current limitations in chemical library availability, which narrowed the scope of this study to only a small fraction of all human exposure-relevant small molecules, three structurally diverse environmental Hh signaling inhibitors were identified, highlighting an inherent pathway vulnerability to teratogenic influences.
- Published
- 2010
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37. Novel spectral manipulations for determinations of Tolnaftate along with related toxic compounds: Drug profiling and a comparative study.
- Author
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Emam, Raghda A., Abdelrahman, Maha M., Abdelaleem, Eglal A., and Ali, Nouruddin W.
- Subjects
- *
DOSAGE forms of drugs , *SIGNAL-to-noise ratio , *METHYL parathion , *CARBAMIC acid , *ABSORPTION spectra , *COMPARATIVE studies - Abstract
A comparative study using novel quadruple divisor and mean centering of ratio spectra spectrophotometric methods was developed for resolution of five- component mixture of Tolnaftate, β -naphthol (Tolnaftate alkaline degradation product and its toxic impurity), methyl(m-tolyl)carbamic acid (Tolnaftate alkaline degradation product), N -methyl-m-toluidine (Tolnaftate toxic impurity) and methyl paraben (as a preservative). For the novel quadruple divisor method, each component in the quinary mixture was determined by dividing the quinary mixture spectrum by a sum of standard spectrum of equal concentration of the other four components as a quadruple divisor. First derivative of each ratio spectra was then obtained which allowed selective determination of each component without interference from other components in the mixture. The second method was mean centering of ratio spectra that depended on utilizing the mean centered ratio spectra in four successive steps leading to enhancement of the signal to noise ratio. The absorption spectra of the five studied components were recorded in the wavelength range of 210–350 nm. The mean centered fourth ratio spectra amplitudes for each component were used for its determination. The developed methods were successfully applied for determination of laboratory prepared quinary mixtures to ensure method's specificity, then, were further applied on Tinea Cure® cream where no interference from excipients. For the first time, Tolnaftate was determined along with its toxic impurity; β -naphthol, that could be absorbed by the skin, causing systemic toxic effects, unlike Tolnaftate that poorly absorbed, indicating the significance of this work. The proposed methods were statistically compared with each other and with the reference method. Furthermore, ICH guidelines were followed for their validation. Unlabelled Image • Alkaline degradation of Tolnaftate and synthesis of its impurity D. • IR, H1NMR and mass tools for structural elucidation of degradates and impurity. • Development of novel quadruple divisor and mean centering ratio spectra methods. • Determination of Tolnaftate, degradation products, impurity and Methyl paraben • Tracing toxic impurities; B-naphthol and N -methyl-m-toluidine with high sensitivity [ABSTRACT FROM AUTHOR]
- Published
- 2019
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38. Two validated chromatographic determinations of an antifungal drug, its toxic impurities and degradation product: A comparative study.
- Author
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Abdelaleem, Eglal A., Abdelrahman, Maha M., Ali, Nouruddin W., and Emam, Raghda A.
- Abstract
Tolnaftate, a thionoester anti‐fungal drug, was subjected to alkaline hydrolysis to produce methyl(m‐tolyl)carbamic acid and β‐naphthol (tolnaftate impurity A). N‐Methyl‐m‐toluidine, tolnaftate impurity D, was synthesized and structurally elucidated along with tolnaftate alkaline degradation products using IR, H1NMR and MS. Two stability‐indicating HPTLC and RP‐HPLC methods were developed and validated, for the first time, for determination of tolnaftate, its alkaline degradation products and toxic impurities in the presence of methyl paraben, as a preservative in Tinea Cure® cream. The proposed HPTLC method depended on separation of the studied components on TLC silica gel F254 plates using hexane–glacial acetic acid (8:2, v/v) as a developing system and scanning wavelength of 230 nm. The proposed RP‐HPLC method was based on separation of the five components on an Eclipse plus C18 column. The mobile phase used was acetonitrile–water containing 1% ammonium formate (40:60, v/v), with a flow rate of 1 mL/min and detection wavelength of 230 nm. The proposed methods allowed the assay of tolnaftate toxic impurities, β‐naphthol and N‐methyl‐m‐toluidine, down to 2%, allowing tracing of β‐naphthol that could be absorbed by the skin causing systemic toxic effects, unlike tolnaftate, indicating the high significance of such determination. International Conference on Harmonization guidelines were followed for validation. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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39. A Simple HPTLC Determination of Tolnaftate in Topical Solution
- Author
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Meshram, Dhananjay B., Bagade, Shashikant B., and Tajne, Madhukar R.
- Published
- 2008
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40. X-Ray Powder Diffractometric Method for Quantitation of Crystalline Drug in Microparticulate Systems. I. Microspheres
- Author
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Raj Suryanarayanan, A. Khin-Khin, and Alekha K. Dash
- Subjects
Materials science ,Enthalpy of fusion ,Analytical chemistry ,Pharmaceutical Science ,Lithium fluoride ,Crystallography, X-Ray ,Microspheres ,Tolnaftate ,Standard curve ,chemistry.chemical_compound ,Differential scanning calorimetry ,X-Ray Diffraction ,chemistry ,Microscopy, Electron, Scanning ,Melting point ,Powders ,Solubility ,Cellulose ,Crystallization ,Drug carrier ,Mass fraction - Abstract
Ethylcellulose microspheres containing tolnaftate (I) were prepared by the emulsion–solvent evaporation technique. An X-ray powder diffractometric method was developed to quantify the content of crystalline I in these microspheres. X-ray lines of I with d-spacings of 5.5 and 4.2 A were chosen for the quantitative analyses. Physical mixtures containing various weight fractions of I and blank (empty) microspheres were prepared and lithium fluoride (20% w/w) was added as the internal standard. The 5.5 and 4.3 A lines of I and the 2.3 A line of lithium fluoride were used for the quantitative analysis. A plot of the intensity ratio (intensity of the 5.5 A line of I/intensity of 2.3 A line of lithium fluoride) as a function of the weight percent of I in the mixture, resulted in a straight line. The crystalline content of I in the tolnaftate-loaded microspheres was determined using this standard curve. A second independent determination of the content of I was possible from the intensities of the 4.3 A line. The enthalpy of fusion of I, determined by differential scanning calorimetry (DSC), was also used as a measure of the crystalline content of I in the microspheres. The X-ray and DSC methods measure the content of crystalline I in the microspheres at room temperature (∼25°C) and at the melting point of I (111°C), respectively. The total content of I in the microspheres was determined by HPLC. The DSC and X-ray results indicated that a substantial fraction of the incorporated I was dissolved in the ethylcellulose matrix. © 2002 Wiley-Liss, Inc. and the American Pharmaceutical Association J Pharm Sci 91:983–990, 2002
- Published
- 2002
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41. LC of pharmaceutically important halogenated 8-hydroxyquinolines after precolumn derivatization with Pd (II)
- Author
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Fawzia Ibrahim, Fathalla Belal, Z. A. Sheribah, S. M. Ahmed, and M. S. Rizk
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Clinical Biochemistry ,Pharmaceutical Science ,High-performance liquid chromatography ,Dosage form ,Analytical Chemistry ,Halogens ,Phase (matter) ,Drug Discovery ,Iodoquinol ,medicine ,Chromatography, High Pressure Liquid ,Spectroscopy ,Dosage Forms ,Detection limit ,Chromatography ,Elution ,Chemistry ,Clioquinol ,Reversed-phase chromatography ,Oxyquinoline ,Tolnaftate ,Lead ,Pharmaceutical Preparations ,Anti-Infective Agents, Local ,Quantitative analysis (chemistry) ,Palladium ,medicine.drug - Abstract
An accurate, sensitive, and selective reversed phase high performance liquid chromatographic (HPLC) method was developed for the analysis of two halogenated 8-hydroxyquinoline derivatives; clioquinol (CQN) and iodoquinol (IQN). The proposed method depends on the complexation ability of the studied compounds with Pd(II) ions. Reversed phase chromatography was conducted using a 300 x 3.9 mm i.d. stainless steel column packed with 10 microm Bondclone phenyl at ambient temperature. A solution containing 0.005% w/v of Pd(II)-chloride in a mixture of acetonitrile-methanol-water (3:3:4 v/v/v) of pH 3.7 as a mobile phase pumped at a flow rate of 0.75 ml min(-1). UV-detection was performed at 282 and 285 nm for CQN and IQN, respectively. The method showed excellent linearity in the range 0.05-1.8 and 0.1-3.0 microg ml(-1) with limit of detection (S/N=2) 4.8 ng ml(-1) (1.57 x 10(-8) M) and 6.4 ng ml(-1) (1.61 x 10(-8) M) for CQN and IQN, respectively. The suggested method was successfully applied for the analysis of the studied drugs in bulk with average% recoveries of 99.68+/-0.44 for CQN and 99.65+/-0.53 for IQN. The proposed method was successfully applied for the analysis of the studied drugs in single or combined dosage forms with average% recoveries of 99.41+/-0.51-100.02+/-0.63. The proposed method could be used successfully for the determination of the studied compounds in the presence of their degradation product as they could be eluted with different retention times. The presence of metronidazole (MNZ) or tolnaftate (TFT) with the studied drugs does not affect their accurate determination. The results obtained were favorably compared with those obtained by the reference method. The results were satisfactorily, accurate, and precise.
- Published
- 2002
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42. Spectrophotometric method for the determination of tolnaftate in pharmaceutical preparations
- Author
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Nief Ahmed and Nawfal Mohamad
- Subjects
tolnaftate ,potassium permangnate ,spectrophotometric ,Education ,Science (General) ,Q1-390 - Abstract
Abstract A simple, accurate, rapid and sensitive visible spectrophotometric method has been developed for the determination of tolnaftate in pure and pharmaceutical preparations. The method is based on the reaction of tolnaftate with potassium permanganate in alkaline medium to form a bluish green colored product with an absorption maximum at 610 nm. Beer’s law was obeyed in the range of 5-60 µg/25ml with a molar absorbitivity of 5.379×104 L.mol.-1.cm-1. The optimum conditions for all color development were described and the proposed method has been successfully applied for the determination of tolnaftate in pharmaceutical preparations. A statistical comparison of these results with those of official method using (t and F) values at 95% confidence level, The calculated t- and F- values did not exceed the theoretical values indicating that there was no significant differences between the precision of the proposed and official method. So that the proposed method can be used as a routine quality control for determination of tolnaftate in pure form and in pharmaceutical formulations.The common excipients and additives did not interfere in the proposed method.
- Published
- 1970
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43. Reviewers.
- Subjects
- ADAMS, Alexandra, FLYNN, Albert
- Published
- 2019
- Full Text
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44. Author IndexNumbers refer to page number (abstract number).
- Subjects
- *
RHEUMATOLOGY - Published
- 2018
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45. Determination of the physical state of drug in microcapsule and microsphere formulations
- Author
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A. K. Dash
- Subjects
Antifungal Agents ,food.ingredient ,Materials science ,Scanning electron microscope ,Pharmaceutical Science ,Capsules ,Bioengineering ,Calorimetry ,Gelatin ,Dosage form ,Gum Arabic ,Colloid and Surface Chemistry ,Differential scanning calorimetry ,food ,Drug Stability ,X-Ray Diffraction ,Spectroscopy, Fourier Transform Infrared ,Particle Size ,Physical and Theoretical Chemistry ,Fourier transform infrared spectroscopy ,Chromatography, High Pressure Liquid ,Coacervate ,Chromatography ,Calorimetry, Differential Scanning ,Organic Chemistry ,Temperature ,Microspheres ,Tolnaftate ,Pharmaceutical Preparations ,Microscopy, Electron, Scanning ,Emulsions ,Drug carrier - Abstract
Tolnaftate microcapsules and microspheres were prepared by gelatin-acacia coacervation and emulsion-solvent evaporation methods respectively. The physical state of the drug in these formulations was determined by using scanning electron microscopy (SEM), X-ray powder diffractometry, and differential scanning calorimetry (DSC). High pressure liquid chromatographic (HPLC) method was used for stability determination and polymer-drug interactions were evaluated using FTIR. The pros and cons of each method, in the assessment of the physical state of drug in these formulations, were investigated. SEM was found to be useful in obtaining a direct visual evidence of the presence of crystalline drug in the microspheres, but not for the microcapsule formulation. The DSC method was used to determine the physical state of the drug qualitatively in both these formulations. In the case of the microcapsules, accurate quantitation of the crystalline drug content by DSC was not possible because of the interference of thermal events. Powder X-ray diffractometric method was able to demonstrate the presence of crystalline drug and polymorphic changes, if any, in both these formulations. HPLC data revealed that the drug was stable in these formulations for at least 6 months. The FTIR studies indicated the absence of any drug interaction with the polymeric matrix materials, during preparation of these dosage forms.
- Published
- 1997
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46. A randomised controlled trial of active chronic otitis media comparing courses of eardrops versus one-off topical treatments suitable for primary, secondary and tertiary healthcare settings
- Author
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J W, Loock
- Subjects
Adult ,Male ,Analysis of Variance ,Betamethasone Valerate ,Chi-Square Distribution ,Administration, Topical ,Clioquinol ,Tolnaftate ,Otitis Media ,Treatment Outcome ,Anti-Infective Agents ,Audiometry ,Boric Acids ,Ciprofloxacin ,Chronic Disease ,Drug Resistance, Bacterial ,Humans ,Female ,Prospective Studies ,Gentamicins ,Hearing Loss ,Acetic Acid - Abstract
Primary: to compare one-off administration of boric acid powder with courses of 1% acetic acid and ciprofloxacin eardrops in treating active chronic otitis media. Secondary: to evaluate the effectiveness of Quadriderm® cream in resistant active chronic otitis media; and to document side effects of these treatments, especially hearing loss.Randomised controlled trial.Outpatient department of a tertiary ENT unit.Hundred and fifty-nine patients over 6 years old with active chronic mucosal (without cholesteatoma) otitis media randomised to receive one of the three primary agents.All techniques employed were suitable for primary healthcare givers as well as specialists. After confirming eligibility, patients were randomly allocated to treatment. All ears underwent toilet with irrigation using clean water, a syringe and ambient light, with or without dry mopping, until the perforation was visible. The randomised solution was flushed through the middle ear and eustachian tube using a 'tragal pump' technique: saline was used as the solution for flushing in the boric acid powder arm. Patients allocated topical ear medication were given a bottle of eardrops to administer (six drops twice daily, 'pumped in') until finished. Those allocated boric acid powder had the external ear canals filled as a one-off treatment. Patients were followed up monthly thereafter.Primary: Dry (inactive) middle ears as assessed by the doctor. Secondary: Patient assessment of success; microbiologic culture and sensitivity; audiologic changes because of treatment; complications of treatment; costs of therapies.Ciprofloxacin eardrops and boric acid powder were statistically superior to 1% acetic acid eardrops in rendering active chronic otitis media inactive (73% dry ears for ciprofloxacin; 67% for boric acid powder; and 24% for acetic acid). There was no difference between the success rates of ciprofloxacin eardrops and boric acid powder. Quadriderm cream was effective in 85% of patients failing first-line therapy. No agent caused significant complications and specifically no hearing loss.This study showed a single application of boric acid powder following external auditory canal irrigation until the perforation was visible to be as effective as the current best practice of topical quinolone eardrops in active chronic otitis media. Boric acid powder is inexpensive and does not require patient compliance. Boric acid powder is a viable, less costly alternative to topical antibiotic/steroid ear drops in the developing world for active chronic otitis media. Acetic acid eardrops 1% are ineffective. Quadriderm cream, given as a one-off therapy, also appears to be effective.
- Published
- 2012
47. Inclusion Complexes of Tolnaftate with β-Cyclodextrin and Hydroxypropyl β-Cyclodextrin
- Author
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Christy M. Wyandt, Alan B. Jones, D. Peri, Ahmed H. Hikal, and Robert W. Cleary
- Subjects
Pharmacology ,chemistry.chemical_classification ,Chromatography ,Cyclodextrin ,Coprecipitation ,Organic Chemistry ,Pharmaceutical Science ,Dosage form ,Tolnaftate ,Inclusion compound ,chemistry.chemical_compound ,chemistry ,Stability constants of complexes ,Drug Discovery ,medicine ,Solubility ,Dissolution ,Nuclear chemistry ,medicine.drug - Abstract
Tolnaftate, an antifungal agent, was found to form inclusion complexes with both β-cyclodextrin (β-CD) and hydroxypropyl β-cyclodextrins (HPBCDs) with two different degrees of substitution [HPBCD(A)-8% and HPBCD(B)-3%]. Complex formation in the solution state was studied using phase solubility and spectral shift methods. Solid complexes were prepared by the coprecipitation method. Solubilities and dissolution rates were determined for each solid complex, its corresponding physical mixture, and free drug. The increase in solubility of tolnaftate with added HPBCD was found to be significantly greater than with added β-CD. For both HPBCD(A) and HPBCD(B), over the concentration range 0–0.05 M. 1:1 complexes with stability constants of 1460 ± 139 M-1 and 1860 ± 165 M-1 were observed, respectively. Over the β-CD concentration range 0–0.02 M, a 1:1 complex with a stability constant of 1190 ± 105 M-1 was observed. At higher HPBCD concentrations, the increase in solubility was observed to show a positive d...
- Published
- 1994
- Full Text
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48. Determination of Low Molecular Weight Molecules in Creams and Ointments by Gel Permeation Chromatography
- Author
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B. A. Bidlingmeyer, F. V. Warren, and R. A. Grohs
- Subjects
Active ingredient ,Chromatography ,Chemistry ,Chloride ,Small molecule ,Tolnaftate ,Solvent ,Gel permeation chromatography ,chemistry.chemical_compound ,medicine ,Molecular Medicine ,Sample preparation ,Methylene ,medicine.drug - Abstract
The analysis of low molecular weight compounds can frequently be achieved by small molecule gel permeation chromatography (SMGPC). In the SMGPC mode, large molecules are excluded, while separation of the analytes is based on the effective size of the compounds of interest in solution. It is possible to analyze two compounds whose molecular weight differ by 10% or more by the judicious selection of the mobile phase. For instance, the separation of tolnaftate (the active ingredient of an anti-fungal preparation) and BHT (which was present as an antioxidant), was accomplished using methylene chloride, a non-hydrogen bonding solvent. For this assay, sample preparation is very simple and the overall analysis takes only 12 minutes.
- Published
- 1991
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49. Antimicrobial activity of juglone
- Author
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Alice M. Clark, Tannis M. Jurgens, and Charles D. Hufford
- Subjects
Pharmacology ,Traditional medicine ,Antifungal antibiotic ,Clotrimazole ,Chemistry ,Liriodenine ,Microsporum gypseum ,Antimicrobial ,Griseofulvin ,Tolnaftate ,chemistry.chemical_compound ,medicine ,Organic chemistry ,Juglone ,medicine.drug - Abstract
The juice of freshly macerated unripe hulls of the black walnut (Juglans nigra) has been used for many years in folk medicine as a treatment for localized, topical fungal infections such as ringworm. It has been proposed that the biological activity of the walnut hulls is due to the presence of the simple naphthoquinone, juglone (5-hydroxy-1,4-naphthoquinone), which has been isolated from the unripe hulls by sublimation. Since the fresh juice of unripe walnut hulls is utilized for the treatment of ringworm, and since it has been speculated that the activity is due to the presence of juglone, it was of interest to determine the efficacy of juglone as compared to standard commercially available antifungal agents. The comparative efficacy was determined by evaluation of the minimum inhibitory concentration (MIC) values of juglone and the standard antifungal agents clotrimazole, triacetin, tolnaftate, griseofulvin, zinc undecylenate, selenium sulfide as well as two investigational antifungal antibiotics, liriodenine and liriodenine methiodide, for two dermatophytes, Trichophyton mentagrophytes and Microsporum gypseum. MIC values for juglone showed it to have moderate antifungal activity and to be as effective as certain commercially available antifungal agents such as zinc undecylenate and selenium sulfide.
- Published
- 1990
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50. Comparison of the Dermal Toxicity of four Antimicrobial-Steroid Cream Combinations in the Rabbit
- Author
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E. Schwartz, B.F. Murphy, Hugh E. Black, Fred Selan, Robert Squibb, and Robert J. Szot
- Subjects
medicine.medical_specialty ,integumentary system ,Erythema ,business.industry ,Clotrimazole ,Health, Toxicology and Mutagenesis ,Toxicology ,Dermatology ,Tolnaftate ,Desquamation ,Ophthalmology ,Steroid Cream ,Edema ,medicine ,Betamethasone ,medicine.symptom ,business ,Hydrocortisone ,medicine.drug - Abstract
The dermal toxicity of four antimicrobial-steroid cream formulations, tolnaf-tate 1%/hydrocortisone 0.5% (TH), clotrimazole 1%/hydrocortisone 0.5% (CH), clotrimazole 1%/betamethasone 0.06% (CB), and clotrimazole 1%/gentamkin 0.1%/betamethasone 0.05% (CGB), was compared in separate studies. All cream formulations were applied to the intact skin of rabbits for 21–25 consecutive days. For comparison, two control groups were used in each study: one dosed with the appropriate vehicle and one nmfreated group.The results of these studies have shown that erythema produced on intact rabbit skin by each of the medicated cream formulations was equivalent or slightly less than that produced by each of the corresponding vehicles. There was no significant difference between the medicated and vehicle creams in the time of onset of erythema or in the incidence of edema, atonia, papules, pustules, desquamation, wrinkling, fissuring, or skin thickness. These findings suggest that tolnaftate, hydrocortisone, clotrim...
- Published
- 1990
- Full Text
- View/download PDF
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