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Objective. To assess efficacy and safety of two-month therapy with Potentilla tincturecombined with diclofenac in pts with osteoarthritis (OA) in comparison with diclofenac monotherapy (control group). Material and methods. 60 pts with OA aged 50-75 years were randomly assigned into two groups 30 pts in each. Knee OA was diagnosed according to ACR criteria (1991). Pain at movement, WOMAC index (on VAS), efficacy assessment by physician and pt and diclofenac requirement were used as outcome measures. 1 tea spoon of Potentilla tincture diluted in 1/3 of water glass was given twice a day before meal as well as diclofenac 100 mg/ day during 2 months. Results. Combined therapy provided prominent decrease of pain which exceeded improvement in control group. Significant decrease of summated WOMAC index was achieved only in the main group. Conclusion. Combination of Potentilla tincture and diclofenac was significantly more effective than treatment with diclofenac alone in OA. Combined therapy provided more pronounced analgesic and anti-inflammatory effect than diclofenac monotherapy.

Objective. To assess clinical efficacy and tolerability of "Karmolis" liquid (KL) in pts with osteoarthritis (OA) and rheumatoid arthritis (RA). Material and methods. 230 RA pts and 123 OA pts were included. KL was applied on the most damaged joint surface 10 ml 4-5 times a day with subsequent massage. The course of the treatment continued for three weeks. Joint pain at rest, at movement and at palpation so as joint swelling were used as efficacy measures. Treatment efficacy was assessed at day 1, 7, 14 and 21. Possibility of NSAID dose decrease was also recorded. Results. KL administration provided significant decrease of joint pain at rest, at movement and at palpation already to day 7 as in RA as in OA pts. The improvement then persisted during the rest period of treatment. Joint swelling disappeared to the end of the treatment in 141 from 209 RA pts having such changes at baseline. 74% of RA pts considered KL efficacy very good and good. Synovitis signs disappeared after the treatment with KL in 52 from 65 OA pts. Vfcry good and good results were achieved in 102 (83%) of OA pts. 76 RA pts (33%) and 73 OA pts (53%) could decrease NSAID dose. Adverse events were very seldom and did not require treatment termination. Conclusion. KL in effective in complex treatment of RA and OA. It decrease pain and inflammation and may be recommended for wide administration in the treatment of inflammatory and degenerative joint diseases.