Effects of Yukmijihwang-tang, a Polyherb, on the Pharmacokinetics of Metformin

Metformin is one of the most common medicines for the treatment of type 2 diabetes, however, recent studies suggest that concomitant antihyperglycemic agents should be administered for better efficacy. Yukmijihwang-tang (YMJHT) is a nephroprotective polyherb prescribed for renal disorders or diabeti...

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Veröffentlicht in:Pakistan journal of pharmaceutical sciences 2019-09, Vol.32 (5), p.2025-2031
Hauptverfasser: Kang, Seok Bong, Shon, Ho Sang, Park, Soo Jin, Lee, Young Joon, Ku, Sae-Kwang, Song, Chang-Hyun
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container_issue 5
container_start_page 2025
container_title Pakistan journal of pharmaceutical sciences
container_volume 32
creator Kang, Seok Bong
Shon, Ho Sang
Park, Soo Jin
Lee, Young Joon
Ku, Sae-Kwang
Song, Chang-Hyun
description Metformin is one of the most common medicines for the treatment of type 2 diabetes, however, recent studies suggest that concomitant antihyperglycemic agents should be administered for better efficacy. Yukmijihwang-tang (YMJHT) is a nephroprotective polyherb prescribed for renal disorders or diabetic mellitus in traditional Korean medicine. Therefore, the pharmacokinetics between metformin and YMJHT were examined for their coadministration. Rats were orally coadministered with metformin and YMJHT as a combination group or metformin and distilled water as the corresponding control. Then, the metformin concentration in plasma and its pharmacokinetic parameters including maximum concentration (C ) and area under the plasma concentration time curve (AUC) were analyzed. There were no interactions between metformin and YMJHT in the single coadministration at intervals within 5 min. However, pretreatments with YMJHT for 6 days increased the metformin concentration and its C and AUC (p
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Yukmijihwang-tang (YMJHT) is a nephroprotective polyherb prescribed for renal disorders or diabetic mellitus in traditional Korean medicine. Therefore, the pharmacokinetics between metformin and YMJHT were examined for their coadministration. Rats were orally coadministered with metformin and YMJHT as a combination group or metformin and distilled water as the corresponding control. Then, the metformin concentration in plasma and its pharmacokinetic parameters including maximum concentration (C ) and area under the plasma concentration time curve (AUC) were analyzed. There were no interactions between metformin and YMJHT in the single coadministration at intervals within 5 min. However, pretreatments with YMJHT for 6 days increased the metformin concentration and its C and AUC (p&lt;0.05). The repeated coadministration for 8 days increased the C of metformin (p&lt;0.05). Conversely, when the combination was coadministered at 2h -intervals, there were no interactions between metformin and YMJHT after a single dosing or repeated dosing of coadministration for 7 days. These results of the present study will help structure proper dosing regimens for the concomitant therapy of metformin and YMJHT.</description><identifier>ISSN: 1011-601X</identifier><identifier>PMID: 31813867</identifier><language>eng</language><publisher>Pakistan: Pakistan Journal of Pharmaceutical Sciences</publisher><subject>Analysis ; Animals ; Area Under Curve ; Combination drug therapy ; Diabetes Mellitus, Type 2 - drug therapy ; Diabetes Mellitus, Type 2 - metabolism ; Diabetes therapy ; Drug Therapy, Combination - adverse effects ; Drugs, Chinese Herbal - pharmacology ; Herb-Drug Interactions - physiology ; Hypoglycemic agents ; Hypoglycemic Agents - pharmacokinetics ; Hypoglycemic Agents - pharmacology ; Male ; Metformin ; Metformin - pharmacokinetics ; Metformin - pharmacology ; Plants, Medicinal - adverse effects ; Rats ; Rats, Sprague-Dawley ; Type 2 diabetes ; Water</subject><ispartof>Pakistan journal of pharmaceutical sciences, 2019-09, Vol.32 (5), p.2025-2031</ispartof><rights>COPYRIGHT 2019 Pakistan Journal of Pharmaceutical Sciences</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31813867$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kang, Seok Bong</creatorcontrib><creatorcontrib>Shon, Ho Sang</creatorcontrib><creatorcontrib>Park, Soo Jin</creatorcontrib><creatorcontrib>Lee, Young Joon</creatorcontrib><creatorcontrib>Ku, Sae-Kwang</creatorcontrib><creatorcontrib>Song, Chang-Hyun</creatorcontrib><title>Effects of Yukmijihwang-tang, a Polyherb, on the Pharmacokinetics of Metformin</title><title>Pakistan journal of pharmaceutical sciences</title><addtitle>Pak J Pharm Sci</addtitle><description>Metformin is one of the most common medicines for the treatment of type 2 diabetes, however, recent studies suggest that concomitant antihyperglycemic agents should be administered for better efficacy. 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Conversely, when the combination was coadministered at 2h -intervals, there were no interactions between metformin and YMJHT after a single dosing or repeated dosing of coadministration for 7 days. 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Yukmijihwang-tang (YMJHT) is a nephroprotective polyherb prescribed for renal disorders or diabetic mellitus in traditional Korean medicine. Therefore, the pharmacokinetics between metformin and YMJHT were examined for their coadministration. Rats were orally coadministered with metformin and YMJHT as a combination group or metformin and distilled water as the corresponding control. Then, the metformin concentration in plasma and its pharmacokinetic parameters including maximum concentration (C ) and area under the plasma concentration time curve (AUC) were analyzed. There were no interactions between metformin and YMJHT in the single coadministration at intervals within 5 min. However, pretreatments with YMJHT for 6 days increased the metformin concentration and its C and AUC (p&lt;0.05). The repeated coadministration for 8 days increased the C of metformin (p&lt;0.05). Conversely, when the combination was coadministered at 2h -intervals, there were no interactions between metformin and YMJHT after a single dosing or repeated dosing of coadministration for 7 days. These results of the present study will help structure proper dosing regimens for the concomitant therapy of metformin and YMJHT.</abstract><cop>Pakistan</cop><pub>Pakistan Journal of Pharmaceutical Sciences</pub><pmid>31813867</pmid><tpages>7</tpages></addata></record>
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subjects Analysis
Animals
Area Under Curve
Combination drug therapy
Diabetes Mellitus, Type 2 - drug therapy
Diabetes Mellitus, Type 2 - metabolism
Diabetes therapy
Drug Therapy, Combination - adverse effects
Drugs, Chinese Herbal - pharmacology
Herb-Drug Interactions - physiology
Hypoglycemic agents
Hypoglycemic Agents - pharmacokinetics
Hypoglycemic Agents - pharmacology
Male
Metformin
Metformin - pharmacokinetics
Metformin - pharmacology
Plants, Medicinal - adverse effects
Rats
Rats, Sprague-Dawley
Type 2 diabetes
Water
title Effects of Yukmijihwang-tang, a Polyherb, on the Pharmacokinetics of Metformin
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