The efficacy of Jujube syrup on the prevention of drug‐induced hepatotoxicity in pulmonary tuberculosis patients: A pilot randomized double‐blind placebo‐controlled clinical trial

Abstract Liver injury is the most common complication of anti‐tuberculosis drugs that can cause significant problems. The study aimed to determine the effectiveness of Jujube syrup on the prevention of antituberculosis drug‐induced hepatotoxicity (DIH). This pilot randomized double‐blind study was c...

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Main Authors: Seyedeh Zahra Maddahi, Assie Jokar, Mohammad Kamalinejad, Nasser Behnampur
Format: Article
Language:English
Published: Wiley 2022-02-01
Series:Pharmacology Research & Perspectives
Subjects:
Online Access:https://doi.org/10.1002/prp2.902
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author Seyedeh Zahra Maddahi
Assie Jokar
Mohammad Kamalinejad
Nasser Behnampur
author_facet Seyedeh Zahra Maddahi
Assie Jokar
Mohammad Kamalinejad
Nasser Behnampur
author_sort Seyedeh Zahra Maddahi
collection DOAJ
description Abstract Liver injury is the most common complication of anti‐tuberculosis drugs that can cause significant problems. The study aimed to determine the effectiveness of Jujube syrup on the prevention of antituberculosis drug‐induced hepatotoxicity (DIH). This pilot randomized double‐blind study was conducted based on a placebo‐controlled design in patients with tuberculosis (TB). The patients were divided into two groups based on the block random allocation method and received 10 cc of jujube or placebo syrup per day. The liver enzyme levels were assessed as primary outcomes, and the severity of cough, anorexia, and nausea along with the quality of life (QOL) was assessed as secondary outcomes. Finally, eight and nine patients in the jujube and placebo groups completed the study, respectively. In the second week of the study, 27.3% of the patients in the placebo group developed hepatotoxicity. Moreover, there was no liver toxicity in the jujube group. This difference between the two groups was statistically significant (p = .037). Furthermore, the severity of cough in patients in the jujube group decreased significantly during weeks 2 and 4. The QOL significantly improved in the jujube group, compared to the placebo group. This study suggested that Jujube syrup could prevent anti‐TB DIH. It can also improve the severity of cough and the QOL in pulmonary TB patients.
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spelling doaj.art-30df8461cfe04e80a1487d39f49e2bd32022-12-21T23:44:14ZengWileyPharmacology Research & Perspectives2052-17072022-02-01101n/an/a10.1002/prp2.902The efficacy of Jujube syrup on the prevention of drug‐induced hepatotoxicity in pulmonary tuberculosis patients: A pilot randomized double‐blind placebo‐controlled clinical trialSeyedeh Zahra Maddahi0Assie Jokar1Mohammad Kamalinejad2Nasser Behnampur3Persian Medicine Student Research Committee Mazandaran University of Medical Sciences Sari IranFaculty of Medicine Department of Persian Medicine Mazandaran University of Medical Sciences Sari IranSchool of Pharmacy Shahid Beheshti University of Medical Sciences Tehran IranDepartment of Biostatistics Health Management and Social Development Research Center Golestan University of Medical Sciences Gorgan IranAbstract Liver injury is the most common complication of anti‐tuberculosis drugs that can cause significant problems. The study aimed to determine the effectiveness of Jujube syrup on the prevention of antituberculosis drug‐induced hepatotoxicity (DIH). This pilot randomized double‐blind study was conducted based on a placebo‐controlled design in patients with tuberculosis (TB). The patients were divided into two groups based on the block random allocation method and received 10 cc of jujube or placebo syrup per day. The liver enzyme levels were assessed as primary outcomes, and the severity of cough, anorexia, and nausea along with the quality of life (QOL) was assessed as secondary outcomes. Finally, eight and nine patients in the jujube and placebo groups completed the study, respectively. In the second week of the study, 27.3% of the patients in the placebo group developed hepatotoxicity. Moreover, there was no liver toxicity in the jujube group. This difference between the two groups was statistically significant (p = .037). Furthermore, the severity of cough in patients in the jujube group decreased significantly during weeks 2 and 4. The QOL significantly improved in the jujube group, compared to the placebo group. This study suggested that Jujube syrup could prevent anti‐TB DIH. It can also improve the severity of cough and the QOL in pulmonary TB patients.https://doi.org/10.1002/prp2.902antioxidantdrug‐induced hepatotoxicityJujubetraditional Persian medicinetuberculosis
spellingShingle Seyedeh Zahra Maddahi
Assie Jokar
Mohammad Kamalinejad
Nasser Behnampur
The efficacy of Jujube syrup on the prevention of drug‐induced hepatotoxicity in pulmonary tuberculosis patients: A pilot randomized double‐blind placebo‐controlled clinical trial
Pharmacology Research & Perspectives
antioxidant
drug‐induced hepatotoxicity
Jujube
traditional Persian medicine
tuberculosis
title The efficacy of Jujube syrup on the prevention of drug‐induced hepatotoxicity in pulmonary tuberculosis patients: A pilot randomized double‐blind placebo‐controlled clinical trial
title_full The efficacy of Jujube syrup on the prevention of drug‐induced hepatotoxicity in pulmonary tuberculosis patients: A pilot randomized double‐blind placebo‐controlled clinical trial
title_fullStr The efficacy of Jujube syrup on the prevention of drug‐induced hepatotoxicity in pulmonary tuberculosis patients: A pilot randomized double‐blind placebo‐controlled clinical trial
title_full_unstemmed The efficacy of Jujube syrup on the prevention of drug‐induced hepatotoxicity in pulmonary tuberculosis patients: A pilot randomized double‐blind placebo‐controlled clinical trial
title_short The efficacy of Jujube syrup on the prevention of drug‐induced hepatotoxicity in pulmonary tuberculosis patients: A pilot randomized double‐blind placebo‐controlled clinical trial
title_sort efficacy of jujube syrup on the prevention of drug induced hepatotoxicity in pulmonary tuberculosis patients a pilot randomized double blind placebo controlled clinical trial
topic antioxidant
drug‐induced hepatotoxicity
Jujube
traditional Persian medicine
tuberculosis
url https://doi.org/10.1002/prp2.902
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