Effect of Hibiscus sabdariffa and Zingiber officinale on pharmacokinetics and pharmacodynamics of amlodipine. (10th August 2021)

• Record Type: Journal Article
• Authors: Alam, Mohd Aftab; Bin Jardan, Yousef A; Alzenaidy, Bader; Raish, Mohammad; Al-Mohizea, Abdullah M; Ahad, Abdul; Al-Jenoobi, Fahad Ibrahim
• Is Part Of: Journal of pharmacy and pharmacology. Volume 73:Number 9(2021)
• Page Start: 1151
• Page End: 1160
• Publication Date: 2021-08-10
• Subjects: herb-drug interaction -- amlodipine -- Hibiscus sabdariffa -- Zingiber officinale -- hypertension -- blood pressure; Pharmacy -- Periodicals; Pharmacology -- Periodicals; 615.1
• DOI: 10.1093/jpp/rgaa062
• Languages: English
• ISSNs: 0022-3573

Abstract

Abstract: Objectives: To study the effect of Zingiber officinale and Hibiscus sabdariffa on pharmacokinetics and pharmacodynamics of amlodipine. Methods: Hypertension was induced in rats (SBP 173.2 ± 1.7 mmHg, mean, 1–24 h). Systolic blood pressure (SBP), diastolic blood pressure (DBP), mean blood pressure (MBP) and heart rate (HR) of group-I (amlodipine treated), group-II ( Z. officinale, and Z. officinale + amlodipine) and group-III ( H. sabdariffa, and H. sabdariffa + amlodipine) animals were measured by "tail-cuff system". Pharmacokinetics of amlodipine with and without herbs ( Z. officinale or H. sabdariffa ) was also investigated. Results: Z. officinale as well as H. sabdariffa decreased the SBP, DBP and MBP. Concurrent treatment with Z. officinale + amlodipine (SBP 129.4 ± 4.5) or H. sabdariffa + amlodipine (SBP 130.4 ± 3.9) showed higher decrease in BP (mean, 1–24h), than individually administered amlodipine (SBP 149.5 ± 2.4) or Z. officinale (SBP 150.2 ± 3.1) or H. sabdariffa (SBP 139.1 ± 1.2). These herbs also influenced the Cmax, AUC0-t, and Tmax of amlodipine. H. sabdariffa increased AUC0-t of amlodipine from 81.8 ± 14.7 to 125.0 ± 10.6 (ng h/mL). Conclusion: Simultaneous administration of Z. officinale or H. sabdariffa with amlodipine, improves its pharmacodynamic response.