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Tournier AL, Bonamin LV, Buchheim-Schmidt S, Cartwright S, Dombrowsky C, Doesburg P, Holandino C, Kokornaczyk MO, van de Kraats EB, López-Carvallo JA, Nandy P, Mazón-Suástegui JM, Mirzajani F, Poitevin B, Scherr C, Thieves K, Würtenberger S, Baumgartner S. Scientific guidelines for preclinical research on potentised preparations manufactured according to current pharmacopoeias-the PrePoP guidelines. JOURNAL OF INTEGRATIVE MEDICINE 2024:S2095-4964(24)00341-8. [PMID: 39013752 DOI: 10.1016/j.joim.2024.06.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/29/2023] [Accepted: 05/15/2024] [Indexed: 07/18/2024]
Abstract
OBJECTIVE Pharmacopoeias regulate the manufacture of potentised pharmaceutical preparations used in different branches of complementary and integrative medicine. The physicochemical properties and biological activity of these preparations are often investigated in preclinical research, yet no guidelines for experimental research currently exist in this area. The present PrePoP guidelines aim to provide recommendations to promote high-quality, statistically sound, and reproducible preclinical research on potentised preparations. METHODS Input was gathered from researchers nominated by the relevant scientific societies using a simplified Delphi consensus approach covering the most relevant aspects of basic research methodology in the field including appropriate controls, sample preparation and handling, and statistics. After three rounds of feedback, a consensus was finally reached on the most important aspects and considerations for conducting high-quality research on potentised preparations. RESULTS We present a series of recommendations on a range of topics including experimental controls, system stability, blinding and randomisation, environmental influences, and procedures for the preparation of potentised samples and controls, and we address some specific challenges of this research field. CONCLUSION This expert consensus process resulted in a robust set of methodological guidelines for research on potentised preparations and provides a valuable framework that will inform and improve the quality of subsequent research in this emerging field. PLEASE CITE THIS ARTICLE AS Tournier AL, Bonamin LV, Buchheim-Schmidt S, Cartwright S, Dombrowsky C, Doesburg P, Holandino C, Kokornaczyk MO, van de Kraats EB, López-Carvallo JA, Nandy P, Mazón-Suástegui JM, Mirzajani F, Poitevin B, Scherr C, Thieves K, Würtenberger S, Baumgartner S. Scientific guidelines for preclinical research on potentised preparations manufactured according to current pharmacopoeias-the PrePoP guidelines. J Integr Med. 2024; Epub ahead of print.
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Affiliation(s)
- Alexander L Tournier
- Institute of Complementary and Integrative Medicine, University of Bern, 3010 Bern, Bern, Switzerland; Institute of Integrative Medicine, Witten/Herdecke University, 58455 Witten, North Rhine-Westphalia, Germany; Homeopathy Research Institute, London SW7 4EF, United Kingdom.
| | - Leoni V Bonamin
- Graduate Program on Environmental and Experimental Pathology, Paulista University, São Paulo 01504-000, São Paulo, Brazil
| | - Susann Buchheim-Schmidt
- Department of Medical Science, Deutsche Homöopathie-Union DHU-Arzneimittel GmbH & Co. KG, 76227 Karlsruhe, Baden-Württemberg, Germany
| | - Steven Cartwright
- Cherwell Laboratory for Fundamental Research in Homeopathy, Oxford OX2 8NU, Oxforeshire, United Kingdom
| | - Christoph Dombrowsky
- Institute of Complementary and Integrative Medicine, University of Bern, 3010 Bern, Bern, Switzerland
| | - Paul Doesburg
- Society for Cancer Research, Hiscia Research Institute, 4144 Arlesheim, Basel, Switzerland
| | - Carla Holandino
- Laboratório Multidisciplinar de Ciências Farmacêuticas, Universidade Federal do Rio de Janeiro, Rio de Janeiro 21941-902, Rio de Janeiro, Brazil
| | - Maria Olga Kokornaczyk
- Institute of Complementary and Integrative Medicine, University of Bern, 3010 Bern, Bern, Switzerland; Society for Cancer Research, Hiscia Research Institute, 4144 Arlesheim, Basel, Switzerland
| | | | - Jesús Antonio López-Carvallo
- Departamento de Acuicultura, Facultad de Ciencias del Mar, Universidad Católica del Norte, 1790437 Coquimbo, Elqui, Chile
| | - Papiya Nandy
- Centre for Interdisciplinary Research and Education, Kolkata, West Bengal 700068, West Bengal, India
| | - José Manuel Mazón-Suástegui
- Laboratorio de Homeopatía Acuícola y Semillas Marinas, Centro de Investigaciones Biológicas del Noroeste, La Paz 23096, Baja California Sur, Mexico
| | - Fateme Mirzajani
- Protein Research Center, Shahid Beheshti University, Tehran 1983969411, Iran; Department of Medical Laboratory Science, College of Science, Knowledge University, 44001 Erbil, Erbil, Iraq
| | | | - Claudia Scherr
- Institute of Integrative Medicine, Witten/Herdecke University, 58455 Witten, North Rhine-Westphalia, Germany; Society for Cancer Research, Hiscia Research Institute, 4144 Arlesheim, Basel, Switzerland
| | - Karin Thieves
- Sola Salus, Institute for Homeopathic Research, 52511 Geilenkirchen, North Rhine-Westphalia, Germany
| | | | - Stephan Baumgartner
- Institute of Complementary and Integrative Medicine, University of Bern, 3010 Bern, Bern, Switzerland; Institute of Integrative Medicine, Witten/Herdecke University, 58455 Witten, North Rhine-Westphalia, Germany
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Kokornaczyk MO, Würtenberger S, Baumgartner S. Self-assembled Patterns Formed in Evaporating Droplets to Analyze Bi-component Homeopathic Preparations in the Low Dilution Range. HOMEOPATHY 2023; 112:152-159. [PMID: 36764310 PMCID: PMC10411094 DOI: 10.1055/s-0042-1759543] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2022] [Accepted: 10/06/2022] [Indexed: 02/12/2023]
Abstract
BACKGROUND Homeopathic complex remedies, composed of several homeopathic medicines in the low potency range, are frequently used in the treatment of a number of common disorders. At the same time, they represent an almost unexplored area of research. Are complex remedies just additive mixtures of the components, or are there interactions between the latter leading to new properties of the complex? METHODS In the present study, we analyzed as an example the simple bi-component complex, Luffa 4x - Mercurius bijodatus 9x, by means of patterns from evaporated droplets and tested what influences the complex's single compounds have upon the patterns and if there are any interactions. For this purpose, we compared in a series of five experiments patterns from evaporated droplets of the complex, Luffa 4x - Mercurius bijodatus 9x, and three comparison samples in which one or both of the complex's compounds were replaced by potentized solute. The patterns were photographed and evaluated for their gray-level distribution and texture using the software ImageJ. The experimental set-up's stability was tested by means of systematic control experiments. RESULTS We found that Mercurius bijodatus 9x significantly influenced the patterns of Luffa 4x, increasing their homogeneity; at the same time, the patterns of Mercurius bijodatus 9x combined with solvent were more heterogeneous than those obtained from a control consisting of two pure solvents. CONCLUSION In this phenomenological assay, the complex Luffa 4x - Mercurius bijodatus 9x does not correspond to a simple addition of the components. The exact nature of the underlying interaction needs to be elucidated in further investigations.
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Affiliation(s)
| | - Sandra Würtenberger
- Scientifc and Regulatory Affairs, Hevert-Arzneimittel GmbH & Co. KG, Nussbaum, Germany
| | - Stephan Baumgartner
- Society for Cancer Research, Arlesheim, Switzerland
- Institute for Integrative Medicine, University of Witten/Herdecke, Herdecke, Germany
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Fontes C, Oliveira AP, Batista JVC, Martins C, Rossi A, Yapuchura ER, Furtado P, Meireles P, Capella MAM, Picciani PHS, Holandino C. Physicochemical Properties of Zinc and Lactose in Solid Mixtures: Influence of Trituration Process. HOMEOPATHY 2021; 111:164-175. [PMID: 34820794 DOI: 10.1055/s-0041-1735984] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
BACKGROUND Recent experimental results supporting the dynamization process show modification in the characteristics of solid mixtures. OBJECTIVE The present work aims to evaluate the physicochemical properties of metallic zinc and lactose, evidencing the interactions between all chemical components presented in dynamized solid mixtures by analytical techniques. METHODS Mixtures of zinc and lactose (1:9 w/w) were successively triturated at the same proportion according to the Brazilian Homeopathic Pharmacopoeia, receiving the designation of 10-1 - 10-6 (1dH - 6dH). All samples were submitted to the following characterization techniques: Atomic Absorption Spectrometry (AAS), Scanning Electron Microscopy (SEM), X-ray Diffraction (XRD), Differential Scanning Calorimetry (DSC), Thermogravimetry (TG), and Raman Spectroscopy (RS). RESULTS AAS results detected 97.0% of zinc in the raw material, and the triturated zinc lactose system (ZnMet) presented mean values similar to those expected for the physical mixtures: i.e., 9.94%, 1.23%, and 0.11% in the three first proportions (10-1, 10-2, 10-3), respectively. SEM images showed particle size reduction due to the trituration process. The XRD assays of ZnMet 10-3 and 10-6 indicated peak changes at 12.3° and 43.26°, probably associated with modifications of inter-atomic crystalline spacing. The thermal analysis results of dynamized samples suggest modifications in the chemical interaction between zinc and lactose induced by the physical forces applied. RS experiments showed variation in vibration frequencies due to the dynamization procedure, in which marked ZnMet 10-6 spectral modifications were detected at 357, 477, 1086 and 1142 cm-1, and in the wavelength range 860-920 cm-1. CONCLUSION These results highlight the importance of applying suitable characterization methods to improve our understanding of the properties of homeopathic solid mixtures, whereas the uses of sensitive tools evidence the influence of trituration on the crystalline properties and in the enthalpy variation of dynamized samples.
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Affiliation(s)
- Clarissa Fontes
- Multidisciplinary Laboratory of Pharmaceutical Sciences, Pharmacy College, Federal University of Rio de Janeiro, Brazil
| | - Adriana P Oliveira
- Multidisciplinary Laboratory of Pharmaceutical Sciences, Pharmacy College, Federal University of Rio de Janeiro, Brazil
| | - João V C Batista
- Multidisciplinary Laboratory of Pharmaceutical Sciences, Pharmacy College, Federal University of Rio de Janeiro, Brazil
| | - Cleo Martins
- Department of Applied Physics, Brazilian Center of Research in Physics, Urca, Rio de Janeiro, Brazil
| | - André Rossi
- Department of Applied Physics, Brazilian Center of Research in Physics, Urca, Rio de Janeiro, Brazil
| | - Enrique R Yapuchura
- Laboratory of Carbon and Ceramic Materials, Department of Physics, Federal University of Espírito Santo, Brazil
| | - Priscila Furtado
- Laboratory of Pharmaceutical Technology, Pharmacy College, Federal University of Rio de Janeiro, Brazil
| | - Paloma Meireles
- Laboratory of Pharmaceutical Technology, Pharmacy College, Federal University of Rio de Janeiro, Brazil
| | - Marcia Alves Marques Capella
- Multidisciplinary Laboratory of Pharmaceutical Sciences, Pharmacy College, Federal University of Rio de Janeiro, Brazil.,LaRBio, Carlos Chagas Filho Biophysics Institute, Federal University of Rio de Janeiro, Brazil
| | - Paulo H S Picciani
- Institute of Macromolecules Professora Eloisa Mano, Federal University of Rio de Janeiro, Brazil
| | - Carla Holandino
- Multidisciplinary Laboratory of Pharmaceutical Sciences, Pharmacy College, Federal University of Rio de Janeiro, Brazil
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Impact of succussion on pharmaceutical preparations analyzed by means of patterns from evaporated droplets. Sci Rep 2020; 10:570. [PMID: 31953459 PMCID: PMC6969209 DOI: 10.1038/s41598-019-57009-2] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2019] [Accepted: 12/20/2019] [Indexed: 11/23/2022] Open
Abstract
The aim of the present study was to investigate if patterns obtained from evaporating droplets of pharmaceutical preparations reveal the impact of succussion on such medicinal products. For this purpose, five pharmaceutical preparations (Echinacea 10−2, Baptisia 10−3, Baptisia 10−4, Luffa 10−4, and Spongia 10−6) were prepared according to the European Pharmacopoeia guidelines for the production of homeopathic remedies, in three variants each: with varying numbers of succussion strokes (i) 100, (ii) 10 (succussed samples), and (iii) zero (gently mixed, unsuccussed sample). System stability was studied by means of systematic positive control experiments. Patterns were evaluated by means of computerized image analysis regarding grey level distribution, texture, and fractality. For all investigated pharmaceutical preparations, significant differences were found between the succussed and gently mixed samples; whereas, all three samples (prepared with 100, 10 and zero succussion strokes) could be significantly differentiated for Luffa 10−4 and Spongia 10−6 for one image evaluation parameter each. Control experiments showed a reasonable stability of the experimental set-up.
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