Identification and quantitation of the ingredients in a counterfeit Vietnamese herbal medicine against rheumatic diseases

Development and Validation of a Tool to Improve Community Pharmacists’ Surveillance Role in the Safe Dispensing of Herbal Supplements

Background: There has been an appreciable increase in the use of herbal supplements, including immune boosters, during the current COVID-19 pandemic. However, there are concerns with falsified herbal supplements.

Objectives: Developed a new questionnaire that can potentially help community pharmacists identify the extent of falsified herbal supplements.

Methods: A 9-month cross sectional study was conducted among 500 community pharmacies across United Arab Emirates. A new 5-factor, 24-itmes scale was developed based on current labelling requirements across countries and piloted. This included seven items on identified uses and contraindication, seven items on hazard identification, four items on product identity, three items on packaging and product insert and three items on product handling and storage. The face and content validity of the scale was assessed via the content validity index (CVI). Its construct validity was tested using an exploratory factor analysis (EFA) via principally component analysis (PCA). The model was subsequently confirmed through partial confirmatory factor analysis (PCFA). Its reliability was assessed via test-retest reliability, internal consistency, item internal consistency (IIC), and intraclass correlation coefficients (ICCs).

Results: The CVI of the finalized questionnaire was 0.843. The Kaiser-Meyer-Olkin measure of sampling adequacy was 0.891, and Bartlett’s test of sphericity indicated significance (p-value < 0.001). Confirmation of the subsequent 5-domains was achieved through PCFA using maximum likelihood analysis with oblimin rotation. The PCFA obtained values was 0.962 for NFI, 0.977 for CFI, and 0.987 for the Tucker Lewis Index. All values were greater than 0.95, and the RMSEA value was 0.03 (i.e., less than 0.06). Consequently, the model had a good fit. All domains demonstrated Cronbach’s alpha coefficients above 0.70, with 0.940 for the full instrument. Meanwhile, all items met the IIC correlation standard of ≥0.40. The instrument presented good ICC statistics of 0.940 (0.928–0.950) as well as statistical significance (p < 0.001). Community pharmacists with more than 10 experience years were more likely to identify falsified herbal supplements compared to those with 1–10 years experience (p < 0.001).

Conclusion: This study developed and validated a new instrument to identify safe herbal supplements, which should enhance the role of the community pharmacists in the safe and effective treatment of suitable patients with herbal supplements.

NIR spectroscopy of natural medicines supported by novel instrumentation and methods for data analysis and interpretation

Near-infrared (NIR) spectroscopy is a powerful tool for qualitative and quantitative phytoanalysis. It is a rapid and high-throughput analytical method, with on-site capability, high chemical specificity, and no/minimal sample preparation. NIR spectroscopy is a powerful non-invasive and low-cost alternative with significant practical advantages compared to the conventional methods of analysis. These advantages are particularly exposed in the field of phytoanalysis. In contrast to synthetic medicines, natural products feature chemical diversity that can vary depending on the medicinal plant cultivation conditions, geographical origin or harvest time. The content of bioactive compounds and their derivatives, and thus, the quality parameters of the natural medicine need to be controlled with respect to a number of conditions. NIR spectroscopy has been proved to be particularly competitive in such difficult scenarios. In recent years, remarkable advances in the field of spectroscopic instrumentation and methods of analysis have appeared. Noteworthy was the appearance and dynamic continuing development of miniaturized, on-site capable NIR spectrometers. This was accompanied by application of new tools increasing the potential and reliability of NIR spectroscopy in phytoanalytical applications. The present review discussed the major principles of this technique and critically assesses its future application potential in phytoanalytical strategies. Major attention is given to the current development trends based on the most recent literature published in the field.

Quantum mechanical NMR full spin analysis in pharmaceutical identity testing and quality control

Issues related to pharmaceutical quality are arising at an alarming rate. Pharmaceutical quality concerns both the Active Pharmaceutical Ingredients (APIs) and the Finished Drug Product/ Formulation. Recently, there has been a significant increase in the number of reports of harmful impurities in marketed drug formulations. Impurities range from solvents, reactants, adulterants, and catalysts to synthetic byproducts. Quality concerns in commercial preparations may also arise due to shelf life stability. Furthermore, a number of falsified and substandard drug cases have been reported. Most of the techniques which are currently in place can, at best, detect the impurities, but cannot identify them unless they are already known and can be compared to a standard. On the other hand, ¹H NMR spectroscopy detects all the hydrogen containing species, typically provides information to elucidate structures partially or even completely, and through its absolute quantitative capabilities even can detect the presence hydrogen-free species indirectly. The structural properties that produce ¹H NMR signals as characteristic representations of a given molecule are the chemical shifts (δ in ppm) and coupling constants (J in Hz). Along with the line widths (ω_1/2 in Hz), these parameters are bound to both the molecule and the NMR experimental conditions by quantum mechanical (QM) principles. This means that the ¹H NMR spectra of APIs can be precisely calculated and compared to the experimental data. This review explains how ¹H NMR spectroscopy coupled with Full Spin Analysis can contribute towards the quality control of pharmaceuticals by improving structural dereplication and achieving simultaneous quantification of both APIs and their contaminants.

Recent Advances in Standardization of Herbal Drugs

Background:

Herbal drugs play a significant role to maintain the human healthiness and to treat the ailments since the dawn of civilization. Moreover, these plants have provided many lead compounds that culminated in modern medicine. A single herb is regarded as mini-combinatorial library of phytoconstituents hence the quality control of herbal drugs in an herbal formulation is not an easy task because a number of factors impact their pharmacological efficiency and consistent therapeutic effects. Hence, to provide consistent beneficial therapeutic effects, standardized herbal products of consistent quality and purity are required.

Methods:

This review is based on publications obtained by a selective search in PubMed using the keywords “Standardized herbal products”, “fingerprinting”, “authentication”, “chemometric, hyphenated techniques”, “quality control of herbal drugs”, “identification”.

Results:

In the era of modernization, chromatographic techniques coupled with sophisticated spectroscopic analytical methods are used in estimating the authenticity, identity and characteristic of herbal products. Further, with the advancement of computer technology, chemometrics methods have become a leading tool with an unsupervised pattern recognition technique for handling multivariate data without prior knowledge about the studied samples and mines more beneficial and valuable information about the chemical entities from the raw data.

Conclusion:

Standardization of HDs chromatographic fingerprint is not always a perfect way to present all compounds. To assess the quality of medicinal plants, new ways are regularly being explored such as combination chemical fingerprint with biological methods, biofingerprint and metabolic fingerprint quality metrology, pharmacodynamics and export system of medicinal plants have been researched in some groups but still a significant amount of work is required to achieve a perfect system for quality evaluation of herbal drugs. Further, novel chemometric techniques have been unfolded that mines more beneficial and valuable information about the chemical entities from the raw data. So this review emphasis mainly on hyphenated techniques associated with chemometric method used in herbal drugs for identifying more valuable information and various methods for providing data, among which most commonly used techniques are chemometric resolution method and Principal Component Analysis (PCA) method.

Quo Vadis qNMR?

The quantification of a drug, its impurities, and e.g. components of a mixture has become routine in NMR laboratories and many applications have been described in the literature. However, besides simply using 1D ¹H or ¹³C NMR, a number of more advanced methods has been developed and used in the past. Here, we want to describe the applicability of nuclei beyond the classical ones ¹H and ¹³C. Mixtures can be characterized much better by applying various chemometric methods and separating the signals of mixture components can be achieved by DOSY experiments. All these methods contribute to the platform of qNMR methods and extend the possibilities of NMR for quantification and quality evaluation of drugs, excipients, polymers, and plant extracts. However, for quantification purposes, validation is always an issue and it is necessary to think about taking NMR related measures which might be different from the ones considered for chromatographic methods.

Common risks of adulterated and mislabeled herbal preparations

Due to the growing trend of returning to nature and the fear of adverse reactions from conventional medicines, people are increasingly resorting to the use of herbal preparations. Because of long-term use and natural origin these preparations give a sense of security. But herbal formulations also possess undesirable effects and, among other dangers, present a risk connected with deliberate addition of synthetic compounds, deliberate or unintentional replacement of the plant species or simply a risk of mislabeling. While the replacement of the plant species occurs in a very different groups of herbal products, reports of added illicit synthetic substances often include groups of herbal weight-loss preparations, sexual enhancers, preparations for treatment of rheumatic and inflammatory diseases, antidiabetic and blood pressure lowering preparations. In the world of Internet ordering, these are the dangers that everyone should be aware of. In this article, we reviewed the safety issues related to adulterated or mislabeled herbal products.