Abstract
Background: This study aims to develop a new hepatoprotective drug from common plants
and vitamins that are potent, nontoxic, and cost-effective. The literature search found that Curcuma
longa , Zingiber officinale, Terminalia, chebula, and Vitamin A (Vitamin C + Vitamin E) provide
hepatoprotective action against drugs-induced hepatotoxicity. A major side effect of antitubercular
drugs (ATD) is liver toxicity, which reduces their effectiveness.
Aim: In this study, Vitamins and Phytoconstituents (Combined extract) were evaluated for their potential
hepatoprotective effects against hepatotoxicity induced by antitubercular drugs in Wistar albino
rats of either sex.
Materials and Methods: In the study, ethanolic extract of rhizomes of Curcuma longa and Zingiber
officinale , fruits of Terminalia chebula , and vitamins C and E were used. As a standard drug, silymarin
was also used. For 30 days, albino rats received 7.5 mg/kg isoniazid, 10 mg/kg rifampicin,
and 35 mg/kg pyrazinamide orally as a suspension in distilled water.
Result: A combined extract plus vitamins (500mg/kg) treatment significantly reduced the hepatic toxicity
caused by antitubercular drugs (P<0.05-P<0.001). A combination of extracts + vitamins
(500mg/kg) eliminates hepatotoxicity, and the results are close to those of Silymarin, a standard drug.
Conclusion: As a result of this study, extracts+vitamins provide protection against liver injury attributed
to their hepatoprotective activity, which supports their traditional use.
Keywords:
Curcuma longa extract, Zingiber officinale extract, Terminalia chebula extract, vitamins, isoniazid, rifampin, pyrazinamide, liver enzymes.
Graphical Abstract
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