Thymus vulgaris ameliorates cough in children with asthma exacerbation: a randomized, triple-blind, placebo-controlled clinical trial.

Asthma exacerbation breathlessness cough spirometry thymus vulgaris

Journal

Allergologia et immunopathologia
ISSN: 1578-1267
Titre abrégé: Allergol Immunopathol (Madr)
Pays: Singapore
ID NLM: 0370073

Informations de publication

Date de publication:
2024
Historique:
received: 25 07 2023
accepted: 02 10 2023
medline: 8 1 2024
pubmed: 8 1 2024
entrez: 8 1 2024
Statut: epublish

Résumé

Asthma is one of the most common chronic respiratory diseases with inflammatory involvement and has a high burden worldwide. This study aimed to determine the effect of In this randomized, triple-blind clinical trial, 60 children between the ages of 5 and 12 with asthma exacerbations were randomly divided into two groups. The intervention group (n = 30) was given TV powder at a dose of 20 mg/kg every 8 hours, prepared as syrup, along with routine medical treatment for a week, and the control group (n = 30) received only routine medical treatment with placebo syrup. At the end of the week, clinical and laboratory symptoms, and spirometry data were re-recorded for both groups. Finally, the recorded factors were compared and statistically analyzed. The results showed that after the intervention, activity-induced cough reduced, and difference was statistically significant between the two groups (p = 0.042), but the reduction in wheezing and breathlessness had no statistically significant difference. Spirometry data showed a significant difference in forced expiratory volume in 1 second (FEV1) between the two groups after intervention (p = 0.048), but this difference was not significant in FEV1/FVC (forced vital capacity), peak expiratory flow (PEF), and forced expiratory flow at 25-75% of the vital capacity (FEF25-75%). The results show that TV syrup may be useful as an adjuvant treatment in children with asthma exacerbations.

Sections du résumé

BACKGROUND BACKGROUND
Asthma is one of the most common chronic respiratory diseases with inflammatory involvement and has a high burden worldwide. This study aimed to determine the effect of
METHODS METHODS
In this randomized, triple-blind clinical trial, 60 children between the ages of 5 and 12 with asthma exacerbations were randomly divided into two groups. The intervention group (n = 30) was given TV powder at a dose of 20 mg/kg every 8 hours, prepared as syrup, along with routine medical treatment for a week, and the control group (n = 30) received only routine medical treatment with placebo syrup. At the end of the week, clinical and laboratory symptoms, and spirometry data were re-recorded for both groups. Finally, the recorded factors were compared and statistically analyzed.
RESULTS RESULTS
The results showed that after the intervention, activity-induced cough reduced, and difference was statistically significant between the two groups (p = 0.042), but the reduction in wheezing and breathlessness had no statistically significant difference. Spirometry data showed a significant difference in forced expiratory volume in 1 second (FEV1) between the two groups after intervention (p = 0.048), but this difference was not significant in FEV1/FVC (forced vital capacity), peak expiratory flow (PEF), and forced expiratory flow at 25-75% of the vital capacity (FEF25-75%).
CONCLUSION CONCLUSIONS
The results show that TV syrup may be useful as an adjuvant treatment in children with asthma exacerbations.

Identifiants

pubmed: 38186189
doi: 10.15586/aei.v52i1.964
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

9-15

Références

1. Graef JW, Wolfsdorf JI, Greenes DS. Manual of pediatric therapeutics: Lippincott Williams & Wilkins; 2008.
2. Chang AB, Oppenheimer JJ, Weinberger MM, Rubin BK, Grant CC, Weir K, et al. Management of children with chronic wet cough and protracted bacterial bronchitis: CHEST guideline and expert panel report. Chest. 2017;151(4):884–90. 10.1016/j.chest.2017.01.025
doi: 10.1016/j.chest.2017.01.025
3. Ranjbar M, Panahi A, Heidari FS, Nekoozadeh S. Comparison study of therapeutic effect of dextrometorphan and essence of Thyme (Zatara Multiflorian) in acute and non-productive cough. 2015.
4. Sweetman SC. Dose adjustment in renal impairment: response from Martindale: the Complete Drug Reference. Bmj. 2005; 331(7511):292–3. 10.1136/bmj.331.7511.292-a
doi: 10.1136/bmj.331.7511.292-a
5. Wagner L, Cramer H, Klose P, Lauche R, Gass F, Dobos G, et al. Herbal medicine for cough: a systematic review and meta-analysis. Complementary Medicine Research. 2015;22(6):359–68. 10.1159/000442111
doi: 10.1159/000442111
6. Emami Bistgani Z, Mamedov N, Lotfy Ashour M. Genus Thymus in Iran—Ethnobotany, Phytochemical, Molecular, and Pharma-cological Features. Biodiversity, Conservation and Sustain-ability in Asia: Volume 2: Prospects and Challenges in South and Middle Asia: Springer; 2022. pp. 817–848.
7. Ocaña A, Reglero G. Effects of thyme extract oils (from Thymus vulgaris, Thymus zygis, and Thymus hyemalis) on cytokine production and gene expression of oxLDL-stimulated THP-1-macrophages. Journal of obesity. 2012;2012:104706. 10.1155/2012/104706
doi: 10.1155/2012/104706
8. Rota MC, Herrera A, Martínez RM, Sotomayor JA, Jordán MJ. Antimicrobial activity and chemical composition of Thymus vulgaris, Thymus zygis and Thymus hyemalis essential oils. Food control. 2008;19(7):681–87. 10.1016/j.jfda.2017.05.004
doi: 10.1016/j.jfda.2017.05.004
9. Kemmerich B. Evaluation of efficacy and tolerability of a fixed combination of dry extracts of thyme herb and primrose root in adults suffering from acute bronchitis with productive cough. Arzneimittelforschung. 2007;57(09):607–15. 10.1055/s-0031-1296656
doi: 10.1055/s-0031-1296656
10. McLellan AT, Lewis DC, O’brien CP, Kleber HD. Drug dependence, a chronic medical illness: implications for treatment, insurance, and outcomes evaluation. Jama. 2000;284(13):1689–95. 10.1001/jama.284.13.1689
doi: 10.1001/jama.284.13.1689
11. Ebrahimpour N, Khazaneha M, Mehrbani M, Rayegan P, Raeiszadeh M. Efficacy of Herbal Based Syrup on male sexual experiences: A double-blind randomized clinical trial. Journal of Traditional and Complementary Medicine. 2021;11(2):103–8. 10.1016/j.jtcme.2020.01.004
doi: 10.1016/j.jtcme.2020.01.004
12. Hajimehdipoor H, Shekarchi M, Khanavi M, Adib N, Amri M. A validated high performance liquid chromatography method for the analysis of thymol and carvacrol in Thymus vulgaris L. volatile oil. Pharmacognosy magazine. 2010;6(23):154–58. 10.4103/0973-1296.66927
doi: 10.4103/0973-1296.66927
13. Lung NH, Institute B. Expert panel report 3 (EPR3): guidelines for the diagnosis and management of asthma. http://www.nhlbi.nih.gov/guidelines/asthma/ 2007.
14. Seif F, Khoshmirsafa M, Mousavi M, Beshkar P, Rafeian-Kopaei M, Bagheri N, et al. Interleukin-21 receptor might be a novel therapeutic target for the treatment of rheumatoid arthritis. Journal of Experimental & Clinical Medicine. 2014;6(2):57–61. 10.1016/j.jecm.2014.02.010
doi: 10.1016/j.jecm.2014.02.010
15. Boskabady M, Alavinezhad A, Boskabady MH. Zataria multiflora induced bronchodilatoion comparable to theophylline syrup in asthmatic patients. Explore. 2021;17(6):578–83. 10.1016/j.explore.2020.07.002
doi: 10.1016/j.explore.2020.07.002
16. Ghorani V, Rajabi O, Mirsadraee M, Rezaeitalab F, Saadat S, Boskabady MH. A randomized, doubled-blind clinical trial on the effect of Zataria multiflora on clinical symptoms, oxidative stress, and C-reactive protein in COPD patients. The Journal of Clinical Pharmacology. 2020;60(7):867–78. 10.1002/jcph.1586
doi: 10.1002/jcph.1586
17. Alavinezhad A, Ghorani V, Rajabi O, Boskabady MH. Zataria multiflora affects clinical symptoms, oxidative stress and cytokines in asthmatic patient: a randomized, double blind, placebo-controlled, phase II clinical trial. Cytokine. 2020;133: 155169. 10.1016/j.cyto.2020.155169
doi: 10.1016/j.cyto.2020.155169
18. Kemmerich B, Eberhardt R, Stammer H. Efficacy and tolerability of a fluid extract combination of thyme herb and ivy leaves and matched placebo in adults suffering from acute bronchitis with productive cough. Arzneimittelforschung. 2006;56(09): 652–60. 10.1055/s-0031-1296767
doi: 10.1055/s-0031-1296767
19. Bayat M, Shahsavari S. Evaluation of effectiveness of Thyme CW (Oral drop) on the improvement of respiratory function of patients with chemical bronchitis inKu rdistan. Journal Mil Med. 2006;7(4):293–97.
20. Nadeem A, Chhabra SK, Masood A, Raj HG. Increased oxidative stress and altered levels of antioxidants in asthma. Journal of Allergy and Clinical Immunology. 2003;111(1):72–8. 10.1067/mai.2003.17
doi: 10.1067/mai.2003.17
21. Nagoor MMF, Stanely MPP. Protective effects of thymol on altered plasma lipid peroxidation and nonenzymic anti-oxidants in isoproterenol-induced myocardial infarcted rats. Journal of Biochemical and Molecular Toxicology. 2012;26(9): 368–73. 10.1002/jbt.21431
doi: 10.1002/jbt.21431
22. Honscheid A, Rink L, Haase H. T-lymphocytes: a target for stimulatory and inhibitory effects of zinc ions. Endocrine, Metabolic & Immune Disorders-Drug Targets (Formerly Current Drug Targets-Immune, Endocrine & Metabolic Disorders). 2009;9(2):132–44. 10.2174/187153009788452390
doi: 10.2174/187153009788452390
23. Soleymani SM, Salimi A. Enhancement of dermal delivery of finasteride using microemulsion systems. Advanced Pharma-ceutical Bulletin. 2019;9(4):584. 10.15171/apb.2019.067
doi: 10.15171/apb.2019.067
24. Ozolua R, Umuso D, Uwaya D, Modugu A, Oghuvwu S, Olomu J. Evaluation of the anti-asthmatic and antitussive effects of aqueous leaf extract of Ocimum gratissimum in rodents. Med Arom Plants. 2016;5:2.
25. Zhou E, Fu Y, Wei Z, Yu Y, Zhang X, Yang Z. Thymol attenuates allergic airway inflammation in ovalbumin (OVA)-induced mouse asthma. Fitoterapia. 2014;96:131–37. 10.1016/j.fitote.2014.04.016
doi: 10.1016/j.fitote.2014.04.016

Auteurs

Elnaz Eskandarpour (E)

Student Research Committee, Faculty of Medicine, Ardabil University of Medical Sciences.

Adel Ahadi (A)

Pediatric Department of BO-Ali Hospital, Ardabil University of medical sciences, Ardebil, Iran.

Arezoo Moini Jazani (AM)

Traditional Medicine and Hydrotherapy Research Center, Ardabil University of Medical Sciences, Ardabil, Iran.

Ramin Nasimi Doost Azgomi (RND)

Traditional Medicine and Hydrotherapy Research Center, Ardabil University of Medical Sciences, Ardabil, Iran.

Rasol Molatefi (R)

Cancer Immunology and Immunotherapy Research Center, Ardabil University of Medical Sciences, Ardabil, Iran.
Pediatric Department of BO-Ali Hospital, Ardabil University of medical sciences, Ardebil, Iran.
Traditional Medicine and Hydrotherapy Research Center, Ardabil University of Medical Sciences, Ardabil, Iran; rmolatefi@yahoo.com.

Classifications MeSH