Exploring the Influence of an Antifungal Medication on Patients Receiving Oral Hypoglycemic Therapy: Investigating the Interplay Between Medications

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Shruti M Thakre
D.Veerendra Kumar
Anil Ahuja
Naziya Hamid
Anup R Thakre
Mohd. Shahid Khan
Hemant A Sawarkar
Lalchand Devhare

Abstract

In situations where diabetic patients who are prescribed either pioglitazone or repaglinide may also require treatment with an antifungal medication such as Itraconazole. In order to explore the potential interactions between Itraconazole and oral anti-diabetic agents, this study was carried out. Whole study was divided in 3 phases and blood glucose level (BGL) was measured. In the study, it was found that there are changes in BGL in normal and diabetic animals when concurrently used with itraconazole which may be due to at metabolic stage. The observed potentiation of hypoglycemic effects of both pioglitazone and repaglinide by itraconazole pre-treatment can be attributed to pharmacokinetic modification by Itraconazole.

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How to Cite
Shruti M Thakre, D.Veerendra Kumar, Anil Ahuja, Naziya Hamid, Anup R Thakre, Mohd. Shahid Khan, Hemant A Sawarkar, & Lalchand Devhare. (2023). Exploring the Influence of an Antifungal Medication on Patients Receiving Oral Hypoglycemic Therapy: Investigating the Interplay Between Medications. Journal of Coastal Life Medicine, 11(2), 1255–1262. Retrieved from https://www.jclmm.com/index.php/journal/article/view/1150
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References

Dennis SS, John MN. Case Study: Infections in Diabetes Mellitus. Diabetes Spectrum. 2002; 15 (1): 37-40.

Joshi N, Caputo G, Weitekamp M, Karchmer A: Infections in patients with diabetes mellitus. N Engl J Med. 1999; 341: 1906-12.

Wheat L: Infection and diabetes mellitus. Diabetes Care 1980, 3:187–97.

Maciejewska A, Jaskółowska A, Kwaśniewska J. Fungi in patients with diabetes mellitus type II: prevalence, species of isolated strains. Wiad Parazytol 2004; 50(2):163-70.

Uplanchiwar VP, Hiradeve SM, Fulzele VB, Mansoori MH and Jain H: Influence of lornoxicam on hypoglycemic potential of some oral hypoglycemic agents in normal and diabetic rats. Int J Pharm Sci & Res 2022; 13(1): 302-08. doi: 10.13040/IJPSR.0975-8232.13(1).302-08

Patel, Kaushal, Rajeev Kumar Bheemachari, Vaibhav Uplanchiwar, and Sushil Raut. "Influence of Rimonabant on oral hypoglycemic activity of Glibenclamide and Glipizide on albino & diabetic rat." (2011).

Bheemachari, Setty RS. Influence of Higher Dose of Itraconazole on Sulfonylurea-Induced Hypoglycemia in Albino Rats. The Antiseptic July 2005; 102(7): 376-378.

Setty RS, Bheemachari, Joshi VG, Anand Kumar Y, Pandit J, Venkat Rao N Rambhimaiah S. Influence of Itraconazole on Sulfonylureas-Induced Hypoglycemia in Diabetic Rats. Ind J Pharm Sci 2005; 67 (6): 677-680.

Dhingra P L. Granulomatous Diseases of Nose In: Diseases of Ear, Nose and Throat 3rd ed. Elsevier 2004; p. 197.

Lionel Vincent, François Biron, Philippe Jardin , Marie-Antoinette Piens, Eric Dannaoui, Sylvie Isaac, Benoît Guibert, Yves Pacheco. Pulmonary mucormycosis in a diabetic patient. Ann Med Interne 2000; 151:669-672.

Tapper-Jones LM, Aldred MJ, Walker DM, Hayes TM. Candidal infections and populations of Candida albicans in mouth of diabetics. J Clin Pathol Jul 1981; 34(7): 706-711.

Dorko E, Baranová Z, Jenca A, Kizek P, Pilipcinec E, Tkáciková L. Diabetes mellitus and candidiases. Folia Microbiol (Praha) 2005; 50(3):255-61.

Gupta AK, Konnikov N, MacDonald P, Rich P, Rodger NW, Edmonds MW, McManus R, Summerbell RC: Prevalence and epidemiology of toenail onychomycosis in diabetic subjects: a multicentre survey. Br J Dermatol 1998; 139: 665–71.

Pierard GE, Pierard-Franchimont C. The nail under fungal siege in patients with type II diabetes mellitus. Mycoses 2005; 48:339–42.

Lugo-Somolinos A, Sanchez JL: Prevalence of dermatophytosis in patients with diabetes. J Am Acad Dermatol 1992; 26:408–10.

Alteras I, Saryt E: Prevalence of pathogenic fungi in the toe-webs and toe-nails of diabetic patients. Mycopathologia 1979; 67:157–59.

Romano C, Massai L, Asta F, Signorini AM:Prevalence of dermatophytic skin and nail infections in diabetic patients. Mycoses 2001; 44:83–6.

Dogra S, Kumar B, Bhansali A, Chakrabarty A. Epidemiology of onychomycosis in patients with diabetes mellitus in India. Int J Dermatol 2002; 41:647–51.

Tapper-Jones LM, Aldred MJ, Walker DM, Hayes TM. Candidal infections and populations of Candida albicans in mouth of diabetics. J Clin Pathol Jul 1981; 34(7): 706-711.

Dorko E, Baranová Z, Jenca A, Kizek P, Pilipcinec E, Tkáciková L. Diabetes mellitus and candidiases. Folia Microbiol (Praha) 2005; 50(3):255-61.

Waugh J, Keating GM, Plosker GL, Easthope S, Robinson DM. Pioglitazone: a review of its use in type II diabetes mellitus. Drugs 2006; 66:85-109.

Wenjiang Z, Yamini R, Tansel K, Helma N, Rachel FT, Edward MS. Inhibition of

cytochrome P450 by antifungal imidazole derivatives. The Ame Soc for Pharmacol and

Exp Ther 2002; 30(3):314-18.

Eckland DA, Danhof M. Clinical pharmacokinetics of pioglitazone. Exp Clin Endocrinol Diabetes. 2000; 108(2):234-42.

Hanefeld M. Pharmacokinetics and clinical efficacy of pioglitazone. Int J Clin Pract. 2001; 121: 19-25.

Kajosaari LI, Jaakkola T, Neuvonen PJ, Backman JT. Pioglitazone, an in vitro inhibitor of CYP2C8 and CYP3A4, does not increase the plasma concentrations of the CYP2C8 and CYP3A4 substrate repaglinide. Eur J Clin Pharmacol. 2006 Mar; 62(3):217-23.

Rajendra. Studies on the influence of lansoprazole on the hypoglycaemic activity of glibenclamide and tolbutamide in normal albino rabbits, rats and alloxon induced diabetic rats. M. Pharm dissertation submitted to Rajiv Gandhi University Bangalore. 1999.

Eswar Kumar, K., Ramesh, A., Satyanarayana, S., 2008. Pharmacodynamic and Pharmacokinetic Drug Interaction of Gliclazide and Lacidipine in Animal Models. Indian J. Pharm. Educ. Res. 42 (3), 277-281.

Satyanarayana, S., Prasad, K., Nitin, M., 2003. Pharmacodynamic drug interaction of selegiline and tolbutamide in rats. Indian drugs. 40(6), 366-8.

Trinder, P., 1969. Determination of glucose in blood using glucose oxidase with an alternative oxygen receptor. Ann. Clin. Biochem. 6, 24-7.

Lalchand D. Devhare, A. P. Ghugare, B. P. Hatwar, D. C. Goupale. Method development for determination of water content from various materials by spectrophotometry and it’s validation. International journal of drug delivery, 2015, 7(4), 233-240.

Lalchand D. Devhare, P. K. Kore. A Recent Review On Bioavailability And Solubility Enhancement Of Poorly Soluble Drugs By Physical And Chemical Modifications. Research chronicle in health sciences. 2016, 2(5), 299-308.

T. U. Tonde, R. H. Kasliwal, Lalchand D. Devhare. Quantitative estimation of bacoside a in polyherbal memory enhancer syrup for memory boosting activity using hptlc method. Research chronicle in health sciences. 2016, 2(6), 315-320.

A. P. Ghugare, Lalchand D. Devhare, B. P. Hatwar. Development and validation of analytical methods for the simultaneous estimation of Nimorazole and Ofloxacin in tablet dosage form. International journal of drug delivery. 2016,8(3), 96-98.

Harshal. G. Salpe, Lalchand D. Devhare, Anjali Ghugre, & Navjot Singh. Formulation and evaluation of hpmc coated diltiazem hcl tablet and its comparison with other marketed preparation. Research chronicle in health sciences. 2016, 3(1), 11-17.

A. A. Makhani and Lalchand D. Devhare. Development and validation of vierordt's spectrophotometric method for simultaneous estimation of drotaverine and nimesulide combination. Research chronicle in health sciences. 2017, 3(2), 22-28.

A. Makhani and Lalchand D. Devhare. Development and validation of analytical methods for drotaverine and nimesulide combination. Research chronicle in health sciences. 2017, 3(3), 40-44.

Gayatri Katole, Lalchand D Devhare et al. Recent insight into some emerging natural resources with remarkable hepatoprotective potentials. International journal of pharmaceutical science and research. 2020, 5(1),41-47.

Vaibhav P Uplanchiwar, Sushil Yadaorao Raut, Lalchand D Devhare, et al. Pharmacological assessment of antiulcer activity of gloriosa superba linn tubers in experimentally induced gastric ulcers. Journal of medical pharmaceutical and allied science. 2021, 10( 3), 2852-2856.

Lalchand D. Devhare and Niharika Gokhale. Acid Neutralizing capacity and antimicrobial potential of selected solvent extract from various indigenous plant. Journal of Advanced Scientific Research (JASR). 2021, 12(4), 175-179.

Lalchand D. Devhare and Niharika Gokhale. Antioxidant and antiulcer property of different solvent extracts of cassia tora linn. Research journal of pharmacy and technology. 2022, 15(3), 1109-1113.

Lalchand D. Devhare and Niharika Gokhale. In silico anti-ulcerative activity evaluation of some bioactive compound from cassia tora and butea monosperma through moleculer docking approach. International journal of pharmaceutical sciences and research. 2023, 14(2), 1000-08.

Lalchand D. Devhare and Niharika Gokhale. A brief review on: phytochemical and antiulcer properties of plants (fabaceae family) used by tribal people of gadchiroli maharashtra. International journal of pharmaceutical sciences and research. 2023, 14(4), 1572-1593

Nikam Nikita R, Akotkar Vaishnavi, Devhare D Lalchand, et al. Parenteral drug delivery approach: an overview. Journal of xidian university. 2023, 17(1), 386-400.

Shubham M. Shende , Pooja Bhandare, Lalchand D Devhare, et al. In-vitro: micropropagation of mint and investigate the antibacterial activity of mint extract. Eur. Chem. Bull. 2023, 12(Special Issue 5), 780 – 784

Shishupal S. Bodhankar, Lalchand D.Devhare, et al. Formulation and in vitro evaluation of dental gel containing ethanglic extract of Mimosa Pudica. Eur. Chem. Bull. 2023, 12(5), 1293-1299

Lalchand D. Devhare, Shishupal S. Bodhankar, et al. Important role of food and nutritional security during Covid-19: A survey. Eur. Chem. Bull. 2023, 12(5), 1363-1374

Neha R. Pathak, Lalchand D. Devhare, et al. Aclinial reveiew on pharmacological evaluation of Thiazolidine and Isatin in the new millenium as magic moieties. Eur. Chem. Bull. 2023, 12(5), 3410-3417.

Shailja Singh, Kimee Hiuna Minj, Lalchand D Devhare, et al. An update on morphology, mechanism, lethality, and management of dhatura poisoning. Eur. Chem. Bull. 2023, 12(5), 3418-3426.

Pravin B. Suruse, B. A. Jadhav, Lokesh G. Barde, Lalchand D Devhare et al. Exploring the potential of Aerva Lanata extract in a herbal ointment for fungal infection treatment. Journal of Survey in Fisheries Sciences.10(1), 1922-1932

Shubham Shende, Bhagyashri Meshram, Heera Karemore, Lalchand D Devhare. et al. Development And Characterization of Glycerogelatin Suppositories For Enhanced Efficacy. European Journal of Pharmaceutical and Medical Research. 2023, 10(6), 522-528

Vinod M. Thakare, Shraddha A. Umare, Lalchand D Devhare et al. Separation and purification of carboxymethyl cellulose from Spinacia Oleracea for use in pharmaceutical dosage form. Eur. Chem. Bull. 2023, 12(5), 4062-4080.

Pravin B. Suruse, Aakansha P. Deshmukh, Lokesh G. Barde, Lalchand D Devhare et al. Rimegepant-embedded fast dissolving films: A novel approach for enhanced migraine relief. Journal of Survey in Fisheries Sciences. 10(1), 2071-2084

Mahesh Prasad, Abhishek Suman, Swati Srivastava, Lalchand D Devhare et al. Butea monosperma stem bark extract partially reverses high fat diet-induced obesity in rats. Eur. Chem. Bull. 2023, 12(Reg Issue 5), 4267 – 4273.

Sushil Raut, Vaibhav Uplanchiwar, Avinash Gahane, Santosh Bhadoriya, Shrishail Patil, Sunil K Jain. Development, characterization and investigation of anti-inflammatory potential of valdecoxib topical gels. 2012, NISCAIR-CSIR, India