LECTURE 2 – Application forms, mode of administration. Herbal tea preparations. Dr. Ivana Daňková Dept. of Natural Drugs, Faculty of Pharmacy, VFU Brno PHYTOPHARMACEUTICALS academic year 2018/19 Plant drugs – terminology 2 Pharmacopoeial names of plant organs:  radix = root (e.g. Liquiritiae radix, liquorice)  rhizoma = rhizome (e.g. Zingiberis rhizoma, ginger)  cortex = bark (e.g. Salicis cortex, willow bark)  lignum = wood (e.g. Juniperi lignum, Quassiae lignum)  herba = whole aerial (above-ground) part of plant = stem + leaves + flowers (e.g. Thymi herba, thyme)  folium = leaves (e.g. Sennae folium)  flos = flowers, or inflorescences (e.g. Calendulae flos, marigold flower)  fructus = fruit (e.g. Anisi fructus, aniseed)  semen = seed (e.g. Lini semen)  pericarpium (fructus sine semen) = pericarp (e.g. Aurantii pericarpium = orange fruit pericarp; Phaseoli fructus sine semen) Plant drugs terminology 3  binomial terminology – first part of a drug name is according the plant (usually name of plant genus or species), second part is according the plant organ  Sambucus nigra → Sambuci flos  Salvia officinalis → Salviae folium  Mentha piperita → Menthae piperitae folium  Atropa belladonna → Belladonnae radix  exceptions:  one name → Aloe, Lycopodium  more names → Crataegi folium cum flore  name of drug is different from plant name → e.g. Liquiritiae radix (Glycyrrhiza glabra), Cynosbati fructus (Rosa canina) Plant drugs terminology 4  !! older terminology of plant drugs – the opposite order of names of plant drugs or galenical preparations (in older literature and pharmacopoeias, e.g.:  Valerianae radix (now) ↔ Radix valerianae (formerly)  Salviae officinalis folium (now) ↔ Folium salviae officinalis (formerly)  Gentianae tinctura (now) ↔ Tinctura gentianae (formerly)  Althaeae sirupus (now) ↔ Sirupus althaeae (formerly) BUT Sirupus simplex Plant drugs terminology 5  other terms:  Etheroleum, etherolea = essential oils (e.g. Anisi etheroleum)  Olea plantarum pinguia (Olea herbaria) = vegetable fatty oils (e.g. Helianthi oleum)  Mucilago = mucilage (e.g. Acaciae mucilago)  Oleoresinum, oleoresina = oleoresin (e.g. Capsici oleoresina)  Balsamum = balm (e.g. Balsamum peruvianum)  Pix = tar (e.g. Pix lithantracis = coal tar)  etc.  names of galenical preparations  Extractum = extract  Tinctura = tincture (e.g. Gentianae tinctura x Tinctura amara)  Solutio = solution (e.g. Lactulosi solutio)  Sirupus = syrup (e.g. Althaeae sirupus x Sirupus simplex)  Spiritus = spirit (e.g. Spiritus anisi compositus)  Guttae = drops  Tabulettae = tablets  Capsulae = capsules  Unguentum = ointment Plant drugs constituents 6  Chemical constituents of plants:  active principles = effective constituents, the substances mainly responsible for the use of the drug  constituents that can influence the main constituents = co-effective principles  dietetically significant components  auxiliary components  concomitant components  ballast components Biologically active secondary metabolites 7 The most important groups of active constituents:  alkaloids  flavonoids and relative compounds  phenolics, polyphenolics  saponins  essential oils (terpenes or phenylpropanoids)  anthraquinones  tannins  bitter principles  polysaccharides, mucilage… Alkaloids  are highly biological active and highly toxic (depending on dose)  !!! the most of alkaloid drugs are not suitable as phytopharmaceuticals due to their toxicity – alkaloid drugs are rather used for isolation of active compounds  Examples of highly biologically active alkaloids:  morphine (Papaver somniferum) – analgesic  codeine (Papaver somniferum) – antitussive  papaverine (Papaver somniferum) – spasmolytic  quinine (Cinchona sp.) – antimalarial, analgesic  emetine (Cephaelis ipecacuanha) – emetic (vomiting)  atropine (Atropa bella-donna) – parasympatholytic, anticholinergic  etc. 8 Papaver somniferum, poppy plant Papaveris fructus morphine – analgesic codeine – antitussive papaverine – spasmolytic Atropa belladonna, deadly nightshade Belladonnae folium, B. radix atropine, scopolamine – anticholinergic agents Cinchona pubescens Cinchonae cortex quinine – antimalarial, analgesic ALKALOID DRUGS 9 Mode of administration 10  internal use – orally  herbal teas  drops, syrups, aromatic waters, aromatic spirits...  lozenges (pastilles)  tablets, capsules  external use  inhalation  on skin – water/alcoholic preparations, ointments, creams  compress, bath,... extraction with ethanol Medicinal preparations Fresh (crude) plant material Plant drug medicinal wines pressed juices oil concentrates ethanolic extracts tinctures,... aqueous extracts (infusion, decoction) essential oils (distillation) extraction with H2O solid forms (tablets, capsules,...) drying (lyophilisation) external use 11 plant material primary extract active extract fractionation biological tests isolation, purification pure active substance extraction searching of biologically active fraction General procedure for isolation of active principles 12 Herbal tea preparations 13  Plantae medicinales ad potionem aquosam (ČL 2009) = medicinal plant drugs for tea preparations  monocomponent = a herbal medicinal product consisting solely of one plant drug  polycomponent = „species“, remedies – consisting of more plant drugs, optimum 4-6 drugs (maximally 8)  remedium basis – main component responsible for biological effect  remedium adjuvans – a drug that support the effect of the main component  remedium corrigens – a drug that influences the taste and smell  drugs are treated (cut) according to the requirements  herbal teas are loose or in tea bags Herbal teas – dosage 14  tea bags – approx. 1.5-2 g of treated plant drug or mixture of drugs (package – usually 20 tea bags in a box)  usually for internal use – one tea bag per cup (150-250 mL of water)  dosage of loose teas (package – usually 50/100 g)  for internal use – teaspoon or tablespoon per cup  for external use – to a bath, as a compress, for inhalation Herbal teas - monocomponent 15  monocomponent - a herbal tea consisting only of one plant drug  the name of product according to the plant drug, in case of medicinal herbal teas is necessary also Latin name of plant drug  Plantain leaf, Plantain tea, Plantaginis folium Herbal teas - polycomponent 16  polycomponent - a herbal tea consisting of more plant drugs, „species“  herbal tea formulas must comply with legal requirements and demonstrate evidence of quality, efficacy and safety  the name of product usually according to the indication/ pharmacological effect of tea mixture Herbal teas – polycomponent 17  Tea for cough (Megaphyt Pharma)  Thymi herba Matricariae flos Sambuci flos Tiliae flos  20 tea bags/1,5 g  Species Pectorales (Leros)  Plantaginis folium Althaeae radix Farfarae folium Menthae piperitae herba Liquiritiae radix Verbasci flos Foeniculi fructus  loose tea, 100 g Herbal teas – polycomponent 18  the name of product sometimes according to „designed to“ („for who“), e.g.:  Herbal tea for women  Herbal tea for nursing mothers (lactating women)  Herbal tea for children  etc. Medicinal preparations 19  Mode of extraction (techniques) – water extracts, tea:  maceration  infusion decoction  pressing  distillation (isolation of essential oils) Medicinal preparations 20  MACERATION  solvent: cold/lukewarm water (at room temperature)!  in a ratio of drug to water = usually 5:100  time of extraction – several hours (3-12 hours)  examples of suitable plant drugs – mucilage drugs, e.g. Malvae flos, Althaeae folium Medicinal preparations 21  INFUSION  solvent: hot water  suitable for soft structures (flowers, leaves, herbs…), plant drugs with essential oils…  in a ratio of drug to water = 2-10 :100  pour hot (boiling) water over the plant drug, cover  time of extraction – usually (5-) 10-15 (-30) minutes  pass through a tea strainer Medicinal preparations 22  DECOCTION  solvent: boiling water  suitable for hard structures (roots, bark, hard fruits…), plant drugs containing tannins…  in a ratio of drug to water = 5-10 :100  boil (!) the drug with water  time of extraction – usually 10-15 minutes  pass through a tea strainer Comparison between infusion and decoction INFUSION DECOCTION Plant material Soft structure (leaves, flowers,...) Hard, woody structure (bark, root,...) Menstruum (Solvent) Hot/Boiling water Boiling water Procedure Infusing the drug with hot water Boiling the drug with water Time of extraction Calculated as soon as the water is added to drug Calculated as soon as the water begins to boil Adjustment of final volume No adjustment Adjustment is necessary Apparatus Infusion earthenware pot Any covered apparatus Storage Used fresh within 12 hours Used fresh and when stored in refrigerator used within few days 23 Extractum, extracta 24  aqueous/alcoholic extracts:  liquid (Extractum fluidum) – drug : solvent = 1:5, 1:10; e.g. Matricariae extractum fluidum  semi-solid, paste (Extractum spissum) – residual solvent 15-25 % e.g. Capsici acris extractum spissum normatum  dry (Extractum siccum) – residual solvent max. 5 %; e.g. Ginseng extractum siccum normatum, Ginkgo bilobae extractum siccum normatum  suitable for preparation of drops, syrups and other application forms (tablets, capsules,…) Extract classification in Ph. Eur. (2009) 25  Standardised extracts  adjustment to a defined content of a constituent with known therapeutic activity  Quantified extracts  adjustment to a defined range of constituents (active markers)  active markers are generally accepted to contribute to the therapeutic activity  Other extracts  neither constituents with known therapeutic activity nor active markers are known  monographs define a lower limit of a constituent (analytical marker) Standardised Extracts in Ph. Eur. not necessary to know, do not memorize that26  Aloes extractum siccum normatum  Belladonnae folii extractum siccum normatum  Belladonnae folii tinctura normata  Cinchonae extractum fluidum normatum  Frangulae corticis extractum siccum normatum  Hippocastani seminis extractum siccum normatum  Ipecacuanhae extractum fluidum normatum  Liquiritiae extractum fluidum ethanolicum normatum  Myrtilli fructus recentis extractum siccum raffinatum et normatum  Opii extractum siccum normatum  Rhamni purshianae extractum siccum normatum  Rhei extractum siccum normatum  Sennae folii extractum siccum normatum  Silybi mariani extractum siccum raffinatum et normatum Quantified Extracts in Ph. Eur. not necessary to know, do not memorize that27  Capsici oleoresina raffinata et quantificata (6.5-8.0 % capsaicinoids)  Crataegi folii cum flore extractum fluidum quantificatum - Hawthorn leaf and flower liquid extract (0.8-3.0 % flavonoids)  Ginkgonis extractum siccum raffinatum et quantificatum - Ginkgo dry extract (22.0-27.0 % flavonoids, 2.6-3.2 % bilobalide, 2.8-3.4 % ginkgolides)  Hyperici herbae extractum siccum quantificatum - St. John‘s wort dry extract (0.1-0.3 % hypericins)  Melissae folii extractum siccum quantificatum - Melissa leaf dry extract (in preparation, 3.0-6.0 % rosmarinic acid) Other Extracts in Ph. Eur. not necessary to know, do not memorize that28  Agni casti fructus extractum siccum  Boldi folii extractum siccum  Cynarae folii extractum siccum  Harpagophyti extractum siccum  Liquiritiae extractum siccum ad saporandum  Matricariae extractum fluidum  Melissae folii extractum siccum  Menthae piperitae folii extractum siccum  Oleae folii extractum siccum  Passiflorae herbae extractum siccum  Salicis corticis extractum siccum  Saw palmetto extract  Valerianae extractum aquosum siccum  Valerianae extractum hydroalcoholicum siccum Liquritiae extractum in Ph. Eur. not necessary to know, do not memorize that29  Liquiritiae extractum fluidum ethanolicum normatum  Liquorice ethanolic liquid extract, standardised  3.0-5.0 % of glycyrrhizic acid  the extract is produced from the herbal drug by a suitable procedure using ethanol 70% (V/V)  Liquiritiae extractum siccum ad saporandum  Liquorice dry extract for flavouring purposes  „other“ extract  5.0-7.0 % of glycyrrhizic acid  the extract is produced from the cut herbal drug by a suitable procedure using water 30 EUROPEAN PHARMACOPOEIA 7.0 Plant juices 31  complex composition – important in phytotherapy  content of hydrophilic components, not highly effective (no toxic) compounds  processing of fresh (crude) material, immediately after harvesting (or after freezing) to prevent enzymatic degradation  pressing using high pressure  heat treatment – pasteurisation  ALOE VERA GEL  Aloe barbadensis  juice of inner part of leaves, cold pressing  high content of polysaccharides, saponins, lignins, vitamins, minerals,…  low content of aloin  for internal/external use Etheroleum, etherolea 32  = essential oils, volatile oils  concentrated hydrophobic liquids containing volatile aroma (fragrant) compounds from plants  generally extracted by distillation (often by using steam), using solvent extraction or by mechanical process without heating (pressing)  wide biological effects – using in phytotherapy, aromatherapy  for culinary purposes; in cosmetics, perfumes Tinctura, tincturae 33  alcoholic extracts of drugs or alcoholic solutions of dry extracts  the solvent is only ethanol of suitable concentration (usually 60-70 %)  Preparation:  usually maceration at normal temperature, in ratio of drug to ethanol = 1:5  percolation; in a ratio of drug to ethanol = 1:10 (suitable for extraction of alkaloids, glycosides, essential oils)  dissolution of semi-solid or dry extract in ethanol percolator Tinctura, tincturae 34  Tinctura simplex – prepared of one drug  e.g. Arnicae tinctura Gentianae tinctura Valerianae tinctura…  Tinctura composita – prepared of more drugs  e.g. Tinctura amara Tinctura aromatica… Guttae, solutiones 35  = drops and medicinal solutions  homogenised dispersions of two or more components in water, ethanol, or glycerine (hydrophilic), or in oil (hydrophobic)  Preparation:  dissolution of dry medicines in solvent  mixing of one-phase liquid systems  Dosage:  drops – internal or external use  greater volume – e.g. gargles, mouthwash Oil concentrates 36  extraction of water/alcoholic insoluble compounds  high content of volatile compounds (essential oils, terpenic compounds)  e.g. extraction of flowers with cold oil (fat) – „enfleurage“ → high-quality fragrant oils (suitable for perfumes) Aromatic waters and spirits 37  Aromatic waters  saturated aqueous solutions of essential oils with small addition of alcohol for better solubility  used for adjustment of taste and smell, or as medicines, e.g. Aqua carminativa rubra  Aromatic spirits (alcohols)  solutions of essential oils or volatile compounds in alcohol, e. g. Anisi spiritus compositus  used for adjustment of taste and smell, or as medicines, especially as digestive, carminative and spasmolytic agents.  tinctures of fresh (non-dried) plants – Alcoholaturae AQUA CARMINATIVA ČL2009 Carvi etheroleum 0,1 g Citri etheroleum 0,1 g Citronellae etheroleum 0,1 g Coriandri etheroleum 0,1 g Foeniculi amari fructus etheroleum 0,1 g Mentae piperitae etheroleum 0,1 g Ethanolum 96% (V/V) 2,4 g Aqua purificata 997,0 g Talcum 5,0 g ANISI SPIRITUS COMPOSITUS ČL2009 Anisi etheroleum 2,0 g Ammonii chloridum 3,0 g Ethanolum 96% (V/V) 40,0 g Aqua purificata 55,0 g ČL 2009 = PHARMACOPOEIA BOHEMICA MMIX 38 Sirupus, sirupi 39  = syrups  a thick, viscous liquid consisting primarily of a solution of sugar in water, in water plant extract or in fruit juice.  containing a large amount of dissolved sugars (mainly sucrose, or glucose, fructose), or polyols (alcoholic sugars, e.g. mannitol, sorbitol)  Sirupus simplex (Simple syrup) = 64% (m/V) aqueous solution of sucrose (saccharose) – this concentration has a preservative effect  medicinal syrups contain dissolved medicinal compounds, plant extracts SIRUPUS SIMPLEX ČL2009 Saccharosum 640,0 g Aqua purificata 360,0 g ALTHAEAE SIRUPUS ČL2009 Althaeae radix 25,0 g Ethanolum 96% (V/V) 20,0 g Aqua purificata 400,0 g Saccharosum 640,0 g Methylparabenum 1,5 g 40 Medicinal wines 41  the base is usually „malt wine“ – obtained due to the fermentation of malt extract (from germinated barley grains – Hordeum vulgare)  the malt wine is enriched with water/alcoholic plant extract  ripening several months in oak barrels  MALTOFERROCHIN (Herbadent)  natural malt wine with a high content of iron, suitable for the treatment of anaemia.  contains also Cinchonae bark extract  CONDURANGO WINE  malt wine enriched with water-alcoholic extract of Marsdenia condurango bark  suitable for the treatment of digestive disorders, in case of loss of appetite Other application forms 42  instant/granular teas  tablets, sugar coated tablets, capsules, effervescent tablets  lozenges (pastilles), medicinal gums  preparations for inhalation  ointments, creams, lotions, aero-dispersions (sprays)  adhesive plasters (emplastra)  etc.