Registered Kenya · PPB

KOFOL SYRUP

AKKALKARA (ANACYCLUS PYRETHRUM)KABABCHINI (CUBEBA OFFICINALIS) MARI (PIPER NIGRUM)SONTH (ZINGIBER OFFICINALE)HALDI (CURCUMA LONGA)PIPPALI (PIPER LONGUM)BHARANGI (CLERODENDRON SERRATUM)BANAFSHA (VIOLA ODORATA)HAPUSHA (JUNIPERUS COMMUNIS)TULSI

17374 FIXED DOSE

What it does

Akkalkara is a natural product often used for its potential health benefits.

Commonly used for: stomach issues, digestive problems

Read more in plain English ↓

Plain-language summary for general understanding - not medical advice. Always follow your pharmacist/doctor.

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Registration & product details

Registration no.
17374
Registration date
-
Expiry date
-
Status
Registered
Active ingredient
AKKALKARA (ANACYCLUS PYRETHRUM)KABABCHINI (CUBEBA OFFICINALIS) MARI (PIPER NIGRUM)SONTH (ZINGIBER OFFICINALE)HALDI (CURCUMA LONGA)PIPPALI (PIPER LONGUM)BHARANGI (CLERODENDRON SERRATUM)BANAFSHA (VIOLA ODORATA)HAPUSHA (JUNIPERUS COMMUNIS)TULSI
Dosage form
FIXED DOSE
Strength
-
Pack size
-
Therapeutic class
-
Manufacturer / MAH
Surgilinks
Applicant / LTR
-
Country of origin
FOREIGN
Manufacturer location
MRGV+VXV, Mombasa Road, Nairobi, Kenya

Source: Pharmacy and Poisons Board · fetched 2026-01-28 21:57:15 · updated 2026-03-23 04:42:22

Disclaimer: This information is sourced from Pharmacy and Poisons Board (Kenya). Always consult a qualified healthcare professional before using any medication.

About akkalkara

Akkalkara is a natural product often used for its potential health benefits.

What it treats

  • stomach issues
  • digestive problems

How it works

Akkalkara may help improve digestion and relieve stomach discomfort.

Who it's for

It is generally used by adults seeking relief from digestive issues.

AI-assisted summary grounded in BNF data - general information only, not medical advice. Always confirm with your pharmacist or doctor.

About banafsha

Banafsha is a herbal remedy commonly used for its soothing properties.

What it treats

  • cough and cold symptoms
  • inflammation
  • skin irritations

How it works

Banafsha is thought to help calm inflammation and soothe the throat.

Who it's for

Banafsha can be used by adults and children who are experiencing mild respiratory or skin issues.

Cautions

  • • Consult a healthcare professional before use, especially if pregnant or breastfeeding.
  • • May cause allergic reactions in some individuals.

AI-assisted summary grounded in BNF data - general information only, not medical advice. Always confirm with your pharmacist or doctor.

About bharangi

Bharangi is a herbal remedy often used in traditional medicine.

What it treats

  • respiratory conditions (like asthma)
  • fever
  • inflammation
  • cough

How it works

Bharangi is believed to have properties that may help reduce inflammation and support respiratory health.

Who it's for

It is commonly used by individuals seeking natural remedies for respiratory issues and related symptoms.

AI-assisted summary grounded in BNF data - general information only, not medical advice. Always confirm with your pharmacist or doctor.

About haldi

Haldi, also known as turmeric, is a natural spice often used for its potential health benefits.

What it treats

  • inflammation
  • digestive issues
  • skin conditions

How it works

Haldi contains curcumin, which may help reduce inflammation and support overall health.

Who it's for

Haldi can be used by adults looking for natural ways to support their health.

AI-assisted summary grounded in BNF data - general information only, not medical advice. Always confirm with your pharmacist or doctor.

About hapusha

Hapusha is a herbal remedy often used for its potential health benefits.

What it treats

  • general wellness
  • improving digestion
  • boosting energy

How it works

Hapusha is believed to support overall health by enhancing various bodily functions, but its exact mechanisms are not well understood.

Who it's for

Hapusha is suitable for adults looking for natural support for their health and well-being.

Cautions

  • • Consult with a healthcare provider before use if you have underlying health conditions.
  • • Not recommended for pregnant or breastfeeding women.

AI-assisted summary grounded in BNF data - general information only, not medical advice. Always confirm with your pharmacist or doctor.

About kababchini

Kababchini is a natural substance often used for its potential health benefits.

What it treats

  • stomach issues
  • digestive problems

How it works

Kababchini is thought to help improve digestion and reduce discomfort in the stomach.

Who it's for

This product may be suitable for individuals experiencing digestive troubles.

AI-assisted summary grounded in BNF data - general information only, not medical advice. Always confirm with your pharmacist or doctor.

About mari

Mari is a medicinal product used to treat various conditions.

What it treats

  • pain relief
  • anxiety
  • nausea
  • appetite stimulation

How it works

Mari works by interacting with certain receptors in the brain and body to help relieve symptoms.

Who it's for

This medicine is for adults and may be prescribed for specific medical conditions.

AI-assisted summary grounded in BNF data - general information only, not medical advice. Always confirm with your pharmacist or doctor.

About pippali

Pippali is an herbal remedy commonly used in traditional medicine.

What it treats

  • digestive issues
  • respiratory problems
  • enhancing metabolism

How it works

Pippali is believed to support digestion and improve respiratory function by promoting the flow of energy in the body.

Who it's for

Pippali may be suitable for adults looking for natural support for digestion and respiratory health.

AI-assisted summary grounded in BNF data - general information only, not medical advice. Always confirm with your pharmacist or doctor.

About sonth

Sonth is a herbal remedy often used for its potential health benefits.

What it treats

  • digestive issues
  • nausea
  • inflammation

How it works

Sonth may help soothe the stomach and reduce nausea, as well as support overall digestive health.

Who it's for

Sonth can be used by adults seeking natural relief from digestive discomfort.

Cautions

  • • Consult a healthcare provider before use, especially if you are pregnant or have underlying health conditions.

AI-assisted summary grounded in BNF data - general information only, not medical advice. Always confirm with your pharmacist or doctor.

About tulsi

Tulsi, also known as holy basil, is a herbal remedy used for its potential health benefits.

What it treats

  • stress relief
  • supporting immune function
  • reducing inflammation
  • promoting respiratory health

How it works

Tulsi is believed to have antioxidant and anti-inflammatory properties, which may help improve overall health.

Who it's for

Tulsi may be suitable for adults looking for natural ways to support their health and wellness.

AI-assisted summary grounded in BNF data - general information only, not medical advice. Always confirm with your pharmacist or doctor.

Clinical monograph: akkalkara

Akkalkara, also known as Anacyclus pyrethrum, is a flowering plant belonging to the Asteraceae family. Traditionally used in herbal medicine, it is known for its potential stimulant and analgesic properties. The roots and seeds of the plant are often used for their therapeutic effects, particularly in traditional systems of medicine, including Ayurveda.

Indications

  • Cognitive enhancement
  • Fatigue
  • Pain relief
  • Inflammation

Dosage

Children: Refer to herbal medicine guidelines for specific dosing recommendations, as no standardized dose is established.

Adults: Refer to herbal medicine guidelines for specific dosing recommendations, as no standardized dose is established.

Mechanism of action

The exact mechanism of action of akkalkara is not fully elucidated. However, it is believed to exert its effects through the modulation of neurotransmitter systems in the central nervous system. Compounds in akkalkara may enhance the release of neurotransmitters such as serotonin and dopamine, which can lead to increased alertness and potential analgesic effects.

Pharmacodynamics

Akkalkara exhibits stimulant properties that can enhance cognitive function, increase energy levels, and potentially improve mood. Its analgesic effects may be attributed to its ability to influence pain pathways in the nervous system, providing relief from discomfort. Additionally, it may have anti-inflammatory effects, contributing to its therapeutic profile.

Pharmacokinetics

The pharmacokinetics of akkalkara are not well-studied in clinical settings. However, like many herbal supplements, its bioavailability may be influenced by various factors such as preparation method, dosage form, and individual metabolism. Its active constituents may be absorbed in the gastrointestinal tract and undergo hepatic metabolism, with the potential for varied excretion pathways.

Pregnancy

The safety of Akkalkara during pregnancy has not been established. It is advisable to avoid its use unless otherwise directed by a healthcare provider.

Breast-feeding

There is insufficient data regarding the excretion of Akkalkara in human milk. Caution is recommended when administering to breastfeeding women.

Storage

Store in a cool, dry place, away from direct sunlight and moisture. Keep out of reach of children.

AI-synthesized from BNF references - general information only, not a substitute for professional medical advice or the current BNF. Verify doses with a pharmacist.

Clinical monograph: banafsha

Banafsha, commonly known as Viola odorata, is a flowering plant used in traditional medicine for its various therapeutic properties. It is often utilized for its anti-inflammatory, analgesic, and expectorant effects. The plant is also recognized for its potential benefits in treating respiratory conditions and soothing various types of irritation.

Indications

  • Respiratory conditions
  • Cough
  • Bronchitis
  • Inflammation
  • Pain relief

Dosage

Children: Refer to established herbal guidelines for appropriate dosing based on preparation and indication, as specific doses are not standardized.

Adults: Refer to established herbal guidelines for appropriate dosing based on preparation and indication, as specific doses are not standardized.

Mechanism of action

Banafsha contains various phytochemicals, including flavonoids and saponins, which contribute to its therapeutic effects. These compounds have been shown to exert anti-inflammatory effects by inhibiting the release of pro-inflammatory cytokines and mediators. Additionally, the expectorant properties may stem from stimulating mucous membranes, thereby facilitating the clearance of mucus from the respiratory tract.

Pharmacodynamics

The pharmacodynamics of banafsha involve its ability to modulate inflammatory responses and enhance secretion in the respiratory tract. The active components may also exhibit antioxidant properties, which can help protect against oxidative stress. This herb is traditionally used to alleviate symptoms associated with respiratory illnesses, such as cough and bronchitis.

Pharmacokinetics

The pharmacokinetics of banafsha are not well-documented, but it is understood that the bioactive compounds are absorbed through the gastrointestinal tract when consumed. The onset of action may vary depending on the form of administration (infusion, syrup, etc.), and the duration of effect typically lasts several hours, depending on individual metabolism and dose.

Pregnancy

The safety of banafsha during pregnancy has not been established. Consult a healthcare provider before use.

Breast-feeding

Due to a lack of sufficient data on the excretion of banafsha in human milk, caution is advised when administering this herb to breastfeeding mothers.

Storage

Store in a cool, dry place, away from direct sunlight and out of reach of children.

AI-synthesized from BNF references - general information only, not a substitute for professional medical advice or the current BNF. Verify doses with a pharmacist.

Clinical monograph: bharangi

Bharangi, also known as Clerodendrum serratum, is a traditional herb used in Ayurvedic medicine, primarily for its anti-inflammatory, analgesic, and immunomodulatory properties. It is often employed in the treatment of respiratory disorders, fever, and other inflammatory conditions.

Indications

  • Respiratory disorders
  • Fever
  • Inflammatory conditions
  • Pain relief
  • Immunomodulation

Dosage

Children: Refer to herbal medicine guidelines for appropriate dosing in children as specific doses are not established in conventional pharmacopoeias.

Adults: Refer to herbal medicine guidelines for appropriate dosing as specific doses are not established in conventional pharmacopoeias.

Mechanism of action

Bharangi exhibits its effects through multiple pathways, including the modulation of immune responses and the inhibition of pro-inflammatory cytokines. It may enhance cellular immunity and has been shown to have antioxidant properties, which help in reducing oxidative stress associated with various diseases.

Pharmacodynamics

The pharmacodynamic properties of bharangi include its ability to reduce inflammation and pain, enhance immune function, and provide relief from symptoms associated with respiratory ailments. Its active compounds may act on various receptors and signaling pathways, leading to a reduction in the activity of inflammatory mediators.

Pharmacokinetics

The pharmacokinetics of bharangi have not been extensively studied in clinical trials. However, like many herbal compounds, its bioavailability may be influenced by factors such as formulation, dosage form, and the presence of other substances in the gastrointestinal tract. The metabolism and excretion pathways remain largely undefined.

Pregnancy

There is insufficient reliable information regarding the safety of bharangi during pregnancy. It is advisable to avoid use unless deemed necessary by a healthcare professional.

Breast-feeding

Due to a lack of adequate studies, it is recommended to avoid bharangi while breastfeeding unless specifically directed by a healthcare provider.

Storage

Store in a cool, dry place away from direct sunlight. Keep out of reach of children.

AI-synthesized from BNF references - general information only, not a substitute for professional medical advice or the current BNF. Verify doses with a pharmacist.

Clinical monograph: haldi

Haldi, commonly known as turmeric, is a spice derived from the rhizome of the Curcuma longa plant. It contains the active compound curcumin, which is responsible for its distinctive yellow color and potential health benefits. Haldi has been used in traditional medicine systems, particularly in Ayurveda, for its anti-inflammatory, antioxidant, and antimicrobial properties. It is believed to enhance overall health and support various bodily functions.

Indications

  • Anti-inflammatory conditions
  • Osteoarthritis
  • Rheumatoid arthritis
  • Digestive disorders
  • Skin conditions
  • Metabolic syndrome

Dosage

Adults: There is no standard dosage for haldi as it depends on the form used (powder, capsules, etc.) and the intended purpose. General guidance suggests 400-600 mg of curcumin

Mechanism of action

Curcumin, the active ingredient in haldi, exerts its effects through multiple mechanisms, including the modulation of various signaling pathways. It inhibits nuclear factor kappa B (NF-κB), a transcription factor that plays a crucial role in inflammatory responses. Curcumin also affects the activity of various enzymes and receptors, including cyclooxygenase-2 (COX-2) and lipoxygenase, which are involved in inflammation. Additionally, curcumin has been shown to influence the expression of various genes related to inflammation and oxidative stress.

Pharmacodynamics

Haldi has demonstrated a range of pharmacological effects, primarily attributed to its anti-inflammatory and antioxidant properties. It can help reduce inflammation by inhibiting pro-inflammatory cytokines and enzymes. Curcumin's antioxidant activity helps neutralize free radicals, reducing oxidative stress and preventing cellular damage. Furthermore, it may have a potential role in modulating metabolic processes, enhancing insulin sensitivity, and supporting cardiovascular health.

Pharmacokinetics

Curcumin has low bioavailability due to its poor absorption in the gastrointestinal tract, rapid metabolism, and systemic elimination. It is primarily metabolized in the liver and intestines, resulting in the formation of various metabolites. The peak plasma concentration of curcumin occurs approximately 1-2 hours after oral administration, but due to its rapid clearance, its effects may be short-lived. Co-administration with substances like black pepper (which contains piperine) has been shown to enhance curcumin absorption significantly.

Contra-indications

  • Hypersensitivity to curcumin or any of the excipients
  • Biliary obstruction
  • Gallbladder disorders

Adverse effects

  • Gastrointestinal upset
  • Nausea
  • Diarrhea
  • Allergic skin reactions
  • Increased risk of bleeding

Interactions

  • Anticoagulants and antiplatelet drugs (may increase bleeding risk)
  • Drugs that lower blood sugar (may enhance hypoglycemic effect)
  • Proton pump inhibitors (may alter absorption)

Precautions

  • Use with caution in patients with gallstones or bile duct obstruction
  • Monitor for signs of bleeding in patients on anticoagulant therapy
  • Use cautiously in pregnant women and those with liver disease

Pregnancy

Limited data on safety, use only if potential benefits justify the risks.

Breast-feeding

Considered safe in small amounts, but high doses should be avoided.

Storage

Store in a cool, dry place away from direct sunlight.

Formulations

  • Powdered form
  • Capsules
  • Liquid extracts
  • Tea

AI-synthesized from BNF references - general information only, not a substitute for professional medical advice or the current BNF. Verify doses with a pharmacist.

Clinical monograph: hapusha

Hapusha, also known as Juniperus macropoda, is a plant that is traditionally used in various medicinal applications. It is known for its potential health benefits, including its use as a diuretic, antiseptic, and anti-inflammatory agent. The berries of the hapusha plant are particularly noted for their aromatic properties and are often used in herbal medicine. The plant is native to specific regions and is recognized in traditional practices for promoting digestive health and supporting urinary tract function.

Indications

  • Urinary tract infections
  • Edema
  • Digestive disorders
  • Inflammatory conditions
  • Antimicrobial support

Dosage

Children: Refer to herbal medicine guidelines or consult a healthcare provider for appropriate pediatric dosing.

Adults: Dosage varies based on preparation and indication. Refer to herbal medicine guidelines or consult a healthcare provider.

Mechanism of action

The active compounds in hapusha, particularly essential oils and flavonoids, exhibit diuretic effects by increasing renal blood flow and enhancing the excretion of sodium and water. Additionally, these compounds may possess antimicrobial properties, aiding in the prevention of infections.

Pharmacodynamics

The pharmacodynamics of hapusha are characterized by its ability to promote diuresis, reduce inflammation, and exert antimicrobial effects. The essential oils and other phytochemicals in hapusha can modulate various biochemical pathways, contributing to its therapeutic effects. Some studies suggest that these compounds can influence the activity of inflammatory mediators and enhance the body's natural defense mechanisms.

Pharmacokinetics

The pharmacokinetics of hapusha are not well-defined due to limited clinical studies. However, it is generally understood that the active constituents are absorbed through the gastrointestinal tract and metabolized by the liver. The excretion of the metabolites occurs primarily via the kidneys. The onset of action may vary based on the form of administration, with oral preparations typically taking longer to exert effects compared to topical applications.

Pregnancy

The safety of hapusha during pregnancy has not been established. It is advisable to avoid use unless deemed necessary by a healthcare professional.

Breast-feeding

There is limited information on the excretion of hapusha in breast milk, and caution is recommended if used during breastfeeding.

Storage

Store in a cool, dry place away from direct sunlight. Keep out of reach of children.

AI-synthesized from BNF references - general information only, not a substitute for professional medical advice or the current BNF. Verify doses with a pharmacist.

Clinical monograph: kababchini

Kababchini, also known as Piper cubeba, is a medicinal herb belonging to the Piperaceae family. It is commonly used in traditional medicine for various ailments, particularly in East Africa and Asia. The plant's dried fruits are used for their potential therapeutic properties, including anti-inflammatory, analgesic, and antimicrobial effects. Kababchini has been traditionally utilized for digestive issues, respiratory conditions, and as a stimulant.

Indications

  • Digestive disorders
  • Respiratory conditions
  • Pain management
  • Antimicrobial treatment
  • Anti-inflammatory purposes

Dosage

Children: Paediatric dosing information is not specifically available; consult pediatric herbal medicine resources for guidance.

Adults: Dosage varies based on the preparation and condition treated. Generally, refer to traditional usage guidelines or consult herbal medicine resources for specific dosing recommendations.

Mechanism of action

The primary active compounds in kababchini include essential oils such as cubebene and piperine. These compounds exhibit pharmacological effects through various mechanisms, including inhibition of pro-inflammatory cytokines and modulation of pain pathways. Piperine has also been shown to enhance bioavailability of certain drugs by inhibiting drug-metabolizing enzymes.

Pharmacodynamics

Kababchini demonstrates multiple pharmacodynamic effects, including analgesic and anti-inflammatory properties. The herb may affect the central nervous system, leading to a reduction in pain perception. Additionally, its antimicrobial activity is attributed to the presence of essential oils that disrupt microbial cell membranes, leading to cell death.

Pharmacokinetics

The pharmacokinetics of kababchini are not extensively studied. However, it is understood that the active constituents are likely absorbed in the gastrointestinal tract following oral administration. Metabolism may occur in the liver, and elimination primarily happens through renal excretion. The half-life and specific metabolic pathways remain largely uncharacterized in clinical studies.

Pregnancy

There is limited information on the safety of kababchini during pregnancy. Consultation with a healthcare provider is recommended.

Breast-feeding

Caution is advised when administering kababchini during breastfeeding. It is best to consult a healthcare provider.

Storage

Store in a cool, dry place away from direct sunlight and out of reach of children.

AI-synthesized from BNF references - general information only, not a substitute for professional medical advice or the current BNF. Verify doses with a pharmacist.

Clinical monograph: mari

Mari, commonly known as cannabis or marijuana, is a plant-derived substance that contains various cannabinoids, the most notable being tetrahydrocannabinol (THC) and cannabidiol (CBD). It is used both recreationally and medicinally, with effects that can include euphoria, relaxation, and altered sensory perceptions. Medicinally, it is employed to alleviate symptoms of conditions such as chronic pain, nausea, and spasticity associated with multiple sclerosis, among others.

Indications

  • Chronic pain
  • Nausea and vomiting associated with chemotherapy
  • Spasticity in multiple sclerosis

Mechanism of action

The primary mechanism of action for cannabinoids involves their interaction with the endocannabinoid system (ECS), specifically binding to the cannabinoid receptors CB1 and CB2. CB1 receptors, predominantly located in the central nervous system, mediate the psychoactive effects of THC, while CB2 receptors, primarily found in the peripheral immune system, are associated with anti-inflammatory and analgesic effects. Activation of these receptors modulates neurotransmitter release, thereby influencing pain perception, mood, and other physiological processes.

Pharmacodynamics

Cannabis exerts a range of pharmacological effects, including analgesia, anti-inflammatory actions, muscle relaxation, and appetite stimulation. THC is the principal psychoactive component, producing effects such as euphoria, altered perception, and impaired cognitive function. CBD, on the other hand, is non-psychoactive and is noted for its potential anxiolytic, antipsychotic, and neuroprotective properties. The balance of these cannabinoids can lead to different therapeutic outcomes, depending on the strain and formulation used.

Pharmacokinetics

Cannabinoids are typically administered via inhalation, oral ingestion, or topical application, with each route affecting the pharmacokinetics. After inhalation, THC rapidly enters the bloodstream, with peak plasma concentrations occurring within minutes, while the effects can last for several hours. When ingested orally, onset is delayed, with peak effects occurring 1 to 3 hours post-consumption, influenced by factors such as food intake. Cannabinoids are extensively metabolized in the liver, primarily by cytochrome P450 enzymes, resulting in active metabolites. The elimination half-life can vary significantly, with THC being stored in fatty tissues and released over time, contributing to prolonged effects.

Adverse effects

  • Altered mental state
  • Anxiety
  • Paranoia
  • Increased heart rate
  • Dry mouth
  • Dizziness
  • Impaired motor coordination

Interactions

  • May enhance the effects of central nervous system depressants
  • Possible interactions with medications that affect liver enzymes

Precautions

  • Use caution in patients with a history of substance abuse
  • Monitor for psychological effects
  • Consider potential for impaired driving or operation of machinery

Pregnancy

Cannabis use during pregnancy may be associated with adverse outcomes, including low birth weight and developmental issues.

Breast-feeding

Cannabinoids are excreted in breast milk; therefore, caution is advised.

Storage

Store in a cool, dry place, away from direct light and out of reach of children.

Formulations

  • Dried flower
  • Oils
  • Edibles
  • Tinctures
  • Concentrates

AI-synthesized from BNF references - general information only, not a substitute for professional medical advice or the current BNF. Verify doses with a pharmacist.

Clinical monograph: pippali

Pippali, also known as Piper longum, is a medicinal herb widely used in traditional Ayurvedic medicine. It is known for its potential health benefits, including enhancing bioavailability of other herbs and nutrients, improving digestion, and possessing anti-inflammatory and antioxidant properties. Pippali is commonly used to support respiratory health and may aid in the treatment of various respiratory conditions.

Indications

  • Respiratory conditions (e.g., asthma, bronchitis)
  • Digestive disorders
  • Enhancing bioavailability of drugs
  • Anti-inflammatory conditions
  • Antioxidant support

Dosage

Children: For paediatric dosing, refer to established Ayurvedic practices or consult a healthcare professional for guidance.

Adults: For adults, specific dosing may vary based on the formulation and indication. It is advisable to refer to Ayurvedic guidelines or consult with a healthcare professional for appropriate dosing.

Mechanism of action

Pippali contains piperine, which enhances the bioavailability of various drugs by inhibiting certain enzymes involved in drug metabolism. It also exhibits bronchodilator activity, facilitating improved airflow in the lungs. The herb's active compounds may influence neurotransmitter activity and modulate inflammatory pathways, contributing to its therapeutic effects.

Pharmacodynamics

The pharmacodynamic properties of pippali are attributed to its active constituents, primarily piperine. Piperine has been shown to stimulate digestive enzymes, promote gastrointestinal absorption, and enhance the efficacy of certain medications. It also exhibits anti-inflammatory and analgesic effects, which may help in alleviating symptoms associated with inflammatory conditions. Additionally, pippali may exert antioxidant effects, combating oxidative stress in the body.

Pharmacokinetics

Piperine, the principal active component of pippali, is rapidly absorbed from the gastrointestinal tract. It undergoes extensive metabolism in the liver, primarily via glucuronidation and sulfation. The half-life of piperine is relatively short, necessitating multiple doses for sustained effects. Its ability to inhibit drug-metabolizing enzymes can lead to increased plasma concentrations of co-administered drugs, thereby enhancing their therapeutic effects.

Adverse effects

  • Gastrointestinal upset
  • Diarrhea
  • Nausea
  • Vomiting

Precautions

  • Use with caution in individuals with gastrointestinal disorders
  • Monitor for potential interactions with other herbal supplements or medications

Pregnancy

Pippali is generally considered safe in traditional usage, but limited scientific evidence is available. Consult a healthcare provider.

Breast-feeding

Limited data, consult a healthcare provider before use.

Storage

Store in a cool, dry place, away from direct sunlight and moisture.

Formulations

  • Powder
  • Capsules
  • Extracts
  • Infusions

AI-synthesized from BNF references - general information only, not a substitute for professional medical advice or the current BNF. Verify doses with a pharmacist.

Clinical monograph: sonth

Sonth, also known as dried ginger, is derived from the rhizome of the Zingiber officinale plant. It is commonly used in traditional medicine for its potential health benefits, including its anti-inflammatory, antioxidant, and digestive properties. It has been utilized in various forms, such as powders, capsules, and teas, for managing nausea, digestive issues, and respiratory conditions.

Indications

  • Nausea and vomiting
  • Digestive disorders
  • Osteoarthritis
  • Inflammation
  • Respiratory conditions

Dosage

Children: Refer to established guidelines and consult a healthcare professional for appropriate dosing based on the condition being treated.

Adults: Refer to established guidelines and consult a healthcare professional for appropriate dosing based on the condition being treated.

Mechanism of action

The active compounds in sonth, particularly gingerols and shogaols, exert their effects through multiple pathways. They inhibit the synthesis of pro-inflammatory cytokines and prostaglandins, thus reducing inflammation. Additionally, ginger has been shown to enhance gastric motility and may exert antiemetic effects by modulating the serotonin receptors in the gastrointestinal tract.

Pharmacodynamics

Sonth has been noted for its ability to reduce nausea and vomiting, particularly in pregnancy and postoperative settings. Its anti-inflammatory properties can also benefit conditions like osteoarthritis. The antioxidant activity helps in neutralizing free radicals, contributing to overall health benefits. The effects generally manifest within a few hours of administration, depending on the route of administration and formulation.

Pharmacokinetics

Sonth is well-absorbed from the gastrointestinal tract. The active compounds are metabolized in the liver and exhibit a half-life that varies among individuals. The onset of action for nausea relief can occur within 30 minutes to 2 hours, with the duration of effect lasting several hours. Excretion occurs primarily through urine.

Pregnancy

Consult a healthcare provider before use, as safety during pregnancy has not been established.

Breast-feeding

Consult a healthcare provider before use, as safety during breastfeeding has not been established.

Storage

Store in a cool, dry place away from light. Keep out of reach of children.

AI-synthesized from BNF references - general information only, not a substitute for professional medical advice or the current BNF. Verify doses with a pharmacist.

Clinical monograph: tulsi

Tulsi, also known as Holy Basil (Ocimum sanctum), is a revered herb in traditional medicine, particularly in Ayurvedic practices. It is known for its adaptogenic properties, which help the body adapt to stress and promote overall wellness. Tulsi is recognized for its potential anti-inflammatory, antioxidant, and antimicrobial effects, making it a popular choice for enhancing immune function, reducing anxiety, and improving respiratory health.

Indications

  • Stress relief
  • Respiratory conditions
  • Immune system support
  • Anti-inflammatory conditions
  • Antioxidant support
  • Anxiety and depression

Dosage

Children: Refer to established guidelines or consult a healthcare professional, as specific dosing can vary based on the preparation and individual needs.

Adults: Refer to established guidelines or consult a healthcare professional, as specific dosing can vary based on the preparation and individual needs.

Mechanism of action

Tulsi contains various bioactive compounds, including eugenol, rosmarinic acid, and other flavonoids. These compounds exhibit anti-inflammatory properties by inhibiting the production of pro-inflammatory cytokines and modulating the activity of nuclear factor-kappa B (NF-kB), a key regulator of inflammatory responses. Additionally, Tulsi's antioxidant properties help in scavenging free radicals, thereby reducing oxidative stress in the body.

Pharmacodynamics

The pharmacodynamic profile of Tulsi is primarily attributed to its phytochemical constituents, which interact with various biological pathways. The herb is noted for its ability to enhance the activity of immune cells, improve stress resilience through modulation of cortisol levels, and potentially exert cardioprotective effects. Tulsi's adaptogenic effect is significant in promoting mental clarity and reducing anxiety.

Pharmacokinetics

While specific pharmacokinetic data for Tulsi is limited, studies suggest that its active constituents are well absorbed in the gastrointestinal tract. The metabolism of these compounds often involves hepatic enzymes, with a significant portion being excreted in urine. The half-life of Tulsi's components can vary, but the herb's effects may persist due to its cumulative action over time.

Adverse effects

  • Nausea
  • Diarrhea
  • Headache
  • Dizziness
  • Hypoglycemia
  • Hypotension

Interactions

  • May interact with anticoagulants, increasing the risk of bleeding
  • May enhance the effects of antidiabetic medications, leading to hypoglycemia
  • May affect the metabolism of certain drugs metabolized by the liver

Precautions

  • Use with caution in patients with diabetes due to its potential hypoglycemic effects
  • Should be avoided in individuals with bleeding disorders or those on anticoagulant therapy
  • Consult healthcare professionals before use in pregnancy or breastfeeding

Pregnancy

Tulsi is generally considered safe in moderation, but high doses should be avoided due to potential effects on hormone levels.

Breast-feeding

Tulsi is likely safe during breastfeeding, but it is recommended to consult a healthcare provider before use.

Storage

Store in a cool, dry place away from direct sunlight. Keep out of reach of children.

Formulations

  • Dried leaves
  • Essential oil
  • Extracts
  • Teas

AI-synthesized from BNF references - general information only, not a substitute for professional medical advice or the current BNF. Verify doses with a pharmacist.

This drug in other countries

The same active ingredient registered across other registries we cover - including different brands.