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ISSN 2394-1944 (Online)
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Research & Reviews: A Journal of Drug Formulation, Development and Production
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STM JOURNALS
1. Electronic Common Technical Document (eCTD): A Review of History, Benefits of Implementing,
Challenges, Modules and Risks Involved in eCTD Publishing
Praveen Agarwal, Anil Dewangan, Pavani Duggi 1
2. Spectrofluorimetric Method for the Estimation of Avanafil in Bulk and their Tablet Dosage Form
Pratik M. Tailor, Vrutika V. Patel, Ashish D. Mishra, Shailesh A. Shah, Dinesh R. Shah 17
3. A Brief Note on Different Concept of Biowaiver
Mudit Dixit, Rohit Dixit, Vasanth Samaga, Ganapayya Bairy, Ajay Bairy 22
4. In Vitro–In Vivo Correlation (IVIVC): A Strategic Tool in Drug Product Development
Vivek P. Chavda, Dhaval Shah, Hemal Tandel, Moinuddin Soniwala 31
5. Hepatic Disorders: Ayurvedic Perspective
Nishant Shukla 55
ContentsResearch & Reviews: A Journal of Drug Formulation, Development and Production
RRJoDFDP (2016) 1-16 © STM Journals 2016. All Rights Reserved Page 1
Research & Reviews: A Journal of Drug Formulation, Development and Production
ISSN: 2394-1944(online)
Volume 3, Issue 3
www.stmjournals.com
Electronic Common Technical Document (eCTD): A
Review of History, Benefits of Implementing, Challenges,
Modules and Risks Involved in eCTD Publishing
Praveen Agarwal*, Anil Dewangan, Pavani Duggi
PAREXEL International Pvt. Ltd., Bangalore, Karnataka, India
Abstract
Electronic Common Technical Document (eCTD) is a topic of increasing interest in the
pharmaceutical environment. eCTD is an interface for the pharmaceutical industry to agency
transfer of regulatory information. Since June 2003, applicants have had the option of
submitting an eCTD in parallel with the paper submission (Common Technical Document),
following sign-off by the International Conference on Harmonization Steering Committee of
the eCTD Specification document at Step 4. It is designed to make regulatory submissions
easier and more efficient for drug makers and for regulators. When it comes to eCTD
submission, there continues to be differences among different countries and even ICH regions.
The standardization that electronic submissions will bring will allow for much greater
consistency not only for the regulators but also for organizations. It is important that eCTD
ready documents are prepared by authoring them in eCTD compliant templates. If this is not
undertaken, a large amount of the “publishing time” is spent in document reformatting. As the
move from paper-based to eCTD submissions continues around the world, a multitude of
challenges is to be faced regulatory departments. This paper describes eCTD History,
Benefits of Implementing, Challenges, Modules, Risks involved in eCTD publishing and
Quality Control.
Keywords: Electronic Common Technical Document, Benefits, Challenges, Modules
INTRODUCTION
After decades of using paper, the goal is the
electronic transfer of drug applications and
their review across submission formats,
procedures, and regions came in. Electronic
Common Technical Document (eCTD) is a
topic of increasing interest in the
pharmaceutical environment. The eCTD is the
electronic equivalent to the Common
Technical Document (CTD) format. The
eCTD is defined as an interface for industry to
agency transfer of regulatory information
while at the same time taking into
consideration the facilitation of the creation,
review, lifecycle management and archival of
the electronic submission. The eCTD
specification lists the criteria that will make an
electronic submission technically valid. The
focus of the specification is to provide the
ability to transfer the registration application
electronically from industry to a regulatory
authority. It was developed by the
International Conference on Harmonization
(ICH) Multidisciplinary Group 2 Expert
Working Group (ICH M2 EWG). In
November 2003, the ICH M2 group revised
the specification for the eCTD to version 3.2,
which remains the current version. ICH eCTD
is an internationally driven standard designed
to reduce cost in the administration,
assessment and archiving of applications for
marketing authorization of medicinal product
for human use, to reduce the use of paper and
streamline the assessment process making the
system more efficient. It provides a common
global standard for companies to electronically
submit the quality, safety and efficacy
information required for approval of a new
drug to regulatory agencies in the United
States (US), European Union (EU), Canada
and Japan etc. that imposes minimal restriction
to the industry and agencies [1, 2]. The
primary technical components are:
 A high-level folder structure (required).
 An Extensible Markup Language (XML)
“backbone" files which provides metadata
RRJoDFDP (2016) 17-21 © STM Journals 2016. All Rights Reserved Page 17
Research & Reviews: A Journal of Drug Formulation, Development and Production
ISSN: 2394-1944(online)
Volume 3, Issue 3
www.stmjournals.com
Spectrofluorimetric Method for the Estimation of Avanafil
in Bulk and their Tablet Dosage Form
Pratik M. Tailor*, Vrutika V. Patel, Ashish D. Mishra, Shailesh A. Shah, Dinesh R. Shah
Department of Quality Assurance, Maliba Pharmacy College, Tarsadi, Gujarat, India
Abstract
A simple and sensitive spectrofluorimetric method has been developed for estimation of
Avanafil in bulk and in their tablet dosage form. Avanafil in methanol produces fluorescence
at 367 nm (λem) with excitation at 314 nm (λex). Linearity range was found to be 200–1000
ng/ml with correlation co-efficient 0.999. The limit of detection (LOD) and limit of
quantitation (LOQ) for the developed method were found to be 7.32 and 22.18 ng/ml,
respectively. The developed method was found to be specific, sensitive, accurate and precise.
It was successfully used for estimation of Avanafil in its tablet dosage form. The content of
Avanafil in two marketed formulations was found to be 96.91 and 97.95% of label claim.
Keywords: Avanafil, spectrofluorimetric method, excitation, emission
INTRODUCTION
Avanafil chemically, 4-{[(3-chloro-4
methoxyphenyl) methyl] amino} -2-[(2S)-2-
(hydroxymethyl)pyrrolidin-1-yl]-N-(pyrimidin
-2-ylmethyl)pyrimidine-5-carboxamide is a
PDE5 Inhibitors, used in treatment of erectile
dysfunction (Figure 1) [1]. Avanafil is not
official in Indian Pharmacopoeia, British
Pharmacopoeia, European Pharmacopoeia and
United State Pharmacopoeia. Literature survey
reveals that Colorimetric and HPLC methods
have been reported for Avanafil. Spectro-
photometry and HPTLC methods have been
reported for combined dosage form [2–8]. This
study presents a new spectrofluorimetric
method for the determination of Avanafil in
bulk and their tablet dosage form.
Fig. 1: Chemical Structure of Avanafil.
EXPERIMENTAL
Apparatus
Spectrofluorophotometer (Shimadzu, RF-
5301) with single 1 cm quartz cell with RFPC
software was utilized in the study.
Reagents and Materials
Avanafil was kindly supplied as a gift sample
by Sunrise Remedies, Pvt. Ltd, Ahmedabad,
Gujarat, India. Methanol AR grade (s d fiNE-
CHEM ltd.) was utilized in the study.
AVANA-50 and AVANA-100 tablets were
gifted by Sunrise Remedies, Pvt. Ltd,
Ahmedabad, Gujarat, India.
Preparation of Standard Stock Solution of
Avanafil
Accurately weighed 10 mg of Avanafil was
transferred to 10 ml volumetric flask,
dissolved and diluted up to mark with
methanol to obtain a solution having strength
of 1000 µg/ml.
Spectrofluorimetric Conditions
Spectrum Type: Excitation and Emission
Scan range: 220–900 nm
Recording range: 0.000–1000.00
Scanning speed: Super
Slit width (nm): EX:5; EM:5
Response time (sec): Auto
RRJoDFDP (2016) 22-30 © STM Journals 2016. All Rights Reserved Page 22
Research & Reviews: A Journal of Drug Formulation, Development and Production
ISSN: 2394-1944(online)
Volume 3, Issue 3
www.stmjournals.com
A Brief Note on Different Concept of Biowaiver
Mudit Dixit*, Rohit Dixit, Vasanth Samaga, Ganapayya Bairy, Ajay Bairy
Beloorbayir Biotech Ltd., K.R. Road, Banashankari, Bangalore, Karnataka, India
Abstract
The aim of the present work was to understand the concept of to waive a complete and
systemic bioequivalence (BE) study. Biowaiver or request for a biowaiver is a fast track
approach to boost the drug development process. Over the past three-four years, the
biowaiver market has shown greater number of biowaiver submissions and the wider use of
in-vitro permeability study. Biowaiver is a beneficial approach for getting approval of
abbreviated new drug application (ANDA). While BCS based biowaiver is the novel approach
to gain approval for new drug application (NDA), investigate new drug application (IND) as
well as ANDA. A biopharmaceutics classification system (BCS) based biowaiver is an
exemption from conducting human bioequivalence studies when active ingredient and dosage
form meet criteria of solubility, permeability and dissolution. The current work focuses on
different types of biowaiver approaches and the criteria for the applicability of BCS based
biowaivers in different geographic scopes with regard to global development strategy. There
is a comparison of global guidelines on provisions availability for different types of biowaiver
approaches as well as for requirements of biowaiver based on BCS. From comparison of
different global guidelines it is reviewed that most of the guidance resembles to the USFDA,
EU and WHO guidelines because most of the regulatory authorities are following the BCS
based biowaiver concept as one of the three main guidance documents (USFDA, EMA, JP,
WHO) or a combination of specific requirements.
Keywords: Bioequivalence, biowaiver, ANDA, NDA, INDA, BCS based biowaiver
INTRODUCTION
As per survey of FDA, every year only 18 to
26 new chemical entities (NCEs) get approved
as a new drug application (NDA). Whereas,
pharmaceutical companies file thousands of
abbreviated new drug applications (ANDAs)
to get an approval as a generic version of
innovators every year. To get an approval for
ANDAs, generic formulation should be proven
bioequivalent to that of reference listed drug
(RLD).
For market authorization of generics, instead
of non-clinical and clinical studies, only
bioequivalence (BE) study is required. At drug
development stage, only one formulation
becomes eligible for marketing from many of
formulations. In that case, biowaiver concept
comes into picture to reduce unnecessary time
and expense of BE study for each formulation.
Biowaiver is a kind of ANDA filing, which
applies to reduce time and cost from a
complete, systemic BE study.
BIOWAIVER
Simply, biowaiver is considered as waiver of
clinical bioequivalence studies. As per WHO
guidance, “The term biowaiver is applied to a
regulatory drug approval process when the
dossier (application) is approved based on
evidence of equivalence other than in-vivo
bioequivalence test” [1].
Different Approaches for Biowaiver
Different drug regulatory authorities approve
biowaiver for different conditions, which are
summarized in Figure 1 and described below
in brief.
Biowaiver for Specific Dosage Forms
Due to certain characteristics of some specific
formulations, BE study may not be required.
In that case, bioequivalence between the test
and the reference product can be presumed
without any further in-vivo experiments. This
kind of biowaiver can be possible for aqueous
oral solutions, parenteral solutions and topical
solutions (e.g. eye drops). One of the major
RRJoDFDP (2016) 31-54 © STM Journals 2016. All Rights Reserved Page 31
Research & Reviews: A Journal of Drug Formulation, Development and Production
ISSN: 2394-1944(online)
Volume 3, Issue 3
www.stmjournals.com
In Vitro–In Vivo Correlation (IVIVC): A Strategic Tool in
Drug Product Development
Vivek P. Chavda1,
*, Dhaval Shah2
, Hemal Tandel2
, Moinuddin Soniwala1
1
Department of Pharmaceutics, B. K. Mody Government Pharmacy College, Rajkot, Gujarat, India
2
Faculty of Pharmacy, The Maharaja Sayajirao University of Baroda, Vadodara, Gujarat, India
Abstract
In a recent era many concepts are dealing as an emerging tool for the drug delivery
application like Biopharmaceutical Classification System (BCS), In vitro and In vivo study,
and Bioavailability/Bioequivalence (BA/BE) study etc. To determine Therapeutic efficiency in
vitro is not enough so the concept of In vitro-In vivo correlation (IVIVC) is playing as an
convincing correlation with this for concept of pharmaceutical dosage forms have been a
main focus of attention of pharmaceutical industry, academia, and regulatory sectors.
Formulation, Development and optimization of dosage form is an integral part of research
governed by technology transfer to scale up the manufacturing and then concurrent validation
governed from the marketing of any therapeutic agent which is indeed a time consuming and
costly process. A good correlation is a tool for predicting in vivo results based on in vitro data
using IVIVC which gives indirect cost effective approach to dosage form optimization of trials
in human, fixes dissolution acceptance criteria, and can be used as a tool to substitute for
further bioequivalence studies. IVIVC can be used in the development of new pharmaceuticals
to reduce the number of human studies during the formulation development as the main
objective of an IVIVC is to serve as a surrogate for in vivo bioavailability and to support
biowaivers. This review article represents the FDA guidance, development, evaluation, and
validation of an IVIVC to grant biowaivers, and to set dissolution specifications for oral
dosage forms, biopharmaceutical classification systems (BCS), BCS biowaivers, and
applications of BCS in IVIVC development and concept of mapping. The importance of
dissolution media and methodology and pharmacokinetic studies in the context of IVIVC has
been highlighted. The principles of IVIVC also merged with nonoral products such as
parenteral depot formulations and novel drug delivery systems as well.
Keywords: Fundamentals of IVIVC, Biopharmaceutical Classification System (BCS),
Objectives, Biowaiver, Levels, Correlation, Dissolution methodologies, IVIVC of Novel
Dosage Forms, Applications of IVIVC
INTRODUCTION
From biopharmaceutical point of view, in
vitro-in vivo correlation (IV-IVC) is a
predictive mathematical treatment describing
the relationship between an in vitro property of
a dosage form (usually the rate or extent of
drug release) and a relevant in vivo response,
(e.g., plasma or urine drug concentrations or
amount of drug absorbed). It is recommended
by various regulatory bodies and mostly
applicable to drug dosage forms for oral routes
and sustained release products. It is a useful
tool for drug dosage form development,
because a successful correlation can assist in
the selection of drug formulation with
appropriate and acceptable dissolution criteria,
and depending on its predictiveness, it can be
used as a forecast or surrogate for further
bioequivalence studies. There are different
categories of IVIVC; A, B, C and D. In the
rapidly emerging field of novel drug delivery
systems, the need to establish correlation
between in vitro drug release (dissolution) data
and in vivo drug profiles is ever growing. Such
correlations would not only allow more
efficient drug and product development but
also economize resources and lead to
improved product quality. The bioavailability
implications of dissolution should never be
accepted on faith; rather it has to be proved
through carefully designed in vitro-in vivo
correlation studies. Long back, Wagner had
RRJoDFDP (2016) 55-59 © STM Journals 2016. All Rights Reserved Page 55
Research & Reviews: A Journal of Drug Formulation, Development and Production
ISSN: 2394-1944(online)
Volume 3, Issue 3
www.stmjournals.com
Hepatic Disorders: Ayurvedic Perspective
Nishant Shukla*
Uttaranchal Ayurveda College, Dehradun, Uttaranchal, India
Abstract
Kamla is a very common disease in our country. It is difficult to diagnose. If properly
diagnosed, the Sadhya: asadhyat (prognosis or curability and incurability) can be forecasted
easily. The patient also can be informed what treatment is to be given. Varieties: Ayurvedic
classics give two types of Kamla, viz Kosthashrit and Shakhashrit (Caraka Sutra) while in
chikitsa 16 maharishi Caraka has classified the same in two different names: (1) Koshtha:
Shakhasrit and (2) Shakhashrit Kamla are given. Kamla can occur as a result of faulty
treatment also; in other words Kamla can also be produced as an iatrogenic disorder also.
Keywords: Kamla, Kosthashrit, Sadhya: asadhyat
INTRODUCTION
In the modern science, some of the drugs are
considered as hepatotoxic drugs. In Ayurved
no such drugs like hepatotoxic drug is
mentioned but faulty treatment can produce
Kamla, i.e., that line of treatment can be
considered as hepatotoxic treatment. The
author of this paper has come across and
treated a Kamla patient, which was produced
as a result of surgical treatment in bleeding
piles. Thus the diagnosis and treatment
becomes easy if proper history is available
from the patient. The physician also should
note the history properly.
Main dosha involved is pitta. Either the
formation rakta is not proper, i.e., raktaposhaka
sara or the pitta is obstructed somewhere in the
passage. Cakrapani has mentioned two types of
pitta—one is ranjak, i.e., pitta which is
necessary for colouring rasa and formation of
blood. Other variety is called mala ranjaka
pitta, i.e., which gives colour to the fecal
matter. It is necessary here to explain briefly the
formation of malaranjak pitta, i.e., bile.
Both Ayurved and modern science say that
pitta is produced from rakta. rakta—anu
(R.B.C.), when dead, break into two types of
coloured agents or chemicals. They are
bilirubin and biliverdin. The colour of
bilirubin is yellow while that of biliverdin is
green. When both are mixed the colour
becomes greenish yellow. This goes to yakrit,
i.e., liver. The coloured agent gives colour to
the bile. Bile is collected in gall bladder. When
necessary it comes to the intestines through
common bile duct. This is the physiology of
bile. Bile plays a very great role in digestion of
fat ingested. The pancreatic juice, the secretion
from the submucous glands of the small
intestines and bile, digests the food ingested.
Any defect at any level will produce
Ajeerna—indigestion or dyspepsia. Bile plays
a role in digestion of fat. So if bile is not
properly formed, the digestion of fat will be
improper.
Schematically, the formation of bile is as
under the Figure 1.
Any pathology, whether Doshic or Dhatujanya
or organic lesion will lead to jaundice. For
example, excessive break down of R.B.C. will
lead to excessive bile salt and pigments. Some
of the bile pigments or salts will be utilized for
the formation of bile; but the remaining
pigments or salts will circulate in whole body,
which will produce greenish yellow pigments
in the body specially conjunctiva, nails, and
skin. Moreover, the urine and stool will also
be yellow.
ISSN 2394-1944 (Online)
September–December 2016
www.stmjournals.com
STM JOURNALS
Scientific Technical Medical

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Research & Reviews A Journal of Drug Formulation,Development and Production vol 3 issue 3

  • 1. ISSN 2394-1944 (Online) September–December 2016 www.stmjournals.com STM JOURNALS Scientific Technical Medical
  • 2. STM Journals, a strong initiative by Consortium E-Learning Network Private Ltd. (established 2006), was launched in the year 2010 under the support and guidance by our esteemed Editorial and Advisory Board Membersfromrenownedinstitutes. Objectives:  Promotion of Scientific, Technical and Medical research.  Publication of Original Research/Review, Short Articles and Case Studies through Peer Review process.  Publishing Special Issues on Conferences.  Preparing online platform for print journals.  Empowering the libraries with online and print Journals in Scientific, Technical and Medical domains.  Publishing and distribution of books on various subjects in the category of Nanotechnology, Scientific and Technical Writing, and Environment, Health and Safety. SalientFeatures:  A bouquet of 100+ Journals that fall under Science, Technical and Medical domains.  Employs Open Journals System (OJS)—a journal management and publishing system.  The first and one of the fastest growing publication website in India as well as in abroad for its quality and coverage.  Rapid online submission and publication of papers, soon after their formal acceptance/finalization.  Facilitates linking with the other authors or professionals.  Worldwide circulation and visibility. Research & Reviews: A Journal of Drug Formulation, Development and Production ISSN: 2394-1944(online) Focus and Scope Covers  Drug Development  Noveldrug deliverysystems  InternationalDrug regulatoryAffair  Pharmacodynamics&pharmacokinetics  MedicinalChemistry  TopicalFormulations  Galenicformulations Research & Reviews: A Journal of Drug Formulation, Development and Production is published (frequency: three times a year) in India by STM Journals (division of Consortium e-Learning Network Private Ltd. Pvt.) The views expressed in the articles do not necessarily reflect of the Publisher. The publisher does not endorse the quality or value of the advertised/sponsored products described therein. Please consult full prescribing information before issuing a prescriptionfor anyproductsmentionedinthispublication. No part of this publication may be reproduced, stored in retrieval system or transmitted in any from without written permissionof thepublisher. To cite any of the material contained in this Journal, in English or translation, please use the full English reference at the beginningof eacharticle.Toreuseanyofthematerial,pleasecontactSTM Journals (info@stmjournals.com) STM Journals
  • 3. STM Journals (division of Consortium e-Learning Network Private Ltd. ) having its Marketing office located at Office No. 4, First Floor, CSC pocket E Market, Mayur Vihar Phase II, New Delhi-110091, India is the Publisher of Journal. Statements and opinions expressed in the Journal reflect the views of the author(s) and are not the opinion of STM Journals unless so stated. Subscription Information and Order:  NationalSubscription: Print- Rs 3750/-perJournal( includes3printissues), SingleIssue copypurchase:Rs 1500. Online - Rs 3750/- per Journal inclusive Service Tax ( includes 3 online issues), Single Issue purchase: Rs 1500 inclusiveServiceTax Print+Online-Rs 5000/-perJournalinclusiveServiceTax( includes3print&onlineissues).  International Subscription:  Online Only- $199, Print Only-$299 (includes 3 print issues)  Online + Print-$399 (includes 3 print issues + online access of published back volumes ) To purchase print compilation of back issues please send your query at info@stmjournals.com Subscription must be prepaid. Rates outside of India includes delivery. Prices subject to change without notice. Mode of Payment: At par cheque, Demand draft, and RTGS (payment to be made in favor of Consortium E-Learning Network. Pvt. ltd., payable at Delhi/New Delhi. Online Access Policy A). For Authors: In order to provide maximum citation and wide publicity to the authors work, STM Journals also have Open Access Policy, authors who would like to get their work open access can opt for Optional Open Access publication at nominal cost as follows India, SARC and African Countries: INR 2500 or 100 USD including single hard copy of Author's Journal. Other Countries: USD 200 including single hard copy of Author's Journal. B). For Subscribers:  Online access will be activated within 72 hours of receipt of the payment (working days), subject to receipt of correct information on user details/Static IP address of the subscriber.  The access will be blocked:  If the user requests for the same and furnishes valid reasons for blocking.  Due to technical issue.  Misuse of the access rights as per the access policy. Advertising and Commercial Reprint Inquiries: STM Journals with wide circulation and visibility offer an excellent media for showcasing/promotion of your products/services and the events-namely, Conferences, Symposia/Seminars etc. These journals have very high potential to deliver the message across the targeted audience regularly with each published issue. The advertisements on bulk subscriptions, gift subscriptions or reprint purchases for distribution etc. are alsoverywelcome. Lost Issue Claims: Please note the following when applying for lost or missing issues:  Claims for print copies lost will be honored only after 45 days of the dispatch date and before publication of the next issue as per the frequency.  Tracking id for the speed post will be provided to all our subscribers and the claims for the missing Journals will be entertained only with the proofs which will be verified at both the ends.  Claims filed due to insufficient (or no notice) of change of address will not be honored.  Change of Address of Dispatch should be intimated to STM Journals at least 2 months prior to the dispatch schedule as per the frequency by mentioning subscriber id and the subscription id.  Refund requests will not be entertained. Legal Disputes All the legal disputes are subjected to Delhi Jurisdiction only. If you have any questions, please contact the Publication Management Team: info@stmjournals.com; Tel : +91 0120-4781211.
  • 4. Gargi Asha Jha Manager (Publications) PUBLICATION MANAGEMENT TEAM Internal Members External Members Bimlesh Lochab Assistant Professor Department of Chemistry School of Natural Sciences, Shiv Nadar University Gautam Buddha Nagar, Uttar Pradesh, India Dr. Rajiv Prakash Professor and Coordinator School of Materials Science and Technology Indian Institute of Technology (BHU), Varanasi Uttar Pradesh, India Dr. Rakesh Kumar Assistant Professor Department of Applied Chemistry BIT Mesra, Patna, Bihar, India Prof. S. Ramaprabhu Alternative Energy and Nanotechnology Technology Laboratory, Department of Physics Indian Institute of Technology, Chennai Tamil Nadu, India Himani Pandey Isha Chandra Senior Associate Editors Dr. Yog Raj Sood Dean (Planning and Development) Professor, Department of Electrical Engineering National Institute of Technology, Hamirpur Himachal Pradesh, India Prof. Chris Cannings Professor, School of Mathematics and Statistics University of Sheffield, Sheffield United Kingdom Dr. D. K. Vijaykumar MS, MCh (Surgical Oncology), Professor and Head Department of Surgical Oncology Amrita Institute of Medical Sciences and Research Centre Ponekkara, Cochin, Kerala, India Dr. Durgadas Naik Associate Professor (Microbiology) Management and Science University, University Drive, Seksyen13 Selangor, Malaysia Prof. José María Luna Ariza Department of Computer Sciences and Numerical Analysis Campus of Rabanales University of Córdoba, Spain Dr. Khaiser Nikam Professor, Library and Information Science Department of Library and Information Science University of Mysore Mysore, India Quaisher J Hossain Senior Editor Group Managing Editor Dr. Archana Mehrotra Managing Director CELNET, Delhi, India Meenakshi Tripathi Shivani Sharma Chairman Mr. Puneet Mehrotra Director Shambhavi Mishra Associate Editors Sugandha Mishra
  • 5. Prof. Priyavrat Thareja Director Principal Rayat Institute of Engineering and Information Technology Punjab, India Dr. Baldev Raj Director, National Institute of Advanced Studies Indian Institute of Science campus Bangalore Karnataka, India Former Director Indira Gandhi Centre for Atomic Research, Kalpakkam, Tamil Nadu, India Dr. Pankaj Poddar Senior Scientist Physical and Materials Chemistry Division, National Chemical Laboratory Pune, Maharastra India Prof. D. N. Rao Professor and Head Department of Biochemistry All India Institute of Medical Sciences New Delhi, India Dr. Nandini Chatterjee Singh Additional Professor National Brain Research Centre Manesar, Gurgaon Haryana, India Dr. Ashish Runthala Lecturer, Biological Sciences Group Birla Institute of Technology and Science Pilani, Rajasthan, India Dr. Bankim Chandra Ray Professor and Ex-Head of the Department Department of Metallurgical and Materials Engineering National Institute of Technology, Rourkela Odisha, India Prof. Yuwaraj Marotrao Ghugal Professor and Head Department of Applied Mechanics Government College of Engineering Vidyanagar, Karad Maharashtra, India Dr. Hardev Singh Virk Visiting Professor, Department of Physics University of SGGS World University Fatehgarh Sahib, Punjab, India Former Director Research DAV Institute of Engineering and Technology Jallandhar, India Dr. Shrikant Balkisan Dhoot Senior Research Scientist, Reliance Industries Limited, Mumbai, India Former Head (Research and Development) Nurture Earth R&D Pvt Ltd., MIT Campus Beed Bypass Road, Aurangabad Maharashtra, India STM JOURNALS AdVISORY BoARD
  • 6. Dr. Rakesh Kumar Assistant Professor Department of Applied Chemistry Birla Institute of Technology Patna, Bihar, India Prof. Subash Chandra Mishra Professor Department of Metallurgical and Materials Engineering National Institute of Technology, Rourkela Odisha, India Dr. Shankargouda Patil Assistant Professor Department of Oral Pathology KLE Society's Institute of Dental Sciences Bangalore, Karnataka, India Prof. Sundara Ramaprabhu Professor Department of Physics Indian Institute of Technology Madras Chennai, Tamil Nadu India Dr. Baskar Kaliyamoorthy Associate Professor Department of Civil Engineering National Institute of Technology, Trichy Tiruchirappalli, Tamil Nadu, India STM JOURNALS AdVISORY BoARD
  • 7. Editorial Board Dr. Abhay Dharamsi Professor and Head Department of Pharmaceutics, Maliba Pharmacy College, Surat, Gujarat, India. Dr. Atul Goel Principal Scientist, Medicinal and Process Chemistry Division CSIR-CDRI, Lucknow, India. Dr. Bhavin P. Marolia Assistant Professor, Dept. of Quality Assurance & Pharmaceutical Analysis, Maliba Pharmacy College UKA Tarsadia University, Tarsadi. Dr. Chiau Long Lecturer, Faculty of Pharmacy, Universiti T eknologi MARA, Puncak Alam, Selangor, Malaysia. Dr. Bharat Bhusan Subudhi Associate Professor, School of Pharmaceutical Sciences, Siksha O Anusandhan University, Bhubaneswar, India. Dr. Atla Srinivasa Rao Professor & HOD Dept. of Pharmaceutical ChemistryAnalysis & QA Shri Vishnu College of Pharmacy , A.P., India. Mrs. Divya Suares Assistant professor, NMIMS University, India. Dr. George D Geromichalos Head, Molecular Modeling & Drug Design, Symeonidion Research Center Theagenion Cancer Hospital, Greece. Dr. Jayarajakumar Kalaimani Faculty of Pharmacy, AIMST University, Bedong,Malaysia. Dr. K.R. Arya Principal Scientist, Botany Division, CDRI, Lucknow, India. Dr. Kashmira Gohil Professor and HOD, Shree Dhanvantari Pharmacy College (SDPC), Surat, Gujarat, India. Dr. Koteshwara K.B Professor, Department of Pharmaceutics, Manipal College of Pharmaceutical Sciences, Manipal University,India.
  • 8. Editorial Board Dr. Mahalaxmi Rathnanand Associate Professor ,Dept of Pharmaceutics Manipal College of Pharmaceutical Sciences, Manipal, India. Dr. Mohamed Salama Professor,Faculty of Pharmacy, UiTM , Malaysia. Dr. Poonam Singh Scientist CSIR-Central Drug Research Institute, Lucknow. Dr. Pranav Shah Associate Professor, Maliba Pharmacy College, Maliba Campus, Surat, Gujarat, India. Dr. Neeraj Kumar Fuloria Faculty of Pharmacy, AIMST University, Malysia, Malaysia. Dr. Mohd Shihabuddin B. A. Noorden Senior Lecturer Faculty of Pharmacy, Universiti Teknologi MARA, 42300 Puncak Alam, Selangor, Malaysia. Dr. R.K Singh Senior Principal Scientist, CDRI, Lucknow, India. Dr. Rabi Bhatta Scientist Lab no: PCN-108 Pharmacokinetic and Metabolism Division CSIR-Central Drug Research Institute, Lucknow, India. Dr. Rama Pati Tripathi Professor AcSIR, Cheif Scientist CSIR-Central Drug Rsearch Institute Medicinal and process chemistry Division CSIR Lucknow India. Dr. S. K. M. Habeeb Assistant Professor, Department of Bioinformatics, School of Bioengineering, Kattankulathur Campus, SRM University, India. Dr. Sanghapal D. Sawant CSIR-Indian Institute of Integrative Medicine, Jammu, India. Prof. Dr. Sapna Shrikumar Principal, Moulana College of Pharmacy, Angadippuram (P.O), Perinthalmanna, Malappuram, Kerala, India.
  • 9. Editorial Board Dr. Shashank K Singh Senior Scientist,CSIR-Indian institute of Integrative Medicine ,Canal Road Jammu, India. Mr. Soh Yee Chang Faculty of Pharmacy UiTM Puncak Alam Campus Malaysia. Dr. V. Ravichandran Faculty of Pharmacy,AIMST University, Semeling - 08100,Kedah, Malaysia. Mr. Viral Dineshchandra Jagiwala Assistant Professor, Shree Dhanvantary Pharmacy College, Surat, Gujarat, India. Dr. Suneel .I.Majagi Associate Professor Department of Pharmacology J.N.Medical College Belgaum-590010. Karnataka. Dr. Sridevi Chigurupati Senior Lecturer Faculty of Pharmacy, AIMST University, Malaysia. Dr. Vivek Bhosale Scientist, Division of Clinical and Experimental Medicine CSIR-Central Drug Research Institute, Lucknow, India. Dr. Waseem Rizvi Associate Professor Department of Pharmacology, J. N. Medical College, A. M. U, Aligarh, India. Dr. Santanu Chakraborty Assistant Professor, Department: Pharmaceutics, Dr. B. C. Roy Engineering College, Kolkata, India. Dr. Yahaya Bin Hassan Head, Faculty of Pharmacy, Universiti Teknologi MARA(UiTM) , Selangor , Malaysia. Dr. Sandip Prabhakar Zine Assistant Professor, Department of Pharmaceutical Chemistry, Vivekanand Education Society's College of Pharmacy, Mumbai, India. Mr. Parmeshwar Bajirao Katare M.S (Pharm) Pharmacology and Toxicology, Drug Discovery Research Center (DDRC), (THSTI), Udyog Vihar, Gurgaon, Haryana, India.
  • 10. Editorial Board Dr. Nahlah Elkudsiah Ismail Faculty of Pharmacy, Universiti Teknologi MARA (UiTM) Puncak Alam Campus, Bandar Puncak Alam, Selangor, Malaysia. Dr. Mudit Dixit Head-Department of Drug Regulatory Affairs & Assistant Professor (Pharmaceutics) (Senior Grade), NGSM Institute of Pharmaceutical Sciences, Mangalore, India. Dr. P.K. Kulkarni Professor and Head, Dept of Pharmaceutics, J.S.S.College of Pharmacy, S.S.Nagar, Mysore, Karnataka, India. Dr. R Narayana Charyulu Vice Principal, Professor & HoD Department of Pharmaceutics, Nitte Gulabi Shetty Memorial Institute of Pharmaceutical Sciences, Deralakatte, Mangalore – 575 018 Dr. Sangamesh B. Puranik Director, Drishti Institute of Distance Learning, Bangalore, India
  • 11. It is my privilege to present the print version of the [Volume 3 Issue 3] of our Research & Reviews:A Journal of Drug Formulation, Development and Production, 2016. The intension of RRJoDFDPis to create an atmosphere that stimulates vision, research and growth in the area of Drug Formulation, DevelopmentandProduction. Timely publication, honest communication, comprehensive editing and trust with authors and readers have been the hallmark of our journals. STM Journals provide a platform for scholarly research articles to be published in journals of international standards. STM journals strive to publish qualitypaperinrecordtime,makingitaleaderinserviceandbusiness offerings. The aim and scope of STM Journals is to provide an academic medium and an important reference for the advancement and dissemination of research results that support high level learning, teaching andresearchinalltheScience,TechnologyandMedicaldomains. Finally, I express my sincere gratitude to our Editorial/ Reviewer board, Authors and publication team for their continued support and invaluable contributions and suggestions in the form of authoring writeups/reviewing and providing constructive comments for the advancement of the journals.With regards to their due continuous support and co-operation, we have been able to publish qualityResearch/Reviewsfindingsfor our customersbase. Ihopeyouwillenjoyreadingthisissue andwewelcomeyourfeedbackonanyaspectof theJournal. Dr.ArchanaMehrotra ManagingDirector STM Journals Director's Desk STM JOURNALS
  • 12. 1. Electronic Common Technical Document (eCTD): A Review of History, Benefits of Implementing, Challenges, Modules and Risks Involved in eCTD Publishing Praveen Agarwal, Anil Dewangan, Pavani Duggi 1 2. Spectrofluorimetric Method for the Estimation of Avanafil in Bulk and their Tablet Dosage Form Pratik M. Tailor, Vrutika V. Patel, Ashish D. Mishra, Shailesh A. Shah, Dinesh R. Shah 17 3. A Brief Note on Different Concept of Biowaiver Mudit Dixit, Rohit Dixit, Vasanth Samaga, Ganapayya Bairy, Ajay Bairy 22 4. In Vitro–In Vivo Correlation (IVIVC): A Strategic Tool in Drug Product Development Vivek P. Chavda, Dhaval Shah, Hemal Tandel, Moinuddin Soniwala 31 5. Hepatic Disorders: Ayurvedic Perspective Nishant Shukla 55 ContentsResearch & Reviews: A Journal of Drug Formulation, Development and Production
  • 13. RRJoDFDP (2016) 1-16 © STM Journals 2016. All Rights Reserved Page 1 Research & Reviews: A Journal of Drug Formulation, Development and Production ISSN: 2394-1944(online) Volume 3, Issue 3 www.stmjournals.com Electronic Common Technical Document (eCTD): A Review of History, Benefits of Implementing, Challenges, Modules and Risks Involved in eCTD Publishing Praveen Agarwal*, Anil Dewangan, Pavani Duggi PAREXEL International Pvt. Ltd., Bangalore, Karnataka, India Abstract Electronic Common Technical Document (eCTD) is a topic of increasing interest in the pharmaceutical environment. eCTD is an interface for the pharmaceutical industry to agency transfer of regulatory information. Since June 2003, applicants have had the option of submitting an eCTD in parallel with the paper submission (Common Technical Document), following sign-off by the International Conference on Harmonization Steering Committee of the eCTD Specification document at Step 4. It is designed to make regulatory submissions easier and more efficient for drug makers and for regulators. When it comes to eCTD submission, there continues to be differences among different countries and even ICH regions. The standardization that electronic submissions will bring will allow for much greater consistency not only for the regulators but also for organizations. It is important that eCTD ready documents are prepared by authoring them in eCTD compliant templates. If this is not undertaken, a large amount of the “publishing time” is spent in document reformatting. As the move from paper-based to eCTD submissions continues around the world, a multitude of challenges is to be faced regulatory departments. This paper describes eCTD History, Benefits of Implementing, Challenges, Modules, Risks involved in eCTD publishing and Quality Control. Keywords: Electronic Common Technical Document, Benefits, Challenges, Modules INTRODUCTION After decades of using paper, the goal is the electronic transfer of drug applications and their review across submission formats, procedures, and regions came in. Electronic Common Technical Document (eCTD) is a topic of increasing interest in the pharmaceutical environment. The eCTD is the electronic equivalent to the Common Technical Document (CTD) format. The eCTD is defined as an interface for industry to agency transfer of regulatory information while at the same time taking into consideration the facilitation of the creation, review, lifecycle management and archival of the electronic submission. The eCTD specification lists the criteria that will make an electronic submission technically valid. The focus of the specification is to provide the ability to transfer the registration application electronically from industry to a regulatory authority. It was developed by the International Conference on Harmonization (ICH) Multidisciplinary Group 2 Expert Working Group (ICH M2 EWG). In November 2003, the ICH M2 group revised the specification for the eCTD to version 3.2, which remains the current version. ICH eCTD is an internationally driven standard designed to reduce cost in the administration, assessment and archiving of applications for marketing authorization of medicinal product for human use, to reduce the use of paper and streamline the assessment process making the system more efficient. It provides a common global standard for companies to electronically submit the quality, safety and efficacy information required for approval of a new drug to regulatory agencies in the United States (US), European Union (EU), Canada and Japan etc. that imposes minimal restriction to the industry and agencies [1, 2]. The primary technical components are:  A high-level folder structure (required).  An Extensible Markup Language (XML) “backbone" files which provides metadata
  • 14. RRJoDFDP (2016) 17-21 © STM Journals 2016. All Rights Reserved Page 17 Research & Reviews: A Journal of Drug Formulation, Development and Production ISSN: 2394-1944(online) Volume 3, Issue 3 www.stmjournals.com Spectrofluorimetric Method for the Estimation of Avanafil in Bulk and their Tablet Dosage Form Pratik M. Tailor*, Vrutika V. Patel, Ashish D. Mishra, Shailesh A. Shah, Dinesh R. Shah Department of Quality Assurance, Maliba Pharmacy College, Tarsadi, Gujarat, India Abstract A simple and sensitive spectrofluorimetric method has been developed for estimation of Avanafil in bulk and in their tablet dosage form. Avanafil in methanol produces fluorescence at 367 nm (λem) with excitation at 314 nm (λex). Linearity range was found to be 200–1000 ng/ml with correlation co-efficient 0.999. The limit of detection (LOD) and limit of quantitation (LOQ) for the developed method were found to be 7.32 and 22.18 ng/ml, respectively. The developed method was found to be specific, sensitive, accurate and precise. It was successfully used for estimation of Avanafil in its tablet dosage form. The content of Avanafil in two marketed formulations was found to be 96.91 and 97.95% of label claim. Keywords: Avanafil, spectrofluorimetric method, excitation, emission INTRODUCTION Avanafil chemically, 4-{[(3-chloro-4 methoxyphenyl) methyl] amino} -2-[(2S)-2- (hydroxymethyl)pyrrolidin-1-yl]-N-(pyrimidin -2-ylmethyl)pyrimidine-5-carboxamide is a PDE5 Inhibitors, used in treatment of erectile dysfunction (Figure 1) [1]. Avanafil is not official in Indian Pharmacopoeia, British Pharmacopoeia, European Pharmacopoeia and United State Pharmacopoeia. Literature survey reveals that Colorimetric and HPLC methods have been reported for Avanafil. Spectro- photometry and HPTLC methods have been reported for combined dosage form [2–8]. This study presents a new spectrofluorimetric method for the determination of Avanafil in bulk and their tablet dosage form. Fig. 1: Chemical Structure of Avanafil. EXPERIMENTAL Apparatus Spectrofluorophotometer (Shimadzu, RF- 5301) with single 1 cm quartz cell with RFPC software was utilized in the study. Reagents and Materials Avanafil was kindly supplied as a gift sample by Sunrise Remedies, Pvt. Ltd, Ahmedabad, Gujarat, India. Methanol AR grade (s d fiNE- CHEM ltd.) was utilized in the study. AVANA-50 and AVANA-100 tablets were gifted by Sunrise Remedies, Pvt. Ltd, Ahmedabad, Gujarat, India. Preparation of Standard Stock Solution of Avanafil Accurately weighed 10 mg of Avanafil was transferred to 10 ml volumetric flask, dissolved and diluted up to mark with methanol to obtain a solution having strength of 1000 µg/ml. Spectrofluorimetric Conditions Spectrum Type: Excitation and Emission Scan range: 220–900 nm Recording range: 0.000–1000.00 Scanning speed: Super Slit width (nm): EX:5; EM:5 Response time (sec): Auto
  • 15. RRJoDFDP (2016) 22-30 © STM Journals 2016. All Rights Reserved Page 22 Research & Reviews: A Journal of Drug Formulation, Development and Production ISSN: 2394-1944(online) Volume 3, Issue 3 www.stmjournals.com A Brief Note on Different Concept of Biowaiver Mudit Dixit*, Rohit Dixit, Vasanth Samaga, Ganapayya Bairy, Ajay Bairy Beloorbayir Biotech Ltd., K.R. Road, Banashankari, Bangalore, Karnataka, India Abstract The aim of the present work was to understand the concept of to waive a complete and systemic bioequivalence (BE) study. Biowaiver or request for a biowaiver is a fast track approach to boost the drug development process. Over the past three-four years, the biowaiver market has shown greater number of biowaiver submissions and the wider use of in-vitro permeability study. Biowaiver is a beneficial approach for getting approval of abbreviated new drug application (ANDA). While BCS based biowaiver is the novel approach to gain approval for new drug application (NDA), investigate new drug application (IND) as well as ANDA. A biopharmaceutics classification system (BCS) based biowaiver is an exemption from conducting human bioequivalence studies when active ingredient and dosage form meet criteria of solubility, permeability and dissolution. The current work focuses on different types of biowaiver approaches and the criteria for the applicability of BCS based biowaivers in different geographic scopes with regard to global development strategy. There is a comparison of global guidelines on provisions availability for different types of biowaiver approaches as well as for requirements of biowaiver based on BCS. From comparison of different global guidelines it is reviewed that most of the guidance resembles to the USFDA, EU and WHO guidelines because most of the regulatory authorities are following the BCS based biowaiver concept as one of the three main guidance documents (USFDA, EMA, JP, WHO) or a combination of specific requirements. Keywords: Bioequivalence, biowaiver, ANDA, NDA, INDA, BCS based biowaiver INTRODUCTION As per survey of FDA, every year only 18 to 26 new chemical entities (NCEs) get approved as a new drug application (NDA). Whereas, pharmaceutical companies file thousands of abbreviated new drug applications (ANDAs) to get an approval as a generic version of innovators every year. To get an approval for ANDAs, generic formulation should be proven bioequivalent to that of reference listed drug (RLD). For market authorization of generics, instead of non-clinical and clinical studies, only bioequivalence (BE) study is required. At drug development stage, only one formulation becomes eligible for marketing from many of formulations. In that case, biowaiver concept comes into picture to reduce unnecessary time and expense of BE study for each formulation. Biowaiver is a kind of ANDA filing, which applies to reduce time and cost from a complete, systemic BE study. BIOWAIVER Simply, biowaiver is considered as waiver of clinical bioequivalence studies. As per WHO guidance, “The term biowaiver is applied to a regulatory drug approval process when the dossier (application) is approved based on evidence of equivalence other than in-vivo bioequivalence test” [1]. Different Approaches for Biowaiver Different drug regulatory authorities approve biowaiver for different conditions, which are summarized in Figure 1 and described below in brief. Biowaiver for Specific Dosage Forms Due to certain characteristics of some specific formulations, BE study may not be required. In that case, bioequivalence between the test and the reference product can be presumed without any further in-vivo experiments. This kind of biowaiver can be possible for aqueous oral solutions, parenteral solutions and topical solutions (e.g. eye drops). One of the major
  • 16. RRJoDFDP (2016) 31-54 © STM Journals 2016. All Rights Reserved Page 31 Research & Reviews: A Journal of Drug Formulation, Development and Production ISSN: 2394-1944(online) Volume 3, Issue 3 www.stmjournals.com In Vitro–In Vivo Correlation (IVIVC): A Strategic Tool in Drug Product Development Vivek P. Chavda1, *, Dhaval Shah2 , Hemal Tandel2 , Moinuddin Soniwala1 1 Department of Pharmaceutics, B. K. Mody Government Pharmacy College, Rajkot, Gujarat, India 2 Faculty of Pharmacy, The Maharaja Sayajirao University of Baroda, Vadodara, Gujarat, India Abstract In a recent era many concepts are dealing as an emerging tool for the drug delivery application like Biopharmaceutical Classification System (BCS), In vitro and In vivo study, and Bioavailability/Bioequivalence (BA/BE) study etc. To determine Therapeutic efficiency in vitro is not enough so the concept of In vitro-In vivo correlation (IVIVC) is playing as an convincing correlation with this for concept of pharmaceutical dosage forms have been a main focus of attention of pharmaceutical industry, academia, and regulatory sectors. Formulation, Development and optimization of dosage form is an integral part of research governed by technology transfer to scale up the manufacturing and then concurrent validation governed from the marketing of any therapeutic agent which is indeed a time consuming and costly process. A good correlation is a tool for predicting in vivo results based on in vitro data using IVIVC which gives indirect cost effective approach to dosage form optimization of trials in human, fixes dissolution acceptance criteria, and can be used as a tool to substitute for further bioequivalence studies. IVIVC can be used in the development of new pharmaceuticals to reduce the number of human studies during the formulation development as the main objective of an IVIVC is to serve as a surrogate for in vivo bioavailability and to support biowaivers. This review article represents the FDA guidance, development, evaluation, and validation of an IVIVC to grant biowaivers, and to set dissolution specifications for oral dosage forms, biopharmaceutical classification systems (BCS), BCS biowaivers, and applications of BCS in IVIVC development and concept of mapping. The importance of dissolution media and methodology and pharmacokinetic studies in the context of IVIVC has been highlighted. The principles of IVIVC also merged with nonoral products such as parenteral depot formulations and novel drug delivery systems as well. Keywords: Fundamentals of IVIVC, Biopharmaceutical Classification System (BCS), Objectives, Biowaiver, Levels, Correlation, Dissolution methodologies, IVIVC of Novel Dosage Forms, Applications of IVIVC INTRODUCTION From biopharmaceutical point of view, in vitro-in vivo correlation (IV-IVC) is a predictive mathematical treatment describing the relationship between an in vitro property of a dosage form (usually the rate or extent of drug release) and a relevant in vivo response, (e.g., plasma or urine drug concentrations or amount of drug absorbed). It is recommended by various regulatory bodies and mostly applicable to drug dosage forms for oral routes and sustained release products. It is a useful tool for drug dosage form development, because a successful correlation can assist in the selection of drug formulation with appropriate and acceptable dissolution criteria, and depending on its predictiveness, it can be used as a forecast or surrogate for further bioequivalence studies. There are different categories of IVIVC; A, B, C and D. In the rapidly emerging field of novel drug delivery systems, the need to establish correlation between in vitro drug release (dissolution) data and in vivo drug profiles is ever growing. Such correlations would not only allow more efficient drug and product development but also economize resources and lead to improved product quality. The bioavailability implications of dissolution should never be accepted on faith; rather it has to be proved through carefully designed in vitro-in vivo correlation studies. Long back, Wagner had
  • 17. RRJoDFDP (2016) 55-59 © STM Journals 2016. All Rights Reserved Page 55 Research & Reviews: A Journal of Drug Formulation, Development and Production ISSN: 2394-1944(online) Volume 3, Issue 3 www.stmjournals.com Hepatic Disorders: Ayurvedic Perspective Nishant Shukla* Uttaranchal Ayurveda College, Dehradun, Uttaranchal, India Abstract Kamla is a very common disease in our country. It is difficult to diagnose. If properly diagnosed, the Sadhya: asadhyat (prognosis or curability and incurability) can be forecasted easily. The patient also can be informed what treatment is to be given. Varieties: Ayurvedic classics give two types of Kamla, viz Kosthashrit and Shakhashrit (Caraka Sutra) while in chikitsa 16 maharishi Caraka has classified the same in two different names: (1) Koshtha: Shakhasrit and (2) Shakhashrit Kamla are given. Kamla can occur as a result of faulty treatment also; in other words Kamla can also be produced as an iatrogenic disorder also. Keywords: Kamla, Kosthashrit, Sadhya: asadhyat INTRODUCTION In the modern science, some of the drugs are considered as hepatotoxic drugs. In Ayurved no such drugs like hepatotoxic drug is mentioned but faulty treatment can produce Kamla, i.e., that line of treatment can be considered as hepatotoxic treatment. The author of this paper has come across and treated a Kamla patient, which was produced as a result of surgical treatment in bleeding piles. Thus the diagnosis and treatment becomes easy if proper history is available from the patient. The physician also should note the history properly. Main dosha involved is pitta. Either the formation rakta is not proper, i.e., raktaposhaka sara or the pitta is obstructed somewhere in the passage. Cakrapani has mentioned two types of pitta—one is ranjak, i.e., pitta which is necessary for colouring rasa and formation of blood. Other variety is called mala ranjaka pitta, i.e., which gives colour to the fecal matter. It is necessary here to explain briefly the formation of malaranjak pitta, i.e., bile. Both Ayurved and modern science say that pitta is produced from rakta. rakta—anu (R.B.C.), when dead, break into two types of coloured agents or chemicals. They are bilirubin and biliverdin. The colour of bilirubin is yellow while that of biliverdin is green. When both are mixed the colour becomes greenish yellow. This goes to yakrit, i.e., liver. The coloured agent gives colour to the bile. Bile is collected in gall bladder. When necessary it comes to the intestines through common bile duct. This is the physiology of bile. Bile plays a very great role in digestion of fat ingested. The pancreatic juice, the secretion from the submucous glands of the small intestines and bile, digests the food ingested. Any defect at any level will produce Ajeerna—indigestion or dyspepsia. Bile plays a role in digestion of fat. So if bile is not properly formed, the digestion of fat will be improper. Schematically, the formation of bile is as under the Figure 1. Any pathology, whether Doshic or Dhatujanya or organic lesion will lead to jaundice. For example, excessive break down of R.B.C. will lead to excessive bile salt and pigments. Some of the bile pigments or salts will be utilized for the formation of bile; but the remaining pigments or salts will circulate in whole body, which will produce greenish yellow pigments in the body specially conjunctiva, nails, and skin. Moreover, the urine and stool will also be yellow.
  • 18. ISSN 2394-1944 (Online) September–December 2016 www.stmjournals.com STM JOURNALS Scientific Technical Medical