drotaverine hydrochloride / Generic mfg. - LARVOL DELTA

Efficacy and Safety of Drotaverine Hydrochloride Versus Placebo in Primigravida Women Undergoing Labor: A Systematic Review and Meta-Analysis. (PubMed, Birth) - "Drotaverine may enhance cervical dilation and reduce active labor duration with short-term pain relief, without adverse maternal or neonatal effects. Larger studies are needed to confirm long-term safety and comparative effectiveness."

Journal • Retrospective data • Review • Pain

Drug Repurposing against the PurS Subunit of Phosphoribosylformylglycinamidine Synthase in Methicillin- and Oxacillin-Resistant Staphylococcus Aureus: In vitro and In silico Studies. (PubMed, Med Chem) - "These five hits merit further biochemical and mechanistic studies to validate their therapeutic potential against methicillin- and oxacillin-resistant S. aureus infections."

Journal • Preclinical • Infectious Disease • PFAS

Impact of drotaverine on postoperative pancreatic fistula after distal pancreatectomy: a single-arm phase II trial. (ChiCTR) - P2 | N=58 | Not yet recruiting | Sponsor: Sun Yat-sen Memorial Hospital, Sun Yat-sen University; Sun Yat-sen Memorial Hospital, Sun Yat-sen University

New P2 trial

Associations Between Preschooler's Engagement In Organized Sport And Physical Activity Levels And Motor Skill Performance (ACSM 2026) - "Independent samples t-tests were performed to evaluate the mean differences in FMS and PA intensities between groups of children who participated in either no SPA or >1 SPAs for each time point... The majority of children were enrolled in SPA (60%) at the time of the study and in the previous 6 months (66%). On average, children who currently participated in SPAs had significantly higher total TGMD-3 scores compared to those that did not participate (Mdiff=6.2, 95%CI [0.08-12.4]; t(64) = 2.022, p=0.047). Vigorous PA was also higher in those currently participating in SPA (Mdiff=7.8, 95%CI [1.34-14.3]; t(43) = 2.435, p=0.010)."

Inflammatory Arthritis

Endothelial protective properties of sacubitril-valsartan and drotaverine in influenza A(H1N1)pdm09 virus infection (Orthomyxoviridae: Alphainfluenzavirus: influenza A virus) (PubMed, Vopr Virusol) - "Drotaverine possesses more significant endothelial protective properties than sacubitril/valsartan when used in a treatment and prophylactic regimen in rats infected with influenza A(H1N1)pdm09 virus."

Journal • Gene Therapies • Hematological Disorders • Infectious Disease • Influenza • Respiratory Diseases • NOS3

Unveiling Sacroiliac Joint Involvement in Psoriatic Arthritis: MRI, Radiographic, and Clinical Insights from 581 European Routine Care Patients (ACR Convergence 2025) - "In 35% of patients, SIJ MRIs were normal, showing no SpA-related lesions or alternative diagnoses... In this large European cohort, approximately one-third of routine care PsA patients had an SIJ MRI indicative of SpA. Integrating MRI into future axPsA definitions may facilitate earlier detection, and guide treatment choices in clinical practice."

Clinical • Ankylosing Spondylitis • Back Pain • Dermatology • Immunology • Inflammation • Inflammatory Arthritis • Musculoskeletal Pain • Psoriasis • Psoriatic Arthritis • Rheumatology • Seronegative Spondyloarthropathies • Spondylarthritis

Comparison of Efficacy of Peppermint Oil and Drotaverine for the Treatment of Functional Abdominal Pain in Children Aged 4-18 Years: A Single Blind, Exploratory Randomized Controlled Trial. (PubMed, Indian J Pediatr) - No abstract available

Journal • Pain

Effects of repeated balneotherapy on skin hydration and psychophysiological stress: findings from a 16-week korean spa trial. (PubMed, Int J Biometeorol) - "Participants were assigned to either an intervention group (n = 29), which received biweekly 20-minute immersion sessions in naturally mineralized hot spring water, or a control group (n = 29) with no spa exposure...Between-group comparisons at week 16 showed significant differences for skin hydration, TEWL, SRI, and PGIC (all p < 0.05), whereas no significant differences were found for salivary cortisol or HRV. Repeated balneotherapy over 16 weeks improved skin barrier function and reduced psychological stress in middle-aged women. These findings support the feasibility of thermal bathing as a non-pharmacologic, community-based intervention for preventive wellness and highlight the need for larger randomized trials with long-term follow-up."

Journal

Effect of Transcutaneous Electrical Acupoint Stimulation at the Sanyinjiao Point on Preventing Bladder Spasm after Transurethral Laser Prostatectomy. (PubMed, Arch Esp Urol) - "TEAS at the Sanyinjiao point effectively relieves bladder spasm after transurethral laser prostatectomy, with a reasonable degree of safety."

Journal • Retrospective data • Movement Disorders • Overactive Bladder • Urinary Incontinence • Urology

Smooth Muscle Relaxants for Intrauterine Device Placement: A Systematic Review. (PubMed, Contraception) - "Before IUD placement, healthcare providers can counsel patients on the potential for pain during placement and options for pain management. However, more evidence is needed on specific smooth muscle relaxants to determine their effectiveness as an intervention for IUD placement."

Clinical • Journal • Review • Long-acting Reversible Contraceptives • Pain

COMPARISON OF EFFICACY OF PEPPERMINT OIL AND DROTAVERINE FOR THE TREATMENT OF FUNCTIONAL ABDOMINAL PAIN IN 4-18 YEARS CHILDREN: SINGLE BLIND, RANDOMIZED CONTROLLED TRIAL - (ESPGHAN 2025) - No abstract available

Clinical • Pain

Results of treatment of acute uncomplicated cystitis in 440 women of working age in a large industrial city (PubMed, Urologiia) - "Currently, even in unfavorable environmental and climatic conditions, fosfomycin trometamol remains a highly effective and safe antibacterial agent for the treatment of acute uncomplicated cystitis. It is recommended to combine the use of fosfomycin trometamol with a urinary analgetic drug and herbal preparation based on extracts of centaury, lovage and rosemary (Kanefron N)."

Clinical • Journal • Infectious Disease • Nephrology • Pain

Change in different classes of chronic back pain suspicious of axial spondyloarthritis: a latent transition analysis of the SPACE cohort. (PubMed, RMD Open) - "Transitions between the four classes over 2 years were basically inexistent, highlighting the unlikelihood of developing new class-defining features of axSpA after an initial clinical workup."

Journal • Ankylosing Spondylitis • Back Pain • Immunology • Inflammatory Arthritis • Musculoskeletal Pain • Pain • Seronegative Spondyloarthropathies • Spondylarthritis

Evaluation of the mechanism of action of paracetamol, drotaverine, and peppermint oil and their effects in combination with hyoscine butylbromide on colonic motility: human ex-vivo study. (PubMed, Front Pharmacol) - "Drotaverine, paracetamol, and peppermint oil were tested alone and in combination with hyoscine butylbromide on (1) spontaneous contractility induced by isometric stretch (in the presence of 1 µM tetrodotoxin) and (2) contractility induced by 10-5 M carbachol and after (3) electrical field stimulation-induced selective stimulation of excitatory (in the presence of 1 mM Nω-nitro-L-arginine and 10 µM MRS2179) and (4) inhibitory (under non-adrenergic, non-cholinergic conditions) pathways. Peppermint oil is synergic with hyoscine butylbromide suggesting that a combination therapy may be more effective in treating patients. In contrast, at therapeutic concentrations, paracetamol does not modify colonic contractility, suggesting that the association of paracetamol and hyoscine butylbromide has independent analgesic and antispasmodic properties."

Combination therapy • Journal • Preclinical • Gastrointestinal Disorder • Pain

COULD THERE BE GENDER-SPECIFIC DISCRIMINATIVE FEATURES FOR AXIAL SPONDYLOARTHRITIS AND INFLAMMATORY BACK PAIN CHARACTERISTICS IN PARTICULAR? (EULAR 2024) - "In the evaluation of IBP characteristics, we found that improvement with exercise and alternating gluteal pain items of IBP were significantly higher in female axSpA patients in comparison with female nonSpA patients... The results of the present study showed that even in patients with IBP according to physician there could be some differentiating factors for the diagnosis of axSpA. Also our results revealed that gender might have an impact not only for the diagnosis axSpA but also IBP."

Ankylosing Spondylitis • Back Pain • Immunology • Inflammatory Arthritis • Musculoskeletal Pain • Pain • Seronegative Spondyloarthropathies • Spondylarthritis • CRP

CHANGE OVER 2 YEARS IN DIFFERENT PHENOTYPES OF CHRONIC BACK PAIN SUSPICIOUS OF AXIAL SPONDYLOARTHRITIS: A LATENT TRANSITION ANALYSIS OF THE SPONDYLOARTHRITIS CAUGHT EARLY (SPACE) COHORT (EULAR 2024) - "Background: Sepriano et al have identified four phenotypes of chronic back pain suspicious of axial spondyloarthritis (axSpA) in the Spondyloarthritis Caught Early (SPACE) cohort, reflecting an expert-free judgement of the construct of axSpA.[1] They were labelled as: "pure axSpA" ("axial") representing individuals with positive axial imaging and a familial/genetic predisposition for axSpA; "axSpA with peripheral signs" ("IBP+peripheral") with participants characterized by peripheral involvement and inflammatory back pain (IBP), "axial Spondyloarthritis at risk" ("at risk"), a phenotype with a familial/genetic predisposition to axSpA but an otherwise low probability of other features and a "no Spondyloarthritis" ("no SpA") phenotype depicting participants with a very low probability for any SpA associated feature... Transitions between the four classes over two years were basically..."

Ankylosing Spondylitis • Back Pain • Dermatology • Immunology • Inflammatory Arthritis • Musculoskeletal Pain • Pain • Psoriasis • Seronegative Spondyloarthropathies • Spondylarthritis

Molecular Characterization of Methicillin-Susceptible Staphylococcus aureus, ST2867 Isolates Carrying Fusidic Acid Resistance Determinant fusB (ASM Microbe 2024) - " The isolates were resistant to fusidic acid (MIC:16-64 µg/ml ), penicillin G (n=37), erythromycin (n=28), tetracycline (n=2), and ciprofloxacin (n=2), and were positive for BlaZ, BlaI, BlaR, msr(A), tet(K)...No spa type was assigned for eight isolate... The study demonstrated the presence of a plasmid-mediated fusB in ST2867-MSSA isolates in different hospitals in Kuwait which highlights the carriage and transmission of antibiotic resistance in rare MSSA clones."

Infectious Disease • Septic Shock

Smart green spectrophotometric assay of the ternary mixture of drotaverine, caffeine and paracetamol in their pharmaceutical dosage form. (PubMed, BMC Chem) - "In addition, greenness assessment of the proposed methods was investigated. The application of the proposed method was extended to analyse tablet dosage form and performing invitro dissolution testing."

Journal

Spectrofluorimetric Protocol for Estimation of Commonly Used Antispasmodic Drotaverine. Fluorescence Quenching Study. (PubMed, J Fluoresc) - "After method validation in respect to ICH guidelines, it was applied to determine drotaverine in its commercial preparation. By comparing with other reported method, the developed and validated fluorimetric protocol is capable for estimation of drotaverine in commercial preparation with good accuracy and excellent precision."

Journal

Smart chemometrics-assisted spectrophotometric methods for efficient resolution and simultaneous determination of paracetamol, caffeine, drotaverine HCl along with three of their corresponding related impurities. (PubMed, BMC Chem) - "The combination of four subintervals [10, 12, 14, and 17] produced the highest efficiency model. Furthermore, these methods may be an applicable substitute to HPLC ones in quality control laboratories during rush of analyses where several samples have to be analyzed in a short time."

Journal

Pharmacotherapy for gastric and intestinal cramping pain: Current and emerging therapies. (PubMed, Expert Opin Pharmacother) - "Consensus dictates that antispasmodics such as hyoscine-N-butyl bromide and mebeverine should be the primary treatment for GICP...Currently, several antispasmodics are undergoing clinical trials, including drotaverine, alverine, pinaverium bromide, fenoverine, tiropramide, otilinium bromide, trimebutine, and peppermint oil...Recent studies have shown that fixed-dose combinations of antispasmodics + NSAIDs or two different antispasmodics can improve patient compliance and synergistically reduce GICP. Therefore, it is recommended that the global availability and accessibility of these products be enhanced."

Journal • Review • Gastroenterology • Gastrointestinal Disorder • Pain

Comparison of Cost-Effectiveness With Clinical Efficacy of Drotaverine Hydrochloride and Valethamate Bromide in Acceleration of Labor (ISPOR-EU 2023) - "Both Drotaverine hydrochloride and Valethamate bromide demonstrate significant effectiveness in cervical dilatation and acceleration of the first stage of labor. However, Drotaverine hydrochloride exhibits superior clinical effectiveness and cost-effectiveness compared to Valethamate bromide."

Clinical • Cost effectiveness • HEOR

The Influence of the Intergranular Superdisintegrant Performance on New Drotaverine Orodispersible Tablet Formulations. (PubMed, Pharmaceutics) - "The in vitro release of drotaverine from ODTs showed that all formulations presented amounts of active substance released greater than 85% at 10 min. The main objective, developing 30 mg DROT-ODTs for children aged between 6 and 12 years by incorporating the API in FDGs, was successfully achieved."

Journal

Early identification of sacroiliitis in patients with suspected spondyloarthritis: A challenging task. (PubMed, Curr Rheumatol Rev) - "SIJ MRI is a highly specific method in the detection of sacroiliitis, but with a moderate sensitivity. SIJ CT scan, usually known as the third option after radiography and MRI, has much greater diagnostic utility than it has been documented previously."

Journal • Ankylosing Spondylitis • Immunology • Musculoskeletal Diseases • Rheumatology • Seronegative Spondyloarthropathies • Spondylarthritis

Computer-aided design of an eco-friendly imprinted polymer decorated sensors augmented by self-validated ensemble modeling designs for the quantitation of drotaverine hydrochloride in dosage form and human plasma. (PubMed, J AOAC Int) - "This work presents the first ever application of both the innovative SVEM designs and MD/QM simulations in the optimization and fabrication of drotaverine-sensitive and selective MIP-decorated PVC sensors."

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