R. Sundaram et al., INTERACTION OF A HERBOMINERAL PREPARATION D-400, WITH ORAL HYPOGLYCEMIC DRUGS, Journal of ethnopharmacology, 55(1), 1996, pp. 55-61
D-400, a herbomineral preparation has proven antidiabetic activity in
experimental models as well as in clinical trials. The possibility of
concomitant use of this drug with sulphonylureas was explored in anima
l models. D-400 has been investigated for its interaction with oral hy
poglycaemic agents namely, tolbutamide and glibenclamide in alloxan-in
duced diabetic rabbits. Administration of D-400 at a dose of 1 g/kg fo
r 15 days significantly elevated plasma tolbutamide and glibenclamide
concentrations with simultaneous reduction of blood glucose. Plasma to
lbutamide and glibenclamide concentrations were significantly lowered
after withdrawal of D-400 treatment. Elevation of plasma concentration
of tolbutamide was observed only for the first 4 h after which it dec
lined towards normal levels and no significant difference between D-40
0 treated and control group was observed at the end of 8 h. Significan
t elevation of plasma glibenclamide levels was observed at 2, 4 and 8
h with D-400 treatment. Incubation, of D-400 with tolbutamide in plasm
a resulted in a significant increase in free tolbutamide levels.