Volume 2, No.5, July to September' 2013 - amam-ayurveda.org
Volume 2, No.5, July to September' 2013 - amam-ayurveda.org
Volume 2, No.5, July to September' 2013 - amam-ayurveda.org
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3.6. TOLERANCE<br />
The drug was well <strong>to</strong>lerated in both the groups with no patient requiring<br />
withdrawal from therapy. In Placebo group, 3 patients had minor self<br />
limiting adverse effects in the form of nausea, vomiting and anorexia;<br />
36 of 39 (92%) patients <strong>to</strong>lerated the placebo without any specfic safety<br />
concerns. In Stresscom group, 6 patients had side effects in the form of<br />
minor self limiting nausea in 3, heart burn in 1, belching with epigastric<br />
fullness in 1 and menorrhagia in 1 patient that was easily controlled with<br />
symp<strong>to</strong>matic therapy; 41 of 47 patients (87%) <strong>to</strong>lerated Stresscom without<br />
any specfic safety concerns. The two batches did not differ significantly<br />
in <strong>to</strong>lerance.<br />
4. SUMMARY AND CONCLUSIONS<br />
The double blind randomized placebo controlled study was conducted<br />
in 86 patients of Chronic Fatigue Syndrome attending the Out Patient<br />
Department of LNJP Hospital, New Delhi, for a period of 8 <strong>to</strong> 12 weeks.<br />
The following points can be concluded basis the result of the clinical<br />
study:<br />
• Stresscom had shown improvement on multiple parameters of<br />
psychosomatic complaints of Chronic Fatigue Syndrome like fatigue,<br />
headache, muscle pain, weakness, joint pains, feverish feeling, sleep<br />
abnormality, neuropsychiatric complaints, f<strong>org</strong>etfulness, irritability,<br />
confusion, lack of concentration as compared <strong>to</strong> the baseline scores<br />
and that of placebo. A statistical significant improvement was noted in<br />
parameters of fatigue, headache, muscle pain and weakness compared<br />
<strong>to</strong> placebo.<br />
• Stresscom had shown improvement in the scores of Karnofsky<br />
Performance Scale Index (KPI) in each visit compared <strong>to</strong> the baseline,<br />
however, no significant difference was found on between the group<br />
analysis.<br />
• Both Stresscom and Placebo were found <strong>to</strong> be well <strong>to</strong>lerated during the<br />
course of study.<br />
• Stresscom might be useful in relieving symp<strong>to</strong>ms of Chronic Fatigue<br />
Syndrome.<br />
5. ACKNOWLEDGEMENT<br />
Dabur India Limited is thankful <strong>to</strong> the Investiga<strong>to</strong>rs for conducting the<br />
study on the product Ashwagandha Capsule, which is being marketed in<br />
India by Dabur as Stresscom Capsules<br />
6. REFERENCES<br />
• Medicinal Plants of India and Pakistan; Dastur, J.F, D.B . Taraporvala<br />
& Sons, Bombay; (1970), 3rd edition pp.177.<br />
• Role of Aswagandha in various types of Arthropathies; Bec<strong>to</strong>r, N.P.,<br />
Puri, A.S. & Sharma, D: (1968) Ind. J. Med. Res. 56 (10), pp 1581-<br />
1583.<br />
• Dimensional assessment of chronic fatigue syndrome; Jan H.M.M.<br />
Vercoulen, Caroline M.A. Swanink, Jan F.M. Fennis et.al;Journal of<br />
Psychosomatic Research; <strong>Volume</strong> 38, Issue 5, <strong>July</strong> 1994, Pages 383–<br />
39<br />
• Chronic fatigue syndrome (CFS) -A review and a proposition of a biopsycho-social<br />
model of the chronic fatigue syndrome; Rolf H. Adler;<br />
Swiss Med Wkly 2004;134:268–276<br />
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