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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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