The Efficacy and Safety of Prasaprohyai Remedy, a Thai traditional remedy compared to Loratadine in Allergic Rhinitis Patients Efficacy and Safety of Prasaprohyai Remedy, a Thai traditional remedy compared to Loratadine in Allergic Rhinitis Patients

Main Article Content

waipoj chanvimalueng
Nichamon Mukkasombut
Arunporn Itharat

Abstract

ABSTRACT


 


Background: Prasaprohyai remedy (PSPR) has been used to treat common cold and fever, but there is no report of efficacy and safety. Thus, the objectives of this study are to compare the efficacy and safety of PSPR powder and Loratadine in allergic rhinitis patients.


Methods: The study design was a double-blind, randomized controlled trial. Sixty-three allergic rhinitis volunteers were divided into two random groups. One took PSPR remedy powder at a dose of 1,000 mg three times a day before meals, and the other took Loratadine at a dose of 10 mg once daily before meals and received a placebo to maintain double-blind conditions for six weeks. All volunteers were followed up in the third week and the sixth week to evaluate the efficacy and safety of the medicines.


Conclusion: PSPR increased the minimal cross section area (MCA) in the sixth week. PSPR and Loratadine were able to relieve the symptoms of sneezing, running nose, stuffy nose, itchy nose, total nasal symptoms, and to raise quality of life (p < 0.05). A side effect of PSPR is eructate (23.3%) and a side effect of Loratadine is drowsiness (13.3 %). After taking PSPR, there was no adverse effect on either renal or liver function. Then PSPR appears to be as safe and effective as Loratadine treatment and could be a potential choice for the treatment of allergic rhinitis.

Article Details

How to Cite
chanvimalueng, waipoj, Mukkasombut, N. ., & Itharat, A. . (2025). The Efficacy and Safety of Prasaprohyai Remedy, a Thai traditional remedy compared to Loratadine in Allergic Rhinitis Patients: Efficacy and Safety of Prasaprohyai Remedy, a Thai traditional remedy compared to Loratadine in Allergic Rhinitis Patients. Thai Journal of Otolaryngology Head and Neck Surgery, 25(2). retrieved from https://he02.tci-thaijo.org/index.php/rcotJ/article/view/271625
Section
Reseach Articles

References

References

Storms W. Allergic rhinitis-induced nasal congestion: its impact on sleep quality. Prim Care Respir J, 2008; 17(1): 7-18. doi: 10.3132/pcrj.2008.00001 SG00107 [pii].

Maspero J, Lee BW, Katelaris CH, et al. Quality of life and control of allergic rhinitis in patients from regions beyond western Europe and the United States. Clin Exp Allergy,2012; 42(12): 1684-1696. doi: 10.1111/j.1365-2222.2012.04025.x.

Berger WE. Allergic rhinitis in children: diagnosis and management strategies. Paediatr Drugs,2004; 6(4):233-250. doi: 643 [pii].

Itharat A, Makchuchit S. Anti-inflammatory activity of Thai traditional medicine preparation called Prasaprohyai. Planta Med, 2009; 75(10):1055.

Uzzaman A, Metcalfe DD, Komarow HD. Acoustic rhinometry in the practice of allergy. Ann Allergy Asthma Immunol, 2006;97(6): 745-751; quiz 751-742, 799. doi: S1081-1206(10)60964-7 [pii] 10.1016/S1081-1206(10)60964-7.

Kim YH, Yang TY, Lee DY, et al. Evaluation of acoustic rhinometry in a nasal provocation test with allergic rhinitis. Otolaryngol Head Neck Surg,2008;139(1): 120-123. doi: 10.1016/j.otohns.2008.04.028 S0194-5998(08)00370-7 [pii].

Umar MI, Asmawi MZ, Sadikun A, et al. Bioactivity-guided isolation of ethyl-p-methoxycinnamate, an anti-inflammatory constituent, from Kaempferia galanga L. Extracts. Molecules,2012; 17(7): 8720-8734. doi: 10.3390/molecules17078720 molecules17078720 [pii].

Kim HM, Lee EH, Kim CY, et al. Antianaphylactic properties of eugenol. Pharmacol Res, 1997;36(6):475-480. doi: S1043661897902565 [pii].

Umar MI, Asmawi MZ, Sadikun A, et al. Ethyl-p-methoxycinnamate isolated from Kaempferia galanga inhibits inflammation by suppressing interleukin-1, tumor necrosis factor-alpha, and angiogenesis by blocking endothelial functions. Clinics (Sao Paulo), 2014;69(2):134-144. doi: 10.6061/clinics/2014(02)10 S1807-59322014000200134 [pii].

Alvarez NR, Bastardo Z, Fernandez DM, et al. Acute interstitial nephritis induced by loratadine. Nefrologia, 2003;23(4):355-358.

Matzke GR, Halstenson CE, Opsahl JA, et al. Pharmacokinetics of loratadine in patients with renal insufficiency. J Clin Pharmacol, 1990;30:364-371.

Izumi N, Mizuguchi H, Umehara H, et al. Evaluation of efficacy and sedative profiles of H(1) antihistamines by large-scale surveillance using the visual analogue scale (VAS). Allergol Int, 2008;57(3): 257-263. doi: 10.2332/allergolint.O-07-525.