Sunday, 13 November 2016

Innovative medicines and quality: reverse pharmacognosy

https://www.researchgate.net/publication/310101592_Innovative_medicines_and_quality_reverse_pharmacognosy

Article · January 2016
  • 1st A G M Van Asseldonk
    Unknown
  • 22.2 · Unknown
Abstract
In this paper we discuss an Emotive project in which Indian and Dutch farmers and veterinarians exchanged knowledge about herbs and management. This project was discussed at a workshop on the quality control of herbal therapeutics that took place in Zwolle on October 23, 2014 [1]. A major contribution came from prof. Dr. Padma Venkatasubramanian of the Institute of Trans-disciplinary Health Sciences and Technology, Bangalore, India. She suggested that currently phytotherapeutics are not standardized in line with their traditional uses and this should be critically reconsidered. This complaint is also heard from practitioners of Traditional Chinese Medicine. Venkatasubramanian spoke in favor of the so-called reverse pharmacognosy, in addition to describing what is called the reverse pharmacology by others [2]. Emancipation of herbal medicine Pharmacognosy is the discipline that is most involved in the scientific substantiation of the traditional uses of medicinal plants. After identifying specific, potent pharmacologically active substances in plants (mixtures), applications derived from tradition medicine became more reliable (more predictable) because extracts were standardized on the now well-known active ingredient(s), and the safety of these medicines could be better ensured, in particular unexpected overdoses were prevented. The usefulness of this scientific discipline for herbal medicine was not always obvious. Often the active plant compounds were isolated or synthesized and as such patented-more often derivatives of these compounds were developed that were easier to patent and were more readily available to the digestive system but these were often more powerful and more toxic. The resulting patented drugs have gained a leading position in the medical world and the unpatented spices are largely pushed out of the market. Many plants that were the basis of medicinal products developed in this way could not be used anymore by professionals in the Netherlands (such as Digitalis spp, Datura stramonium, Hyoscyamus niger, Papaver somniferum. Since 2001 also plants like Rubia tinctorum and Ephedra spp.) were taken out of the herbal markets. However some plants, such as Salix spp., willow bark), have made a comeback as herbal medicinal products in the EU. In some third world countries that have their own traditional medicines there has been much opposition to the above described erosion of traditional herbal medicine which is characterized as biopiracy. Ethno-pharmacology has thus become associated with the theft of traditional knowledge. Several pharmacologists in the developing world have expressed support for better cooperation with the local traditional healers. The World Health Organization and the European Parliament have expressed support for this, but in practice, bodies such as the Committee on Herbal Medicinal Products (HMPC) of the European Medicines Agency (EMA), despite the insistence of the European parliament, contain no experts in the field of traditional medicine in their working group which is composed primarily from pharmacologists and pharmacologists. Examples of reverse pharmacology The typical development of a medicine runs from laboratory to clinic and is very long and costly [fig.1]