Subchronic effect of different doses ofDiclofenac Sodium on female reproductive system in rats
DOI:
https://doi.org/10.31351/vol32iss1pp227-236Abstract
NSAIDs are widely utilized drugs in today's world. These medications are well-known for their anti-inflammatory and analgesic properties. The goal of this study was to suggest and explain the subchronic effects of low and high doses of diclofenac on female reproductive system in rats. A total of 24 female rats were divided into 4 groups, six rats in each. The first group was given distilled water as a control, the second and third groups were given diclofenac (1 mg/kg) and(5 mg/kg) respectively. The fourth group was given a combination of diclofenac and mefenamic acid for 35 days. Hormonal, biochemical, and hematological tests were performed. Low dose diclofenac showed no significant change regarding PGE2, LH, progesterone, prolactin, and glutathione, but an increase in FSH, and decrease in estrogen compared to control group were documented. In contrast, high dose diclofenac alone or combined with mefenamic acid showed significant impact on female reproductive system documented by biochemical and histopathological evaluations. At hematological levels diclofenac decrease RBC,HGB, and platelet account but no change in the total WBC were found. Sub-chronic use of DS alone or in combination with mefenamic acid have a deleterious impact on the female reproductive system, oxidative stress and hematological parameters
Keywords:NSAIDs, diclofenac sodium, female reproductive toxicity, hematologic.
How to Cite
Publication Dates
References
Phillips WJ, Currier BL. Analgesic pharmacology: II. Specific analgesics. J Am Acad Orthop Surg. 2004 Jul-Aug;12(4):221-33.
Dawood MY. Primary dysmenorrhea: advances in pathogenesis and management. Obstet Gynecol. 2006 Aug;108(2):428-41.
Shekelle PG, Newberry SJ, FitzGerald JD, Motala A, O’Hanlon CE, Tariq A, et al. Management of gout: A systematic review in support of an American college of physicians clinical practice guideline. Ann Intern Med. 2017;166(1):37–51.
Oyler DR, Parli SE, Bernard AC, Chang PK, Procter LD, Harned ME. Nonopioid management of acute pain associated with trauma: Focus on pharmacologic options. J Trauma Acute Care Surg. 2015;79(3):475–83.
Modi CM, Mody SK, Patel HB, Dudhatra GB, Kumar A, Avale M. Toxicopathological overview of analgesic and anti-inflammatory drugs in animals. J Appl Pharm Sci. 2012;2(1):149–57.
Cooper C, Chapurlat R, Al-Daghri N, Herrero-Beaumont G, Bruyère O, Rannou F, et al. Safety of Oral Non-Selective Non-Steroidal Anti-Inflammatory Drugs in Osteoarthritis: What Does the Literature Say? Drugs and Aging [Internet]. 2019;36(s1):15–24. Available from: https://doi.org/10.1007/s40266-019-00660-1
Raoof IB, Al-Ezzi MI. Differential Effect of Cyclooxygenases 1 and 2 in Late Reproductive Age Women. Al Mustansiriyah J Pharm Sci. 2019;19(3):13–8.
Gohel, M. C., et al. "Application of simplex lattice design for the development of transdermal gels of diclofenac Sodium." Indian Journal of Pharmaceutical Sciences 62.2 (2000): 108
EAEMP (European Agency for the Evaluation of Medicinal Products). Committee for Veterinary Medicinal Products. Diclofenac Summary Report. European Agency for the Evaluation of Medicinal Products Veterinary Medicines and Inspections. London, UK. Emea/Mrl/885/03-Final. 2003;(September 2003):1–9.
Mousa AA, Elweza AE, Elbaz HT, Tahoun EAE aziz, Shoghy KM, Elsayed I, et al. Eucalyptus Globulus protects against diclofenac sodium induced hepatorenal and testicular toxicity in male rats. J Tradit Complement Med [Internet]. 2020;10(6):521–8. Available from: https://doi.org/10.1016/j.jtcme.2019.11.002
Ajima MNO, Kumar K, Poojary N, Pandey PK. Sublethal diclofenac induced oxidative stress, neurotoxicity, molecular responses and alters energy metabolism proteins in Nile tilapia, Oreochromis niloticus. Environ Sci Pollut Res. 2021;28(32):44494–504.
Mostafa RE, El-Marasy SA, Abdel Jaleel GA, Bakeer RM. Protective effect of royal jelly against diclofenac-induced hepato-renal damage and gastrointestinal ulcerations in rats. Heliyon [Internet]. 2020;6(2):e03330. Available from: https://doi.org/10.1016/j.heliyon.2020.e03330
Orinya OA, Adenkola AY, Ogbe RJ. Haematological and biochemical studies on the effect of diclofenac sodium on Wistar Rattus norvegicus. Int J Biol Chem Sci. 2017;10(5):2231.
Reed BG, Carr BR. The Normal Menstrual Cycle and the Control of Ovulation. Endotext [Internet]. 2000;1–17. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25905282
Tomioka RB, Ferreira GRV, Aikawa NE, Maciel GAR, Serafini PC, Sallum AM, et al. Non-steroidal anti-inflammatory drug induces luteinized unruptured follicle syndrome in young female juvenile idiopathic arthritis patients. Clin Rheumatol. 2018;37(10):2869–73.
Smith G, Roberts R, Hall C, Nuki G. Reversible Ovulatory Failure Associated With the. 1996;458–62.
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Iraqi Journal of Pharmaceutical Sciences ( P-ISSN 1683 - 3597 E-ISSN 2521 - 3512)
This work is licensed under a Creative Commons Attribution 4.0 International License.