Randomized, open-label, controlled, comparative clinical study to evaluate the safety and efficacy of Pilex Forte tablets in combination with Pilex Ointment application for the effective management of common ano-rectal conditions
DOI:
https://doi.org/10.15584/ejcem.2021.3.3Keywords:
anorectal, fissure-in-ano, haemorrhoidsAbstract
Introduction. Haemorrhoids and anal fissures are considered as the most common anorectal conditions.
Aim. To evaluate the safety and efficacy of Pilex Forte tablets in combination with Pilex Ointment as compared to the Standard of Care in common anorectal conditions.
Material and methods. Randomized, open-label, controlled comparative clinical study conducted on 162 patients of either sex, aged between 18-50 years, confirmed with common anorectal conditions. As per randomization, patients received either standard of care or Pilex Forte tablet along with Pilex Ointment at a recommended dose of two tablets twice daily and twice daily local application (anal) for a period of 4 weeks. Clinical safety and efficacy assessments were carried out at study specific scheduled visits. Laboratory assessments were carried out only at screening and at the end of the study.
Results. Patients who completed the study were considered for statistical analysis. Significant clinical improvement was observed in patients with anorectal conditions who received Pilex Forte tablet and Pilex Ointment than to those who received standards of care. No abnormal lab values were recorded and there were no adverse events reported during the study period.
Conclusion. Pilex Forte tablet along with Pilex Ointment at recommended dose is safe and effective in the management of anorectal conditions like haemorrhoids and fissure-in-ano.
Downloads
References
Henderson PK, Cash BD. Common anorectal conditions: evaluation and treatment. Curr Gastroenterol Rep. 2014;16(10):408.
Di Palma JA. Introducing comprehensive non-surgical anorectal care to the gastroenterology fellowship training curriculum: University of South Alabama experience. Pract Gastroenterol. 2011;35:31-36.
Ganz R. The evaluation and treatment of haemorrhoids: a guide for the gastroenterologist. Clin Gastroenterol and Hepatol. 2013;11:593-603.
Appalaneni V, Fanelli R, Sharaf R, American Society for Gastrointestinal Endoscopy, Standards of Practice Committee, et al. The role of endoscopy in patients with anorectal disorders. Gastrointest Endosc. 2010;72:1117-1123.
Riss S, Weiser FA, Schwameis K, et al. The prevalence of haemorrhoids in adults. Int J Colorectal Dis. 2012;27(2):215-220.
Hall J. Modern management of hemorrhoidal disease. Gastroenterol Clin N Am. 2013;42:759-772.
Jacobs D. Clinical practice. Haemorrhoids. N Engl J Med. 2014;371(10):944-951.
Mounsey AL, Halladay J, Sadiq TS. Haemorrhoids. Am Fam Physician. 2011;84(2):204-210
Alonso-Coello P, Guyatt G, Heels-Ansdell D, et al. Laxatives for the treatment of haemorrhoids. Cochrane Database Syst Rev. 2005;4:CD004649.
Shafik A. Role of warm-water bath in anorectal conditions. The “thermosphincteric reflex.” J Clin Gastroenterol. 1993;16(4):304-308.
Lohsiriwat V. Haemorrhoids: from basic pathophysiology to clinical management. World J Gastroenterol. 2012;18(17):2009-2017.
Lacy BE, Weiser K. Common anorectal disorders: diagnosis and treatment. Curr Gastroenterol Rep. 2009;11:413-419.
Lysy J, Sistiery-Ittah M, Israelit Y, et al. Topical capsaicin-a novel and effective treatment for idiopathic intractable pruritus ani: a randomized, placebo-controlled, crossover study. Gut. 2003;52:1322-1326.
Jensen SL. Treatment of first episodes of acute anal fissure: prospective randomized study of lignocaine Ointment versus hydrocortisone Ointment or warm sitz baths plus bran. Br Med J. 1986;292:1167-1169.
Dhawan S, Chopra S. Nonsurgical approaches for the treatment of anal fissures. Am J Gastroenterol. 2007;102:1312-1321.
Khare CP. Encylopedia of Indian Medicine. Germany: Springer; 2007:159-160.
Ayurvedic Formulary of India. Part-II. First English Edition. Ministry of H & FW, Dept. of ISM & H. Govt of India. New Delhi. 2000:373-374
Mishra S. Ayurvediya Rasashastra. Chaukhamba Orientalia. Varanasi. 7th edition. 1997: 399.
Khare CP. Indian Medicine: An illustrated dictionary. New Delhi: Springer; 2007:75.
Kausik Biswas, Ishita Chattopadhyay, Ranajit K. Banerjee, Uday Bandyopadhyay. Biological activities and medicinal properties of neem (Azadirachta indica). Current Science. 2002;82(11):June.
Khare CP. Indian Medicine: An illustrated dictionary. New Delhi: Springer;2007:88-89.
Asolkar LV. Second supplement to glossary of Indian Medicinal Plants with active principles. New Delhi: CSIR. Govt. of India; 1992:120.
Rathish Nair, Sumitra V. Chanda. Antibacterial Activities of Some Medicinal Plants of the Western Region of India. Turk J Biol. 2007;31:231-236.
Asolkar LV, et al. Second supplement to glossary of Indian Medicinal Plants with active principles. New Delhi: CSIR. Govt. of India; 1992:291-292.
Chattopadhyay RR, Bhattacharyya SK. Terminalia chebula: An update. Pharmacognosy Reviews. 2007;1(1):151-156.
Khare CP. Indian Medicine: An illustrated dictionary. New Delhi: Springer; 2007:652653.
Yoganarasimhan SN. Medicinal Plants of India - Tamil Nadu, Bangalore. 1st Edition, 2000:540.
Asolkar LV. Second supplement to glossary of Indian Medicinal Plants with active principles. New Delhi: CSIR. Govt. of India; 1992:177-178.
Akanmu MA, Iwalewa EO, Elujoba AA, Adelusola KA. Toxicity Potentials of Cassia Fistula Fruits as Laxative with Reference to Senna. African J Biomed Res. 2004;7:23-26.
Asolkar LV, et al. Second supplement to glossary of Indian Medicinal Plants with active principles. New Delhi: CSIR. Govt. of India; 1992:113-114.
Mali RG, Mahajan SG, Mehta AA. Rakta Kanchan (Bauhinia variegata): Chemistry, Traditional and Medicinal uses- a review. Pharmacognosy Reviews. 2007;1(2):Jul-Dec.
Mazumder R, Dastidar SG, Basu SP, Mazumder A, Singh SK. Antibacterial potentiality of Mesua ferrea Linn. flowers. Phytother Res. 2004;18(10):824-826.
Chopra RN, Nayar SL, Chopra LC. Mesua ferrea. Glossary of Indian Medicinal Plants. National Institute of Science Communication, New Delhi. 4th Reprint, 1996:166.
Chopra RN, Nayar SL, Chopra LC. Mimosa pudica. Glossary of Indian Medicinal Plants. National Institute of Science Communication, New Delhi. 4th Re-print, 1996:167.
Leal LK, Ferreira AA, Bezerra GA, Matos FJ, Viana GS. Antinociceptive, anti-inflammatory and bronchodilator activities of Brazilian medicinal plants containing coumarin: A comparative study. J Ethnopharmacol. 2000;70(2):151-159.
Perumal Samy R, Ignacimuthu S, Sen A. Screening of 34 Indian medicinal plants for antibacterial properties. J Ethnopharmacol. 1998;62(2):173-182.
Jagetia GC, Baliga MS. The evaluation of nitric oxide scavenging activity of certain Indian medicinal plants in vitro: a preliminary study. J Med Food. 2004;7(3):343-348.
Dharmasiri MG, Jayakody JR, Galhena G, Liyanage SS, Ratnasooriya WD. Anti-inflammatory and analgesic activities of mature fresh leaves of Vitex negundo. J Ethnopharmacol 2003;87(2-3):199-206.
Chawla AS, Sharma AK, Handa SS, Dhar KL. Chemical investigation and anti-inflammatory activity of Vitex negundo seeds. J Nat Prod. 1992;55(2):163-167.
Lavagna SM, Secci D, Chimenti P, Bonsignore L, Ottaviani A, Bizzarri B. Efficacy of Hypericum and Calendula oils in the epithelial reconstruction of surgical wounds in childbirth with caesarean section. Farmaco. 2001;56(5-7):451-453.
Cordova CA, Siqueira IR, Netto CA, et al. Protective properties of butanolic extract of the Calendula officinalis L. (marigold) against lipid peroxidation of rat liver microsomes and action as free radical scavenger. Redox Rep. 2002;7(2):95-102.
Chopra RN, Nayar SL, Chopra LC. Cinnamomum camphora. Glossary of Indian Medicinal Plants. National Institute of Science Communication, New Delhi. 4th Re-print, 1996:65.
Asolkar LV, Kakkar KK, Chakre OJ. Cinnamomum camphora. Glossary of Indian Medicinal plants with Active principles. Publications & Information Directorate (CSIR), New Delhi. 1992; Second supplement, Part –I (A-K), (1965-1981):203.
Lee HJ, Hyun EA, Yoon WJ, et al. In vitro anti-inflammatory and anti-oxidative effects of Cinnamomum camphora extracts. J Ethnopharmacol. 2006;103(2):208-216.
Siddhinandan Mishra. Tankana. Ayurvediya Rasashastra. Chaukhambha Orientalia, Varanasi. 7th edition. 1997:699-702.
Sri Sadananda Sharma. Rasatarangini. Yashada bhasma. Motilal Vanarasi Das, Delhi. 11th edition., 1994:482-483.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 European Journal of Clinical and Experimental Medicine

This work is licensed under a Creative Commons Attribution 4.0 International License.
Our open access policy is in accordance with the Budapest Open Access Initiative (BOAI) definition: this means that articles have free availability on the public Internet, permitting any users to read, download, copy, distribute, print, search, or link to the full texts of these articles, crawl them for indexing, pass them as data to software, or use them for any other lawful purpose, without financial, legal, or technical barriers other than those inseparable from having access to the Internet itself.
All articles are published with free open access under the CC-BY Creative Commons attribution license (the current version is CC-BY, version 4.0). If you submit your paper for publication by the Eur J Clin Exp Med, you agree to have the CC-BY license applied to your work. Under this Open Access license, you, as the author, agree that anyone may download and read the paper for free. In addition, the article may be reused and quoted provided that the original published version is cited. This facilitates freedom in re-use and also ensures that Eur J Clin Exp Med content can be mined without barriers for the research needs.




