• Sub-chronic Effect Of Co-administration Of Methformine And Amilodipine On Some Haematological Indices In Experimental Animal
    [A CASE STUDY OF WISTAR RATS]

  • CHAPTER THREE -- [Total Page(s) 4]

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    • CHAPTER THREE
      3.0 MATERIALS AND METHODS
      3.1 Study design
      Animals were randomly divided into two (2) groups. Animals were randomly shared into the two groups with each groups containing equal number of animals.
      Group A(1) (n=8) were administered normal saline for 30 days.
      Group B(2) (n=8) were co-administered 0.0438mg/ml/132g body weight of metformin and 0.00264mg/ml/132g body weight Amilodipine besylate for 30 days.
      Each group of rats will be allowed to have free access to water ad libitum and standard rat chow (SRC) for 30days with 2 weeks of acclimatization. The weight of each rat will be measured and computed daily. Furthermore, each rat will be examined daily for possible behavioral and gross morphological or physical changes.


      3.2 Preparation of animals
      The animals were housed in hanging stainless-steel wire cages kept in an isolated room at a controlled temperature (23–25oC) and humidity (40–60%). Lighting was maintained on a 12-h cycle (lights on from 07.00 to 19.00h).
      3.3 Sample size determination
      The sample size was calculated by "resource equation method" described by Festing et al, (2002). In this method a value E is calculated based on decided sample size.
      Where E = Total number of animals - Total number of groups
      In this animal study 2 groups of animals were formed having a about 6-9 animals for each different interventions, therefore the total animals was 18 (9 × 2). Hence E was
      E = 18-2 = 16
      E (16) was used for this study.
      3.4 Reagent Kits/Drug Preparation and Dosage
      All assay reagent kit was from AGAPPE Laboratories Ltd and was purchased from Nums diagnostic services Abuja. Amlodipine and Metformin manufactured by Pfizer Pharmaceutical Company was purchased at a pharmaceutical outlet in Ilorin. Amlodipine and metformin was dissolved at room temperature (RT) in distilled water, under sterile conditions and vortexed to obtain transparent solution. Drug doses were guided by the literature and the rats were administered intra-peritoneally with mg/kg/day (Begum and Akhter, 2007).
      3.5 Dosage
      The dosage of each drug was calculated using the dose by factor approach according to Anroop and Shery (2016).
          In the dose by factor approach, the number of observed adverse effect level NOAEL of drugs is scaled by making use of allometry to derive the maximum recommended starting dose MRSD for clinical studies. This simple empirical approach considers the size of individuals species based on body surface area which is related to metabolic rate of an animal that is established through evolutionary adaptation of animals to their size (Kearny and White, 2014).
      Dose is equally related to body weight but it is not the lone factor which influences the scaling for dose calculation. The correction factor known as the km is estimated by dividing the average body weight (kg) of species to its body surface area (m2).

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    • ABSRACT - [ Total Page(s): 1 ]ABSTRACTMetformin, which belongs to the biguanide class, is one of the most generally used oral hypoglycemic agents. It has been used for more than 50 years and was approved by the US Food and Drug Administration (FDA) in 1994 (American Diabetes Association, 2009) whereas Amlodipine is a long acting dihydropyridine calcium channel blocker, which is used in the treatment of angina to lower the BP (Blood pressure). the aim is to know the effect of co-administration of this two drugs in Wistar rats ... Continue reading---

         

      APPENDIX A - [ Total Page(s): 1 ]APPENDIXAPPENDIX 1:     MATERIAL USED1% Ammonium oxalate10% Formalin salineAbsorbent paperAutomatic pipetteBrilliant cresyl blueCounting chamber Cyanmethaemoglobin standardDrabkin’s ReagentEDTA sample containerHematoxylin and Eosin stainKhan tubes/rackLeisfhmann stainLight microscopeMicrohaematocrit centrifugeNormal salinePasteur pipettePipette tipsRotary microtomeSpectrophotometerTimer Turk’s solution Universal sample bottle ... Continue reading---

         

      APPENDIX B - [ Total Page(s): 1 ]APPENDIX IITable 1: haematological parameters in control, Metformine treated and Amilodipine treated Rats (Values are expressed as mean ± Standard error of means)                     Group A(1): control (untreated), Group B(2): co-administration of Metformin 0.00264/ml/132g and Amlodipine 0.000849/ml/132g at a single dose for 30 daysPARAMETERS     GROUP A     GROUP   BPacked cell volume (%)    44.16±2.83    38.47±3.53Red blood cell count (x1012/L)    7 ... Continue reading---

         

      LIST OF TABLES - [ Total Page(s): 1 ]LIST OF TABLESTable 1: Haematological parameters in control, Co-administration of Metformin and Amlodipine treated  ... Continue reading---

         

      LIST OF FIGURES - [ Total Page(s): 1 ]LIST OF FIGURESFigure 1: Shows mechanism of action of metformin Figure 2: Shows Pie chat representation of Packed cell volume of control, Co-administration of metformin and amlodipine treated Wistar Rats        Figure 3: Shows Histogram representation of Hemoglobin and red blood cell count of control, Co-administration of metformin and amlodipine treated Wistar Rats   Figure 4: Shows Histogram representation of red cell indicies of control, Co-administration of metformin and amlodipine t ... Continue reading---

         

      TABLE OF CONTENTS - [ Total Page(s): 1 ]TABLE OF CONTENTTitle page   Declaration  Certification  Dedication     Acknowledgement      Table of content      List of table  List of figures     Abstract    CHAPTER ONE1.0 Introduction    1.1 Background of study   1.2 Statement of Problems           1.3 Justifications    1.4 Aims      1.5 Research Objectives       1.6 Research Hypothesis     1.7 Significance of research   CHAPTER TWO2.0 Literature review    2.1 Metformin    2.1.1 ... Continue reading---

         

      CHAPTER ONE - [ Total Page(s): 2 ]CHAPTER ONE1.0    INTRODUCTION1.1 Background of the studyMetformin, which belongs to the biguanide class, is one of the most generally used oral hypoglycemic agents. It has been used for more than 50 years and was approved by the US Food and Drug Administration (FDA) in 1994 (American Diabetes Association, 2009). Currently, many clinical practice guidelines for patients with type 2 diabetes, including the American Diabetes Association (ADA), the European Association for the Study of Diabetes ... Continue reading---

         

      CHAPTER TWO - [ Total Page(s): 12 ]The current use of serum Vitamin B12 level relies on several different range points for Vitamin B12 status. Serum Vitamin B12 level under 148 pmol/L are said to be deficient, low/borderline levels are interpreted from levels between 148-220 pmol/L (Mazokopakis and Starakis, 2012). Normal ranges of Vitamin B12 serum range from 220- 800 pmol/L, levels that exceed this are rarely suspicious in cause, although excessive B12 serum may be a marker of myloproliferative disorders (Pernicova and Korbonit ... Continue reading---

         

      CHAPTER FOUR - [ Total Page(s): 6 ]CHAPTER FOUR4.0 Results4.1 Hematological parameter in control and test groups    As summarized in table 1, the mean RBC counts were 7.62 ± 2.83 x1012/L for the control and 6.53 ± 0.57 x1012/L for co-administration of metformin and amlodipine fed groups respectively. Although, decrease in RBC counts was observed in the treated (co-administration of metformin and amlodipine) dose group, these were statistically significant compared to control groups (student t test P0.05) higher in the tr ... Continue reading---

         

      CHAPTER FIVE - [ Total Page(s): 2 ]CHAPTER FIVE5.0 DiscussionMetformin (1,1-dimethylbiguanide) is the most widely used drug to treat type 2 diabetes, and is one of only two oral anti-diabetic drugs on the World Health Organization (WHO) list of essential medicines (American Diabetes Association, 2009). Amlodipine is a long acting dihydropyridine calcium channel blocker, which is used in the treatment of angina to lower the BP. Co-administration of Metformin and Amlodipine have been discovered to lead to vitamin B12 deficiency. Al ... Continue reading---

         

      REFRENCES - [ Total Page(s): 4 ]Senol, M.G., Sonmez, G., Ozdag, F. and Saracoglu, M. (2008). Reversible myelopathy with vitamin B12 deficiency. Singapore Medical Journal. 49(11): 330-332.Srinivasan, S., Ambler, G.R., Baur, L.A., Garnett, S.P. and Tepsa, M. (2006). Randomized, controlled trial of metformin for obesity and insulin resistance in children and adolescents: improvement in body composition and fasting insulin. Journal of Clinical Endocrinology and Metabolism. 91: 2074-2080. Sterne, J. (1957). Du nouveau dans les anti ... Continue reading---