1.A survey of pharmaceutical care for clients
Otgonbat B ; Yeruult Ch ; Enhkhjargal D
Mongolian Pharmacy and Pharmacology 2018;12(1):25-30
Background:
One of the main goals of pharmaceutical care is the developing proper drug use and high
lighted “The Government of Mongolia is aiming to provide health organizations and veterinary
clinic by highly effective, safe, quality assured and selectable drugs with continuous, uniform and
accessible”.
World Health Organization (WHO) recommended that there are 5 standard to assess
pharmaceutical care services. In Mongolia, people unused drugs with prescription and doctor
direction. Background of this survey is to define appropriate use of drug in Ulaanbaatar citizen
according to the WHO criteria and to determine the necessary parameters for the proper use of
drugs in the future.
Discussion:
The survey was based on the WHO recommendation and selection of pharmacies
nearby the hospitals which we selected each 50 and 50 citizen’s prescription from total 12 hospital
of Ulaanbaatar city, a total of 600 recipes and questionnaire on specific drug information and
knowledge of clients.
Result:
Average counseling was 1.02 minutes, duration of dispense was 35.3 seconds, 85%
of drug % from written on prescription and 61.6% of customers knowledge about drug.
Conclusion
1. It doesn’t meet the requirements of pharmaceutical assistance because of the citizen’s drug
knowledge is insufficient and pharmacist’s counseling time is not enough.
2. Customer’s knowledge about drug name, dose, and method of usage is 62% and it is
insufficient.
2. Subchronic toxicity study of Tetima herbal compound infusion, in experimental animals
Mend-Amar R ; Anar E ; Yeruult CH
Innovation 2016;10(3):42-46
Daurian Thermopsis (Thermopsis daurica Czefr.),Gobian Thyme(Thymus gobicusTschern.) and Mogilev Mallow (Malva mohileviensis Downer) are separately used as mucolytic and anti- inflammatory treatment in non-conventional medicine. Therefore, we prepared infusion of these herbals compound called as a Tetima. It is important to produce new pharmaceutical preparation that mucolytic effective for upper and lower respiratory tract inflammatory disease. Despite the wide use of this plants as herbal medicine in the treatment of respiratory tract diseases, their toxicity is still unknown. Therefore, we evaluated the possiblesubchronic toxic effects of Tetima herbal compound inrats. Tetima herbal compound infusion was prepared in distilled water (1:10). We used 15 Wistar breed rats (230-370 gr) in this study. Subchronic toxicity study for 28 days was done by oral administration at doses of 0.5ml normal saline (control) and 200 mg/kg, 400 mg/kg of infusion in Wistar ratsThe obtained data revealed that oral administration of Tetima in rats for 28 successive days had no significant changes the hematological parameters in rats all over the period of the experiment, and there are no significant increases in the activity of aspartate aminotransferase, alanine aminotransferase, creatinine and urea, between control and treated groups (p>0.05). The histopathological studies of the major vital organs like liver, kidney and heart recovered from the control and treated groups showed normal architecture suggesting no detrimental changes and morphological disturbances. These results show that the Tetima herbal compound is low toxic in subchronic toxicity study.
3. Intraperitoneal acute toxicity study of Tetima herbal compound extract, in experimental animals
Anar E ; Yeruult CH ; Batkhuyag P ; Khaliun N ; Narantungalag D ; Tuvshinjargal TS
Innovation 2015;9(4):42-45
The Mongolian plants considered to possess medicinal properties may contain novel compounds since they are exposed to severe conditions; such plants could become good candidates for modern drug discovery programs. Daurian Thermopsis (Thermopsis lanceolata R.Br.= Th.dahurica Czefr.), Gobian Thyme (Thymus gobicus Tschern.) and Mogilev Mallow (Malva mohileviensis Downer) are separately used as mucolytic and anti-inflammatory treatment in non-conventional medicine. Therefore, weprepared extract of these herbals compound called as a Tetima and to evaluate it’s acute toxicity. It isimportant to produce mucolytic effective new pharmaceutical preparation used for upper and lowerrespiratory tract inflammatory disease.Tetima herbal compound extract was prepared in ethanol, the ratio of herbals to ethanol was 1:10. Healthy 25 white albino mice (male weighing between 17-30 gram) used in this study. They were kept in large airy cages in groups of 5 animals per cage with free access to food and water. Five doses (8-20 g/kg) were then chosen for the determination of intraperitoneal LD50 in mice and given to five groups of albino mice. The animals were observed for first 2 hours and then at 6th and 24th hour for any toxicsymptoms. After 24 hours, the number of deceased mice was counted in each group. The percentage of animals that died at each dose level was transformed and then LD50 determined by the methods of Karber and Pershin.G.N.The LD50 of Tetima herbal compound in mice was determined to be 14.3 g/kg after intraperitonealinjection. There was no difference occurred between Karber and Pershin methods to evaluate acute toxicity. In the animals receiving intraperitoneal injection, the abdominal muscle contractions and ataxia was observed, which persisted for few hours. At the 6th hour they were drowsy and less responsive. The severity of these effects was related to the level of dose. However, at 24th hour most of the survivors had recovered from these symptoms.Tetima herbal compound extract is a relatively safe, particularly when given intraperitoneal inject toexperimental animals.
4. The research on the analysis of Sampilnorov
Li Chan Shin ; Yeruult Ch ; Davaadagva D
Mongolian Journal of Health Sciences 2025;85(1):250-256
Background:
Traditional Mongolian medicine utilizes complex herbal formulations for restoring bodily functions and
treating various ailments. Sampilnorov, a traditional medicinal composition, is recognized for its therapeutic properties
in regenerating one of the 17 qualities and 15 functions of the human body, particularly qi and its associated functions.
Aim:
This study aims to analyze the therapeutic potential of Sampilnorov in treating conditions related to vein disorders,
fever, and musculoskeletal diseases.
Materials and Methods:
A literature review was conducted, focusing on the Mongolian Medicine section of the Medical Pharmacopoeia of the People’s Republic of China. The pharmacological properties, indications, and mechanisms of
Sampilnorov were examined.
Results:
The findings suggest that Sampilnorov is a valid therapeutic system in Mongolian traditional medicine for addressing multiple physiological dysfunctions. Further clinical and pharmacological studies are necessary to validate its
efficacy and mechanisms of action.
Conclusion
Sampilnorov pills are traditionally used for Eliminating chronic fever and lesions in the white veins, Removing yellow fluid accumulation, Treating disorders of the black and white veins, such as paralysis, gout, rheumatism, and
typhoid fever, Healing damaged veins and alleviating symptoms of leprosy, kidney vein concussions, kidney heat, vein
and tendon spasms, and joint sprains.
5.EVALUATION OF PRESCRIPTION INDICATORS AND CUSTOMERS’ KNOWLEDGE OF DRUG
Otgonbat B ; Yeruult Ch ; Enkhjargal D ; Bulgan B
Innovation 2018;12(1):26-30
:
BACKGROUND: The Mongolian National drug policy states, “The rational drug rehabilitation is one of the main goals of pharmaceutical care”. Recruitment and prescription medications are important issues for improving rational use of medicines. According to the recommendations of the World Health Organization (WHO), the status of rational use of medicines is assessed through the recipe by 10 criteria. The needs to study on rational drug use in hospitals of Ulaanbaatar and determining standard criteria for the proper use of drugs by recommendation of World Health Organization is the main justified issue of the study.
METHODS:
In order to study the rational use of medicines, a single moment /descriptive/ research type was used. Recipes for 50 and 50 people who received prescription from pharmacy within 12 hospitals TFCHM, TSCHM, TTCHM, NCCD, NTaORC, NCMH, HCSKhD, HCChD, HCSBD, HCKhUD, HCBZD, HCBGD June 2017 in Ulaanbaatar, it was based on the WHO recommended methodology, a total of 600 clients, 600 recipes and 1249 medicines were selected and submitted to the conclusions.
RESULTS:
The average number of medicines per minute was 2.08 ± 0.25, 45.2% in International Health Prescription were 42.6% antibiotics. According to a study on a contingency test, 85% did not have prescription signs, 38.8% without diagnostic prescription, 25% did not have physicians, and 48% did not have any medical information. The knowledge about the dose was 68.5%
.
CONCLUSION
The results of the study were compared with the recommendations of the World Health Organization and the proportion of medicines included in the ICS list was lower than the recommendations of the World Health Organization list and the proportion of antibiotic drugs. The study found that 11 different incidents were encountered. Knowledge about medicines dose was 68.5%, compared to World Health Organization recommendations
6. Subchronic toxicity and sedative activity studies of herbal complex preparations
Maral-Erdene G ; Batdavaa B ; Chimgee Ts ; Yeruult Ch ; Enkhmaa G
Mongolian Journal of Health Sciences 2025;85(1):168-172
Background:
According to the World Health Organization (WHO), approximately 70-95% of developing countries rely
on traditional medicine, which includes around 365 plant, animal, and mineral-based preparations. Natural products consist of numerous biologically active compounds that exert effects against pathogens, making up about 25% of modern
pharmaceuticals derived from plants. Since plants are a combination of various metabolites, they can have therapeutic
effects, side effects, and toxicity in the human body. Based on the traditional use of medicinal herbs in Mongolian and
Tibetan medicine for their sedative properties, we selected the medicinal herbs Valeriana officinalis L. and Leonurus sibiricus L., The objective is to develop new medicinal preparations that can be utilized in modern medical practice to treat,
prevent, or supplement the treatment of depression and anxiety. Consequently, it is necessary to prepare a herbal complex
from these selected plants and conduct studies to investigate their subchronic toxicity and sedative activities.
Aim:
To study subchronic and sedative activity of herbal complex preparations.
Materials and Methods:
The herbal complex preparation was prepared from the 70% ethanol extract of the roots of Valeriana officinalis L. and the aerial parts of Leonurus sibiricus L., and a compound preparation was made in a 30:70 ratio.
Subchronic toxicity study was conducted on Wistar rats weighing 180-250 g according to the OECD-407 guidelines. The
sedative activity of herbal complex preparation was studied on C57BL/6 and BALB/c mice using the dark/light transition
test according to Takao K., and the hole-board test according to Hiroshi Takeda.
Results:
In the sub-chronic toxicity study of the herbal complex preparation, biochemical analysis of the serum (including
ALT, AST, creatinine, and urea) and histopathological examination of the liver, kidney, and heart showed no statistically
significant changes when comparing the experimental groups to the control group. The herbal complex preparation at a
dose of 1000 mg/kg increased the time spent in the dark area, decreased the time spent in the light area, and the number
of transitions between the two areas of mice in the dark/light transition test, and reduced the number of head-dipping into
the holes of mice in the hole-board test.
Conclusion
The herbal complex preparation exhibited low toxicity at doses of 1000 mg/kg and 1500 mg/kg based on
biochemical and histopathological examinations in the subchronic toxicity study. Furthermore, the preparation demonstrated sedative effects at a dose of 1000 mg/kg.
7.Study of the subacute toxicity and antibacterial activity of Phythonephro-SAN Preparation
Batdavaa B ; Maral-Erdene G ; Chimgee Ts ; Enkhmaa G ; Yeruult Ch
Mongolian Journal of Health Sciences 2025;85(1):173-178
Background:
Urinary tract infections (UTIs) are common, affecting 150 million people worldwide annually. It is estimated that 1% of the population suffers from urinary tract infections. The most common infections in kidney and urinary tract
are Escherichia coli, Staphylococcus saprophyticus, Klebsiella, Enterobacter and Proteus which account 80%, 5-15%
and 5-10%, respectively. Oxidative stress, inflammation, and apoptosis are critical factors involved in the pathogenesis
of kidney disease. Oxidative stress, a pathological condition characterized by an imbalance between reactive oxygen species (ROS) and the body’s antioxidant defenses, leads to cellular damage and is directly implicated in the initiation and
progression of acute kidney injury. Antioxidants serve a protective role by mitigating the harmful effects of free radicals
and oxidative stress on cellular structures. Drawing upon the extensive resources of medicinal plants and the therapeutic
practices of traditional medicine, plants rich in antioxidant compounds, including Dasiphora fruticosa (L.), Cynara scolymus (L.), and Rosa acicularis (L.), were selected for the development of the Phytonephro-SAN preparation. The phytochemical profile and nephroprotective properties of these plants have been investigated and validated. Moving forward,
further studies are warranted to assess the safety profile of the formulation, including comprehensive toxicity evaluations.
Aim:
To investigate and establish the subacute toxicity and antibacterial activity of the Phytonephro-SAN preparation.
Materials and Methods:
The subacute toxicity assessment of the Phythonephro-SAN preparation was conducted on
Wistar rats following the OECD-407 guidelines. The study of the antibacterial activity of the preparation was determined
by the broth dilution method.
Results:
The subacute toxicity assessment, evaluated through parameters such as body and organ weights and complete blood count (CBC), revealed no statistically significant differences between the groups administered the Phytonephro-SAN preparation at doses of 500 mg/kg and 1000 mg/kg, and the control group. According to the study of antibacterial activity, Phytonephro-SAN preparation has antibacterial activity at 90 mg/ml and 80 mg/ml doses.
Conclusion
The administration of the Phytonephro-SAN preparation to Wistar rats at doses of 500 mg/kg and 1000
mg/kg over 28 days did not result in mortality, and no significant changes were observed in body and organ weights or
CBC parameters. These findings support the conclusion that the preparation possesses minimal toxicity. Additionally, the
preparation demonstrated effective antibacterial activity against specific urinary tract pathogens at higher concentrations.