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Clinical efficacy and safety of a pharmacopial polyherbal Unani formulation in pityriasis versicolor: a comparative
Azad Hussain Lone1, Tanzeel Ahmad, Mohd Anwar
1Department of Medicine and Dermatology, National Institute of Unani Medicine (NIUM), Bangalore, India. drazadnium@rediffmail.com
Background:
Pityriasis versicolor (PV) is a common superficial fungal infection of skin caused by the fungus, Malassezia furfur. It can occur at any age but occurs mainly during adolescence and typically presents with hypopigmented or hyperpigmented scaling plaques, generally on the trunk and upper arms. It often poses a therapeutic challenge. In the Unani system of medicine, many herbal drugs are used empirically for its treatment.
Objectives:
The objective of this study was to evaluate safety and efficacy of a topical Polyherbal Unani formulation in the management of PV on scientific parameters.
Design:
This was a randomized, single-blind, standard controlled study.
Location:
This study was performed in the Dermatology Outpatient Department, National Institute of Unani Medicine, Bangalore, India.
Subjects And Interventions:
Forty-six (46) patients with PV were included in the study after taking informed consents and were randomly allocated to test and control groups. In the test group, a polyherbal formulation was advised for topical application while in the control group, sodium thiosulphate lotion (20%) was advised locally for a duration of 1 month. The assessment of the severity of PV and efficacy of treatment in both groups was carried out using the Total Sign and Symptom Score (TSSS) scale. Data were analyzed with the Instat Graph pad.
Results:
The mean±standard error of the mean (SEM) scores of TSSS in the test group were 7.7±1.174 and 0.9±0.7881 before and after treatment, respectively, while it was 6.9±0.8756 and 1.2±0.7888 in the control group before and after treatment, respectively. Mean±SEM of TSSS of both groups was found to be significantly lowered (p<0.001) after treatment when compared with mean±SEM of TSSS before treatment. However, the polyherbal formulation showed precedence over the standard drug by exhibiting comparatively quicker response. Furthermore, no unpleasant side-effects were observed in the test group during and after the study.
Conclusions:
This study concluded that polyherbal Unani formulation is safe, effective, and superior to standard drug in the treatment of PV.
Insights
A topical polyherbal Unani formulation effectively managed pityriasis versicolor (PV), a common fungal skin infection. This treatment demonstrated superior efficacy and a quicker response compared to the standard therapy, with no observed side-effects.
Area of Science:
- Dermatology
- Mycology
- Integrative Medicine
- Pharmacology
Background:
- Pityriasis versicolor (PV) is a superficial fungal infection caused by Malassezia furfur, presenting as scaling plaques.
- PV commonly affects adolescents and can be challenging to treat.
- Traditional Unani medicine utilizes various herbal remedies for PV management.
Purpose of the Study:
- To scientifically evaluate the safety and efficacy of a topical polyherbal Unani formulation for pityriasis versicolor.
- To compare the formulation's effectiveness against a standard treatment.
Main Methods:
- A randomized, single-blind, standard-controlled study involving 46 patients with PV.
- Patients received either the polyherbal formulation (test group) or 20% sodium thiosulphate lotion (control group) for one month.
- Treatment efficacy was assessed using the Total Sign and Symptom Score (TSSS).
Main Results:
- Both treatments significantly reduced TSSS scores (p<0.001).
- The polyherbal Unani formulation showed a statistically significant quicker response compared to the standard drug.
- No adverse side-effects were reported with the polyherbal formulation.
Conclusions:
- The topical polyherbal Unani formulation is a safe and effective treatment for pityriasis versicolor.
- The formulation demonstrated superiority over the standard treatment in terms of response speed.
- This study supports the scientific validation of Unani herbal formulations in dermatology.
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