Research Article

Evaluation of herb-drug interaction of Withania somnifera with anti-rheumatic drugs through high-throughput screening

Volume: 26 Number: 2 June 28, 2025
  • Satyajyoti Kanjilal *
  • Ashok Kumar Gupta
  • Ranjana Patnaik
  • Amitabha Dey
  • Satyabrata Mohapatra

Evaluation of herb-drug interaction of Withania somnifera with anti-rheumatic drugs through high-throughput screening

Abstract

Rheumatoid Arthritis is an autoimmune inflammatory joint disease. Disease-modifying anti-rheumatic drugs and Non-steroidal anti-inflammatory drugs are being used for its management and found to have better improvement when combined with a traditional medicine. Withania somnifera (Ashwagandha) is one among the medicinally important herb which is known to be beneficial in these conditions. The root of the plant is safely being used however, very less is known about the aerial part usage; and their interactions with anti-rheumatic drugs. Cytochrome P450 enzymes inhibition assay for subtypes CYP3A4 and CYP2D6 isozyme was used in concoction of hydroalcoholic and methanolic extracts of root and aerial part of the plant with the anti-arthritic drugs. All the four Withania somnifera extracts showed significantly higher (P<0.001) IC50 value against CYP3A4 and CYP2D6 (IC50 >100µg/mL) compared to positive control ketoconazole and Quinidine respectively. Combination of formulation and anti-rheumatic drugs showed significantly (P<0.001) less inhibition on CYP3A4 and CYP2D6 as compared to positive control. To conclude, methanolic and hydroalcoholic extracts of both aerial and root part of Withania somnifera mixture with anti-rheumatic drug regimen had negligible CYP3A4 and CYP2D6 inhibition.

Keywords

References

  1. [1] Guo Q, Wang Y, Xu D, Nossent J, Pavlos NJ, Xu J. Rheumatoid arthritis: pathological mechanisms and modern pharmacologic therapies. Bone Res. 2018;6:15. [CrossRef]
  2. [2] Singh JA, Furst DE, Bharat A, Curtis JR, Kavanaugh AF, Kremer JM. Update of the 2008 American College of Rheumatology recommendations for the use of disease-modifying antirheumatic drugs and biologic agentsin the treatment of rheumatoid arthritis. Arthritis Care Res 2012;64:625-639 [CrossRef]
  3. [3] Gullick NJ, Scott DL. Co-morbidities in established rheumatoid arthritis. Best Pract Res Clin Rheumatol. 2011;25:469-483. [CrossRef]
  4. [4] Breedveld FC, Combe B. Understanding emerging treatment paradigms in rheumatoid arthritis. Arthritis Res Ther. 2011;13:S3. [CrossRef]
  5. [5] Calgüneri M, Pay S, Calişkaner Z, Apraş S, Kiraz S, Ertenli I, Cobankara V. Combination therapy versus monotherapy for the treatment of patients with rheumatoid arthritis. Clin Exp Rheumatol. 1999;17:699-704.
  6. [6] Hasan SS, Ahmed SI, Bukhari NI, Loon WC. Use of complementary and alternative medicine among patients with chronic diseases at outpatient clinics. Complement Ther Clin Pract. 2009;15:152-157. [CrossRef]
  7. [7] Ayurvedic Standard Treatment Guidelines. 1st Ed. 2017. Ministry of AYUSH Government of India, New Delhi, India. https://main.ayush.gov.in/sites/default/files/ASTG%20Book%20%282%29.pdf. (Accessed: 20 July 2020).
  8. [8] Debnath PK, Chattopadhyay J, Mitra A, Adhikari A, Alam MS, Bandopadhyay SK, Hazra J. Adjunct therapy of Ayurvedic medicine with anti-tubercular drugs on the therapeutic management of pulmonary tuberculosis. J Ayurveda Integr Med. 2012;3:141-149. [CrossRef]

Details

Primary Language

English

Subjects

Pharmaceutical Sciences

Journal Section

Research Article

Authors

Satyajyoti Kanjilal * This is me
0000-0002-2328-1234
India

Ashok Kumar Gupta This is me
0000-0002-4369-4060
India

Amitabha Dey This is me
India

Satyabrata Mohapatra This is me
India

Publication Date

June 28, 2025

Submission Date

August 7, 2021

Acceptance Date

February 19, 2022

Published in Issue

Year 2022 Volume: 26 Number: 2

APA
Kanjilal, S., Gupta, A. K., Patnaik, R., Dey, A., & Mohapatra, S. (2025). Evaluation of herb-drug interaction of Withania somnifera with anti-rheumatic drugs through high-throughput screening. Journal of Research in Pharmacy, 26(2), 334-344. https://izlik.org/JA79YK98SZ
AMA
1.Kanjilal S, Gupta AK, Patnaik R, Dey A, Mohapatra S. Evaluation of herb-drug interaction of Withania somnifera with anti-rheumatic drugs through high-throughput screening. J. Res. Pharm. 2025;26(2):334-344. https://izlik.org/JA79YK98SZ
Chicago
Kanjilal, Satyajyoti, Ashok Kumar Gupta, Ranjana Patnaik, Amitabha Dey, and Satyabrata Mohapatra. 2025. “Evaluation of Herb-Drug Interaction of Withania Somnifera With Anti-Rheumatic Drugs through High-Throughput Screening”. Journal of Research in Pharmacy 26 (2): 334-44. https://izlik.org/JA79YK98SZ.
EndNote
Kanjilal S, Gupta AK, Patnaik R, Dey A, Mohapatra S (June 1, 2025) Evaluation of herb-drug interaction of Withania somnifera with anti-rheumatic drugs through high-throughput screening. Journal of Research in Pharmacy 26 2 334–344.
IEEE
[1]S. Kanjilal, A. K. Gupta, R. Patnaik, A. Dey, and S. Mohapatra, “Evaluation of herb-drug interaction of Withania somnifera with anti-rheumatic drugs through high-throughput screening”, J. Res. Pharm., vol. 26, no. 2, pp. 334–344, June 2025, [Online]. Available: https://izlik.org/JA79YK98SZ
ISNAD
Kanjilal, Satyajyoti - Gupta, Ashok Kumar - Patnaik, Ranjana - Dey, Amitabha - Mohapatra, Satyabrata. “Evaluation of Herb-Drug Interaction of Withania Somnifera With Anti-Rheumatic Drugs through High-Throughput Screening”. Journal of Research in Pharmacy 26/2 (June 1, 2025): 334-344. https://izlik.org/JA79YK98SZ.
JAMA
1.Kanjilal S, Gupta AK, Patnaik R, Dey A, Mohapatra S. Evaluation of herb-drug interaction of Withania somnifera with anti-rheumatic drugs through high-throughput screening. J. Res. Pharm. 2025;26:334–344.
MLA
Kanjilal, Satyajyoti, et al. “Evaluation of Herb-Drug Interaction of Withania Somnifera With Anti-Rheumatic Drugs through High-Throughput Screening”. Journal of Research in Pharmacy, vol. 26, no. 2, June 2025, pp. 334-4, https://izlik.org/JA79YK98SZ.
Vancouver
1.Satyajyoti Kanjilal, Ashok Kumar Gupta, Ranjana Patnaik, Amitabha Dey, Satyabrata Mohapatra. Evaluation of herb-drug interaction of Withania somnifera with anti-rheumatic drugs through high-throughput screening. J. Res. Pharm. [Internet]. 2025 Jun. 1;26(2):334-4. Available from: https://izlik.org/JA79YK98SZ