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Volume 1
Issue 2 JULY– DECEMBER 2025
Volume 1 (Issue 2) JULY– DECEMBER 2025 Research Articles
Evaluating Hidden Safety Hazards of Inactive Ingredients in Herbal Pediatric Cough Syrups: Repercussions for Pharmacist-Led Interventions
Vol.1(2); Pages:1-8. Published on July-2025
Abstract
Doctors usually rely on pediatric over-the-counter phytomucolytic syrups to ease cough symptoms in children. Doctors and scientists often pay attention to how plant-based ingredients work, but tend to forget about the safety and impact of excipients, which are classified as “inactive.” Still, it is widely known that many of these supplements may lead to harmful side effects or clash with what you are already taking. The research compares and reviews excipient contents of the most famous pediatric phytomucolytic syrups sold in both Ukraine and Germany. It was aimed at finding out about the hazards linked to these excipients and coming up with a way for pharmacists to offer better care for patients. The investigation revealed that all of the products except one contained ingredients that scientists deem hazardous, for example artificial sweeteners, dyes, and parabens. Results of the analysis call for creating a decision-making model where pharmacists are guided to handle risks from excipients in pediatric syrups during selection and dispensing. Paying special attention to excipients’ safety allows pharmacists to improve the health of kids and the success of cough treatments.
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Sublingual ketamine: a pilot study on clinical evaluation of rapid treatment of suicidal ideation in treatment-resistant depression
Vol.1(2); Pages:9-16. Published on August-2025
Abstract
Sublingual ketamine is becoming an alternative possible route in the treatment of acute suicidal thoughts, especially those towards patients that are resistant to the regular antidepressants. This was a pilot open label trial to test safety, tolerability, and the quick antidepressant effect of sublingual ketamine administration in patients with treatment resistant depression (TRD), with active suicidal thoughts. Through the evaluation of 10 adult patients with mild-to-severe depression over a two-week period and twice per week, 100 mg of sublingual ketamine was used and the subjects were followed up on day 1, 4, 7 and 14 using the Columbia-Suicide Severity Rating Scale (C-SSRS), MADRS, and CGI scales. Significant improvements were also seen in the suicidal ideation in 70 percent of the patients within 4 hours after taking the drug and persisted through day 14. Side effects were limited (dizziness, nausea) and there were no psychotic symptoms. There was great patient tolerability, and clinician acceptability of the intervention. These initial findings lead to the possibility of sublingual ketamine as a quick and available avenue of therapeutics of psychiatric emergencies and should be followed up with other randomized controlled studies to justify efficacy.
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Combination of Niclosamide and Metformin for Glycemic Management of Type 2 Diabetes: A Pilot Study
Vol.1(2); Pages:17-25. Published on September-2025
Abstract
The aim of this randomized open-label pilot study is to study the effectiveness of the combination of niclosamide, a repurposed anthelmintic, and metformin to treat glycemic control in adults having poorly controlled Type 2 Diabetes Mellitus (T2DM). Forty patients were recruited arbitrarily into 2 arms; one arm was used with 1000 mg BID metformin and the other arm with 1000 mg BID metformin coupled with 500 mg BID niclosamide taken 12 weeks each. The major outcomes such as HbA1c, fasting plasma glucose (FPG), insulin resistance (HOMA-IR) were improved significantly in the combination therapy group than in the metformin group. The combination group showed an average decrease in HbA1c of -1.6% compared to metformin group of -0.9 ( p < 0.05 ). There were cases of mild gastrointestinal discomfort in 20 percent of participants. Such observations justify the prospect of niclosamide repurposing in the management of T2DM, especially in low-resource contexts.
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Liposomal Targeted Delivery of Dexamethasone in Inflammatory Bowel Disease Efficacy and Safety Evaluation
Vol.1(2); Pages:26-35. Published on October-2025
Abstract
In this work, the potential of dexamethasone-loaded liposomes as an alternative to the current systemic application of the drug in the targeted treatment of inflammatory bowel disease (IBD) is being investigated, with the purpose of minimizing its systemic toxicity and maximizing its anti-inflammatory effect. Liposomes were generated by thinfilm hydration-based method, and optical characterization of liposomes included lipos +, zeta potential, encapsulation degree and release profile of liposomes +. It has been shown in vitro on Caco2 and RAW 264.7 cell lines that there is increased cellular uptake and inhibition of TNF-a and IL-6 production. Pharmacological analysis in an animal model of TNBS-induced colitis followed by histopathological examination on the Wistar rat indicated that liposomal formulation of dexamethasone decreased the disease activity index, weight/length ratio of the colonic segments, and pathological damage significantly (p < 0.01). Also, liposomal dexamethasone reduced the adverse effects of corticosteroids, including adrenal suppression and weight loss. These results justify liposomal dexamethasone as a secure, proficient, and localized therapy against IBD.
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Long-Acting Risperidone vs Standard Care in First-Episode Schizophrenia: A 12-Month Study
Vol.1(2); Pages:36-42. Published on November-2025
Abstract
The present multinational, prospective observational study compared clinical outcomes in terms of the efficacy and safety of long-acting injectable (LAI) risperidone administered in first-episode schizophrenia (FES) patients within 12 months. Among the patients were 124 Brazilians and Netherlands whose enrollment and follow-up were done. The main outcomes were the rates of relapse, drug compliance, the number of admissions, and side effects. Relapse rates among patients treated with LAI risperidone were significantly reduced (15.3%), in comparison with historical oral antipsychotic cohorts (32.1%), and the adherence scores improved, and a 42% of the psyche patients reduced in the number of hospitalizations. Extrapyramidal effects were also mild and only 18 percent of the patients showed such effects without any significant safety issues. These findings demonstrate the relevance of early-stage intervention in LAI risperidone in first-episode schizophrenia, which provides a long-term stabilizing course and enhancement of functional outcomes in real-life practice.
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Issue 1 JANUARY- JUNE 2025
Volume 1(Issue 1) JANUARY- JUNE 2025 Research Articles
Pharmacy First Minor Ailments Scheme: Pharmacists’ Perspectives on Improving Patient Care
Vol.1(1); Pages:1-10. Published on June-2025
Abstract
The Pharmacy First Minor Ailments Scheme (MAS) represents a pivotal shift in primary healthcare delivery, enabling community pharmacists to manage and treat a wide range of minor ailments without the need for general practitioner (GP) intervention. This study explores pharmacists’ perspectives on the scheme’s effectiveness, challenges, and implications for patient care and professional practice. Data were collected through surveys and semi-structured interviews with pharmacists actively participating in the scheme across multiple regions. The findings indicate a generally positive outlook among pharmacists, who report increased patient satisfaction, reduced burden on GP services, and enhanced recognition of the pharmacist’s clinical role. However, concerns were raised about insufficient remuneration, inconsistent implementation, patient expectations, and the need for ongoing training and support. Pharmacists emphasized the importance of robust public awareness campaigns and clearer policy frameworks to ensure the scheme’s sustainability and broader impact. The study concludes that while the Pharmacy First MAS has the potential to transform community pharmacy practice, its success hinges on systemic support, interprofessional collaboration, and targeted policy development. These findings contribute to a deeper understanding of pharmacists’ roles in minor ailments management and provide insights for optimizing the integration of MAS into broader healthcare systems.
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Memory Mechanisms and Epigenetic Histone Alterations in the Pathophysiology of Kidney Disease
Vol.1(1); Pages:11-18. Published on June-2025
Abstract
Epigenetic modifications of histones are crucial in regulating the gene expression without affecting the DNA sequence dramatically, and thus facilitating the development and progression of kidney diseases. These changes, like acetylation, methylation, phosphorylation, and ubiquitination can either activate or suppress the gene transcription, affecting cellular response towards injury, inflammation, and fibrosis. Remarkably, the idea of “epigenetic memory” has been revealed to be a major contributor to the issue as cells keep track of the previous environmental exposure or insult, and they end up with significant changes in the gene expression that can make people predisposed to chronic kidney disease (CKD) or contribute to the accelerated CKD course. Knowledge of the mechanism behind these modifications and their memory effects promises as targets for therapy to reverse or ameliorate kidney damage.
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Evolution and Current Challenges in Pharmacy Education and Clinical Training in France
Vol.1(1); Pages:19-26. Published on June-2025
Abstract
France pharmacy education and clinical pharmacy training processes have recently been changed considerably so as to keep pace with the changing requirements of health care and European systems of education. The currently feasible curriculum adopts a competency-based education; incorporating pharmaceutical sciences and a patient-centered model of learning. Clinical pharmacy training, especially towards the end of their university training and via special residencies, has become more structured in the sense that it is implemented with the goal to make future pharmacists capable of participating in multidisciplinary healthcare teams. Such as limited clinical exposure in early years, disparities in training in institutions; notwithstanding, there have been great strides. More reforms and international collaboration are necessary in order to improve clinical competencies and address the changing role of the pharmacists in the French healthcare system.
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Increasing Workforce Capacity in Community Pharmacies with Robotic Dispensing Systems
Vol.1(1); Pages:27-35. Published on June-2025
Abstract
The adoption of robotic dispensing systems in community pharmacy practice is a radical move in overcoming workforce struggles, up grading operational mechanism and care for patients. With the escalating needs for pharmaceutical services, aging population base, and a complicated medication regimen, community pharmacies are under tremendous pressure to maximize workflow and time management. Automating repetitive, timedemanding procedures, such as selection, labeling and packaging of medication, robotic dispensing technologies eliminate dispensing errors as well as allows pharmacists to concentrate more on clinical and patient-oriented careers. This change provides opportunities for increasing services like medication therapy management and health counseling for the patients and screenings hence rising the level of involvement of the pharmacist in primary care. Furthermore, there have been the improved inventory management, better regulatory compliance, and consistent service delivery associated with use robotic systems. Although the initial cost of hiring out and the need for staff training may appear to deter the benefits of robotic dispensing, the long term advantages of increased capacity, accuracy and safety gives robotic dispensing an option for modern community pharmacy practice. This paper examines trends, benefits, barriers of implementation, and future potential of robotic dispensing technologies as a way of increasing workforce capacity and re-orienting community pharmacies as providers of healthcare services.
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A Review of The Literature on The Contributions of Outpatient Pharmacies to Specialized Heart Failure Care
Vol.1(1); Pages:36-43. Published on June-2025
Abstract
This literature review assesses the function and performance of outpatient pharmacy services in the specialist heart failure (HF) care. In view of the continued burden on global health following heart failure, multidisciplinary efforts such as pharmacist-led intervention are becoming more aware of the need to maximize patient outcome. The review integrates the present evidence regarding the effects of outpatient pharmacy services in increasing the adherence to medication, decreasing the hospital readmission rate, strengthening patient education, and advising clinical decisions. According to the findings, pharmacist participation in HF outpatient clinics enhances the therapeutic outcomes, quality of life and cost-effective health care. However, different models of services and lack of standardized outcomes measures illustrates the need to continue research to ascertain the practices that are best and to assess long-term impacts.
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