Dr. MOM

Doctor MOM is a complex herbal preparation containing dry extracts from various herbs and plants. 

This drug is often used in traditional medicine as a mucolytic, anti-inflammatory and bronchodilator, especially in the treatment of respiratory diseases such as bronchitis and asthma. Different components can have different therapeutic effects, such as reducing inflammation, thinning sputum, reducing cough, etc. 

Indications Doctors IOM

1. Respiratory Diseases: Used to relieve symptoms of respiratory diseases such as cough, nasal congestion, runny nose, bronchitis, asthma and others.
2. Throat and pharynx: Can be used to reduce inflammation and irritation in the throat, reduce pain in throat diseases such as pharyngitis, laryngitis, etc.
3. Anti-inflammatory effects: The plant extracts contained in the drug can help reduce inflammation and reduce pain in various parts of the body.
4. Antimicrobial properties: Some components of the drug have antimicrobial properties, which can help fight infections caused by bacteria or viruses.
5. Mucolytic properties: The drug can help thin mucus and facilitate its passage, which is useful for respiratory diseases.
6. Immunomodulatory effects: Some components may help strengthen the immune system and increase the body's resistance to infections.

Release form

1. Tablets or lozenges: This form is convenient for use and dosing. Tablets may contain the above extracts in precisely measured quantities for daily use.
2. Syrup: The liquid form of Doctor MOM usually contains the same active ingredients as the tablets and is preferred for children or adults who have difficulty swallowing solid forms of medications. The syrup makes it easier to swallow and begins to act faster.
3. Lollipops or mints: This form is also popular for relieving sore throats and coughs, since the long absorption allows for prolonged contact of the drugs with the mucous membrane of the throat.
4. Ointment for external use: Ointment "Doctor MOM" can be used for rubbing with a runny nose and nasal congestion, as well as to ease breathing.

Pharmacodynamics

1. Adhatoda vasika: Used in traditional medicine as an expectorant and anti-inflammatory agent. Its effect is usually associated with improved respiratory functions.
2. Aloe barbadensis: Has anti-inflammatory and wound-healing properties. In traditional medicine it is used to treat wounds, burns and various skin problems.
3. Holy Basil (Ocinum sanctum): Known for its antibacterial, anti-inflammatory and adaptogenic properties. It is also considered an antioxidant.
4. Elecampane (Inula racemosa): Has mucolytic (phlegm thinning) and anti-inflammatory effects, which may be useful for respiratory diseases.
5. Ginger (Zingiber officinale): Has anti-inflammatory and antiemetic properties. Traditionally used to relieve flu and cold symptoms.
6. Turmeric (Curcuma longa): Has anti-inflammatory and antioxidant properties. Curcumin, contained in turmeric, is considered a key active component.
7. Indian Nightshade (Solanum indicum): Has anti-inflammatory and anti-allergic properties. Traditionally used to treat various respiratory diseases.
8. Piper cubeba: Used in traditional medicine as a respiratory stimulant and antiseptic.
9. Glycyrrhiza glabra: Has anti-inflammatory, antitussive and analgesic properties. May also help soothe throat irritation.
10. Terminalia belerica: Known for its anti-inflammatory and antibacterial properties.
11. Levomenthol: Has a cooling and analgesic effect, usually used to relieve symptoms of respiratory diseases.

Pharmacokinetics

1. Adhatoda vasika: The pharmacokinetics of Adhatoda vasika have not yet been sufficiently studied to allow definitive conclusions to be drawn about its kinetics.
2. Aloe barbadensis: The pharmacokinetics of Aloe barbadensis have also not been studied enough to provide complete information about its kinetics.
3. Holy Basil (Ocinum sanctum): Also known as tulsi, holy basil is of great importance in Ayurvedic medicine. Its pharmacokinetics are not well studied, but some studies indicate its extensive metabolic diversity and potential role in pharmacokinetic interactions.
4. Elecampane (Inula racemosa): Inula racemosa has various pharmacokinetic properties, including absorption, distribution, metabolism and excretion. However, detailed studies of the pharmacokinetics of this plant have not been carried out.
5. Zingiber officinale: The pharmacokinetics of Zingiber officinale has been the subject of study. The main components of ginger, such as gingerols and shogaols, may have different pharmacokinetic properties.
6. Turmeric (Curcuma longa): Turmeric, containing curcumin, is an active component studied in pharmacokinetic studies. Its absorption, metabolism and excretion are well documented.
7. Indian nightshade (Solanum indicum): The pharmacokinetics of Indian nightshade have also not been fully studied, although some studies classify it as an antioxidant and antibacterial agent.
8. Piper cubeba: The pharmacokinetics of Piper cubeba are not well studied and more research is required to understand its kinetics.
9. Glycyrrhiza glabra: Glycyrrhiza glabra has been well studied pharmacokinetically. Its main active component, glycyrrhizic acid, has metabolism and excretion characteristics that have been well studied.
10. Terminalia belerica: The pharmacokinetics of Terminalia belerica also requires further study to obtain a complete picture of its kinetic parameters.

Dosing and administration

General recommendations for the method of use and dosage of this drug, although the exact instructions may vary depending on the form of release (syrup, tablets, ointment, lozenges):

Syrup

• Adults and children over 12 years of age: Take 1-2 teaspoons (5-10 ml) of syrup every 4-6 hours, no more than 6 times a day.
• Children from 6 to 12 years: Take 1 teaspoon (5 ml) of syrup every 4-6 hours, no more than 6 times a day.
• Children under 6 years of age: Use and dosage should be checked with a doctor.

Tablets or lozenges

• Adults and children over 12 years of age: 1 tablet or lozenge every 4-6 hours, not to exceed 6 tablets per day.
• Children from 6 to 12 years: Dosage should be checked with a doctor.

Ointment

• Apply a thin layer of ointment to the chest and back to ease breathing or to the skin under the nose to relieve congestion. Use up to three times a day.

Lollipops

• Suck on one lozenge every 2-3 hours as needed.

General recommendations

• Do not exceed the recommended dose.
• Consult your doctor if allergy symptoms occur or if symptoms persist for more than 7 days.
• Carefully monitor the body’s reaction to the drug, especially in children and people with sensitivity to the components of the product.

Use Doctors IOM during pregnancy

The use of Dr. IOM (dry plant extracts, including adatoda wasica, aloe barbados, holy basil, elecampane, ginger, curcuma longa, Indian nightshade, cubeba pepper, licorice glabra, terminalia belerica, levomenthol) during pregnancy may be associated with certain risks. It is important to consider the following:

1. General information about herbs: The use of herbal remedies during pregnancy and lactation may pose a danger to both the mother and the fetus or infant, as some herbs can cause abortion, premature birth, uterine bleeding, and physical and mental retardation in the fetus. This is highlighted in a study conducted among pregnant and lactating women in the West Bank (Eid & Jaradat, 2020).

2. Specific herbs:

   • Ginger: Although often used to reduce morning sickness during pregnancy, research suggests that ginger is not teratogenic, but its mutagenicity is a matter of debate due to the mutagenic and antimutagenic compounds it contains.
   • Turmeric and Aloe: These plants are used in the treatment and prevention of various conditions, but there is limited data on their safety during pregnancy.

Thus, the use of Doctor IOM syrup during pregnancy requires caution and consultation with a doctor.

Contraindications

1. Individual intolerance or allergy to any of the components of the drug. Given the presence of many herbal components, it is important to ensure that the patient is not allergic to any of them.
2. Pregnancy and breastfeeding. Some of the components, such as aloe and basil, may have a stimulating effect on the uterus or pass into breast milk, which can potentially be harmful to the fetus or infant.
3. Children. Some forms of the drug may not be suitable for use in young children due to the risk of side effects or overdose.
4. Acute gastrointestinal diseases, including peptic ulcer disease. Some of the components, such as ginger and turmeric, can stimulate the secretion of gastric juice, which can aggravate symptoms in the presence of gastrointestinal diseases.
5. Severe liver or kidney disease. Metabolism and excretion of the drug components may be impaired in existing liver or kidney problems.

The drug should also be used with caution in people with diabetes, as some components, such as licorice, can affect blood glucose levels.

Side effects Doctors IOM

1. Allergic reactions: Skin rashes, itching, hives, swelling of the face or lips, difficulty breathing. Plants such as aloe barbadensis and holy basil may cause sensitivity in some people.
2. Gastrointestinal Disorders: Some ingredients, such as ginger and turmeric, may cause stomach discomfort, nausea, or diarrhea when consumed in large quantities or on an empty stomach.
3. Hypertensive reactions: Licorice contains glycyrrhizin, which may increase blood pressure if consumed in excess.
4. Long-term use: Long-term use of some herbs, such as licorice, may cause adrenal problems or changes in electrolyte levels.
5. Stomach sensitivity or stomach pain: This is especially true for ingredients that may stimulate gastric secretions or cause gastrointestinal irritation.

Overdose

1. Vomiting and nausea: Due to irritation of the stomach and digestive system.
2. Diarrhea: Possibly due to the abrasive action of some plant extracts.
3. Allergic reactions: Including skin rash, itching and swelling of the face or throat.
4. Muscle hypertonicity and tremors: May be associated with excessive effects of certain components on the central nervous system.
5. Respiratory disorders: In case of an allergic reaction or airway obstruction.
6. High blood pressure: Possibly due to the effect of some components on the cardiovascular system.
7. Seizures and dizziness: As a result of changes in electrolyte balance and central nervous excitation.
8. Increased sweating: Due to the cooling effect of levomenthol.

Interactions with other drugs

1. Drugs affecting hematopoiesis: Some plants contained in Doctor IOM may affect hematopoiesis, so their use should be done with caution in combination with anticoagulants or antiplatelet agents.
2. Cardiovascular drugs: Some herbs may affect the cardiovascular system, so they should be used with caution in combination with drugs used to treat heart disease.
3. Liver drugs: Some components may affect liver function, so they should be used with caution in combination with other drugs that affect this organ.
4. CNS drugs: Keep in mind that some herbs may have a sedative or stimulant effect on the central nervous system, so they should be used with caution with other drugs that affect the central nervous system.
5. Photosensitivity drugs: Some herbs may increase skin photosensitivity, so the use of Dr. MOM may require special caution when used in combination with other drugs that increase photosensitivity.
6. Gastrointestinal drugs: Various herbs may affect the gastrointestinal tract, so they should be used with caution with other drugs that can cause irritation or ulcers in the stomach.