Abstract
BackgroundThis study aimed to investigate the nasal decongestive efficacy of an alternative to pharmacotherapy, a herbal nasal spray composed of Scutellaria baicalensis and Eleutherococcus senticosus.MethodsScutellaria baicalensis and Eleuthrococcus senticosus and control solutions were applied separately to isolated mucosal tissue from inferior turbinates. Vasoconstriction was measured as a change in isometric tension. Moreover, twenty allergic rhinitis patients with nasal stuffiness participated in a randomized, placebo-controlled clinical study with cross-over design; the same patients served as their placebo control group. Pre-and post-treatment nasal congestion and smell test scores were evaluated for the test and placebo spray using two validated questionnaires, the 5 question nasal congestion questionnaire and the 12 question Brief Smell Identification Test-Version B.ResultsIn the ex-vivo mucosal tissue, the herbal compounds were demonstrated to induce vasoconstriction when applied at 10 mg/ml concentration. The combination of S. baicalensis and E. senticosus proved effective in relieving patients’ nasal congestion and was statistically superior to placebo. No side effects were noted, and there was no difference between the pre-and post-study smell test results.ConclusionsThe combined S. baicalensis and E. senticosus herbal nasal spray relieved nasal congestion significantly better than placebo without any side effects.
Highlights
This study aimed to investigate the nasal decongestive efficacy of an alternative to pharmacotherapy, a herbal nasal spray composed of Scutellaria baicalensis and Eleutherococcus senticosus
Ex-vivo nasal tissue organ bath model Inferior turbinates (IT) from a total of five patients suffering either from allergic rhinitis, deviated septum with turbinate hypertrophy or chronic rhinosinusitis were included in the study
Mucosal tissues from IT were obtained at the Department of Otorhinolaryngology, Ghent University Hospital, during routine surgery for nasal congestion complaints
Summary
This study aimed to investigate the nasal decongestive efficacy of an alternative to pharmacotherapy, a herbal nasal spray composed of Scutellaria baicalensis and Eleutherococcus senticosus. If the nose cannot perform its function, as a low resistance air conduit due to obstruction, it adversely affects the entire organism. Chronic upper airway obstruction is frequently the presenting complaint in diseases such as allergic rhinitis (AR) and Katotomichelakis et al Clinical Phytoscience (2017) 3:21 chronic rhinosinusitis (CRS). These are among the most common disabling diseases, and respectively account for 20% and 11% of the European adult population [6, 7]
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