Bipolar Affective Disorder (BAD) is one of the serious psychiatric illnesses characterized by unpredictable recurring course of ups (mania) and downs (depression) which make it difficult for patient to lead a stable and creative life.Treatment of BAD is always a challenge to psychiatrists because of the range of clinical symptoms during the course of the illness. Many antipsychotic drugs, alone or in combination with standard mood stabilizers and/ or antidepressants are used to treat such a complicated disorder. However, compliance is an issue in these patients and one potential reason is the need to take multiple medications. Keeping in mind the complexity of BAD and subsequent reluctance at patients’ end, it was suggested that practice of FDC should be reviewed in the field of psychiatry as many newer drugs have been introduced in the psychiatry and many fixed combination products are commonly developing in other fields of medicines. FDC formulations for the treatment of different clinical conditions offer many potential advantages in the form of convenience, cost, tolerability, efficacy and adherence thus, many clinicians encourage their use. Sodium valproate is an anticonvulsant and mood stabilizer used to treat mood disorders to manage severe and persistent mood swings. The concurrent use of sodium valproate and antipsychotics provides synergistic mood-stabilizing effect in bipolar patients. Aripiprazole is a new well tolerated atypical antipsychotic drug, effectively used to manage acute manic or mixed episodes both as monotherapy and in combination with mood stabilizers. Similarly, quetiapine is another novel atypical antipsychotic which is considered one of the first line agents in the treatment of mania and bipolar depression. Consequently, aripiprazole and/or quetiapine were suggested to be formulated with mood stabilizer in the form of FDC. FDC products of aripiprazole plus valproate (FDC1, aripiprazole 2.5 mg plus divalproex sodium 500 mg; FDC2, aripiprazole 5 mg plus divalproex sodium 500 mg) and quetiapine plus valproate (FDC3, quetiapine 100 mg plus divalproex sodium 500 mg; FDC4, quetiapine 200 mg plus divalproex sodium 500 mg) were formulated and manufactured. Besides, individual tablets of aripiprazole (A1, 2.5 mg and A2, 5 mg), quetiapine (Q1, 100 mg and Q2, 200 mg) and divalproex sodium tablets (D1, 500 mg) were also prepared as reference to compare with respective FDC tablets. In-vitro evaluation of these new formulations were carried out by conducting different official tests like weight variations, friability, drug contents uniformity, disintegration and dissolution. An accurate and simple isocratic HPLC-UV method for the simultaneous quantification of aripiprazole and valproic acid in the FDC tablets was also established and validated according to the International guidelines (ICH). These new formulations were then subjected to stability tests under accelerated conditions of temperature and humidity. After the successful in-vitro evaluation and stability studies of optimum formulations of aripiprazole plus valproate (FDC1 and FDC2), in-vivo evaluations of FDC1 and FDC2 were planned to be accomplished on animals and subsequently on human volunteers to establish pharmacokinetic and bioavailability profile in accordance with the guidelines established by ethical committee of University of Peshawar, Peshawar, Pakistan. Preclinical studies on animals were conducted using inbred rabbits whereas a team of experts and pharmacists invited the volunteers to participate in our research. Blood samples from both the animals and human subjects were collected after specified time intervals and plasma were separated. After the simple protein extraction process, plasma samples were analyzed using HPLC-UV to quantify the drugs. In preclinical studies on animals, drug contents each of ‘A’ tablets, ‘D’ tablets and FDC tablets (FDC1 & FDC2) in the plasma were measured and pharmacokinetic parameters were calculated using pharmacokinetic software PK solver 2.0. Valproate when co-administered with aripiprazole in FDC, increased the Cmax, Tmax and AUC of aripiprazole by 9.5%, 35.5%, 20.5% and 5.9%, respectively while t1/2, Vd and Cl of aripiprazole decreased by 12.8%, 16% and 6% respectively. Conversely, Cmax of valproate increased by 11% whereas Tmax, t1/2,AUC, Vd and Cl of valproate decreased by 9.8%, 4.3%, 1.8% and 0.7% respectively when used in combination with aripiprazole in the form of FDC. Statistically, increase in the Tmax, AUC and decrease in the Vd of aripiprazole were significant while increase or decrease in all the parameters for valproic acid were found insignificant. The differences in Tmax, AUC and Vd among FDC and reference individual tablets were statistically significant while in Cmax, t1/2 and Cl were found statistically insignificant. Similarly in clinical phase on human volunteers, valproate when co-administered with aripiprazole in FDC, increased the Cmax, Tmax and AUC of aripiprazole by 5.4%, 13.62% and 20% respectively while t1/2, Vd and Cl of aripiprazole decreased by 6.5%, 16% and 11% respectively. On the contrary, Cmax and AUC of valproate increased by 17% and 7.7% respectively whereas, Tmax, t1/2, Vd and Cl of valproate decreased by 12%, 5.4%, 6% and 0.23% respectively when used in combination with aripiprazole in the form of FDC. Statistically, increase in the AUC and decrease in the Vd of aripiprazole were found significant while increase or decrease in all the parameters for valproic acid were found insignificant. In clinical phase of study, combined aripiprazole and divalproex treatment to human volunteers showed the same tendency as observed in animal studies and did not produce any substantial changes as measured in animals. An enteric coated FDC product of aripiprazole and divalproex sodium with satisfactory physicochemical parameters is possible which has comparable bioavailability and absorption parameters to the two products administered separately. However, further studies are required to replicate our findings before the product can be considered for clinical use.
آہ! مولانا شمس الرحمن نویدؔ عثمانی ۷/ ربیع الاوّل ۱۴۱۴ھ مطابق ۲۶/ اگست ۱۹۹۳ء بروز جمعرات کو نیک و برگزیدہ عالم دین، اسلامی مصنف اور ملّتِ اسلامیہ کے ہمدرد و غم خوار جناب شمس الرحمن نوید عثمانی یوپی کے نوابی شہر رامپور میں اچانک انتقال فرماگئے۔ انا ﷲ وانا الیہ راجعون۔ مرحوم مولانا شمس الرحمن نویدؔ عثمانی حضرت مفکر ملّت مفتی عتیق الرحمن عثمانی کے چچیرے چھوٹے بھائی تھے اور راقم الحروف کی والدہ مرحومہ سے بھی ان کی قریبی رشتے داری تھی گویا ان سے راقم کے کئی رشتے تھے۔ وہ راقم کے چچا بھی، بھائی بھی، ماموں بھی اور پھوپھا بھی تھے۔ بڑے ہی جیّد عالم تھے، اسلامی مسائل پر انھیں بَلا کا عبور حاصل تھا۔ جدید علوم کے شناسا و ماہر تھے۔ سائنس اور قرآن پر ان کی معرکۃ الآرا کتاب علم داں طبقے میں بڑی دلچسپی کے ساتھ پڑھی گئی اور پسند کی گئی۔ وید اور قرآن پر بھی انھوں نے ٹھوس علمی کام کیا ہے۔ ادارہ ندوۃ المصنفین دہلی کے ترجمان ـ’’برہان‘‘ میں ان کے علمی و ادبی و تحقیقی اور پُراز معلومات مضامین ہر خاص و عام سے داد تحسین حاصل کرتے رہے ہیں۔ مرحوم نویدؔ عثمانی جماعت اسلامی ہند کے رکن خاص تھے۔ حضرت مفکر ملّت مفتی عتیق الرحمن عثمانی کا بڑا ہی ادب و احترام کرتے تھے اور جب حضرت مفتی صاحب کے انتقال کی خبر سنی تو آہ کے ساتھ ان کے منہ سے بے ساختہ جملہ نکلا: ’’آج ملّتِ اسلامیہ یتیم ہوگئی‘‘۔ مسلمانانِ ہند کا سچا قائد، رہبر و غم خوار وہ مفتی عتیق الرحمن عثمانی کو کہا کرتے تھے۔ ان کی وفات کے بعد انھوں نے یہ بھی کہا تھا کہ اب دیکھنا ملّتِ اسلامیہ ہند کو کن کن مسائل سے دوچار ہونا پڑے گا۔ چنانچہ ان کا یہ اندیشہ و خیال آگے چل...
This article is divided in to two sections: the first one; is to study of Ḥawāla according to Fiqhi rules, i.e. Its definition, conditions, its qualities and its specifications. In the second part, Ḥawāla is discussed according to application of the Bank, and its practical forms in different institutions. Ḥawāla is a contract in which a party or a person transfers his debt from his risk to another party or another person. Ḥawāla is used for different purposes, for example, bill of exchange, Financial Papers and different Banking accounts. This paper also discusses the difference between Ḥawāla and wakālah, Ḥawāla and Kafāla, and also Ḥawāla and Debt. Therefore, analysis, about Ḥawāla is very essential and many studies have been done on it. Furthermore, it will also critically provide their textual evidence and rational arguments in order to reach a financial juristic judgment. Ḥawāla is used in credit card, discounting of bill of exchange, etc. At the end the paper discusses its conclusion and offers some requests and suggestions.
Trauma of Holocaust in the Fiction of Saul Bellow This study attempts to analyze the fictional writings of Saul Bellow, the Jewish American writer in the backdrop of the trauma theory presented by Cathy Caruth. Saul Bellow wrote novels and short stories which are representative of the second generation Jewish immigrants. This study uses the Historical Biographical method of research to show how far Bellow’s fiction represents the Jewish victims of the Holocaust. The focus of the research is Bellovian protagonists Herzog, Leventhal, Fonstein, Mosby and Lustgarten. It also discusses the extent to which these protagonists exhibit their trauma through action, speech and behavior. I have also analyzed how these characters represent their traumatized historicity, haunting flashbacks and the recurring memories of torture and brutal treatment of the Jews that continue to haunt them in contemporary America. The connection between Bellovian fictional characters and the Holocaust testimonies is also tied into the basic theme of the trauma of the Holocaust. In order to establish a link between the fictional account and the factual, a detailed study has been made to analyze the extent to which one supports the other.