Antidepressant Effects of a Persian Medicine Remedy on Multiple Sclerosis Patients: A Double-Blinded Randomized Clinical Trial
- PMID: 34466472
- PMCID: PMC8343653
- DOI: 10.31661/gmj.v8i0.1212
Antidepressant Effects of a Persian Medicine Remedy on Multiple Sclerosis Patients: A Double-Blinded Randomized Clinical Trial
Abstract
Background: Multiple sclerosis (MS), an inflammatory neurodegenerative disease of the central nervous system, is accompanied by some psychiatric disorders, one prominent example of which is depression. The aim of this study was to investigate the effects of a Persian herbal medicine treatment that contains Crocus sativus, Hypericum perforatum, Cinnamon verum, and Vitis vinifera on fatigue and sleep disorders in MS patients.
Materials and methods: A Persian medicine remedy containing C.sativus, H.perforatum, C.verum, and V.vinifera was tested for its ability to improve the symptoms of depression in MS patients. This randomized double-blind clinical study was performed among 52 patients with MS who were allocated to their respective research groups through blocked randomization. The patients were treated for 4 weeks with either the drug or the placebo. To quantify the symptoms of depression, Beck depression inventory (BDI) was used.
Results: Forty-six patients completed the study. In the course of the study, as the primary outcome, BDI decreased in the drug group (p =0.000) and the placebo group (p =0.001) significantly, but the rate of change in the drug group was significantly higher than in the placebo group (-13.9 ± 8.6 vs. -3.9 ± 4.3, p =0.000). While analyzing time and treatment effect for BDI, significant decreases in BDI were observed for the drug group, but not in the placebo group (p = 0.001).
Conclusion: The present study suggests that Persian medicine remedy treatment in combination with chemical drugs may improve depression symptoms in MS patients. More investigations are needed to discover the exact mechanisms and processes involved.
Keywords: Alternative Medicine; Depression; Herbal Extract; Multiple Sclerosis; Persian Medicine.
Copyright© 2019, Galen Medical Journal.
Similar articles
-
Coenzyme Q10 as a treatment for fatigue and depression in multiple sclerosis patients: A double blind randomized clinical trial.Nutr Neurosci. 2016;19(3):138-43. doi: 10.1179/1476830515Y.0000000002. Epub 2015 Jan 20. Nutr Neurosci. 2016. PMID: 25603363 Clinical Trial.
-
A double-blind, randomized, placebo-controlled trial of saffron stigma (Crocus sativus L.) in mothers suffering from mild-to-moderate postpartum depression.Phytomedicine. 2017 Dec 1;36:145-152. doi: 10.1016/j.phymed.2017.10.005. Epub 2017 Oct 7. Phytomedicine. 2017. PMID: 29157808 Clinical Trial.
-
Efficacy and safety of "Jollab Monzej" as a traditional persian compound medicine for the treatment of multiple sclerosis-related fatigue: A randomized placebo-controlled trial.Caspian J Intern Med. 2023 Spring;14(2):257-266. doi: 10.22088/cjim.14.2.257. Caspian J Intern Med. 2023. PMID: 37223302 Free PMC article.
-
Novel Augmentation Strategies in Major Depression.Dan Med J. 2017 Apr;64(4):B5338. Dan Med J. 2017. PMID: 28385173 Review.
-
A Review of Herbal Therapy in Multiple Sclerosis.Adv Pharm Bull. 2018 Nov;8(4):575-590. doi: 10.15171/apb.2018.066. Epub 2018 Nov 29. Adv Pharm Bull. 2018. PMID: 30607330 Free PMC article. Review.
Cited by
-
Understanding the research landscape of over-the-counter herbal products, dietary supplements, and medications evaluated for depressive symptoms in adults: a scoping review.Front Pharmacol. 2025 Jul 15;16:1609605. doi: 10.3389/fphar.2025.1609605. eCollection 2025. Front Pharmacol. 2025. PMID: 40735481 Free PMC article.
-
Qualified placebo for trials of herbal medicine treatment in rare diseases? A cross-sectional analysis.Orphanet J Rare Dis. 2023 Nov 30;18(1):373. doi: 10.1186/s13023-023-02987-w. Orphanet J Rare Dis. 2023. PMID: 38037078 Free PMC article.
References
-
- McGuigan C, Hutchinson M. Unrecognised symptoms of depression in a community–based population with multiple sclerosis. J Neurol. 2006;253(2):219–23. - PubMed
-
- Khalili M, Eghtesadi S, Mirshafiey A, Eskandari G, Sanoobar M. et al. Effect of lipoic acid consumption on oxidative stress among multiple sclerosis patients: a randomized controlled clinical trial. NutrNeurosci. 2014;17(1):16–20. - PubMed
-
- Raskind MA. Diagnosis and Treatment of Depression Comorbid with Neurologic Disorders. Am J Med. 2008;121(11):S28–S37. - PubMed
-
- Sanoobar M, Dehghan P, Khalili M, Azimi A, Seifar F. Coenzyme Q10 as a treatment for fatigue and depression in multiple sclerosis patients: a double blind randomized clinical trial. NutrNeurosci. 2016;19(3):138–43. - PubMed
-
- Giordano A, Granella F, Lugaresi A, Martinelli V, Trojano M. et al. Anxiety and depression in multiple sclerosis patients around diagnosis. J Neurol Sci. 2011;307(1):86–91. - PubMed
LinkOut - more resources
Full Text Sources