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Abstract

A urinary tract infection (UTI) is an infection in any part of the urinary system. The urinary system includes the kidneys, ureters, bladder and urethra. Most infections involve the lower urinary tract the bladder and the urethra. Women are at greater risk of developing a UTI than are men. If an infection is limited to the bladder, it can be painful and annoying. If treatment is not received, Urinary Tract Infections (UTIs), which are frequent microbial illnesses affecting the urinary system, can lead to discomfort and problems. Because they have antibacterial qualities and can potentially reduce UTI symptoms, natural treatments have been used. Herbal treatments with possible antibacterial effects, such as punarnava, gokshura, guduchi and daruharidra have been used historically. These herbs have ingredients that may aid in the battle against germs in the urinary system, but further research is needed to determine how safe and effective they are. Increasing water consumption is a simple yet effective treatment. When used as the only treatment for acute UTIs, they are frequently less successful than when used as preventative measures or in conjunction with traditional medicines. The main line of treatment for severe or persistent UTIs is still medical intervention with antibiotics to avoid complications and recurrent infections.

Keywords

Antimicrobial, Herbal Remedies, Urine infection, Probiotics, Urinary tract infection syrup

Introduction

UTIs are very common, especially in females. About half of females will have a UTI at some point during their lives. Males can also get UTIs, as well as children, though they only affect 1% to 2% of children. A urinary tract infection (UTI) is an infection in any part of the urinary system. The urinary system includes the kidneys, ureters, bladder and urethra. Most infections involve the lower urinary tract — the bladder and the urethra. Women are at greater risk of developing a UTI than are men. If an infection is limited to the bladder, it can be painful and annoying. But serious health problems can result if a UTI spreads to the kidneys. UTIs are caused by both Gram-negative and Gram-positive bacteria, as well as by certain fungi. The most common causative agent for both uncomplicated and complicated UTIs is uropathogenic Escherichia coli.

Causes:      

  1. Diabetes
  2. Advanced age
  3. Conditions that affect personal care habits (such as Alzheimer disease and delirium)
  4. Problems emptying the bladder completely.

Symptoms: The symptoms of a bladder infection include:

  1. Cloudy or bloody urine, which may have a foul or strong odor
  2. Low grade fever in some people
  3. Pain or burning with urination
  4. Pressure or cramping in the lower abdomen or back

Materials:

1.Punarnava: Boerhavia diffusa is a species of flowering plant in the four o'clock family which is commonly known as Punarnava. Punarnava plays a key role in preventing and treating urinary distension, kidney stones, and painful urination.

• Scientific name: Boerhavia diffusa

• Family: Nyctaginaceae

Mechanism of action: Punarnava’s Mutral (diuretic) action helps to decrease burning sensations in urinary tract infections. It improves urine flow and relieves the symptoms of a urinary tract infection, such as burning during urination.

3.Varuna: Varuna (Crataeva nurvala) treats urinary tract infections, kidney stones, and bladder disorders.

  • Botanical name: Crataeva nurvula
  • Family: Capparidaceae
  • Mechanism of action: Varun can help with urinary tract infection (UTI) as it aids to control the burning sensation and eases the symptoms of UTI due to its diuretic action that increases urine output. Severe UTI is associated with dysuria and painful urination.

Procedure:

Step 1: All herbs  are collected.

  • Wash thoroughly with water to remove dirt and dust.
  • All herbs shade dry for 3-5 days, then crush to coarse powder.
  • Grind the dried leaves into a fine powder using mechanical grinder.
  • Store the powder in an airtight container further use.

Decoction method

  • Weigh dried and powderd herbs according to the measurement.
  • Mix all herbs and add to 100ml of distilled water.
  • Heat gently and simmer for 30-40 minutes reducing the volume to 25ml.
  • Filter through muslin cloth or whatman filter paper to remove the residues.
  • Collect the clear decoction extract (about 25ml).

STEP 3: Syrup base preparation

Ingredients

Quantity

Sucrose

30g

Methylparaben(preservative)

0.05g

Citric acid (pH adjustment)

0.1g

Distilled water

Q.S to 50ml

Procedure:

  1. Dissolve sugar in about 15ml of warm distilled water.
  2. Add glycerin, preservatives and citric acid.
  3. Mix well until everything is dissolved.
  4. Add the 25ml of decoction extract to the syrup base.
  5. Make up the final volume to 50ml with distilled water.
  6. Mix thoroughly, transfer to amber glass bottle, label properly.

Formulation table

Ingredients

F1

F2

F3

Punarnava

4gm

4.5gm

5gm

Gokshura

4gm

4.7gm

5gm

Varuna

3gm

3gm

5gm

Guduchi

2gm

2.5gm

4gm

Daruharidra

3gm

3gm

3gm

Shatavari

3gm

3gm

3gm

Sugar

20gm

25gm

30gm

Methylparaben

(preservative)

0.1g

0.1g

0.1g

Citric acid (pH balance)

0.1g

0.1g

0.1g

Distilled water

50ml

50ml

50ml

Evaluation test:

1.Specific Gravity

2. pH test

  1. Formula of specific gravity:

Specific gravity of liquid under test(syrup)= weight of liquid under test/weight of water ws/W4.

  1. Formula of viscosity= x Density of test liquid× Time required fpr flpw test liquid density of water × Time required for flow water. Viscosity of water.
  1. PH testing:  The syrup PH is 6.3.

Conclusion: The formulation and evaluation of the herbal syrup for urinary tract infection (UTI) were successfully carried out using selected medicinal plants known for their antimicrobial, anti-inflammatory, and diuretic properties. The developed syrup demonstrated desirable physicochemical characteristics such as acceptable pH, viscosity, palatability, and stability. The herbal ingredients, including [insert plant names if known, e.g., varuna, guduchi, Punarnava, etc.], were effectively incorporated into a palatable and stable syrup base.

REFERENCES

  1. E. a. G. E. a. M. P. J. a. M. A. a. L. E. a. C. L. Quintero, “{Evaluation of the Leaf Extracts of Kalanchoe pinnata and Kalanchoe daigremontiana Chemistry, Antioxidant and Anti-inflammatory Activity},,” {European Journal of Medicinal Plants}, pp. {45-54},, {07} {2021}.
  2. T. N. M. S. K. D. K. D. Saurabh Dhumane1, “Exploring the Therapeutic Potential: Phytochemistry and Pharmacology of Bryophyllum pinnatum,” Journal of Drug Delivery and Therapeutics, 15 2 2024.
  3. H. V. M. A. S. B. N. G. B. C. Phillips R, “Citrate salts for preventing and treating calcium containing kidney stones in adults.,” Cochrane Database Syst Rev. 2015 Oct 6;2015(10):CD010057.
  4. S. M. J. R. &. I. G. Nayak, “Wound healing potential of ethanolic extract of Kalanchoe pinnata Lam. leaf-A preliminary study,” (2010).
  5. P. S. P. S. a. V. S. V. S. A. S. C. Abu Sufiyan Chhipa, “In-vitro antiurolithiatic activity of alcoholic and hydroalcoholic extracts of Kalanchoe pinnata leaves,” Int J Indig Herb Drug, 2017.
  6. Saluja MS, Sangameserwaran B, Hura IS, Sharma A, Gupta SK and Chaturvedi M. In vitro cytotoxic activity of Madhuca longifolia against Ehrlich Ascites Carcinoma cell lines (EAC). International Journal of Drug Discovery and Herbal Research (IJDDHR). 2012; 1:55- 57.
  7. Awasthi Y.C, Bhatnagar S. C and Mitra. Chemurgy of Sapotaceous Plants: Madhuca Species of India. Economic Botany. 1975; 380- 389.
  8. Variers PS, Vaidyarathanam. Indian Medicinal Plants, Orient Longman Publication, New Delhi. 1995; 1(3): 362-366.
  9. Lopez M., Hoppe B. History, epidemiology and regional diversities of urolithiasis. Pediatric Nephrology. 2008;25(1):49–59. doi: 10.1007/s00467-008-0960-5.
  10. Mitchell, T., Kumar, P., Reddy, T., Wood, K. D., Knight, J., Assimos, D. G., & Holmes, R. P. (2019). Dietary oxalate and kidney stone formation. American Journal of Physiology-Renal Physiology, 316(3), F409-F413.

Reference

  1. E. a. G. E. a. M. P. J. a. M. A. a. L. E. a. C. L. Quintero, “{Evaluation of the Leaf Extracts of Kalanchoe pinnata and Kalanchoe daigremontiana Chemistry, Antioxidant and Anti-inflammatory Activity},,” {European Journal of Medicinal Plants}, pp. {45-54},, {07} {2021}.
  2. T. N. M. S. K. D. K. D. Saurabh Dhumane1, “Exploring the Therapeutic Potential: Phytochemistry and Pharmacology of Bryophyllum pinnatum,” Journal of Drug Delivery and Therapeutics, 15 2 2024.
  3. H. V. M. A. S. B. N. G. B. C. Phillips R, “Citrate salts for preventing and treating calcium containing kidney stones in adults.,” Cochrane Database Syst Rev. 2015 Oct 6;2015(10):CD010057.
  4. S. M. J. R. &. I. G. Nayak, “Wound healing potential of ethanolic extract of Kalanchoe pinnata Lam. leaf-A preliminary study,” (2010).
  5. P. S. P. S. a. V. S. V. S. A. S. C. Abu Sufiyan Chhipa, “In-vitro antiurolithiatic activity of alcoholic and hydroalcoholic extracts of Kalanchoe pinnata leaves,” Int J Indig Herb Drug, 2017.
  6. Saluja MS, Sangameserwaran B, Hura IS, Sharma A, Gupta SK and Chaturvedi M. In vitro cytotoxic activity of Madhuca longifolia against Ehrlich Ascites Carcinoma cell lines (EAC). International Journal of Drug Discovery and Herbal Research (IJDDHR). 2012; 1:55- 57.
  7. Awasthi Y.C, Bhatnagar S. C and Mitra. Chemurgy of Sapotaceous Plants: Madhuca Species of India. Economic Botany. 1975; 380- 389.
  8. Variers PS, Vaidyarathanam. Indian Medicinal Plants, Orient Longman Publication, New Delhi. 1995; 1(3): 362-366.
  9. Lopez M., Hoppe B. History, epidemiology and regional diversities of urolithiasis. Pediatric Nephrology. 2008;25(1):49–59. doi: 10.1007/s00467-008-0960-5.
  10. Mitchell, T., Kumar, P., Reddy, T., Wood, K. D., Knight, J., Assimos, D. G., & Holmes, R. P. (2019). Dietary oxalate and kidney stone formation. American Journal of Physiology-Renal Physiology, 316(3), F409-F413.

Photo
Maya Jadhav
Corresponding author

Gajanan Maharaj College of Pharmacy, Chh. Sambhajinagar

Photo
Komal Chavan
Co-author

Gajanan Maharaj College of Pharmacy, Chh. Sambhajinagar

Photo
Shalini Kawade
Co-author

Gajanan Maharaj College of Pharmacy, Chh. Sambhajinagar

Photo
Rupal Kachkure
Co-author

Gajanan Maharaj College of Pharmacy, Chh. Sambhajinagar

Photo
Madhavi Kakphale
Co-author

Gajanan Maharaj College of Pharmacy, Chh. Sambhajinagar

Komal Chavan, Maya Jadhav*, Shalini Kawade, Rupal Kachkure, Madhavi Kakphale, Formulation And Evaluation of Punarnava Syrup for Uti, Int. J. of Pharm. Sci., 2025, Vol 3, Issue 6, 4026-4029. https://doi.org/10.5281/zenodo.15731696

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