Evolution of phytonotropes: emphasis on bacopa Monnieri
Abstract
Memostim® is a phytonootropic agent, containing standardized BM extract (150 mg per capsule) and Ginkgo biloba extract (120 mg per capsule), providing the whole daily dose of both components. Memostim® is registered in United Kingdom and sold in United States under trade name Memoboost®.
As shown in a clinical trial of Memostim® (Memoboost®)[1], its use in the patients with dyscirculatory encephalopathy (term, commonly used in Ukraine, which corresponds more widely used term “cerebral small vessel disease”) during 3 months can ameliorate the clinical signs of this disturbance, particularly, increasing the level of neurotrophic factors (nerve growth factor-beta) up to 67%. Memostim® (Memoboost®) reduced manifestations of cognitive dysfunction, improving memory and attention. Positive influence of BM extract on the cognitive functions was followed by decreasing of manifestations of anxiety-depressive syndrome, as well increasing of the quality of life of the patients.
Bacopa is a very promising medicine for cognitive dysfunction, and has a favorable safety profile with a long history of use in humans. If you or your patients suffer from cognitive dysfunction, consider performing a study on their cognitive function before and after a period of Bacopa use (>1 month is required to notice statistically significant improvements in prior clinical trials). Dosing should not be on an empty stomach, which can result in gastrointestinal upset, as Bacopa is a pro-cholinergic agent. Bacopa should be taken with food. Absorption and bioavailability of the active constituents of Bacopa, such as the bacosides, may be enhanced by co-administering a lipid such as coconut milk / medium chain triglycerides, fish oil (EPA/DHA), avocado, or other fatty foods. Bacopa can be taken any time of day, but some users report improved sleep quality when dosed prior to bed.
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3. Barrett SC. Strother JL. Taxonomy and natural history of Bacopa in California. Syst Bot. 1978;5:408–419
4. Mathew J. Gangadharan G. Kuruvilla KP. Paulose CS. Behavioral deficit and decreased GABA receptor functional regulation in the hippocampus of epileptic rats: Effect of Bacopa monnieri. Neurochemical Res. 2011;36:7–16.
5. Khan R. Krishnakumar A. Paulose CS. Decreased glutamate receptor binding and NMDA R1 gene expression in hippocampus of pilocarpine-induced epileptic rats: Neuroprotective role of Bacopa monnieri extract. Epilepsy Behav. 2008;12:54–60.
6. Mathew J. Paul J. Nandhu MS. Paulose CS. Bacopa monnieri and Bacoside-A for ameliorating epilepsy associated behavioral deficits. Fitoterapia. 2010;81:315–322.
7. Sairam K. Dorababu M. Goel RK. Bhattacharya SK. Antidepressant activity of standardized extract of Bacopa monniera in experimental models of depression in rats. Phytomedicine. 2002;9:207–211.
8. Abbas M. Subhan F. Mohani N. Rauf K. Ali G. Khan M. The involvement of opioidergic mechanisms in the activity of Bacopa monnieri extract and its toxicological studies. Afr J Pharm Pharmacol. 2011;5:1120–1124.
9. Afjalus S. Chakma N. Rahman M. Salahuddin M. Kumar S. Assessment of analgesic, antidiarrhoeal and cytotoxic activity of ethanolic extract of the whole plant of Bacopa monnieri linn. IRJP. 2012;3(10) online publication
10. Jain P. Khanna NK. Trehan N. Pendse VK. Godhwani JL. Anti-inflammatory effects of an Ayurvedic preparation, Brahmi Rasayan, in rodents. Indian J Expt Biol. 1994;32:633–636.
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12. Sairam L. Rao C. Babu M. Goel RK. Prophylactic and curative effects of Bacopa monniera in gastric ulcer models. Phytomedicine. 2001;8:423–430 14 Goel RK. Sairam K. Babu MD. Tavares IA. Raman A. In vitro evaluation of Bacopa monniera on anti-Helicobacter pylori activity and accumulation of prostaglandins. Phytomedicine. 2003;10:523–527.
13. Bhattacharya SK. Ghosal S. Anxiolytic activity of a standardized extract of Bacopa monniera: An experimental study. Phytomedicine. 1998;5:77–82.
14. Bhatia G. Palit G. Pal R. Singh S. Singh HK. Adaptogenic effect of Bacopa monniera (Brahmi) Pharmacol Biochem Behav. 2003;75:823–830.
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17. Elangovan V. Govindasamy S. Ramamoorthy N. Balasubramanian In vitro studies on the anticancer activity of Bacopa monnieri. Fitoterapia. 1995;66:211–215.
18. Ghosh T. Maity TK. Das M. Bose A. Dash DK. In vitro antioxidant and hepatoprotective activity of ethanolic extract of Bacopa monnieri. IJPT. 2007;6:77–85
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21. Russo A. Borrelli F. Bacopa monniera, a reputed nootropic plant: An overview. Phytomedicine. 2005;12:305–317.
22. Plassman BL. Langa KM. Fisher GG. Heeringa SG. Weir DR. Ofstedal MB. Burke JR. Hurd MD. Potter GG. Rodgers WL. Steffens DC. Willis RJ. Wallace RB. Prevalence of dementia in the United States: The aging, demographics, and memory study. Neuroepidemiology. 2007;29:125–132.
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Pase et al. (2012) The cognitive-enhancing effects of Bacopa monnieri: a systematic review of randomized, controlled human clinical trials. J Altern Complement Med.
Aguiar & Borowski (2013). Neuropharmacological Review of the Nootropic herb Bacopa Monnieri. Rejuvenation Research.
Barrett SC. Strother JL. Taxonomy and natural history of Bacopa in California. Syst Bot. 1978;5:408–419
Mathew J. Gangadharan G. Kuruvilla KP. Paulose CS. Behavioral deficit and decreased GABA receptor functional regulation in the hippocampus of epileptic rats: Effect of Bacopa monnieri. Neurochemical Res. 2011;36:7–16.
Khan R. Krishnakumar A. Paulose CS. Decreased glutamate receptor binding and NMDA R1 gene expression in hippocampus of pilocarpine-induced epileptic rats: Neuroprotective role of Bacopa monnieri extract. Epilepsy Behav. 2008;12:54–60.
Mathew J. Paul J. Nandhu MS. Paulose CS. Bacopa monnieri and Bacoside-A for ameliorating epilepsy associated behavioral deficits. Fitoterapia. 2010;81:315–322.
Sairam K. Dorababu M. Goel RK. Bhattacharya SK. Antidepressant activity of standardized extract of Bacopa monniera in experimental models of depression in rats. Phytomedicine. 2002;9:207–211.
Abbas M. Subhan F. Mohani N. Rauf K. Ali G. Khan M. The involvement of opioidergic mechanisms in the activity of Bacopa monnieri extract and its toxicological studies. Afr J Pharm Pharmacol. 2011;5:1120–1124.
Afjalus S. Chakma N. Rahman M. Salahuddin M. Kumar S. Assessment of analgesic, antidiarrhoeal and cytotoxic activity of ethanolic extract of the whole plant of Bacopa monnieri linn. IRJP. 2012;3(10) online publication
Jain P. Khanna NK. Trehan N. Pendse VK. Godhwani JL. Anti-inflammatory effects of an Ayurvedic preparation, Brahmi Rasayan, in rodents. Indian J Expt Biol. 1994;32:633–636.
Azad A. Awang M. Rahman M. Akter S. Biological and pre-clinical trial evaluation of a local medicinal plant Bacopa monnieri (L.) IJCRR. 2012;4: 92–99.
Sairam L. Rao C. Babu M. Goel RK. Prophylactic and curative effects o
f Bacopa monniera in gastric ulcer models. Phytomedicine. 2001;8:423–430. 14 Goel RK. Sairam K. Babu MD. Tavares IA. Raman A. In vitro evaluation of Bacopa monniera on anti-Helicobacter pylori activity and accumulation of prostaglandins. Phytomedicine. 2003;10:523–527.
Bhattacharya SK. Ghosal S. Anxiolytic activity of a standardized extract of Bacopa monniera: An experimental study. Phytomedicine. 1998;5:77–82.
Bhatia G. Palit G. Pal R. Singh S. Singh HK. Adaptogenic effect of Bacopa monniera (Brahmi) Pharmacol Biochem Behav. 2003;75:823–830.
Chowdhuri DK. Parmar D. Kakkar P. Shukla R. Seth PK. Srimal RC. Antistress effects of bacosides of Bacopa monnieri: Modulation of Hsp70 expression, superoxide dismutase and cytochrome P450 activity in rat brain. Phytother Res. 2002;16:639–645.
Deb DD. Kapoor D. Dighe DP. Padmaja D. Anand MS. D’Souza P. Deepak M. Murali B. Agarwal A. In vitro safety evaluation and anticlastogenic effect of BacoMind on human lymphocytes. Biomed Environ Sci. 2008;21:7–23.
Elangovan V. Govindasamy S. Ramamoorthy N. Balasubramanian In vitro studies on the anticancer activity of Bacopa monnieri. Fitoterapia. 1995;66:211–215.
Ghosh T. Maity TK. Das M. Bose A. Dash DK. In vitro antioxidant and hepatoprotective activity of ethanolic extract of Bacopa monnieri. IJPT. 2007;6:77–85
Yamada K. Hung P. Park TK. Park PJ. Lim BO. A comparison of the immunostimulatory effects of the medicinal herbs Echinacea, Ashwagandha and Brahmi. J Ethnopharmacol. 2011;137:231–235.
Samiulla DS. Prashanth D. Amit A. Mast cell stabilising activity of Bacopa monnieri. Fitoterapia. 2001;72:284–285.
Russo A. Borrelli F. Bacopa monniera, a reputed nootropic plant: An overview. Phytomedicine. 2005;12:305–317.
Plassman BL. Langa KM. Fisher GG. Heeringa SG. Weir DR. Ofstedal MB. Burke JR. Hurd MD. Potter GG. Rodgers WL. Steffens DC. Willis RJ. Wallace RB. Prevalence of dementia in the United States: The aging, demographics, and memory study. Neuroepidemiology. 2007;29:125–132.
Federal Interagency Forum on Aging-Related Statistics. Older Americans. Key Indicators of Wellbeing. 2012
Stough C. et al. Examining the Nootropic Effects of a Special extract of Bacopa monniera on Human Cognitive Functioning: 90-Day Double-Blind Placebo-Controlled Randomized Trial. Phytother. Res. 22, 1629–1634 (2008). 28 Roodenrys S. et al. Chronic Effects of Brahmi (Bacopa monnieri) on Human Memory. Neuropsychopharmacology. 2002. Vol. 27, No. 2, P. 279–281.
Raghav S. et al. Randomized controlled trial of standardized Bacopa monniera extract in age-associated memory impairment. Indian J Psychiatry. 2006 Oct-Dec; 48(4): 238–242.
Morgan A., Stevens J. Does Bacopa monnieri improve memory performance in older persons? Results of a randomized, placebo-controlled, double-blind trial. J Altern Complement Med. 2010 Jul;16(7):753–759.
Barbhaiya H. et al. Efficacy and Tolerability of BacoMind®on Memory Improvement in Elderly Participants - A Double Blind Placebo Controlled Study. Journal of Pharmacology and Toxicology. 2008. 3(6): 425–434
Calabrese C. et al. Effects of a standardized Bacopa monnieri extract on cognitive performance, anxiety, and depression in the elderly: a randomized, double-blind, placebo-controlled trial. J Altern Complement Med. 2008 Jul;14(6):707-13.
Kumar N. et al. Efficacy of Standardized Extract of Bacopa monnieri (Bacognize®) on Cognitive Functions of Medical Students: A Six-Week, Randomized Placebo-Controlled Trial. Evid Based Complement Alternat Med. 2016; 2016:4103423.
Mishchenko T. et al. New opportunities in treatment of patients with discirculatory encephalopathy: emphasis on nervous growth factor. Psychiatry, neurology and medical psychology. 2020. Iss. 3: 79-88
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