TY  - JOUR
AU  - Račić, Anđelka
AU  - Jurišić-Dukovski, Bisera
AU  - Lovrić, Jasmina
AU  - Dobričić, Vladimir
AU  - Vučen, Sonja
AU  - Micov, Ana
AU  - Stepanović-Petrović, Radica
AU  - Tomić, Maja
AU  - Pecikoza, Uroš
AU  - Bajac, Jelena
AU  - Krajišnik, Danina
PY  - 2024
UR  - https://farfar.pharmacy.bg.ac.rs/handle/123456789/5610
AB  - The incorporation of polymers into drug delivery vehicles has been shown to be a useful approach to prolong the
residence time of drugs in the precorneal tear film and to improve penetration into biological membranes. The
main objective of this research was to formulate novel viscous eye drops with ketotifen as the active ingredient,
containing the polysaccharides: chitosan (MCH), hydroxypropyl guar gum (HPG) and hyaluronic acid (SH) alone
and in combination as functional polymers. DSC and FT-IR techniques showed the compatibility between
ketotifen and polymers. Physicochemical and rheological analysis at ambient and simulated physiological conditions, as well as the evaluation of mucoadhesive properties showed that vehicles containing combinations of
polymers have suitable physicochemical and functional properties with demonstrated synergism between
combined polymers (MCH and HPG i.e. SH and HPG). The drug permeability was successfully estimated in vitro
using HCE-T cell-based models. MTT cytotoxicity assay demonstrates that the tested formulations were non-toxic
and well tolerated. In vivo preclinical study on mice revealed that both vehicles containing mixed polymers
enhanced and prolonged the antipruritic/analgesic-like effect of ophthalmic ketotifen. Based on these results,
both combinations of polysaccharide polymers, especially SH-HPG, could be considered as potential new carriers
for ketotifen for ophthalmic use.
PB  - Elsevier
T2  - International Journal of Pharmaceutics
T1  - Synergism of polysaccharide polymers in antihistamine eye drops: Influence on physicochemical properties and in vivo efficacy
VL  - 655
SP  - 124033
DO  - 10.1016/j.ijpharm.2024.124033
ER  - 

@article{
author = "Račić, Anđelka and Jurišić-Dukovski, Bisera and Lovrić, Jasmina and Dobričić, Vladimir and Vučen, Sonja and Micov, Ana and Stepanović-Petrović, Radica and Tomić, Maja and Pecikoza, Uroš and Bajac, Jelena and Krajišnik, Danina",
year = "2024",
abstract = "The incorporation of polymers into drug delivery vehicles has been shown to be a useful approach to prolong the
residence time of drugs in the precorneal tear film and to improve penetration into biological membranes. The
main objective of this research was to formulate novel viscous eye drops with ketotifen as the active ingredient,
containing the polysaccharides: chitosan (MCH), hydroxypropyl guar gum (HPG) and hyaluronic acid (SH) alone
and in combination as functional polymers. DSC and FT-IR techniques showed the compatibility between
ketotifen and polymers. Physicochemical and rheological analysis at ambient and simulated physiological conditions, as well as the evaluation of mucoadhesive properties showed that vehicles containing combinations of
polymers have suitable physicochemical and functional properties with demonstrated synergism between
combined polymers (MCH and HPG i.e. SH and HPG). The drug permeability was successfully estimated in vitro
using HCE-T cell-based models. MTT cytotoxicity assay demonstrates that the tested formulations were non-toxic
and well tolerated. In vivo preclinical study on mice revealed that both vehicles containing mixed polymers
enhanced and prolonged the antipruritic/analgesic-like effect of ophthalmic ketotifen. Based on these results,
both combinations of polysaccharide polymers, especially SH-HPG, could be considered as potential new carriers
for ketotifen for ophthalmic use.",
publisher = "Elsevier",
journal = "International Journal of Pharmaceutics",
title = "Synergism of polysaccharide polymers in antihistamine eye drops: Influence on physicochemical properties and in vivo efficacy",
volume = "655",
pages = "124033",
doi = "10.1016/j.ijpharm.2024.124033"
}

Račić, A., Jurišić-Dukovski, B., Lovrić, J., Dobričić, V., Vučen, S., Micov, A., Stepanović-Petrović, R., Tomić, M., Pecikoza, U., Bajac, J.,& Krajišnik, D.. (2024). Synergism of polysaccharide polymers in antihistamine eye drops: Influence on physicochemical properties and in vivo efficacy. in International Journal of Pharmaceutics
Elsevier., 655, 124033.
https://doi.org/10.1016/j.ijpharm.2024.124033

Račić A, Jurišić-Dukovski B, Lovrić J, Dobričić V, Vučen S, Micov A, Stepanović-Petrović R, Tomić M, Pecikoza U, Bajac J, Krajišnik D. Synergism of polysaccharide polymers in antihistamine eye drops: Influence on physicochemical properties and in vivo efficacy. in International Journal of Pharmaceutics. 2024;655:124033.
doi:10.1016/j.ijpharm.2024.124033 .

Račić, Anđelka, Jurišić-Dukovski, Bisera, Lovrić, Jasmina, Dobričić, Vladimir, Vučen, Sonja, Micov, Ana, Stepanović-Petrović, Radica, Tomić, Maja, Pecikoza, Uroš, Bajac, Jelena, Krajišnik, Danina, "Synergism of polysaccharide polymers in antihistamine eye drops: Influence on physicochemical properties and in vivo efficacy" in International Journal of Pharmaceutics, 655 (2024):124033,
https://doi.org/10.1016/j.ijpharm.2024.124033 . .

TY  - JOUR
AU  - Nastić, Katarina
AU  - Pecikoza, Uroš
AU  - Labudović-Borović, Milica
AU  - Kotur-Stevuljević, Jelena
AU  - Micov, Ana
AU  - Jovanović, Aleksandar
AU  - Tomić, Maja
AU  - Stepanović-Petrović, Radica
PY  - 2023
UR  - https://farfar.pharmacy.bg.ac.rs/handle/123456789/5018
AB  - Osteoarthritis represents a leading cause of disability with limited treatment options. Furthermore, it is frequently accompanied by cardiovascular and cognitive disorders, which can be exacerbated by osteoarthritis or drugs used for its treatment. Here, we examined the behavioral and cardiac effects of the novel antidepressant vortioxetine in an osteoarthritis model, and compared them to duloxetine (an established osteoarthritis treatment). Osteoarthritis was induced in male and female rats with an intraarticular sodium-monoiodoacetate injection. Antidepressants were orally administered for 28 days following induction. During this period the acetone, burrowing and novel-object-recognition tests (NORT) were used to assess the effects of antidepressants on pain hypersensitivity (cold allodynia), animal well-being and cognitive performance, respectively. Following behavioral experiments, heart muscles were collected for assessment of redox status/histology. Antidepressant treatment dose-dependently reduced cold allodynia in rats with osteoarthritis. Duloxetine (but not vortioxetine) depressed burrowing behavior in osteoarthritic rats in a dose-related manner. Osteoarthritis induction reduced cognitive performance in NORT, which was dose-dependently alleviated by vortioxetine (duloxetine improved performance only in female rats). Furthermore, duloxetine (but not vortioxetine) increased oxidative stress parameters in the heart muscles of female (but not male) rats and induced histological changes in cardiomyocytes indicative of oxidative damage. Vortioxetine displayed comparable efficacy to duloxetine in reducing pain hypersensitivity. Furthermore, vortioxetine (unlike duloxetine) dose-dependently improved cognitive performance and had no adverse effect on burrowing behavior (animal surrogate of well-being) and cardiac redox status/histology. Our results indicate that vortioxetine could be a potential osteoarthritis treatment (with better characteristics compared to duloxetine).
PB  - Elsevier Masson
T2  - Biomedicine and Pharmacotherapy
T1  - The antidepressant drugs vortioxetine and duloxetine differentially and sex-dependently affect animal well-being, cognitive performance, cardiac redox status and histology in a model of osteoarthritis
VL  - 166
DO  - 10.1016/j.biopha.2023.115360
ER  - 

@article{
author = "Nastić, Katarina and Pecikoza, Uroš and Labudović-Borović, Milica and Kotur-Stevuljević, Jelena and Micov, Ana and Jovanović, Aleksandar and Tomić, Maja and Stepanović-Petrović, Radica",
year = "2023",
abstract = "Osteoarthritis represents a leading cause of disability with limited treatment options. Furthermore, it is frequently accompanied by cardiovascular and cognitive disorders, which can be exacerbated by osteoarthritis or drugs used for its treatment. Here, we examined the behavioral and cardiac effects of the novel antidepressant vortioxetine in an osteoarthritis model, and compared them to duloxetine (an established osteoarthritis treatment). Osteoarthritis was induced in male and female rats with an intraarticular sodium-monoiodoacetate injection. Antidepressants were orally administered for 28 days following induction. During this period the acetone, burrowing and novel-object-recognition tests (NORT) were used to assess the effects of antidepressants on pain hypersensitivity (cold allodynia), animal well-being and cognitive performance, respectively. Following behavioral experiments, heart muscles were collected for assessment of redox status/histology. Antidepressant treatment dose-dependently reduced cold allodynia in rats with osteoarthritis. Duloxetine (but not vortioxetine) depressed burrowing behavior in osteoarthritic rats in a dose-related manner. Osteoarthritis induction reduced cognitive performance in NORT, which was dose-dependently alleviated by vortioxetine (duloxetine improved performance only in female rats). Furthermore, duloxetine (but not vortioxetine) increased oxidative stress parameters in the heart muscles of female (but not male) rats and induced histological changes in cardiomyocytes indicative of oxidative damage. Vortioxetine displayed comparable efficacy to duloxetine in reducing pain hypersensitivity. Furthermore, vortioxetine (unlike duloxetine) dose-dependently improved cognitive performance and had no adverse effect on burrowing behavior (animal surrogate of well-being) and cardiac redox status/histology. Our results indicate that vortioxetine could be a potential osteoarthritis treatment (with better characteristics compared to duloxetine).",
publisher = "Elsevier Masson",
journal = "Biomedicine and Pharmacotherapy",
title = "The antidepressant drugs vortioxetine and duloxetine differentially and sex-dependently affect animal well-being, cognitive performance, cardiac redox status and histology in a model of osteoarthritis",
volume = "166",
doi = "10.1016/j.biopha.2023.115360"
}

Nastić, K., Pecikoza, U., Labudović-Borović, M., Kotur-Stevuljević, J., Micov, A., Jovanović, A., Tomić, M.,& Stepanović-Petrović, R.. (2023). The antidepressant drugs vortioxetine and duloxetine differentially and sex-dependently affect animal well-being, cognitive performance, cardiac redox status and histology in a model of osteoarthritis. in Biomedicine and Pharmacotherapy
Elsevier Masson., 166.
https://doi.org/10.1016/j.biopha.2023.115360

Nastić K, Pecikoza U, Labudović-Borović M, Kotur-Stevuljević J, Micov A, Jovanović A, Tomić M, Stepanović-Petrović R. The antidepressant drugs vortioxetine and duloxetine differentially and sex-dependently affect animal well-being, cognitive performance, cardiac redox status and histology in a model of osteoarthritis. in Biomedicine and Pharmacotherapy. 2023;166.
doi:10.1016/j.biopha.2023.115360 .

Nastić, Katarina, Pecikoza, Uroš, Labudović-Borović, Milica, Kotur-Stevuljević, Jelena, Micov, Ana, Jovanović, Aleksandar, Tomić, Maja, Stepanović-Petrović, Radica, "The antidepressant drugs vortioxetine and duloxetine differentially and sex-dependently affect animal well-being, cognitive performance, cardiac redox status and histology in a model of osteoarthritis" in Biomedicine and Pharmacotherapy, 166 (2023),
https://doi.org/10.1016/j.biopha.2023.115360 . .

TY  - CONF
AU  - Nastić, Katarina
AU  - Pecikoza, Uroš
AU  - Micov, Ana
AU  - Tomić, Maja
AU  - Jovanović, Aleksandar
AU  - Stepanović-Petrović, Radica
PY  - 2022
UR  - https://farfar.pharmacy.bg.ac.rs/handle/123456789/4525
AB  - Osteoarthritis is the most common rheumatic degenerative condition, with chronic
joint pain being the major source of disability. Currently, available treatment options for
alleviating pain are often ineffective and/or associated with unfavorable safety profiles (1).
Vortioxetine is a novel multimodal antidepressant, an inhibitor of serotonin reuptake, but
also an agonist, partial agonist, or antagonist of several serotonin (5-HT) receptors subtypes
involved in pain modulation (2). The study aimed to examine the efficacy of vortioxetine
compared to duloxetine, an antidepressant recommended for the treatment of osteoarthritis,
in the rat model of osteoarthritis. Osteoarthritis was induced by intra-articular injection of
monosodium iodoacetate (MIA; 2 mg/25 μL) in the right knee of male Wistar rats.
Vortioxetine/duloxetine was administered orally for 28 days following MIA injection. The
antinociceptive effect of vortioxetine/duloxetine was assessed using von Frey, acetone, and
weight-bearing test. The influence of treatments on animals’ well-being and motor
performance was examined in the burrowing and rotarod test, respectively. Vortioxetine (2
and 10 mg/kg) and duloxetine (15 and 25 mg/kg) significantly reduced mechanical and cold
allodynia, and improved weight borne on the ipsilateral hind paw in von Frey, acetone, and
weight-bearing test, respectively. Vortioxetine had no significant effect on burrowing
behavior, whereas duloxetine significantly reduced this inherent rodent activity. The rotarod
test did not demonstrate a significant effect of treatment on motor performance/sedation.
This study suggests comparable antinociceptive efficacy of vortioxetine with duloxetine, a
referent drug, as well as a better impact on the animals’ well-being of vortioxetine.
AB  - Osteoartritis predstavlja najčešće reumatsko degenerativno oboljenje, praćeno
hroničnim bolom, glavnim uzrokom onesposobljenosti pacijenata. Postojeće terapijske opcije
za otklanjanje bola su neretko nedovoljno efikasne i/ili udružene sa brojnim neželjenim
efektima (1). Vortioksetin je noviji antidepresiv multimodalnog mehanizma dejstva; inhibira
transporter za preuzimanje serotonina, a deluje i kao agonist, parcijalni agonist ili antagonist
različitih podtipova serotoninskih (5-HT) receptora uključenih u modulaciju bola (2). Cilj
ovog rada je bio ispitati efikasnost vortioksetina u poređenju sa duloksetinom,
antidepresivom preporučenim za lečenje osteoartritisa, u modelu osteoartritisa kod pacova.
Osteoartritis je indukovan intraartikularnom injekcijom natrijum-monojodacetata (MIA; 2
mg/25 μL) u desno koleno mužjaka pacova Wistar soja. Vortioksetin/duloksetin je
primenjivan oralno svakodnevno tokom 28 dana nakon injekcije MIA. Procena
antinociceptivne efikasnosti vortioksetina/duloksetina ispitivana je korišćenjem von Frey,
aceton testa i testa raspodele težine (eng. weight‐bearing). Uticaj tretmana na dobrobit
životinja (eng. well‐being), kao i motornu spretnost ispitivan je u testu kopanja i rotarod
testu, redom. Vortioksetin (2 i 10 mg/kg) i duloksetin (15 i 25 mg/kg) su značajno smanjili
mehaničku i hladnu alodiniju, i poboljšali oslanjanje životinja na ipsilateralnu šapu u von
Frey, aceton i testu raspodele težine, redom. Vortioksetin nije imao značajan uticaj na
aktivnost životinja u testu kopanja, dok je duloksetin značajno smanjio ovu inherentnu
aktivnost glodara. U rotarod testu nije pokazan značajan uticaj tretmana na motorne
performanse/sedaciju životinja. Ova studija je pokazala da su antinociceptivni efekti
vortioksetina i referentnog leka duloksetina uporedivi, kao i povoljniji uticaj vortioksetina
na opštu dobrobit životinja.
PB  - Savez farmaceutskih udruženja Srbije (SFUS)
C3  - Arhiv za farmaciju
T1  - Efficacy of vortioxetine in the osteoarthritis rat model
T1  - Efikasnost vortioksetina u modelu osteoartritisa kod pacova
VL  - 72
IS  - 4 suplement
SP  - S245
EP  - S246
UR  - https://hdl.handle.net/21.15107/rcub_farfar_4525
ER  - 

@conference{
author = "Nastić, Katarina and Pecikoza, Uroš and Micov, Ana and Tomić, Maja and Jovanović, Aleksandar and Stepanović-Petrović, Radica",
year = "2022",
abstract = "Osteoarthritis is the most common rheumatic degenerative condition, with chronic
joint pain being the major source of disability. Currently, available treatment options for
alleviating pain are often ineffective and/or associated with unfavorable safety profiles (1).
Vortioxetine is a novel multimodal antidepressant, an inhibitor of serotonin reuptake, but
also an agonist, partial agonist, or antagonist of several serotonin (5-HT) receptors subtypes
involved in pain modulation (2). The study aimed to examine the efficacy of vortioxetine
compared to duloxetine, an antidepressant recommended for the treatment of osteoarthritis,
in the rat model of osteoarthritis. Osteoarthritis was induced by intra-articular injection of
monosodium iodoacetate (MIA; 2 mg/25 μL) in the right knee of male Wistar rats.
Vortioxetine/duloxetine was administered orally for 28 days following MIA injection. The
antinociceptive effect of vortioxetine/duloxetine was assessed using von Frey, acetone, and
weight-bearing test. The influence of treatments on animals’ well-being and motor
performance was examined in the burrowing and rotarod test, respectively. Vortioxetine (2
and 10 mg/kg) and duloxetine (15 and 25 mg/kg) significantly reduced mechanical and cold
allodynia, and improved weight borne on the ipsilateral hind paw in von Frey, acetone, and
weight-bearing test, respectively. Vortioxetine had no significant effect on burrowing
behavior, whereas duloxetine significantly reduced this inherent rodent activity. The rotarod
test did not demonstrate a significant effect of treatment on motor performance/sedation.
This study suggests comparable antinociceptive efficacy of vortioxetine with duloxetine, a
referent drug, as well as a better impact on the animals’ well-being of vortioxetine., Osteoartritis predstavlja najčešće reumatsko degenerativno oboljenje, praćeno
hroničnim bolom, glavnim uzrokom onesposobljenosti pacijenata. Postojeće terapijske opcije
za otklanjanje bola su neretko nedovoljno efikasne i/ili udružene sa brojnim neželjenim
efektima (1). Vortioksetin je noviji antidepresiv multimodalnog mehanizma dejstva; inhibira
transporter za preuzimanje serotonina, a deluje i kao agonist, parcijalni agonist ili antagonist
različitih podtipova serotoninskih (5-HT) receptora uključenih u modulaciju bola (2). Cilj
ovog rada je bio ispitati efikasnost vortioksetina u poređenju sa duloksetinom,
antidepresivom preporučenim za lečenje osteoartritisa, u modelu osteoartritisa kod pacova.
Osteoartritis je indukovan intraartikularnom injekcijom natrijum-monojodacetata (MIA; 2
mg/25 μL) u desno koleno mužjaka pacova Wistar soja. Vortioksetin/duloksetin je
primenjivan oralno svakodnevno tokom 28 dana nakon injekcije MIA. Procena
antinociceptivne efikasnosti vortioksetina/duloksetina ispitivana je korišćenjem von Frey,
aceton testa i testa raspodele težine (eng. weight‐bearing). Uticaj tretmana na dobrobit
životinja (eng. well‐being), kao i motornu spretnost ispitivan je u testu kopanja i rotarod
testu, redom. Vortioksetin (2 i 10 mg/kg) i duloksetin (15 i 25 mg/kg) su značajno smanjili
mehaničku i hladnu alodiniju, i poboljšali oslanjanje životinja na ipsilateralnu šapu u von
Frey, aceton i testu raspodele težine, redom. Vortioksetin nije imao značajan uticaj na
aktivnost životinja u testu kopanja, dok je duloksetin značajno smanjio ovu inherentnu
aktivnost glodara. U rotarod testu nije pokazan značajan uticaj tretmana na motorne
performanse/sedaciju životinja. Ova studija je pokazala da su antinociceptivni efekti
vortioksetina i referentnog leka duloksetina uporedivi, kao i povoljniji uticaj vortioksetina
na opštu dobrobit životinja.",
publisher = "Savez farmaceutskih udruženja Srbije (SFUS)",
journal = "Arhiv za farmaciju",
title = "Efficacy of vortioxetine in the osteoarthritis rat model, Efikasnost vortioksetina u modelu osteoartritisa kod pacova",
volume = "72",
number = "4 suplement",
pages = "S245-S246",
url = "https://hdl.handle.net/21.15107/rcub_farfar_4525"
}

Nastić, K., Pecikoza, U., Micov, A., Tomić, M., Jovanović, A.,& Stepanović-Petrović, R.. (2022). Efficacy of vortioxetine in the osteoarthritis rat model. in Arhiv za farmaciju
Savez farmaceutskih udruženja Srbije (SFUS)., 72(4 suplement), S245-S246.
https://hdl.handle.net/21.15107/rcub_farfar_4525

Nastić K, Pecikoza U, Micov A, Tomić M, Jovanović A, Stepanović-Petrović R. Efficacy of vortioxetine in the osteoarthritis rat model. in Arhiv za farmaciju. 2022;72(4 suplement):S245-S246.
https://hdl.handle.net/21.15107/rcub_farfar_4525 .

Nastić, Katarina, Pecikoza, Uroš, Micov, Ana, Tomić, Maja, Jovanović, Aleksandar, Stepanović-Petrović, Radica, "Efficacy of vortioxetine in the osteoarthritis rat model" in Arhiv za farmaciju, 72, no. 4 suplement (2022):S245-S246,
https://hdl.handle.net/21.15107/rcub_farfar_4525 .

TY  - CONF
AU  - Stepanović-Petrović, Radica
AU  - Tomić, Maja
AU  - Jovanović, Aleksandar
AU  - Pecikoza, Uroš
AU  - Micov, Ana
AU  - Nastić, Katarina
PY  - 2022
UR  - https://farfar.pharmacy.bg.ac.rs/handle/123456789/4486
AB  - Osteoarthritis (OA) is the most common rheumatic disease, affecting over 300 million
people worldwide. It causes chronic pain, disability and is commonly associated with
comorbid diseases (CMD) that cause worse health outcomes, more complex management,
and increased healthcare costs. Current treatments (typical/atypical analgesics) have limited
efficacy and/or tolerability and usually do not affect or can even worse CMD. In era of longer
life expectancy, extended professional life and reduced pension funds in Serbia and Europe,
there is a compelling need for maintaining functionality and working capability of older
population. Our aim is to search for novel treatments that could concomitantly treat chronic
pain and its major CMD: depression, cognitive impairment and/or cardiovascular disease
(CVD). It was planned to test the effects of vortioxetine, a novel antidepressant with
multimodal mechanism of action, on pain, depressive and cognitive-impairment behaviour
and CV status in rat model of knee OA. Its effects will be compared to the effects of
duloxetine, the only antidepressant used for pain relief in OA. Next, we will test the effects of
2-component combinations of vortioxetine/duloxetine with adjuvant treatments (regular
exercise/metformin/nicotinamide), that showed the potential to alleviate pain, depression,
reduced cognition and/or CVD in preclinical/clinical research. If proved effective and well
tolerated, new treatment(s) could be implemented in clinical practice much faster and with
significantly less investment, than those required to develop brand new drug, as they consist
of drugs already approved for human use and safe, widely available and inexpensive non-
pharmacologic measures.
AB  - Osteoartritis (OA) je najčešć a reumatska bolest, koja pogađa preko 300 miliona ljudi
širom sveta. Prouzrokuje hronični bol, invaliditet i obično je povezan sa komorbiditetima koji
dovode do lošijih zdravstvenih ishoda, složenijeg lečenja i povećanja troškova zdravstvene
zaštite. Trenutno dostupne terapijske opcije (tipični/atipični analgetici) imaju ograničenu
efikasnost i/ili lošu podnošljivost, i obično ne utiču ili čak mogu pogoršati komorbiditete. U
vremenu kada su ljudski i radni vek produženi, a penzioni fondovi u Srbiji i Evropi smanjeni,
postoji velika potreba za održavanjem funkcionalnosti i radne sposobnosti starije populacije.
Naš cilj je da pronađemo nove terapijske opcije koje bi istovremeno mogle da leče hronični
bol i njegove glavne komorbiditete: depresiju, kognitivno oštećenje i/ili kardiovaskularne
bolesti (KVB). Planirano je ispitivanje efekata vortioksetina, novog antidepresiva sa
multimodalnim mehanizmom delovanja, na bol, depresivno ponašanje, kognitivno ošteć enje i
kardiovaskularni status pacova u modelu OA kolena. Efekti vortioksetina biće poređeni sa
efektima duloksetina, jedinog antidepresiva koji se koristi za ublažavanje bola kod OA. Zatim
će biti ispitani efekti dvokomponentnih kombinacija vortioksetina/duloksetina sa
adjuvantnim tretmanima (redovna fizička aktivnost/metformin/nikotinamid), koji su
pokazali efikasnost u ublažavanju bola, depresije, narušene kognicije i/ili KVB u
pretkliničkim/kliničkim istraživanjima. Ukoliko se pokaže da su efikasne i da se dobro
tolerišu, nove terapijske opcije bi se mogle implementirati u kliničku praksu mnogo brže i sa
znatno manje finansijskih ulaganja u poređenju sa vremenom i ulaganjima koja su potrebna
za razvoj novog leka, jer se sastoje od lekova koji su već odobreni za ljudsku upotrebu i
bezbednih, široko dostupnih i ekonomski povoljnih nefarmakoloških mera.
PB  - Savez farmaceutskih udruženja Srbije (SFUS)
C3  - Arhiv za farmaciju
T1  - Multimodal control of chronic pain and comorbidities with atypical analgesics – “two birds with one stone”
T1  - Multimodalna kontrola hroničnog bola i komorbiditeta sa atipičnim analgeticima ‐,,više muva jednim udarcem“
VL  - 72
IS  - 4 suplement
SP  - S172
EP  - S173
UR  - https://hdl.handle.net/21.15107/rcub_farfar_4486
ER  - 

@conference{
author = "Stepanović-Petrović, Radica and Tomić, Maja and Jovanović, Aleksandar and Pecikoza, Uroš and Micov, Ana and Nastić, Katarina",
year = "2022",
abstract = "Osteoarthritis (OA) is the most common rheumatic disease, affecting over 300 million
people worldwide. It causes chronic pain, disability and is commonly associated with
comorbid diseases (CMD) that cause worse health outcomes, more complex management,
and increased healthcare costs. Current treatments (typical/atypical analgesics) have limited
efficacy and/or tolerability and usually do not affect or can even worse CMD. In era of longer
life expectancy, extended professional life and reduced pension funds in Serbia and Europe,
there is a compelling need for maintaining functionality and working capability of older
population. Our aim is to search for novel treatments that could concomitantly treat chronic
pain and its major CMD: depression, cognitive impairment and/or cardiovascular disease
(CVD). It was planned to test the effects of vortioxetine, a novel antidepressant with
multimodal mechanism of action, on pain, depressive and cognitive-impairment behaviour
and CV status in rat model of knee OA. Its effects will be compared to the effects of
duloxetine, the only antidepressant used for pain relief in OA. Next, we will test the effects of
2-component combinations of vortioxetine/duloxetine with adjuvant treatments (regular
exercise/metformin/nicotinamide), that showed the potential to alleviate pain, depression,
reduced cognition and/or CVD in preclinical/clinical research. If proved effective and well
tolerated, new treatment(s) could be implemented in clinical practice much faster and with
significantly less investment, than those required to develop brand new drug, as they consist
of drugs already approved for human use and safe, widely available and inexpensive non-
pharmacologic measures., Osteoartritis (OA) je najčešć a reumatska bolest, koja pogađa preko 300 miliona ljudi
širom sveta. Prouzrokuje hronični bol, invaliditet i obično je povezan sa komorbiditetima koji
dovode do lošijih zdravstvenih ishoda, složenijeg lečenja i povećanja troškova zdravstvene
zaštite. Trenutno dostupne terapijske opcije (tipični/atipični analgetici) imaju ograničenu
efikasnost i/ili lošu podnošljivost, i obično ne utiču ili čak mogu pogoršati komorbiditete. U
vremenu kada su ljudski i radni vek produženi, a penzioni fondovi u Srbiji i Evropi smanjeni,
postoji velika potreba za održavanjem funkcionalnosti i radne sposobnosti starije populacije.
Naš cilj je da pronađemo nove terapijske opcije koje bi istovremeno mogle da leče hronični
bol i njegove glavne komorbiditete: depresiju, kognitivno oštećenje i/ili kardiovaskularne
bolesti (KVB). Planirano je ispitivanje efekata vortioksetina, novog antidepresiva sa
multimodalnim mehanizmom delovanja, na bol, depresivno ponašanje, kognitivno ošteć enje i
kardiovaskularni status pacova u modelu OA kolena. Efekti vortioksetina biće poređeni sa
efektima duloksetina, jedinog antidepresiva koji se koristi za ublažavanje bola kod OA. Zatim
će biti ispitani efekti dvokomponentnih kombinacija vortioksetina/duloksetina sa
adjuvantnim tretmanima (redovna fizička aktivnost/metformin/nikotinamid), koji su
pokazali efikasnost u ublažavanju bola, depresije, narušene kognicije i/ili KVB u
pretkliničkim/kliničkim istraživanjima. Ukoliko se pokaže da su efikasne i da se dobro
tolerišu, nove terapijske opcije bi se mogle implementirati u kliničku praksu mnogo brže i sa
znatno manje finansijskih ulaganja u poređenju sa vremenom i ulaganjima koja su potrebna
za razvoj novog leka, jer se sastoje od lekova koji su već odobreni za ljudsku upotrebu i
bezbednih, široko dostupnih i ekonomski povoljnih nefarmakoloških mera.",
publisher = "Savez farmaceutskih udruženja Srbije (SFUS)",
journal = "Arhiv za farmaciju",
title = "Multimodal control of chronic pain and comorbidities with atypical analgesics – “two birds with one stone”, Multimodalna kontrola hroničnog bola i komorbiditeta sa atipičnim analgeticima ‐,,više muva jednim udarcem“",
volume = "72",
number = "4 suplement",
pages = "S172-S173",
url = "https://hdl.handle.net/21.15107/rcub_farfar_4486"
}

Stepanović-Petrović, R., Tomić, M., Jovanović, A., Pecikoza, U., Micov, A.,& Nastić, K.. (2022). Multimodal control of chronic pain and comorbidities with atypical analgesics – “two birds with one stone”. in Arhiv za farmaciju
Savez farmaceutskih udruženja Srbije (SFUS)., 72(4 suplement), S172-S173.
https://hdl.handle.net/21.15107/rcub_farfar_4486

Stepanović-Petrović R, Tomić M, Jovanović A, Pecikoza U, Micov A, Nastić K. Multimodal control of chronic pain and comorbidities with atypical analgesics – “two birds with one stone”. in Arhiv za farmaciju. 2022;72(4 suplement):S172-S173.
https://hdl.handle.net/21.15107/rcub_farfar_4486 .

Stepanović-Petrović, Radica, Tomić, Maja, Jovanović, Aleksandar, Pecikoza, Uroš, Micov, Ana, Nastić, Katarina, "Multimodal control of chronic pain and comorbidities with atypical analgesics – “two birds with one stone”" in Arhiv za farmaciju, 72, no. 4 suplement (2022):S172-S173,
https://hdl.handle.net/21.15107/rcub_farfar_4486 .

TY  - JOUR
AU  - Pecikoza, Uroš
AU  - Tomić, Maja
AU  - Nastić, Katarina
AU  - Micov, Ana
AU  - Stepanović-Petrović, Radica
PY  - 2022
UR  - https://farfar.pharmacy.bg.ac.rs/handle/123456789/4253
AB  - Metformin (a widely used antidiabetic drug) has demonstrated efficacy in models of painful diabetic neuropathy
(PDN), as well as certain clinical efficacy in relieving/preventing PDN. This study aimed to determine the type of
interaction between metformin and duloxetine/oxycodone/eslicarbazepine acetate [ESL]/vitamin B12 in
relieving diabetic pain hypersensitivity. Antihyperalgesic efficacy was determined using a Von Frey apparatus in
mice with streptozotocin-induced PDN. We examined metformin’s efficacy following oral (acute and prolonged
7-day treatment) and local (spinal and peripheral) application. The examined analgesics were administered in a
single oral dose, whereas vitamin B12 was intraperitoneally administered for 7 days. In combination experiments,
metformin (prolonged treatment) and analgesics/vitamin B12 were co-administered in fixed-dose fractions of
their ED50 values and the type of interaction was determined using isobolographic analysis. Metformin produced
dose-dependent antihyperalgesic effects in diabetic mice after oral (acute and prolonged 7-day treatment) and
local spinal/peripheral application. Two-drug metformin combinations with analgesics/vitamin B12 also dose-
dependently reduced mechanical hyperalgesia. The isobolographic analysis revealed that metformin synergises
with analgesics/vitamin B12, with a 6–7 fold dose reduction of both drugs in the examined combinations. In
conclusion, metformin reduces hyperalgesia in diabetic animals, most likely by acting at the spinal and pe-
ripheral level. Additionally, it synergizes with duloxetine/oxycodone/ESL/vitamin B12 in reducing hyperalgesia.
Metformin co-treatment may increase analgesic efficacy and enable the use of lower (and potentially safer)
analgesic doses for treating PDN. Combined metformin-vitamin B12 use may provide more effective pain relief
and mitigate metformin-induced vitamin B12 deficiency.
PB  - Elsevier Masson s.r.l.
T2  - Biomedicine and Pharmacotherapy
T1  - Synergism between metformin and analgesics/vitamin B12 in a model of painful diabetic neuropathy
VL  - 153
DO  - 10.1016/j.biopha.2022.113441
ER  - 

@article{
author = "Pecikoza, Uroš and Tomić, Maja and Nastić, Katarina and Micov, Ana and Stepanović-Petrović, Radica",
year = "2022",
abstract = "Metformin (a widely used antidiabetic drug) has demonstrated efficacy in models of painful diabetic neuropathy
(PDN), as well as certain clinical efficacy in relieving/preventing PDN. This study aimed to determine the type of
interaction between metformin and duloxetine/oxycodone/eslicarbazepine acetate [ESL]/vitamin B12 in
relieving diabetic pain hypersensitivity. Antihyperalgesic efficacy was determined using a Von Frey apparatus in
mice with streptozotocin-induced PDN. We examined metformin’s efficacy following oral (acute and prolonged
7-day treatment) and local (spinal and peripheral) application. The examined analgesics were administered in a
single oral dose, whereas vitamin B12 was intraperitoneally administered for 7 days. In combination experiments,
metformin (prolonged treatment) and analgesics/vitamin B12 were co-administered in fixed-dose fractions of
their ED50 values and the type of interaction was determined using isobolographic analysis. Metformin produced
dose-dependent antihyperalgesic effects in diabetic mice after oral (acute and prolonged 7-day treatment) and
local spinal/peripheral application. Two-drug metformin combinations with analgesics/vitamin B12 also dose-
dependently reduced mechanical hyperalgesia. The isobolographic analysis revealed that metformin synergises
with analgesics/vitamin B12, with a 6–7 fold dose reduction of both drugs in the examined combinations. In
conclusion, metformin reduces hyperalgesia in diabetic animals, most likely by acting at the spinal and pe-
ripheral level. Additionally, it synergizes with duloxetine/oxycodone/ESL/vitamin B12 in reducing hyperalgesia.
Metformin co-treatment may increase analgesic efficacy and enable the use of lower (and potentially safer)
analgesic doses for treating PDN. Combined metformin-vitamin B12 use may provide more effective pain relief
and mitigate metformin-induced vitamin B12 deficiency.",
publisher = "Elsevier Masson s.r.l.",
journal = "Biomedicine and Pharmacotherapy",
title = "Synergism between metformin and analgesics/vitamin B12 in a model of painful diabetic neuropathy",
volume = "153",
doi = "10.1016/j.biopha.2022.113441"
}

Pecikoza, U., Tomić, M., Nastić, K., Micov, A.,& Stepanović-Petrović, R.. (2022). Synergism between metformin and analgesics/vitamin B12 in a model of painful diabetic neuropathy. in Biomedicine and Pharmacotherapy
Elsevier Masson s.r.l.., 153.
https://doi.org/10.1016/j.biopha.2022.113441

Pecikoza U, Tomić M, Nastić K, Micov A, Stepanović-Petrović R. Synergism between metformin and analgesics/vitamin B12 in a model of painful diabetic neuropathy. in Biomedicine and Pharmacotherapy. 2022;153.
doi:10.1016/j.biopha.2022.113441 .

Pecikoza, Uroš, Tomić, Maja, Nastić, Katarina, Micov, Ana, Stepanović-Petrović, Radica, "Synergism between metformin and analgesics/vitamin B12 in a model of painful diabetic neuropathy" in Biomedicine and Pharmacotherapy, 153 (2022),
https://doi.org/10.1016/j.biopha.2022.113441 . .

TY  - CONF
AU  - Lasica, Anđelka
AU  - Tomić, Maja
AU  - Nastić, Katarina
AU  - Pecikoza, Uroš
AU  - Micov, Ana
AU  - Stepanović-Petrović, Radica
PY  - 2022
UR  - https://farfar.pharmacy.bg.ac.rs/handle/123456789/4578
AB  - Metformin, a well-known antidiabetic drug, has been shown to possess analgesic
properties in inflammatory pain models, but the mechanisms of its antinociceptive effects
are not completely understood (1,2). We aimed to examine the involvement of serotonergic
mechanisms in metformin-induced antinociception in a model of inflammatory pain, using
the formalin test in mice. Firstly, we examined the antinociceptive effects of intraperitoneally
administered metformin in the first and second phase of the test. Then, the involvement of
serotonergic receptors was evaluated by intraperitoneally pretreating mice with a 5-HT1B/1D
(GR127935) or 5-HT1A receptor antagonist (WAY100635). Further, we examined the effect of
metformin after depletion of endogenous serotonin with a tryptophan-hydroxylase inhibitor
(PCPA; applied intraperitoneally for 4 days). Additionally, to avoid misinterpretation of
motor incoordination, we performed the rotarod test with the highest tested metformin
dose. Metformin (50-200 mg/kg) produced significant and dose-dependent antinociceptive
effects (17-81%) in the second (inflammatory) phase of the test. Pretreatment with
antagonists significantly reduced the antinociceptive effect of metformin (150 mg/kg).
GR127935 inhibited the effects of metformin by 67% (1 mg/kg) and 100% (3 mg/kg),
whereas the inhibitory effects for WAY100635 were 19% (1 mg/kg) and 68% (3 mg/kg).
Depletion of serotonin with PCPA (100 mg/kg/day) significantly reduced the antinociceptive
effects of higher metformin doses (150 and 200 mg/kg). Metformin (200 mg/kg) had no
influence on rotarod performance. This study demonstrates that 5-HT1B/1D and 5-HT1A
receptors are involved in metformin’s antinociceptive effects and that metformin’s action on
these receptors seems to be indirect (mediated by endogenous serotonin released by
metformin).
AB  - Metformin je dobro poznat antidijabetik, za koji je pokazano da poseduje analgetička
svojstva u modelima inflamatornog bola. Međutim, mehanizmi njegovog antinociceptivnog
dejstva nisu u potpunosti rasvetljeni (1,2). Cilj ovog rada je bio ispitati učešće
serotonergičkih mehanizama u antinociceptivnom dejstvu metformina u inflamatornom
modelu bola – korišćenjem formalinskog testa kod miševa. Inicijalno su ispitani
antinociceptivni efekti metformina, nakon intraperitonealne primene, u prvoj i drugoj fazi
testa. Uključenost serotoninskih receptora je procenjena nakon intraperitonealne primene
antagonista 5-HT 1B/1D (GR127935) ili 5-HT1A (WAY100635) receptora. U nastavku
eksperimenata, efekat metformina je ispitan nakon deplecije endogenog serotonina,
primenom inhibitora triptofan-hidroksilaze (PCPA; primenjen intraperitonealno tokom 4
dana). Dodatno, efekat najveće testirane doze metformina je ispitan u rotarod testu, kako bi
se isključila mogućnost pogrešnog tumačenja motorne inkoordinacije. Metformin (50-200
mg/kg) je pokazao značajno i dozno-zavisno antinociceptivno dejstvo (17-81%) u drugoj
(inflamatornoj) fazi testa. Primena antagonista je značajno smanjila antinociceptivni efekat
metformina (150 mg/kg). GR127935 je inhibirao efekte metformina za 67% (1 mg/kg) i
100% (3 mg/kg), dok su inhibitorni efekti WAY100635 bili 19% (1 mg/kg) i 68% (3 mg/kg).
Deplecija serotonina korišćenjem PCPA (100 mg/kg/dan) je značajno smanjila
antinociceptivne efekte metformina primenjenog u većim dozama (150 i 200 mg/kg).
Metformin (200 mg/kg) nije imao značajan uticaj na performanse miševa u rotarod testu.
Ova studija je pokazala uključenost 5-HT1B/1D i 5-HT1A receptora u antinociceptivnom dejstvu
metformina, koje je verovatno posledica indirektnog uticaja leka na receptore (posredstvom
oslobađanja endogenog serotonina od strane metformina).
PB  - Savez farmaceutskih udruženja Srbije (SFUS)
C3  - Arhiv za farmaciju
T1  - The involvement of serotonergic mechanisms in the antinociceptive effect of metformin
T1  - Učešće serotonergičkih mehanizama u antinociceptivnom dejstvu metformina
VL  - 72
IS  - 4 suplement
SP  - S448
EP  - S449
UR  - https://hdl.handle.net/21.15107/rcub_farfar_4578
ER  - 

@conference{
author = "Lasica, Anđelka and Tomić, Maja and Nastić, Katarina and Pecikoza, Uroš and Micov, Ana and Stepanović-Petrović, Radica",
year = "2022",
abstract = "Metformin, a well-known antidiabetic drug, has been shown to possess analgesic
properties in inflammatory pain models, but the mechanisms of its antinociceptive effects
are not completely understood (1,2). We aimed to examine the involvement of serotonergic
mechanisms in metformin-induced antinociception in a model of inflammatory pain, using
the formalin test in mice. Firstly, we examined the antinociceptive effects of intraperitoneally
administered metformin in the first and second phase of the test. Then, the involvement of
serotonergic receptors was evaluated by intraperitoneally pretreating mice with a 5-HT1B/1D
(GR127935) or 5-HT1A receptor antagonist (WAY100635). Further, we examined the effect of
metformin after depletion of endogenous serotonin with a tryptophan-hydroxylase inhibitor
(PCPA; applied intraperitoneally for 4 days). Additionally, to avoid misinterpretation of
motor incoordination, we performed the rotarod test with the highest tested metformin
dose. Metformin (50-200 mg/kg) produced significant and dose-dependent antinociceptive
effects (17-81%) in the second (inflammatory) phase of the test. Pretreatment with
antagonists significantly reduced the antinociceptive effect of metformin (150 mg/kg).
GR127935 inhibited the effects of metformin by 67% (1 mg/kg) and 100% (3 mg/kg),
whereas the inhibitory effects for WAY100635 were 19% (1 mg/kg) and 68% (3 mg/kg).
Depletion of serotonin with PCPA (100 mg/kg/day) significantly reduced the antinociceptive
effects of higher metformin doses (150 and 200 mg/kg). Metformin (200 mg/kg) had no
influence on rotarod performance. This study demonstrates that 5-HT1B/1D and 5-HT1A
receptors are involved in metformin’s antinociceptive effects and that metformin’s action on
these receptors seems to be indirect (mediated by endogenous serotonin released by
metformin)., Metformin je dobro poznat antidijabetik, za koji je pokazano da poseduje analgetička
svojstva u modelima inflamatornog bola. Međutim, mehanizmi njegovog antinociceptivnog
dejstva nisu u potpunosti rasvetljeni (1,2). Cilj ovog rada je bio ispitati učešće
serotonergičkih mehanizama u antinociceptivnom dejstvu metformina u inflamatornom
modelu bola – korišćenjem formalinskog testa kod miševa. Inicijalno su ispitani
antinociceptivni efekti metformina, nakon intraperitonealne primene, u prvoj i drugoj fazi
testa. Uključenost serotoninskih receptora je procenjena nakon intraperitonealne primene
antagonista 5-HT 1B/1D (GR127935) ili 5-HT1A (WAY100635) receptora. U nastavku
eksperimenata, efekat metformina je ispitan nakon deplecije endogenog serotonina,
primenom inhibitora triptofan-hidroksilaze (PCPA; primenjen intraperitonealno tokom 4
dana). Dodatno, efekat najveće testirane doze metformina je ispitan u rotarod testu, kako bi
se isključila mogućnost pogrešnog tumačenja motorne inkoordinacije. Metformin (50-200
mg/kg) je pokazao značajno i dozno-zavisno antinociceptivno dejstvo (17-81%) u drugoj
(inflamatornoj) fazi testa. Primena antagonista je značajno smanjila antinociceptivni efekat
metformina (150 mg/kg). GR127935 je inhibirao efekte metformina za 67% (1 mg/kg) i
100% (3 mg/kg), dok su inhibitorni efekti WAY100635 bili 19% (1 mg/kg) i 68% (3 mg/kg).
Deplecija serotonina korišćenjem PCPA (100 mg/kg/dan) je značajno smanjila
antinociceptivne efekte metformina primenjenog u većim dozama (150 i 200 mg/kg).
Metformin (200 mg/kg) nije imao značajan uticaj na performanse miševa u rotarod testu.
Ova studija je pokazala uključenost 5-HT1B/1D i 5-HT1A receptora u antinociceptivnom dejstvu
metformina, koje je verovatno posledica indirektnog uticaja leka na receptore (posredstvom
oslobađanja endogenog serotonina od strane metformina).",
publisher = "Savez farmaceutskih udruženja Srbije (SFUS)",
journal = "Arhiv za farmaciju",
title = "The involvement of serotonergic mechanisms in the antinociceptive effect of metformin, Učešće serotonergičkih mehanizama u antinociceptivnom dejstvu metformina",
volume = "72",
number = "4 suplement",
pages = "S448-S449",
url = "https://hdl.handle.net/21.15107/rcub_farfar_4578"
}

Lasica, A., Tomić, M., Nastić, K., Pecikoza, U., Micov, A.,& Stepanović-Petrović, R.. (2022). The involvement of serotonergic mechanisms in the antinociceptive effect of metformin. in Arhiv za farmaciju
Savez farmaceutskih udruženja Srbije (SFUS)., 72(4 suplement), S448-S449.
https://hdl.handle.net/21.15107/rcub_farfar_4578

Lasica A, Tomić M, Nastić K, Pecikoza U, Micov A, Stepanović-Petrović R. The involvement of serotonergic mechanisms in the antinociceptive effect of metformin. in Arhiv za farmaciju. 2022;72(4 suplement):S448-S449.
https://hdl.handle.net/21.15107/rcub_farfar_4578 .

Lasica, Anđelka, Tomić, Maja, Nastić, Katarina, Pecikoza, Uroš, Micov, Ana, Stepanović-Petrović, Radica, "The involvement of serotonergic mechanisms in the antinociceptive effect of metformin" in Arhiv za farmaciju, 72, no. 4 suplement (2022):S448-S449,
https://hdl.handle.net/21.15107/rcub_farfar_4578 .

TY  - CONF
AU  - Pecikoza, Uroš
AU  - Lasica, Anđelka
AU  - Tomić, Maja
AU  - Micov, Ana
AU  - Nastić, Katarina
AU  - Stepanović-Petrović, Radica
PY  - 2022
UR  - https://farfar.pharmacy.bg.ac.rs/handle/123456789/4577
AB  - Several lines of (pre)clinical evidence have emerged that the antidiabetic drug
metformin can alleviate inflammatory/neuropathic pain (1). Although the mechanism is not
completely understood, there are reports that metformin can affect neurotransmitters
involved in pain modulation, such as its ability to increase peripheral serotonin release (2).
Here, we evaluated metformin’s efficacy following local peripheral administration in an
inflammatory pain model and examined the potential involvement of serotonin receptors.
We used the formalin test in mice, where we measured duration of nociceptive behavior in
the first and second phase of the test. First, we examined the metformin’s antinociceptive
effects following intraplantar administration. Additionally, the highest tested metformin
dose was applied contralateral to the formalin-injected side, to exclude possible systemic
effects. In the second part, we evaluated the effects of a 5-HT1A (WAY100635) and 5-HT1B/1D
antagonist (GR127935) on the antinociceptive effects of a fixed, effective dose of metformin
(antagonists were co-administered intraplantarly with metformin). Metformin (0.1-2
mg/paw) produced significant and dose-dependent antinociceptive effects (32-72%) in the
second (inflammatory) phase. Contralateral application of metformin (2 mg/paw) had no
significant antinociceptive effects. Both antagonists significantly reduced the antinociceptive
effects of metformin (1 mg/paw). The levels of inhibition of metformin’s antinociceptive
effect produced by WAY100635 were 56% (5 μg/paw) and 82% (7.5 μg/paw), whereas
GR127935 inhibited metformin’s efficacy by 24% (3.75 μg/paw) and 80% (5 μg/paw). This
study demonstrates that peripheral metformin application can produce antinociceptive
effects against inflammatory pain and that activation of peripheral 5-HT 1A and 5-HT1B/1D
receptors contributes to these effects.
AB  - Postoje brojni dokazi iz (pre)kliničkih studija da metformin, lek iz grupe
antidijabetika, može ublažiti inflamatorni/neuropatski bol (1). Iako mehanizam dejstva nije
u potpunosti razjašnjen, podaci ukazuju da metformin može uticati na neurotransmitere
uključene u modulaciju bola, poput sposobnosti da poveća oslobađanje serotonina na
periferiji (2). U ovom radu je ispitana efikasnost metformina nakon lokalne periferne
primene u modelu inflamatornog bola, kao i potencijalna uključenost serotoninskih
receptora. Korišćen je formalinski test kod miševa, u kome je mereno vreme provedeno u
nociceptivnom ponašanju, u prvoj i drugoj fazi testa. Prvo su ispitani antinociceptivni efekti
metformina nakon intraplantarne primene. Dodatno, najveća testirana doza metformina je
primenjena kontralateralno u odnosu na mesto injektovanja formalina, kako bi se isključili
mogući sistemski efekti. U drugom delu studije, ispitani su efekti antagoniste 5-HT 1A
(WAY100635) i 5-HT1B/1D (GR127935) receptora na antinociceptivno dejstvo fiksne,
efektivne doze metformina (antagonisti su primenjeni intraplantarno, istovremeno sa
metforminom). Metformin (0,1-2 mg/šapi) je ispoljio značajan i dozno-zavisan
antinociceptivni efekat (32-72%) u drugoj (inflamatornoj) fazi testa. Kontralateralna
primena metformina (2 mg/šapi) nije imala značajan antinociceptivni efekat. Primenjeni
antagonisti su značajno smanjili antinociceptivne efekte metformina (1 mg/šapi). Stepeni
inhibicije antinociceptivnog dejstva metformina koje je postigao WAY100635 su bili 56% (5
μg/šapi) i 82% (7,5 μg/šapi), dok je GR127935 inhibirao efikasnost metformina za 24%
(3,75 μg/šapi) i 80% (5 μg/šapi). Ova studija je pokazala da periferna primena metformina
proizvodi antinociceptivni efekat kod inflamatornog bola i da aktivacija perifernih 5-HT1A i 5-
HT1B/1D receptora doprinosi ovom efektu.
PB  - Savez farmaceutskih udruženja Srbije (SFUS)
C3  - Arhiv za farmaciju
T1  - Activation of peripheral serotonin 5-HT1A and 5-HT1B/1D receptors contributes to the antinociceptive properties of metformin
T1  - Aktivacija perifernih serotoninskih 5‐HT1A i 5‐HT 1B/1D receptora doprinosi antinociceptivnom dejstvu metformina
VL  - 72
IS  - 4 suplement
SP  - S446
EP  - S447
UR  - https://hdl.handle.net/21.15107/rcub_farfar_4577
ER  - 

@conference{
author = "Pecikoza, Uroš and Lasica, Anđelka and Tomić, Maja and Micov, Ana and Nastić, Katarina and Stepanović-Petrović, Radica",
year = "2022",
abstract = "Several lines of (pre)clinical evidence have emerged that the antidiabetic drug
metformin can alleviate inflammatory/neuropathic pain (1). Although the mechanism is not
completely understood, there are reports that metformin can affect neurotransmitters
involved in pain modulation, such as its ability to increase peripheral serotonin release (2).
Here, we evaluated metformin’s efficacy following local peripheral administration in an
inflammatory pain model and examined the potential involvement of serotonin receptors.
We used the formalin test in mice, where we measured duration of nociceptive behavior in
the first and second phase of the test. First, we examined the metformin’s antinociceptive
effects following intraplantar administration. Additionally, the highest tested metformin
dose was applied contralateral to the formalin-injected side, to exclude possible systemic
effects. In the second part, we evaluated the effects of a 5-HT1A (WAY100635) and 5-HT1B/1D
antagonist (GR127935) on the antinociceptive effects of a fixed, effective dose of metformin
(antagonists were co-administered intraplantarly with metformin). Metformin (0.1-2
mg/paw) produced significant and dose-dependent antinociceptive effects (32-72%) in the
second (inflammatory) phase. Contralateral application of metformin (2 mg/paw) had no
significant antinociceptive effects. Both antagonists significantly reduced the antinociceptive
effects of metformin (1 mg/paw). The levels of inhibition of metformin’s antinociceptive
effect produced by WAY100635 were 56% (5 μg/paw) and 82% (7.5 μg/paw), whereas
GR127935 inhibited metformin’s efficacy by 24% (3.75 μg/paw) and 80% (5 μg/paw). This
study demonstrates that peripheral metformin application can produce antinociceptive
effects against inflammatory pain and that activation of peripheral 5-HT 1A and 5-HT1B/1D
receptors contributes to these effects., Postoje brojni dokazi iz (pre)kliničkih studija da metformin, lek iz grupe
antidijabetika, može ublažiti inflamatorni/neuropatski bol (1). Iako mehanizam dejstva nije
u potpunosti razjašnjen, podaci ukazuju da metformin može uticati na neurotransmitere
uključene u modulaciju bola, poput sposobnosti da poveća oslobađanje serotonina na
periferiji (2). U ovom radu je ispitana efikasnost metformina nakon lokalne periferne
primene u modelu inflamatornog bola, kao i potencijalna uključenost serotoninskih
receptora. Korišćen je formalinski test kod miševa, u kome je mereno vreme provedeno u
nociceptivnom ponašanju, u prvoj i drugoj fazi testa. Prvo su ispitani antinociceptivni efekti
metformina nakon intraplantarne primene. Dodatno, najveća testirana doza metformina je
primenjena kontralateralno u odnosu na mesto injektovanja formalina, kako bi se isključili
mogući sistemski efekti. U drugom delu studije, ispitani su efekti antagoniste 5-HT 1A
(WAY100635) i 5-HT1B/1D (GR127935) receptora na antinociceptivno dejstvo fiksne,
efektivne doze metformina (antagonisti su primenjeni intraplantarno, istovremeno sa
metforminom). Metformin (0,1-2 mg/šapi) je ispoljio značajan i dozno-zavisan
antinociceptivni efekat (32-72%) u drugoj (inflamatornoj) fazi testa. Kontralateralna
primena metformina (2 mg/šapi) nije imala značajan antinociceptivni efekat. Primenjeni
antagonisti su značajno smanjili antinociceptivne efekte metformina (1 mg/šapi). Stepeni
inhibicije antinociceptivnog dejstva metformina koje je postigao WAY100635 su bili 56% (5
μg/šapi) i 82% (7,5 μg/šapi), dok je GR127935 inhibirao efikasnost metformina za 24%
(3,75 μg/šapi) i 80% (5 μg/šapi). Ova studija je pokazala da periferna primena metformina
proizvodi antinociceptivni efekat kod inflamatornog bola i da aktivacija perifernih 5-HT1A i 5-
HT1B/1D receptora doprinosi ovom efektu.",
publisher = "Savez farmaceutskih udruženja Srbije (SFUS)",
journal = "Arhiv za farmaciju",
title = "Activation of peripheral serotonin 5-HT1A and 5-HT1B/1D receptors contributes to the antinociceptive properties of metformin, Aktivacija perifernih serotoninskih 5‐HT1A i 5‐HT 1B/1D receptora doprinosi antinociceptivnom dejstvu metformina",
volume = "72",
number = "4 suplement",
pages = "S446-S447",
url = "https://hdl.handle.net/21.15107/rcub_farfar_4577"
}

Pecikoza, U., Lasica, A., Tomić, M., Micov, A., Nastić, K.,& Stepanović-Petrović, R.. (2022). Activation of peripheral serotonin 5-HT1A and 5-HT1B/1D receptors contributes to the antinociceptive properties of metformin. in Arhiv za farmaciju
Savez farmaceutskih udruženja Srbije (SFUS)., 72(4 suplement), S446-S447.
https://hdl.handle.net/21.15107/rcub_farfar_4577

Pecikoza U, Lasica A, Tomić M, Micov A, Nastić K, Stepanović-Petrović R. Activation of peripheral serotonin 5-HT1A and 5-HT1B/1D receptors contributes to the antinociceptive properties of metformin. in Arhiv za farmaciju. 2022;72(4 suplement):S446-S447.
https://hdl.handle.net/21.15107/rcub_farfar_4577 .

Pecikoza, Uroš, Lasica, Anđelka, Tomić, Maja, Micov, Ana, Nastić, Katarina, Stepanović-Petrović, Radica, "Activation of peripheral serotonin 5-HT1A and 5-HT1B/1D receptors contributes to the antinociceptive properties of metformin" in Arhiv za farmaciju, 72, no. 4 suplement (2022):S446-S447,
https://hdl.handle.net/21.15107/rcub_farfar_4577 .

TY  - JOUR
AU  - Tomić, Maja
AU  - Pecikoza, Uroš
PY  - 2022
UR  - https://farfar.pharmacy.bg.ac.rs/handle/123456789/4257
AB  - In the pediatric population, acute respiratory tract infections (RTIs) are the most
common reason for seeking professional help from a physician or a pharmacist.
Alleviation of symptoms is the only therapeutic measure in viral RTIs and is an adjunct
to antibiotic therapy in bacterial RTIs. This article discusses pharmacologic and non-
pharmacologic options for treating nasal congestion, cough, fever and sore throat in RTIs
and clinical evidence on their efficacy and safety in the pediatric population. In general,
clinical studies conducted in children for most of these drug groups are few or
nonexistent, making it difficult to create evidence-based recommendations. Nasal
decongestants, cough suppressants, mucolytics, expectorants, antipyretics/analgesics and
sore throat local preparations are available in suitable pharmaceutical forms and strengths
for the certain age. As many of them are over-the-counter (OTC) preparations, it is
necessary to strictly take into account the age of the child in whom they may be used and
dose properly. Multicomponent preparations carry the risk of taking unnecessary
medications and of their side effects. The use of multiple OTC medicines is associated
with the risk of an overdose of a component that may be present in different preparations.
Appropriate non-pharmacological measures (e.g. oral hydration, nasal saline application
or irrigation, honey) may be helpful and should be used whenever possible due to their
safety.
AB  - U pedijatrijskoj populaciji, akutne infekcije respiratornog trakta (IRT) su najčešći razlog traženja stručne pomoći od lekara ili farmaceuta. Ublažavanje simptoma je jedina terapijska mera kod virusnih i dodatak je antibiotskoj terapiji kod bakterijskih IRT. Ovaj članak govori o farmakološkim i nefarmakološkim opcijama za lečenje nazalne kongestije, kašlja, povišene telesne temperature i upale grla kod IRT i kliničkim dokazima o njihovoj efikasnosti i bezbednosti u pedijatrijskoj populaciji. Uopšteno govoreći, kliničke studije sprovedene kod dece za većinu ovih grupa lekova su malobrojne ili ih uopšte nema, što otežava pripremu preporuka zasnovanih na dokazima. Dostupni su nazalni dekongestivi, antitusici, mukolitici, ekspektoransi, antipiretici/analgetici i lokalni preparati za ublažavanje simptoma upale grla, u odgovarajućim farmaceutskim oblicima i jačinama za određeni uzrast. Kako se mnogi od njih izdaju bez lekarskog recepta (OTC), potrebno je striktno voditi računa o uzrastu deteta u kome se smeju koristiti i pravilnom doziranju. Višekomponentni preparati nose rizik od primene nepotrebnih lekova i njihovih neželjenih efekata. Primena više OTC lekova nosi rizik od predoziranja komponente koja može biti sastojak različitih preparata. Odgovarajuće nefarmakološke mere (npr. oralna hidratacija, primena fiziološkog rastvora u nos ili ispiranje nosa, med) mogu biti od pomoći i treba ih koristiti kad god je to moguće zbog njihove bezbednosti.
PB  - Beograd : Savez farmaceutskih udruženja Srbije
T2  - Arhiv za farmaciju
T1  - Medications and non-pharmacological measures to alleviate the symptoms of respiratory tract infections in the pediatric population
T1  - Lekovi i nefarmakološke mere za ublažavanje simptoma infekcija respiratornog trakta u pedijatrijskoj populaciji
VL  - 72
IS  - 3
SP  - 300
EP  - 319
DO  - 10.5937/arhfarm72-38025
ER  - 

@article{
author = "Tomić, Maja and Pecikoza, Uroš",
year = "2022",
abstract = "In the pediatric population, acute respiratory tract infections (RTIs) are the most
common reason for seeking professional help from a physician or a pharmacist.
Alleviation of symptoms is the only therapeutic measure in viral RTIs and is an adjunct
to antibiotic therapy in bacterial RTIs. This article discusses pharmacologic and non-
pharmacologic options for treating nasal congestion, cough, fever and sore throat in RTIs
and clinical evidence on their efficacy and safety in the pediatric population. In general,
clinical studies conducted in children for most of these drug groups are few or
nonexistent, making it difficult to create evidence-based recommendations. Nasal
decongestants, cough suppressants, mucolytics, expectorants, antipyretics/analgesics and
sore throat local preparations are available in suitable pharmaceutical forms and strengths
for the certain age. As many of them are over-the-counter (OTC) preparations, it is
necessary to strictly take into account the age of the child in whom they may be used and
dose properly. Multicomponent preparations carry the risk of taking unnecessary
medications and of their side effects. The use of multiple OTC medicines is associated
with the risk of an overdose of a component that may be present in different preparations.
Appropriate non-pharmacological measures (e.g. oral hydration, nasal saline application
or irrigation, honey) may be helpful and should be used whenever possible due to their
safety., U pedijatrijskoj populaciji, akutne infekcije respiratornog trakta (IRT) su najčešći razlog traženja stručne pomoći od lekara ili farmaceuta. Ublažavanje simptoma je jedina terapijska mera kod virusnih i dodatak je antibiotskoj terapiji kod bakterijskih IRT. Ovaj članak govori o farmakološkim i nefarmakološkim opcijama za lečenje nazalne kongestije, kašlja, povišene telesne temperature i upale grla kod IRT i kliničkim dokazima o njihovoj efikasnosti i bezbednosti u pedijatrijskoj populaciji. Uopšteno govoreći, kliničke studije sprovedene kod dece za većinu ovih grupa lekova su malobrojne ili ih uopšte nema, što otežava pripremu preporuka zasnovanih na dokazima. Dostupni su nazalni dekongestivi, antitusici, mukolitici, ekspektoransi, antipiretici/analgetici i lokalni preparati za ublažavanje simptoma upale grla, u odgovarajućim farmaceutskim oblicima i jačinama za određeni uzrast. Kako se mnogi od njih izdaju bez lekarskog recepta (OTC), potrebno je striktno voditi računa o uzrastu deteta u kome se smeju koristiti i pravilnom doziranju. Višekomponentni preparati nose rizik od primene nepotrebnih lekova i njihovih neželjenih efekata. Primena više OTC lekova nosi rizik od predoziranja komponente koja može biti sastojak različitih preparata. Odgovarajuće nefarmakološke mere (npr. oralna hidratacija, primena fiziološkog rastvora u nos ili ispiranje nosa, med) mogu biti od pomoći i treba ih koristiti kad god je to moguće zbog njihove bezbednosti.",
publisher = "Beograd : Savez farmaceutskih udruženja Srbije",
journal = "Arhiv za farmaciju",
title = "Medications and non-pharmacological measures to alleviate the symptoms of respiratory tract infections in the pediatric population, Lekovi i nefarmakološke mere za ublažavanje simptoma infekcija respiratornog trakta u pedijatrijskoj populaciji",
volume = "72",
number = "3",
pages = "300-319",
doi = "10.5937/arhfarm72-38025"
}

Tomić, M.,& Pecikoza, U.. (2022). Medications and non-pharmacological measures to alleviate the symptoms of respiratory tract infections in the pediatric population. in Arhiv za farmaciju
Beograd : Savez farmaceutskih udruženja Srbije., 72(3), 300-319.
https://doi.org/10.5937/arhfarm72-38025

Tomić M, Pecikoza U. Medications and non-pharmacological measures to alleviate the symptoms of respiratory tract infections in the pediatric population. in Arhiv za farmaciju. 2022;72(3):300-319.
doi:10.5937/arhfarm72-38025 .

Tomić, Maja, Pecikoza, Uroš, "Medications and non-pharmacological measures to alleviate the symptoms of respiratory tract infections in the pediatric population" in Arhiv za farmaciju, 72, no. 3 (2022):300-319,
https://doi.org/10.5937/arhfarm72-38025 . .

TY  - JOUR
AU  - Stepanović-Petrović, Radica
AU  - Tomić, Maja
PY  - 2022
UR  - https://farfar.pharmacy.bg.ac.rs/handle/123456789/4405
AB  - Autoimmune diseases accompanied by the development of hypothyroidism (Hashimoto's
thyroiditis) and hyperthyroidism (Graves' disease) are one of the most common disorders of the
thyroid gland. Hypothyroidism is a clinical syndrome that occurs as a result of thyroid hormone
deficiency. Hyperthyroidism is excessive activity of the thyroid gland accompanied by
hypersecretion of thyroid hormones. In simple terms, to achieve a euthyroid state in both clinical
syndromes, two drugs are (most commonly) used - levothyroxine (hypothyroidism) and thioamide
(hyperthyroidism). While it may seem simple, during the treatment, which is life-long in the case
of hypothyroidism, patients should actually be carefully monitored, with the adjustment of the
drug dose and the inclusion of other drugs for the treatment of comorbidities.
AB  - Najčešća oboljenja štitaste žlezde su autoimune bolesti praćene razvojem hipotiroidizma (Hašimotov tiroiditis) i hipertiroidizma (Grejvsova bolest). Hipotiroidizam je klinički sindrom koji nastaje kao posledica deficita tiroidnih hormona. Hipertiroidizam je preterana aktivnost tiroidne žlezde praćena hipersekrecijom tiroidnih hormona. Pojednostavljeno, za postizanje eutiroidnog stanja u oba klinička sindroma se koriste (najčešće) dva leka - levotiroksin (hipotiroidizam) i tioamid (hipertiroidizam). Naizgled je jednostavno, ali zapravo tokom lečenja, koje je u slučaju hipotiroidizma doživotno, treba pažljivo pratiti pacijente uz prilagođavanje doze leka i uključivanje drugih lekova za lečenje komorbiditeta.
PB  - Pharmaceutical Association of Serbia
T2  - Arhiv za farmaciju
T1  - Clinical pharmacology of thyroid and antithyroid drugs
T1  - Klinička farmakologija levotiroksina i antitiroidnih lekova
VL  - 72
IS  - 5
SP  - 444
EP  - 454
DO  - 10.5937/arhfarm72-40086
ER  - 

@article{
author = "Stepanović-Petrović, Radica and Tomić, Maja",
year = "2022",
abstract = "Autoimmune diseases accompanied by the development of hypothyroidism (Hashimoto's
thyroiditis) and hyperthyroidism (Graves' disease) are one of the most common disorders of the
thyroid gland. Hypothyroidism is a clinical syndrome that occurs as a result of thyroid hormone
deficiency. Hyperthyroidism is excessive activity of the thyroid gland accompanied by
hypersecretion of thyroid hormones. In simple terms, to achieve a euthyroid state in both clinical
syndromes, two drugs are (most commonly) used - levothyroxine (hypothyroidism) and thioamide
(hyperthyroidism). While it may seem simple, during the treatment, which is life-long in the case
of hypothyroidism, patients should actually be carefully monitored, with the adjustment of the
drug dose and the inclusion of other drugs for the treatment of comorbidities., Najčešća oboljenja štitaste žlezde su autoimune bolesti praćene razvojem hipotiroidizma (Hašimotov tiroiditis) i hipertiroidizma (Grejvsova bolest). Hipotiroidizam je klinički sindrom koji nastaje kao posledica deficita tiroidnih hormona. Hipertiroidizam je preterana aktivnost tiroidne žlezde praćena hipersekrecijom tiroidnih hormona. Pojednostavljeno, za postizanje eutiroidnog stanja u oba klinička sindroma se koriste (najčešće) dva leka - levotiroksin (hipotiroidizam) i tioamid (hipertiroidizam). Naizgled je jednostavno, ali zapravo tokom lečenja, koje je u slučaju hipotiroidizma doživotno, treba pažljivo pratiti pacijente uz prilagođavanje doze leka i uključivanje drugih lekova za lečenje komorbiditeta.",
publisher = "Pharmaceutical Association of Serbia",
journal = "Arhiv za farmaciju",
title = "Clinical pharmacology of thyroid and antithyroid drugs, Klinička farmakologija levotiroksina i antitiroidnih lekova",
volume = "72",
number = "5",
pages = "444-454",
doi = "10.5937/arhfarm72-40086"
}

Stepanović-Petrović, R.,& Tomić, M.. (2022). Clinical pharmacology of thyroid and antithyroid drugs. in Arhiv za farmaciju
Pharmaceutical Association of Serbia., 72(5), 444-454.
https://doi.org/10.5937/arhfarm72-40086

Stepanović-Petrović R, Tomić M. Clinical pharmacology of thyroid and antithyroid drugs. in Arhiv za farmaciju. 2022;72(5):444-454.
doi:10.5937/arhfarm72-40086 .

Stepanović-Petrović, Radica, Tomić, Maja, "Clinical pharmacology of thyroid and antithyroid drugs" in Arhiv za farmaciju, 72, no. 5 (2022):444-454,
https://doi.org/10.5937/arhfarm72-40086 . .

TY  - CONF
AU  - Tomić, Maja
PY  - 2022
UR  - https://farfar.pharmacy.bg.ac.rs/handle/123456789/4457
AB  - Hypertension is the major modifiable cardiovascular (CV) disease risk factor. Despite
the availability of numerous efficacious and safe medications and non-pharmacological
measures, rates of blood pressure (BP) adequate control in hypertensive patients are not
satisfactory, both in Serbia and in the world. Lifestyle adjustments (dietary sodium
limitation, weight reduction, healthy diet, regular physical activity, alcohol consumption
moderation and smoking cessation) remain the basic component of successful hypertension
treatment and lowering overall CV risk. First-line antihypertensive agents are angiotensin-
converting enzyme inhibitors or angiotensin receptor blockers, calcium channel blockers,
thiazide/thiazide-like diuretics, and β-blockers (the latter are first-line agents only in
presence of a compelling comorbidity). These classes of antihypertensives have an
advantage over others because, in addition to lowering BP, they have been shown to reduce
the risk of major CV events (myocardial infarction and/or stroke) and death in hypertensive
patients. Majority of the latest guidelines give primacy to the combination of
antihypertensive agents from the very beginning of treatment for most patients. By
combining drugs that target different mechanisms involved in BP regulation, greater efficacy
and/or improved tolerability may be achieved, due to additive or synergistic interaction
between components. Utilization of single-pill containing two or more antihypertensive
agents enables improving patient adherence. Second line antihypertensive agents
(mineralocorticoid receptor antagonists, centrally acting agents, α-blockers, vasodilators and
other classes of diuretics) are added when satisfactory BP control cannot be achieved with
first-line drugs combinations or when comorbidities favor their use. Device-based
treatments (e.g. renal denervation) are reserved for treatment of pharmacologically
intractable hypertension.
AB  - Hipertenzija je glavni faktor rizika za kardiovaskularne (KV) bolesti na koji se može
uticati. Uprkos dostupnosti mnogih efikasnih i bezbednih lekova i nefarmakoloških mera,
stope adekvatne kontrole krvnog pritiska (KP) u hipertoničara nisu zadovoljavajuće, kako u
Srbiji tako i u svetu. Prilagođavanje životnih navika (ograničenje unosa natrijuma, smanjenje
telesne mase, zdrava ishrana, redovna fizička aktivnost, umerenost u konzumiranju alkohola
i prestanak pušenja) ostaje osnovna komponenta uspešnog lečenja hipertenzije i smanjenja
ukupnog KV rizika. Antihipertenzivi prve linije su inhibitori angiotenzin-konvertujućeg
enzima ili blokatori angiotenzinskih receptora, blokatori kalcijumovih kanala,
tiazidni/tiazidima slični diuretici i β-blokatori (smatraju se lekovima prve linije samo kada
postoje komorbiditeti u kojima su β-blokatori indikovani). Ove klase antihipertenziva imaju
prednost u odnosu na druge jer, osim što snižavaju KP, dokazano smanjuju rizik od KV
događaja (infarkta miokarda i/ili mozga) i smrti kod hipertoničara. Većina aktuelnih
smernica daje primat kombinaciji antihipertenziva od samog početka lečenja kod većine
pacijenata. Kombinovanjem lekova usmerenih na različite mehanizme uključene u regulaciju
KP mogu se postići veća efikasnost i/ili bolja podnošljivost terapije, zbog aditivne ili
sinergističke interakcije između komponenti. Primena fiksne kombinacije koja sadrži dva ili
više antihipertenziva poboljšava adherencu pacijenta. Antihipertenzivi druge linije
(antagonisti mineralokortikoidnih receptora, centralno delujući antihipertenzivi, α-blokatori,
vazodilatatori i druge klase diuretika) dodaju se kada se kombinacijama lekova prve linije ne
može postići zadovoljavajuća kontrola KP ili kada komorbiditeti favorizuju njihovu upotrebu.
Različite intervencije (npr. renalna denervacija) rezervisane su za pacijente u kojih se
hipertenzija ne može kontrolisati lekovima.
PB  - Savez farmaceutskih udruženja Srbije (SFUS)
C3  - Arhiv za farmaciju
T1  - Modern therapeutic principles in the fight against hypertension
T1  - Savremeni terapijski principi borbe protiv hipertenzije
VL  - 72
IS  - 4 suplement
SP  - S90
EP  - S91
UR  - https://hdl.handle.net/21.15107/rcub_farfar_4457
ER  - 

@conference{
author = "Tomić, Maja",
year = "2022",
abstract = "Hypertension is the major modifiable cardiovascular (CV) disease risk factor. Despite
the availability of numerous efficacious and safe medications and non-pharmacological
measures, rates of blood pressure (BP) adequate control in hypertensive patients are not
satisfactory, both in Serbia and in the world. Lifestyle adjustments (dietary sodium
limitation, weight reduction, healthy diet, regular physical activity, alcohol consumption
moderation and smoking cessation) remain the basic component of successful hypertension
treatment and lowering overall CV risk. First-line antihypertensive agents are angiotensin-
converting enzyme inhibitors or angiotensin receptor blockers, calcium channel blockers,
thiazide/thiazide-like diuretics, and β-blockers (the latter are first-line agents only in
presence of a compelling comorbidity). These classes of antihypertensives have an
advantage over others because, in addition to lowering BP, they have been shown to reduce
the risk of major CV events (myocardial infarction and/or stroke) and death in hypertensive
patients. Majority of the latest guidelines give primacy to the combination of
antihypertensive agents from the very beginning of treatment for most patients. By
combining drugs that target different mechanisms involved in BP regulation, greater efficacy
and/or improved tolerability may be achieved, due to additive or synergistic interaction
between components. Utilization of single-pill containing two or more antihypertensive
agents enables improving patient adherence. Second line antihypertensive agents
(mineralocorticoid receptor antagonists, centrally acting agents, α-blockers, vasodilators and
other classes of diuretics) are added when satisfactory BP control cannot be achieved with
first-line drugs combinations or when comorbidities favor their use. Device-based
treatments (e.g. renal denervation) are reserved for treatment of pharmacologically
intractable hypertension., Hipertenzija je glavni faktor rizika za kardiovaskularne (KV) bolesti na koji se može
uticati. Uprkos dostupnosti mnogih efikasnih i bezbednih lekova i nefarmakoloških mera,
stope adekvatne kontrole krvnog pritiska (KP) u hipertoničara nisu zadovoljavajuće, kako u
Srbiji tako i u svetu. Prilagođavanje životnih navika (ograničenje unosa natrijuma, smanjenje
telesne mase, zdrava ishrana, redovna fizička aktivnost, umerenost u konzumiranju alkohola
i prestanak pušenja) ostaje osnovna komponenta uspešnog lečenja hipertenzije i smanjenja
ukupnog KV rizika. Antihipertenzivi prve linije su inhibitori angiotenzin-konvertujućeg
enzima ili blokatori angiotenzinskih receptora, blokatori kalcijumovih kanala,
tiazidni/tiazidima slični diuretici i β-blokatori (smatraju se lekovima prve linije samo kada
postoje komorbiditeti u kojima su β-blokatori indikovani). Ove klase antihipertenziva imaju
prednost u odnosu na druge jer, osim što snižavaju KP, dokazano smanjuju rizik od KV
događaja (infarkta miokarda i/ili mozga) i smrti kod hipertoničara. Većina aktuelnih
smernica daje primat kombinaciji antihipertenziva od samog početka lečenja kod većine
pacijenata. Kombinovanjem lekova usmerenih na različite mehanizme uključene u regulaciju
KP mogu se postići veća efikasnost i/ili bolja podnošljivost terapije, zbog aditivne ili
sinergističke interakcije između komponenti. Primena fiksne kombinacije koja sadrži dva ili
više antihipertenziva poboljšava adherencu pacijenta. Antihipertenzivi druge linije
(antagonisti mineralokortikoidnih receptora, centralno delujući antihipertenzivi, α-blokatori,
vazodilatatori i druge klase diuretika) dodaju se kada se kombinacijama lekova prve linije ne
može postići zadovoljavajuća kontrola KP ili kada komorbiditeti favorizuju njihovu upotrebu.
Različite intervencije (npr. renalna denervacija) rezervisane su za pacijente u kojih se
hipertenzija ne može kontrolisati lekovima.",
publisher = "Savez farmaceutskih udruženja Srbije (SFUS)",
journal = "Arhiv za farmaciju",
title = "Modern therapeutic principles in the fight against hypertension, Savremeni terapijski principi borbe protiv hipertenzije",
volume = "72",
number = "4 suplement",
pages = "S90-S91",
url = "https://hdl.handle.net/21.15107/rcub_farfar_4457"
}

Tomić, M.. (2022). Modern therapeutic principles in the fight against hypertension. in Arhiv za farmaciju
Savez farmaceutskih udruženja Srbije (SFUS)., 72(4 suplement), S90-S91.
https://hdl.handle.net/21.15107/rcub_farfar_4457

Tomić M. Modern therapeutic principles in the fight against hypertension. in Arhiv za farmaciju. 2022;72(4 suplement):S90-S91.
https://hdl.handle.net/21.15107/rcub_farfar_4457 .

Tomić, Maja, "Modern therapeutic principles in the fight against hypertension" in Arhiv za farmaciju, 72, no. 4 suplement (2022):S90-S91,
https://hdl.handle.net/21.15107/rcub_farfar_4457 .

TY  - JOUR
AU  - Milutinović, Violeta
AU  - Pecikoza, Uroš
AU  - Tomić, Maja
AU  - Stepanović-Petrović, Radica
AU  - Niketić, Marjan
AU  - Ušjak, Ljuboš
AU  - Petrović, Silvana
PY  - 2021
UR  - https://farfar.pharmacy.bg.ac.rs/handle/123456789/3641
AB  - Present study investigated triterpene profile, antihyperalgesic and antiedematous activities of Hieracium scheppigianum flowering aerial parts dichloromethane extract (SCH), and antihyperalgesic and antiedematous activities of previously chemically characterised polyphenol-rich H. glabratum and H. calophyllum flowering aerial parts methanol extracts (GLA and CAL, respectively). α- and β-Amyrin and their acetates, and lupeol acetate were identified and quantified in SCH by GC-FID and GC-MS. In carrageenan-induced localised inflammation model in rats, SCH and GLA (50–200 mg/kg, p.o.) produced significant and dose-dependent antihyperalgesic effect of 26.9%–56.2% (ED50=163.0 ± 26.5 mg/kg) and 25.3%–51.6% (ED50=211.6 ± 70.6 mg/kg), respectively, and CAL (200 mg/kg, p.o.) exhibited effect of 38.1%. Extracts did not significantly reduce paw edema. SCH and GLA, which demonstrated higher (over 50%) antihyperalgesic efficacy, were tested in a rotarod test (200 mg/kg, p.o.) and no alteration of motor coordination was observed. Also, acute administration of SCH and GLA in mice (2000 mg/kg, p.o.) caused neither mortality nor toxicity.
PB  - Taylor & Francis Ltd
T2  - Natural Product Research
T1  - Investigation of antihyperalgesic and antiedematous activities of three Hieracium species
VL  - 35
IS  - 23
SP  - 5384
EP  - 5388
DO  - 10.1080/14786419.2020.1768086
ER  - 

@article{
author = "Milutinović, Violeta and Pecikoza, Uroš and Tomić, Maja and Stepanović-Petrović, Radica and Niketić, Marjan and Ušjak, Ljuboš and Petrović, Silvana",
year = "2021",
abstract = "Present study investigated triterpene profile, antihyperalgesic and antiedematous activities of Hieracium scheppigianum flowering aerial parts dichloromethane extract (SCH), and antihyperalgesic and antiedematous activities of previously chemically characterised polyphenol-rich H. glabratum and H. calophyllum flowering aerial parts methanol extracts (GLA and CAL, respectively). α- and β-Amyrin and their acetates, and lupeol acetate were identified and quantified in SCH by GC-FID and GC-MS. In carrageenan-induced localised inflammation model in rats, SCH and GLA (50–200 mg/kg, p.o.) produced significant and dose-dependent antihyperalgesic effect of 26.9%–56.2% (ED50=163.0 ± 26.5 mg/kg) and 25.3%–51.6% (ED50=211.6 ± 70.6 mg/kg), respectively, and CAL (200 mg/kg, p.o.) exhibited effect of 38.1%. Extracts did not significantly reduce paw edema. SCH and GLA, which demonstrated higher (over 50%) antihyperalgesic efficacy, were tested in a rotarod test (200 mg/kg, p.o.) and no alteration of motor coordination was observed. Also, acute administration of SCH and GLA in mice (2000 mg/kg, p.o.) caused neither mortality nor toxicity.",
publisher = "Taylor & Francis Ltd",
journal = "Natural Product Research",
title = "Investigation of antihyperalgesic and antiedematous activities of three Hieracium species",
volume = "35",
number = "23",
pages = "5384-5388",
doi = "10.1080/14786419.2020.1768086"
}

Milutinović, V., Pecikoza, U., Tomić, M., Stepanović-Petrović, R., Niketić, M., Ušjak, L.,& Petrović, S.. (2021). Investigation of antihyperalgesic and antiedematous activities of three Hieracium species. in Natural Product Research
Taylor & Francis Ltd., 35(23), 5384-5388.
https://doi.org/10.1080/14786419.2020.1768086

Milutinović V, Pecikoza U, Tomić M, Stepanović-Petrović R, Niketić M, Ušjak L, Petrović S. Investigation of antihyperalgesic and antiedematous activities of three Hieracium species. in Natural Product Research. 2021;35(23):5384-5388.
doi:10.1080/14786419.2020.1768086 .

Milutinović, Violeta, Pecikoza, Uroš, Tomić, Maja, Stepanović-Petrović, Radica, Niketić, Marjan, Ušjak, Ljuboš, Petrović, Silvana, "Investigation of antihyperalgesic and antiedematous activities of three Hieracium species" in Natural Product Research, 35, no. 23 (2021):5384-5388,
https://doi.org/10.1080/14786419.2020.1768086 . .

TY  - JOUR
AU  - Todorović, Marija
AU  - Micov, Ana
AU  - Nastić, Katarina
AU  - Tomić, Maja
AU  - Pecikoza, Uroš
AU  - Vuković, Milja
AU  - Stepanović-Petrović, Radica
PY  - 2021
UR  - https://farfar.pharmacy.bg.ac.rs/handle/123456789/4009
AB  - Vortioxetine is a novel atypical antidepressant with multimodal activity that has recently demonstrated efficacy against neuropathic pain. There is no published data about its analgesic properties in models characterized by peripheral inflammation and consequent pain pathway sensitization, nor data on its mechanism of antinociceptive action. This study aimed to investigate vortioxetine's antinociceptive/antihyperalgesic effects in trigeminal, visceral, and somatic inflammatory pain models, and provide evidence on its mechanism of action in the modulation of trigeminal nociception. Vortioxetine's effects on the nociceptive behavior in orofacial formalin test (OFT) and acetic acid-writhing test in mice and on mechanical hyperalgesia in carrageenan-induced paw inflammation in rats were examined following peroral single administration. The involvement of serotonergic/adrenergic/cholinergic/cannabinoid/adenosine receptors was evaluated in OFT by intraperitoneally treating mice with an appropriate antagonist immediately after vortioxetine application. We used antagonists of 5-HT1B/1D serotonergic (GR 127935), α1-adrenergic (prazosin), α2-adrenergic (yohimbine), β1-adrenergic (metoprolol), muscarinic (atropine), α7 nicotinic (methyllycaconitine), CB1/CB2 cannabinoid (AM251 and AM630), and adenosine A1 (DPCPX) receptors. Vortioxetine dose-dependently reduced pain behavior in OFT and acetic acid writhing test, as well as inflammatory hyperalgesia in paw pressure test. All examined antagonists except prazosin dose-dependently inhibited vortioxetine's antinociceptive effects. In conclusion, vortioxetine exerted analgesic efficacy in trigeminal, visceral, and somatic inflammatory pain. The effect is at least in part mediated by 5-HT1B/1D serotonergic, α2/β1-adrenergic, muscarinic and nicotinic cholinergic, CB1/CB2 cannabinoid, and adenosine A1 receptors. These findings contribute to better understanding of the analgesic effect of vortioxetine and suggest its potential usefulness for inflammatory pain treatment.
PB  - John Wiley and Sons Inc
T2  - Fundamental and Clinical Pharmacology
T1  - Vortioxetine as an analgesic in preclinical inflammatory pain models: Mechanism of action
VL  - 36
IS  - 2
SP  - 237
EP  - 249
DO  - 10.1111/fcp.12737
ER  - 

@article{
author = "Todorović, Marija and Micov, Ana and Nastić, Katarina and Tomić, Maja and Pecikoza, Uroš and Vuković, Milja and Stepanović-Petrović, Radica",
year = "2021",
abstract = "Vortioxetine is a novel atypical antidepressant with multimodal activity that has recently demonstrated efficacy against neuropathic pain. There is no published data about its analgesic properties in models characterized by peripheral inflammation and consequent pain pathway sensitization, nor data on its mechanism of antinociceptive action. This study aimed to investigate vortioxetine's antinociceptive/antihyperalgesic effects in trigeminal, visceral, and somatic inflammatory pain models, and provide evidence on its mechanism of action in the modulation of trigeminal nociception. Vortioxetine's effects on the nociceptive behavior in orofacial formalin test (OFT) and acetic acid-writhing test in mice and on mechanical hyperalgesia in carrageenan-induced paw inflammation in rats were examined following peroral single administration. The involvement of serotonergic/adrenergic/cholinergic/cannabinoid/adenosine receptors was evaluated in OFT by intraperitoneally treating mice with an appropriate antagonist immediately after vortioxetine application. We used antagonists of 5-HT1B/1D serotonergic (GR 127935), α1-adrenergic (prazosin), α2-adrenergic (yohimbine), β1-adrenergic (metoprolol), muscarinic (atropine), α7 nicotinic (methyllycaconitine), CB1/CB2 cannabinoid (AM251 and AM630), and adenosine A1 (DPCPX) receptors. Vortioxetine dose-dependently reduced pain behavior in OFT and acetic acid writhing test, as well as inflammatory hyperalgesia in paw pressure test. All examined antagonists except prazosin dose-dependently inhibited vortioxetine's antinociceptive effects. In conclusion, vortioxetine exerted analgesic efficacy in trigeminal, visceral, and somatic inflammatory pain. The effect is at least in part mediated by 5-HT1B/1D serotonergic, α2/β1-adrenergic, muscarinic and nicotinic cholinergic, CB1/CB2 cannabinoid, and adenosine A1 receptors. These findings contribute to better understanding of the analgesic effect of vortioxetine and suggest its potential usefulness for inflammatory pain treatment.",
publisher = "John Wiley and Sons Inc",
journal = "Fundamental and Clinical Pharmacology",
title = "Vortioxetine as an analgesic in preclinical inflammatory pain models: Mechanism of action",
volume = "36",
number = "2",
pages = "237-249",
doi = "10.1111/fcp.12737"
}

Todorović, M., Micov, A., Nastić, K., Tomić, M., Pecikoza, U., Vuković, M.,& Stepanović-Petrović, R.. (2021). Vortioxetine as an analgesic in preclinical inflammatory pain models: Mechanism of action. in Fundamental and Clinical Pharmacology
John Wiley and Sons Inc., 36(2), 237-249.
https://doi.org/10.1111/fcp.12737

Todorović M, Micov A, Nastić K, Tomić M, Pecikoza U, Vuković M, Stepanović-Petrović R. Vortioxetine as an analgesic in preclinical inflammatory pain models: Mechanism of action. in Fundamental and Clinical Pharmacology. 2021;36(2):237-249.
doi:10.1111/fcp.12737 .

Todorović, Marija, Micov, Ana, Nastić, Katarina, Tomić, Maja, Pecikoza, Uroš, Vuković, Milja, Stepanović-Petrović, Radica, "Vortioxetine as an analgesic in preclinical inflammatory pain models: Mechanism of action" in Fundamental and Clinical Pharmacology, 36, no. 2 (2021):237-249,
https://doi.org/10.1111/fcp.12737 . .

TY  - JOUR
AU  - Micov, Ana
AU  - Tomić, Maja
AU  - Todorović, Marija B.
AU  - Vuković, Milja
AU  - Pecikoza, Uroš
AU  - Jasnić, Nebojša
AU  - Đorđević, Jelena D.
AU  - Stepanović-Petrović, Radica
PY  - 2020
UR  - https://farfar.pharmacy.bg.ac.rs/handle/123456789/3600
AB  - Chronic pain and depression commonly occur together so dual-acting agents might be particularly useful. The population of patients with chemotherapy-induced neuropathy is increasing in parallel with the increase of population of cancer survivors and there is a compelling need for satisfactory treatment of symptoms of neuropathy and concomitant depression. We examined the effects of vortioxetine, a novel antidepressant with unique mechanism of action, on pain hypersensitivity and depression-like behavior in oxaliplatin-induced neuropathy model in mice (OIPN). Vortioxetine (1–10 mg/kg, p.o.) significantly and dose-dependently reduced mechanical allodynia in von Frey test and cold allodynia in acetone test in OIPN mice, in both repeated prophylactic and acute therapeutic treatment regimens. It also reduced depression-like behavior in the forced swimming test in OIPN mice, in both treatment paradigms. Its antiallodynic and antidepressive-like effects were comparable to those exerted by duloxetine (1–15 mg/kg, p.o.). The antiallodynic and antidepressive-like effects of repeatedly administered vortioxetine might be related to the increased content of 5-hydroxytryptamine (5- HT) and noradrenaline (NA), detected in the brainstem of treated OIPN mice. These results indicate that vortioxetine could be potentially useful in prevention and treatment of chemotherapy-induced neuropathy, for the relief of pain and concomitant depressive symptoms. It should be further tested to this regard in clinical settings.
PB  - Elsevier
T2  - Progress in Neuro-Psychopharmacology and Biological Psychiatry
T1  - Vortioxetine reduces pain hypersensitivity and associated depression-like behavior in mice with oxaliplatin-induced neuropathy
VL  - 103
DO  - 10.1016/j.pnpbp.2020.109975
ER  - 

@article{
author = "Micov, Ana and Tomić, Maja and Todorović, Marija B. and Vuković, Milja and Pecikoza, Uroš and Jasnić, Nebojša and Đorđević, Jelena D. and Stepanović-Petrović, Radica",
year = "2020",
abstract = "Chronic pain and depression commonly occur together so dual-acting agents might be particularly useful. The population of patients with chemotherapy-induced neuropathy is increasing in parallel with the increase of population of cancer survivors and there is a compelling need for satisfactory treatment of symptoms of neuropathy and concomitant depression. We examined the effects of vortioxetine, a novel antidepressant with unique mechanism of action, on pain hypersensitivity and depression-like behavior in oxaliplatin-induced neuropathy model in mice (OIPN). Vortioxetine (1–10 mg/kg, p.o.) significantly and dose-dependently reduced mechanical allodynia in von Frey test and cold allodynia in acetone test in OIPN mice, in both repeated prophylactic and acute therapeutic treatment regimens. It also reduced depression-like behavior in the forced swimming test in OIPN mice, in both treatment paradigms. Its antiallodynic and antidepressive-like effects were comparable to those exerted by duloxetine (1–15 mg/kg, p.o.). The antiallodynic and antidepressive-like effects of repeatedly administered vortioxetine might be related to the increased content of 5-hydroxytryptamine (5- HT) and noradrenaline (NA), detected in the brainstem of treated OIPN mice. These results indicate that vortioxetine could be potentially useful in prevention and treatment of chemotherapy-induced neuropathy, for the relief of pain and concomitant depressive symptoms. It should be further tested to this regard in clinical settings.",
publisher = "Elsevier",
journal = "Progress in Neuro-Psychopharmacology and Biological Psychiatry",
title = "Vortioxetine reduces pain hypersensitivity and associated depression-like behavior in mice with oxaliplatin-induced neuropathy",
volume = "103",
doi = "10.1016/j.pnpbp.2020.109975"
}

Micov, A., Tomić, M., Todorović, M. B., Vuković, M., Pecikoza, U., Jasnić, N., Đorđević, J. D.,& Stepanović-Petrović, R.. (2020). Vortioxetine reduces pain hypersensitivity and associated depression-like behavior in mice with oxaliplatin-induced neuropathy. in Progress in Neuro-Psychopharmacology and Biological Psychiatry
Elsevier., 103.
https://doi.org/10.1016/j.pnpbp.2020.109975

Micov A, Tomić M, Todorović MB, Vuković M, Pecikoza U, Jasnić N, Đorđević JD, Stepanović-Petrović R. Vortioxetine reduces pain hypersensitivity and associated depression-like behavior in mice with oxaliplatin-induced neuropathy. in Progress in Neuro-Psychopharmacology and Biological Psychiatry. 2020;103.
doi:10.1016/j.pnpbp.2020.109975 .

Micov, Ana, Tomić, Maja, Todorović, Marija B., Vuković, Milja, Pecikoza, Uroš, Jasnić, Nebojša, Đorđević, Jelena D., Stepanović-Petrović, Radica, "Vortioxetine reduces pain hypersensitivity and associated depression-like behavior in mice with oxaliplatin-induced neuropathy" in Progress in Neuro-Psychopharmacology and Biological Psychiatry, 103 (2020),
https://doi.org/10.1016/j.pnpbp.2020.109975 . .

TY  - JOUR
AU  - Đekić, Ljiljana
AU  - Marković, Bojan
AU  - Micov, Ana
AU  - Tomić, Maja
AU  - Pecikoza, Uroš
AU  - Stepanović-Petrović, Radica
PY  - 2020
UR  - https://farfar.pharmacy.bg.ac.rs/handle/123456789/3589
AB  - The study focused on formulation of carmellose sodium hydrogels and nonionic microemulsions with 5% and 10% of levetiracetam and investigation of drug concentration influence on their physicochemical characteristics and in-use stability as well as influence of drug concentration and carrier type on in vitro drug release and in vivo antihyperalgesic/antiedematous activity in a rat model of localized (intraplantar) carrageenan-induced inflammation. Hydrogels were pseudoplastic semisolids with thixotropy and pH 7.37–7.58. Microemulsions were low viscous Newtonian nanodispersions of oil droplets (13.11–15.11 nm) in water, with pH 4.01–4.64. Physical stability of the investigated systems was preserved over the 3-month storage under ambient conditions. Levetiracetam release followed zero order and Korsmeyer-Peppas models (R2 ≥ 0.99) reflecting the combined effects of drug concentration and carrier viscosity. All levetiracetam-loaded formulations produced significant reduction of hyperalgesia and paw swelling induced by carrageenan (p < 0.001). Their efficacy in exerting antihyperalgesic activity was significantly higher than that observed with the reference 5% ibuprofen hydrogel preparation (up to 6 h) (p < 0.001), while antiedematous activity was comparable with the reference product. No erythema and visible blood vessels were observed in a rat ear test. The study demonstrated percutaneous delivery of levetiracetam as useful and safe therapeutic option for localized inflammatory pain with potential to overcome the insufficient efficacy of topically applied nonsteroidal anti-inflammatory drugs in the form of a hydrogel. [Figure not available: see fulltext.]. © 2020, Controlled Release Society.
PB  - Springer
T2  - Drug Delivery and Translational Research
T1  - Percutaneous delivery of levetiracetam as an alternative to topical nonsteroidal anti-inflammatory drugs: formulation development, in vitro and in vivo characterization
DO  - 10.1007/s13346-020-00787-4
ER  - 

@article{
author = "Đekić, Ljiljana and Marković, Bojan and Micov, Ana and Tomić, Maja and Pecikoza, Uroš and Stepanović-Petrović, Radica",
year = "2020",
abstract = "The study focused on formulation of carmellose sodium hydrogels and nonionic microemulsions with 5% and 10% of levetiracetam and investigation of drug concentration influence on their physicochemical characteristics and in-use stability as well as influence of drug concentration and carrier type on in vitro drug release and in vivo antihyperalgesic/antiedematous activity in a rat model of localized (intraplantar) carrageenan-induced inflammation. Hydrogels were pseudoplastic semisolids with thixotropy and pH 7.37–7.58. Microemulsions were low viscous Newtonian nanodispersions of oil droplets (13.11–15.11 nm) in water, with pH 4.01–4.64. Physical stability of the investigated systems was preserved over the 3-month storage under ambient conditions. Levetiracetam release followed zero order and Korsmeyer-Peppas models (R2 ≥ 0.99) reflecting the combined effects of drug concentration and carrier viscosity. All levetiracetam-loaded formulations produced significant reduction of hyperalgesia and paw swelling induced by carrageenan (p < 0.001). Their efficacy in exerting antihyperalgesic activity was significantly higher than that observed with the reference 5% ibuprofen hydrogel preparation (up to 6 h) (p < 0.001), while antiedematous activity was comparable with the reference product. No erythema and visible blood vessels were observed in a rat ear test. The study demonstrated percutaneous delivery of levetiracetam as useful and safe therapeutic option for localized inflammatory pain with potential to overcome the insufficient efficacy of topically applied nonsteroidal anti-inflammatory drugs in the form of a hydrogel. [Figure not available: see fulltext.]. © 2020, Controlled Release Society.",
publisher = "Springer",
journal = "Drug Delivery and Translational Research",
title = "Percutaneous delivery of levetiracetam as an alternative to topical nonsteroidal anti-inflammatory drugs: formulation development, in vitro and in vivo characterization",
doi = "10.1007/s13346-020-00787-4"
}

Đekić, L., Marković, B., Micov, A., Tomić, M., Pecikoza, U.,& Stepanović-Petrović, R.. (2020). Percutaneous delivery of levetiracetam as an alternative to topical nonsteroidal anti-inflammatory drugs: formulation development, in vitro and in vivo characterization. in Drug Delivery and Translational Research
Springer..
https://doi.org/10.1007/s13346-020-00787-4

Đekić L, Marković B, Micov A, Tomić M, Pecikoza U, Stepanović-Petrović R. Percutaneous delivery of levetiracetam as an alternative to topical nonsteroidal anti-inflammatory drugs: formulation development, in vitro and in vivo characterization. in Drug Delivery and Translational Research. 2020;.
doi:10.1007/s13346-020-00787-4 .

Đekić, Ljiljana, Marković, Bojan, Micov, Ana, Tomić, Maja, Pecikoza, Uroš, Stepanović-Petrović, Radica, "Percutaneous delivery of levetiracetam as an alternative to topical nonsteroidal anti-inflammatory drugs: formulation development, in vitro and in vivo characterization" in Drug Delivery and Translational Research (2020),
https://doi.org/10.1007/s13346-020-00787-4 . .

TY  - JOUR
AU  - Pecikoza, Uroš
AU  - Tomić, Maja
AU  - Micov, Ana
AU  - Vuković, Milja
AU  - Stepanović-Petrović, Radica
PY  - 2020
UR  - https://farfar.pharmacy.bg.ac.rs/handle/123456789/3547
AB  - Rationale: Acute pain states in the trigeminal region (headaches, dental pain) fall into the most prevalent painful conditions. Standard analgesics (paracetamol/NSAIDs) represent the cornerstone of their treatment, whereas triptans are primarily used in migraine attacks. Due to limited efficacy and/or side effects of current treatments, identifying favorable combinations of available drugs is justified. Objectives: Eslicarbazepine acetate (ESL) is a novel antiepileptic drug whose effectiveness against trigeminal pain was recently demonstrated. Here, we examined the interactions between ESL and several standard/alternative analgesics (paracetamol, propyphenazone, naproxen, zolmitriptan, and metoclopramide) in a model of trigeminal pain. Methods: The antinociceptive effects of orally administered ESL, standard/alternative analgesics, and two-drug ESL-analgesic combinations were examined in the orofacial formalin test in mice. The type of interaction between drugs was determined by isobolographic analysis. Results: ESL, analgesics, and two-drug ESL-analgesic combinations significantly and dose-dependently reduced nociceptive behaviour in the second, inflammatory phase of the test. Isobolographic analysis revealed that ESL interacted additively with paracetamol/propyphenazone/zolmitriptan and synergistically with naproxen/metoclopramide (with about a 4-fold and 3-fold reduction of doses in the ESL-naproxen and ESL-metoclopramide combination, respectively). Conclusions: ESL interacted in a beneficial manner with several analgesics that are used for trigeminal pain treatment, producing synergistic interactions with naproxen/metoclopramide and additive interactions with paracetamol/propyphenazone/zolmitriptan. Our results suggest that combining ESL with analgesics could theoretically enable the use of lower doses of individual drugs for achieving pain relief.
PB  - Springer Nature
T2  - Psychopharmacology
T1  - Eslicarbazepine acetate interacts in a beneficial manner with standard and alternative analgesics to reduce trigeminal nociception
VL  - 237
IS  - 5
SP  - 1435
EP  - 1446
DO  - 10.1007/s00213-020-05470-7
ER  - 

@article{
author = "Pecikoza, Uroš and Tomić, Maja and Micov, Ana and Vuković, Milja and Stepanović-Petrović, Radica",
year = "2020",
abstract = "Rationale: Acute pain states in the trigeminal region (headaches, dental pain) fall into the most prevalent painful conditions. Standard analgesics (paracetamol/NSAIDs) represent the cornerstone of their treatment, whereas triptans are primarily used in migraine attacks. Due to limited efficacy and/or side effects of current treatments, identifying favorable combinations of available drugs is justified. Objectives: Eslicarbazepine acetate (ESL) is a novel antiepileptic drug whose effectiveness against trigeminal pain was recently demonstrated. Here, we examined the interactions between ESL and several standard/alternative analgesics (paracetamol, propyphenazone, naproxen, zolmitriptan, and metoclopramide) in a model of trigeminal pain. Methods: The antinociceptive effects of orally administered ESL, standard/alternative analgesics, and two-drug ESL-analgesic combinations were examined in the orofacial formalin test in mice. The type of interaction between drugs was determined by isobolographic analysis. Results: ESL, analgesics, and two-drug ESL-analgesic combinations significantly and dose-dependently reduced nociceptive behaviour in the second, inflammatory phase of the test. Isobolographic analysis revealed that ESL interacted additively with paracetamol/propyphenazone/zolmitriptan and synergistically with naproxen/metoclopramide (with about a 4-fold and 3-fold reduction of doses in the ESL-naproxen and ESL-metoclopramide combination, respectively). Conclusions: ESL interacted in a beneficial manner with several analgesics that are used for trigeminal pain treatment, producing synergistic interactions with naproxen/metoclopramide and additive interactions with paracetamol/propyphenazone/zolmitriptan. Our results suggest that combining ESL with analgesics could theoretically enable the use of lower doses of individual drugs for achieving pain relief.",
publisher = "Springer Nature",
journal = "Psychopharmacology",
title = "Eslicarbazepine acetate interacts in a beneficial manner with standard and alternative analgesics to reduce trigeminal nociception",
volume = "237",
number = "5",
pages = "1435-1446",
doi = "10.1007/s00213-020-05470-7"
}

Pecikoza, U., Tomić, M., Micov, A., Vuković, M.,& Stepanović-Petrović, R.. (2020). Eslicarbazepine acetate interacts in a beneficial manner with standard and alternative analgesics to reduce trigeminal nociception. in Psychopharmacology
Springer Nature., 237(5), 1435-1446.
https://doi.org/10.1007/s00213-020-05470-7

Pecikoza U, Tomić M, Micov A, Vuković M, Stepanović-Petrović R. Eslicarbazepine acetate interacts in a beneficial manner with standard and alternative analgesics to reduce trigeminal nociception. in Psychopharmacology. 2020;237(5):1435-1446.
doi:10.1007/s00213-020-05470-7 .

Pecikoza, Uroš, Tomić, Maja, Micov, Ana, Vuković, Milja, Stepanović-Petrović, Radica, "Eslicarbazepine acetate interacts in a beneficial manner with standard and alternative analgesics to reduce trigeminal nociception" in Psychopharmacology, 237, no. 5 (2020):1435-1446,
https://doi.org/10.1007/s00213-020-05470-7 . .

TY  - JOUR
AU  - Pecikoza, Uroš
AU  - Tomić, Maja
AU  - Micov, Ana
AU  - Vuković, Milja
AU  - Stepanović-Petrović, Radica
PY  - 2020
UR  - https://farfar.pharmacy.bg.ac.rs/handle/123456789/3546
AB  - Rationale: Acute pain states in the trigeminal region (headaches, dental pain) fall into the most prevalent painful conditions. Standard analgesics (paracetamol/NSAIDs) represent the cornerstone of their treatment, whereas triptans are primarily used in migraine attacks. Due to limited efficacy and/or side effects of current treatments, identifying favorable combinations of available drugs is justified.
Objectives: Eslicarbazepine acetate (ESL) is a novel antiepileptic drug whose effectiveness against trigeminal pain was recently demonstrated. Here, we examined the interactions between ESL and several standard/alternative analgesics (paracetamol, propyphenazone, naproxen, zolmitriptan, and metoclopramide) in a model of trigeminal pain.
Methods: The antinociceptive effects of orally administered ESL, standard/alternative analgesics, and two-drug ESL-analgesic combinations were examined in the orofacial formalin test in mice. The type of interaction between drugs was determined by isobolographic analysis.
Results: ESL, analgesics, and two-drug ESL-analgesic combinations significantly and dose-dependently reduced nociceptive behaviour in the second, inflammatory phase of the test. Isobolographic analysis revealed that ESL interacted additively with paracetamol/propyphenazone/zolmitriptan and synergistically with naproxen/metoclopramide (with about a 4-fold and 3-fold reduction of doses in the ESL-naproxen and ESL-metoclopramide combination, respectively).
Conclusions: ESL interacted in a beneficial manner with several analgesics that are used for trigeminal pain treatment, producing synergistic interactions with naproxen/metoclopramide and additive interactions with paracetamol/propyphenazone/zolmitriptan. Our results suggest that combining ESL with analgesics could theoretically enable the use of lower doses of individual drugs for achieving pain relief.
PB  - Springer-Verlag
T2  - Psychopharmacology
T1  - Eslicarbazepine acetate interacts in a beneficial manner with standard and alternative analgesics to reduce trigeminal nociception
DO  - 10.1007/s00213-020-05470-7
ER  - 

@article{
author = "Pecikoza, Uroš and Tomić, Maja and Micov, Ana and Vuković, Milja and Stepanović-Petrović, Radica",
year = "2020",
abstract = "Rationale: Acute pain states in the trigeminal region (headaches, dental pain) fall into the most prevalent painful conditions. Standard analgesics (paracetamol/NSAIDs) represent the cornerstone of their treatment, whereas triptans are primarily used in migraine attacks. Due to limited efficacy and/or side effects of current treatments, identifying favorable combinations of available drugs is justified.
Objectives: Eslicarbazepine acetate (ESL) is a novel antiepileptic drug whose effectiveness against trigeminal pain was recently demonstrated. Here, we examined the interactions between ESL and several standard/alternative analgesics (paracetamol, propyphenazone, naproxen, zolmitriptan, and metoclopramide) in a model of trigeminal pain.
Methods: The antinociceptive effects of orally administered ESL, standard/alternative analgesics, and two-drug ESL-analgesic combinations were examined in the orofacial formalin test in mice. The type of interaction between drugs was determined by isobolographic analysis.
Results: ESL, analgesics, and two-drug ESL-analgesic combinations significantly and dose-dependently reduced nociceptive behaviour in the second, inflammatory phase of the test. Isobolographic analysis revealed that ESL interacted additively with paracetamol/propyphenazone/zolmitriptan and synergistically with naproxen/metoclopramide (with about a 4-fold and 3-fold reduction of doses in the ESL-naproxen and ESL-metoclopramide combination, respectively).
Conclusions: ESL interacted in a beneficial manner with several analgesics that are used for trigeminal pain treatment, producing synergistic interactions with naproxen/metoclopramide and additive interactions with paracetamol/propyphenazone/zolmitriptan. Our results suggest that combining ESL with analgesics could theoretically enable the use of lower doses of individual drugs for achieving pain relief.",
publisher = "Springer-Verlag",
journal = "Psychopharmacology",
title = "Eslicarbazepine acetate interacts in a beneficial manner with standard and alternative analgesics to reduce trigeminal nociception",
doi = "10.1007/s00213-020-05470-7"
}

Pecikoza, U., Tomić, M., Micov, A., Vuković, M.,& Stepanović-Petrović, R.. (2020). Eslicarbazepine acetate interacts in a beneficial manner with standard and alternative analgesics to reduce trigeminal nociception. in Psychopharmacology
Springer-Verlag..
https://doi.org/10.1007/s00213-020-05470-7

Pecikoza U, Tomić M, Micov A, Vuković M, Stepanović-Petrović R. Eslicarbazepine acetate interacts in a beneficial manner with standard and alternative analgesics to reduce trigeminal nociception. in Psychopharmacology. 2020;.
doi:10.1007/s00213-020-05470-7 .

Pecikoza, Uroš, Tomić, Maja, Micov, Ana, Vuković, Milja, Stepanović-Petrović, Radica, "Eslicarbazepine acetate interacts in a beneficial manner with standard and alternative analgesics to reduce trigeminal nociception" in Psychopharmacology (2020),
https://doi.org/10.1007/s00213-020-05470-7 . .

TY  - JOUR
AU  - Tomić, Maja
PY  - 2020
UR  - https://farfar.pharmacy.bg.ac.rs/handle/123456789/3741
AB  - Venous thromboembolism (VTE; includes deep venous thrombosis, DVT, and pulmonary embolism, PE) represents the third most common acute cardiovascular syndrome. Contemporary VTE management comprises primary prevention in high-risk patients, treatment of established VTE, and prevention of its recurrence (secondary prevention). Anticoagulants are the basis of VTE pharmacological prophylaxis and treatment. For several decades, parenteral (heparin and low-molecular-weight heparins, LMWHs) and oral anticoagulants (vitamin K antagonists, VKAs) have  been  the  cornerstone  of  VTE  prevention/treatment.  The  introduction  of  direct  oral anticoagulants (DOACs: thrombin inhibitor dabigatran and Xa inhibitors rivaroxaban, apixaban, edoxaban, and betrixaban) markedly improved the management of VTE by overcoming many disadvantages of conventional anticoagulants. For primary VTE prevention in patients after total hip/knee arthroplasty, rivaroxaban, apixaban, and dabigatran are preferred over LMWHs, due to comparable efficacy and safety, but favourable acceptability (avoided everyday injections). In other high-risk populations (other surgical patients, acutely ill medical patients), LMWHs are still the recommended option. Betrixaban is currently the only DOAC approved for VTE prophylaxis in medically ill patients during and after hospitalization. For acute VTE treatment and secondary prevention, DOACs (rivaroxaban, apixaban, edoxaban, and dabigatran) are recommended as the first-line therapy in the general population. DOACs proved to be similarly effective but safer than VKAs. In some specific populations, DOACs also seem to be advantageous over conventional treatment (patients with renal impairment, elderly, long-term secondary prevention in cancer patients). Currently, there is no data from randomized head-to-head comparative studies between the  DOAC  classes  or  representatives  so  the  choice  is  made  mainly  according  to  patient characteristics and pharmacokinetic properties of the drug.
AB  - Venski tromboembolizam (VTE; uključuje duboku vensku trombozu, DVT i plućnu emboliju, PE) predstavlja treći najčešći akutni kardiovaskularni sindrom. Savremeno zbrinjavanje VTE uključuje primarnu prevenciju kod visokorizičnih pacijenata, lečenje uspostavljene VTE i prevenciju relapsa (sekundarna prevencija). Antikoagulansi su osnova farmakološke profilakse i lečenja VTE. Tokom nekoliko decenija su parenteralni (heparin i niskomolekularni heparini, LMWH) i oralni antikoagulansi (antagonisti vitamina K, VKA) bili kamen temeljac prevencije/lečenja VTE. Uvođenje direktnih oralnih antikoagulansa (DOAK: inhibitor trombina dabigatran i inhibitori Xa rivaroksaban, apiksaban, edoksaban i betriksaban) značajno je poboljšalo prevenciju i lečenje VTE prevazilaženjem mnogih nedostataka konvencionalnih antikoagulansa. Za primarnu prevenciju VTE kod pacijenata nakon totalne artroplastike kuka/kolena, rivaroksaban, apiksaban i dabigatran su u prednosti nad LMWH, zbog uporedive efikasnosti i bezbednosti, ali i bolje prihvatljivosti za pacijenta (izbegavanja svakodnevnih injekcija). U ostalim populacijama visokog rizika (drugi hirurški pacijenti, pacijenti sa različitim akutnim oboljenjima), LMWH su i dalje preporučena profilaksa. Betriksaban je trenutno jedini DOAK odobren za profilaksu VTE kod akutno bolesnih pacijenata tokom i nakon hospitalizacije. Za akutni tretman VTE i sekundarnu prevenciju, DOAK (rivaroksaban, apiksaban, edoksaban i dabigatran) se preporučuju kao prva linija terapije u opštoj populaciji. DOAK su se pokazali slično efikasni, ali bezbedniji od VKA. U nekim specifičnim populacijama pacijenata DOAK takođe imaju prednost u odnosu na konvencionalnu antikoagulantnu terapiju (pacijenti sa oštećenjem bubrega, starije osobe, dugotrajna sekundarna prevencija kod kancerskih pacijenata). Trenutno ne postoje podaci iz studija direktnog poređenja između klasa ili predstavnika DOAKa, tako da se izbor uglavnom vrši prema karakteristikama pacijenta i farmakokinetičkim osobinama leka.
PB  - Beograd : Savez farmaceutskih udruženja Srbije
T2  - Arhiv za farmaciju
T1  - The current place of direct oral anticoagulants in the prevention/treatment of venous thromboembolism
T1  - Mesto direktnih oralnih antikoagulansa u prevenciji/lečenju venskog tromboembolizma
VL  - 70
IS  - 5
SP  - 284
EP  - 296
DO  - 10.5937/arhfarm2005284T
ER  - 

@article{
author = "Tomić, Maja",
year = "2020",
abstract = "Venous thromboembolism (VTE; includes deep venous thrombosis, DVT, and pulmonary embolism, PE) represents the third most common acute cardiovascular syndrome. Contemporary VTE management comprises primary prevention in high-risk patients, treatment of established VTE, and prevention of its recurrence (secondary prevention). Anticoagulants are the basis of VTE pharmacological prophylaxis and treatment. For several decades, parenteral (heparin and low-molecular-weight heparins, LMWHs) and oral anticoagulants (vitamin K antagonists, VKAs) have  been  the  cornerstone  of  VTE  prevention/treatment.  The  introduction  of  direct  oral anticoagulants (DOACs: thrombin inhibitor dabigatran and Xa inhibitors rivaroxaban, apixaban, edoxaban, and betrixaban) markedly improved the management of VTE by overcoming many disadvantages of conventional anticoagulants. For primary VTE prevention in patients after total hip/knee arthroplasty, rivaroxaban, apixaban, and dabigatran are preferred over LMWHs, due to comparable efficacy and safety, but favourable acceptability (avoided everyday injections). In other high-risk populations (other surgical patients, acutely ill medical patients), LMWHs are still the recommended option. Betrixaban is currently the only DOAC approved for VTE prophylaxis in medically ill patients during and after hospitalization. For acute VTE treatment and secondary prevention, DOACs (rivaroxaban, apixaban, edoxaban, and dabigatran) are recommended as the first-line therapy in the general population. DOACs proved to be similarly effective but safer than VKAs. In some specific populations, DOACs also seem to be advantageous over conventional treatment (patients with renal impairment, elderly, long-term secondary prevention in cancer patients). Currently, there is no data from randomized head-to-head comparative studies between the  DOAC  classes  or  representatives  so  the  choice  is  made  mainly  according  to  patient characteristics and pharmacokinetic properties of the drug., Venski tromboembolizam (VTE; uključuje duboku vensku trombozu, DVT i plućnu emboliju, PE) predstavlja treći najčešći akutni kardiovaskularni sindrom. Savremeno zbrinjavanje VTE uključuje primarnu prevenciju kod visokorizičnih pacijenata, lečenje uspostavljene VTE i prevenciju relapsa (sekundarna prevencija). Antikoagulansi su osnova farmakološke profilakse i lečenja VTE. Tokom nekoliko decenija su parenteralni (heparin i niskomolekularni heparini, LMWH) i oralni antikoagulansi (antagonisti vitamina K, VKA) bili kamen temeljac prevencije/lečenja VTE. Uvođenje direktnih oralnih antikoagulansa (DOAK: inhibitor trombina dabigatran i inhibitori Xa rivaroksaban, apiksaban, edoksaban i betriksaban) značajno je poboljšalo prevenciju i lečenje VTE prevazilaženjem mnogih nedostataka konvencionalnih antikoagulansa. Za primarnu prevenciju VTE kod pacijenata nakon totalne artroplastike kuka/kolena, rivaroksaban, apiksaban i dabigatran su u prednosti nad LMWH, zbog uporedive efikasnosti i bezbednosti, ali i bolje prihvatljivosti za pacijenta (izbegavanja svakodnevnih injekcija). U ostalim populacijama visokog rizika (drugi hirurški pacijenti, pacijenti sa različitim akutnim oboljenjima), LMWH su i dalje preporučena profilaksa. Betriksaban je trenutno jedini DOAK odobren za profilaksu VTE kod akutno bolesnih pacijenata tokom i nakon hospitalizacije. Za akutni tretman VTE i sekundarnu prevenciju, DOAK (rivaroksaban, apiksaban, edoksaban i dabigatran) se preporučuju kao prva linija terapije u opštoj populaciji. DOAK su se pokazali slično efikasni, ali bezbedniji od VKA. U nekim specifičnim populacijama pacijenata DOAK takođe imaju prednost u odnosu na konvencionalnu antikoagulantnu terapiju (pacijenti sa oštećenjem bubrega, starije osobe, dugotrajna sekundarna prevencija kod kancerskih pacijenata). Trenutno ne postoje podaci iz studija direktnog poređenja između klasa ili predstavnika DOAKa, tako da se izbor uglavnom vrši prema karakteristikama pacijenta i farmakokinetičkim osobinama leka.",
publisher = "Beograd : Savez farmaceutskih udruženja Srbije",
journal = "Arhiv za farmaciju",
title = "The current place of direct oral anticoagulants in the prevention/treatment of venous thromboembolism, Mesto direktnih oralnih antikoagulansa u prevenciji/lečenju venskog tromboembolizma",
volume = "70",
number = "5",
pages = "284-296",
doi = "10.5937/arhfarm2005284T"
}

Tomić, M.. (2020). The current place of direct oral anticoagulants in the prevention/treatment of venous thromboembolism. in Arhiv za farmaciju
Beograd : Savez farmaceutskih udruženja Srbije., 70(5), 284-296.
https://doi.org/10.5937/arhfarm2005284T

Tomić M. The current place of direct oral anticoagulants in the prevention/treatment of venous thromboembolism. in Arhiv za farmaciju. 2020;70(5):284-296.
doi:10.5937/arhfarm2005284T .

Tomić, Maja, "The current place of direct oral anticoagulants in the prevention/treatment of venous thromboembolism" in Arhiv za farmaciju, 70, no. 5 (2020):284-296,
https://doi.org/10.5937/arhfarm2005284T . .

TY  - CONF
AU  - Milutinović, Violeta
AU  - Pecikoza, Uroš
AU  - Tomić, Maja
AU  - Stepanović-Petrović, Radica
AU  - Niketić, Marjan
AU  - Ušjak, Ljuboš
AU  - Petrović, Silvana
PY  - 2019
UR  - https://farfar.pharmacy.bg.ac.rs/handle/123456789/5281
AB  - Rod Hieracium s. str. (Asteraceae) je autohton na teritoriji Evroazije, severne Afrike i Severne Amerike, sa velikim brojem taksona rasprostranjenih u Evropi. ...
AB  - Genus Hieracium s. str. (Asteraceae) is autochthonous in Eurasia, North Africa and North America, with the vast majority of taxa being distributed in Europe. ...
PB  - Srpsko farmakološko društvo (SFD)
C3  - 14. Kongres farmakologa Srbije i 4. Kongres kliničke farmakologije Srbije sa međunarodnim učešćem. Novi Sad, 18-21.09.2019. Zbornik kratkih sadržaja radova
T1  - Ispitivanje antihiperalgezijske i antiedematozne aktivnosti ekstrakata nadzemnih delova u cvetu tri vrste roda Hieracium
T1  - Investigation of antihyperalgesic and antiedematous activities of the flowering aerial parts extracts of three Hieracium species
SP  - 176
EP  - 177
UR  - https://hdl.handle.net/21.15107/rcub_farfar_5281
ER  - 

@conference{
author = "Milutinović, Violeta and Pecikoza, Uroš and Tomić, Maja and Stepanović-Petrović, Radica and Niketić, Marjan and Ušjak, Ljuboš and Petrović, Silvana",
year = "2019",
abstract = "Rod Hieracium s. str. (Asteraceae) je autohton na teritoriji Evroazije, severne Afrike i Severne Amerike, sa velikim brojem taksona rasprostranjenih u Evropi. ..., Genus Hieracium s. str. (Asteraceae) is autochthonous in Eurasia, North Africa and North America, with the vast majority of taxa being distributed in Europe. ...",
publisher = "Srpsko farmakološko društvo (SFD)",
journal = "14. Kongres farmakologa Srbije i 4. Kongres kliničke farmakologije Srbije sa međunarodnim učešćem. Novi Sad, 18-21.09.2019. Zbornik kratkih sadržaja radova",
title = "Ispitivanje antihiperalgezijske i antiedematozne aktivnosti ekstrakata nadzemnih delova u cvetu tri vrste roda Hieracium, Investigation of antihyperalgesic and antiedematous activities of the flowering aerial parts extracts of three Hieracium species",
pages = "176-177",
url = "https://hdl.handle.net/21.15107/rcub_farfar_5281"
}

Milutinović, V., Pecikoza, U., Tomić, M., Stepanović-Petrović, R., Niketić, M., Ušjak, L.,& Petrović, S.. (2019). Ispitivanje antihiperalgezijske i antiedematozne aktivnosti ekstrakata nadzemnih delova u cvetu tri vrste roda Hieracium. in 14. Kongres farmakologa Srbije i 4. Kongres kliničke farmakologije Srbije sa međunarodnim učešćem. Novi Sad, 18-21.09.2019. Zbornik kratkih sadržaja radova
Srpsko farmakološko društvo (SFD)., 176-177.
https://hdl.handle.net/21.15107/rcub_farfar_5281

Milutinović V, Pecikoza U, Tomić M, Stepanović-Petrović R, Niketić M, Ušjak L, Petrović S. Ispitivanje antihiperalgezijske i antiedematozne aktivnosti ekstrakata nadzemnih delova u cvetu tri vrste roda Hieracium. in 14. Kongres farmakologa Srbije i 4. Kongres kliničke farmakologije Srbije sa međunarodnim učešćem. Novi Sad, 18-21.09.2019. Zbornik kratkih sadržaja radova. 2019;:176-177.
https://hdl.handle.net/21.15107/rcub_farfar_5281 .

Milutinović, Violeta, Pecikoza, Uroš, Tomić, Maja, Stepanović-Petrović, Radica, Niketić, Marjan, Ušjak, Ljuboš, Petrović, Silvana, "Ispitivanje antihiperalgezijske i antiedematozne aktivnosti ekstrakata nadzemnih delova u cvetu tri vrste roda Hieracium" in 14. Kongres farmakologa Srbije i 4. Kongres kliničke farmakologije Srbije sa međunarodnim učešćem. Novi Sad, 18-21.09.2019. Zbornik kratkih sadržaja radova (2019):176-177,
https://hdl.handle.net/21.15107/rcub_farfar_5281 .

TY  - JOUR
AU  - Stepanović-Petrović, Radica
AU  - Tomić, Maja
PY  - 2019
UR  - https://farfar.pharmacy.bg.ac.rs/handle/123456789/3284
AB  - Morphine, as a paradigm of opioids, is 'gold standard' in treating severe pain, to which all other drugs are compared. However, abuse and respiratory depression potentials have resulted in 'opiophobia' among health professionals, and underutilization of opioids as analgesics. But, addiction and respiratory depression are almost never present in pain managenent in palliative care. So, fear of addiction and respiratory depression should not prevent increasing of opioid dose in those patients in paliative care who still suffer of severe pain. Opioids are ineffective in treating neuropathic pain. Antiepileptics (carbamazepine, pregabalin, gabapentin) and antidepressants (amitriptyline, duloxetine) are used for neuropathic pain.
AB  - Morfin, kao primer opioida se smatra 'zlatnim standardom' u lečenju jakih bolova, sa kojim se svi drugi lekovi porede. Međutim, potencijal opioida da izazovu zavisnost/adikciju i depresiju disanja stvorilo je tzv. 'opiofobe' među zdravstvenim radnicima, zbog kojih se opioidi nedovoljno koriste u lečenju jakih bolova. Ali, adikcija i izrazita depresija disanja gotovo nikada ne mogu da se jave u terminalnih pacijenata. Zato strah od zavisnosti i respiratorne depresije ne treba da spreči povećanje doze opioida kada pacijent i dalje pati od bola. Opioidi su slabo efikasni u lečenju neuropatskih bolova. Za lečenje neuropatskih bolova koriste se antiepileptici (karbamazepin, pregabalin, gabapentin) i antidepresivi (amitriptilin, duloksetin).
PB  - Savez farmaceutskih udruženja Srbije, Beograd
T2  - Arhiv za farmaciju
T1  - Opioids and adjuvant analgesics in current treating of pain
T1  - Opioidni i adjuvantni analgetici u savremenom lečenju bola
VL  - 69
IS  - 1
SP  - 1009
EP  - 1020
DO  - 10.5937/ArhFarm1901009S
ER  - 

@article{
author = "Stepanović-Petrović, Radica and Tomić, Maja",
year = "2019",
abstract = "Morphine, as a paradigm of opioids, is 'gold standard' in treating severe pain, to which all other drugs are compared. However, abuse and respiratory depression potentials have resulted in 'opiophobia' among health professionals, and underutilization of opioids as analgesics. But, addiction and respiratory depression are almost never present in pain managenent in palliative care. So, fear of addiction and respiratory depression should not prevent increasing of opioid dose in those patients in paliative care who still suffer of severe pain. Opioids are ineffective in treating neuropathic pain. Antiepileptics (carbamazepine, pregabalin, gabapentin) and antidepressants (amitriptyline, duloxetine) are used for neuropathic pain., Morfin, kao primer opioida se smatra 'zlatnim standardom' u lečenju jakih bolova, sa kojim se svi drugi lekovi porede. Međutim, potencijal opioida da izazovu zavisnost/adikciju i depresiju disanja stvorilo je tzv. 'opiofobe' među zdravstvenim radnicima, zbog kojih se opioidi nedovoljno koriste u lečenju jakih bolova. Ali, adikcija i izrazita depresija disanja gotovo nikada ne mogu da se jave u terminalnih pacijenata. Zato strah od zavisnosti i respiratorne depresije ne treba da spreči povećanje doze opioida kada pacijent i dalje pati od bola. Opioidi su slabo efikasni u lečenju neuropatskih bolova. Za lečenje neuropatskih bolova koriste se antiepileptici (karbamazepin, pregabalin, gabapentin) i antidepresivi (amitriptilin, duloksetin).",
publisher = "Savez farmaceutskih udruženja Srbije, Beograd",
journal = "Arhiv za farmaciju",
title = "Opioids and adjuvant analgesics in current treating of pain, Opioidni i adjuvantni analgetici u savremenom lečenju bola",
volume = "69",
number = "1",
pages = "1009-1020",
doi = "10.5937/ArhFarm1901009S"
}

Stepanović-Petrović, R.,& Tomić, M.. (2019). Opioids and adjuvant analgesics in current treating of pain. in Arhiv za farmaciju
Savez farmaceutskih udruženja Srbije, Beograd., 69(1), 1009-1020.
https://doi.org/10.5937/ArhFarm1901009S

Stepanović-Petrović R, Tomić M. Opioids and adjuvant analgesics in current treating of pain. in Arhiv za farmaciju. 2019;69(1):1009-1020.
doi:10.5937/ArhFarm1901009S .

Stepanović-Petrović, Radica, Tomić, Maja, "Opioids and adjuvant analgesics in current treating of pain" in Arhiv za farmaciju, 69, no. 1 (2019):1009-1020,
https://doi.org/10.5937/ArhFarm1901009S . .

TY  - JOUR
AU  - Đekić, Ljiljana
AU  - Čalija, Bojan
AU  - Micov, Ana
AU  - Tomić, Maja
AU  - Stepanović-Petrović, Radica
PY  - 2019
UR  - https://farfar.pharmacy.bg.ac.rs/handle/123456789/3268
AB  - The physicochemical properties, stability, in vivo antihyperalgesic activity, and skin irritation potential of the carbomer hydrogels with the new chemical entity escin β-sitosterol (ES) phytosome were characterized and compared with those containing escin. Physicochemical characterization of the hydrogels (performed 48 hr after preparation) included organoleptic examination, pH measurement, light microscopy, differential scanning calorimetry analysis and rheological tests. The obtained results showed that increasing concentration of the active substances within 1–5% affected the appearance (color and transparency) of the hydrogels, their pH, consistency, and rheological behavior. Unlike acidic escin, which was dissolved in the liquid phase of the pseudoplastic hydrogels E1–E5 and reduced their maximal apparent viscosity (ηmax), minimal apparent viscosity (ηmin), and hysteresis area (H) in comparison to the plain carbomer hydrogel, amphiphilic ES-enhanced ηmax, ηmin, and thixotropy of the hydrogels ES1–ES5, which is favorable for prolonged retention at skin surface. Evaluation of in-use stability of the hydrogels showed that organoleptic characteristics, flow behavior, and pH values could be preserved for 3 months under ambient conditions. The rat ear test results suggested that the hydrogels are safe to be used on human skin. Both escin and ES-loaded hydrogels exerted significant, concentration-dependent antihyperalgesic effect in inflammatory pain model in rats. ES-loaded hydrogels were significantly more effective than those loaded with escin. This is a first report on the antihyperalgesic effect of topically applied escin as well as ES in a model of inflammatory pain.
PB  - Wiley-Liss Inc.
T2  - Drug Development Research
T1  - Topical hydrogels with escin β-sitosterol phytosome and escin: Formulation development and in vivo assessment of antihyperalgesic activity
DO  - 10.1002/ddr.21572
ER  - 

@article{
author = "Đekić, Ljiljana and Čalija, Bojan and Micov, Ana and Tomić, Maja and Stepanović-Petrović, Radica",
year = "2019",
abstract = "The physicochemical properties, stability, in vivo antihyperalgesic activity, and skin irritation potential of the carbomer hydrogels with the new chemical entity escin β-sitosterol (ES) phytosome were characterized and compared with those containing escin. Physicochemical characterization of the hydrogels (performed 48 hr after preparation) included organoleptic examination, pH measurement, light microscopy, differential scanning calorimetry analysis and rheological tests. The obtained results showed that increasing concentration of the active substances within 1–5% affected the appearance (color and transparency) of the hydrogels, their pH, consistency, and rheological behavior. Unlike acidic escin, which was dissolved in the liquid phase of the pseudoplastic hydrogels E1–E5 and reduced their maximal apparent viscosity (ηmax), minimal apparent viscosity (ηmin), and hysteresis area (H) in comparison to the plain carbomer hydrogel, amphiphilic ES-enhanced ηmax, ηmin, and thixotropy of the hydrogels ES1–ES5, which is favorable for prolonged retention at skin surface. Evaluation of in-use stability of the hydrogels showed that organoleptic characteristics, flow behavior, and pH values could be preserved for 3 months under ambient conditions. The rat ear test results suggested that the hydrogels are safe to be used on human skin. Both escin and ES-loaded hydrogels exerted significant, concentration-dependent antihyperalgesic effect in inflammatory pain model in rats. ES-loaded hydrogels were significantly more effective than those loaded with escin. This is a first report on the antihyperalgesic effect of topically applied escin as well as ES in a model of inflammatory pain.",
publisher = "Wiley-Liss Inc.",
journal = "Drug Development Research",
title = "Topical hydrogels with escin β-sitosterol phytosome and escin: Formulation development and in vivo assessment of antihyperalgesic activity",
doi = "10.1002/ddr.21572"
}

Đekić, L., Čalija, B., Micov, A., Tomić, M.,& Stepanović-Petrović, R.. (2019). Topical hydrogels with escin β-sitosterol phytosome and escin: Formulation development and in vivo assessment of antihyperalgesic activity. in Drug Development Research
Wiley-Liss Inc...
https://doi.org/10.1002/ddr.21572

Đekić L, Čalija B, Micov A, Tomić M, Stepanović-Petrović R. Topical hydrogels with escin β-sitosterol phytosome and escin: Formulation development and in vivo assessment of antihyperalgesic activity. in Drug Development Research. 2019;.
doi:10.1002/ddr.21572 .

Đekić, Ljiljana, Čalija, Bojan, Micov, Ana, Tomić, Maja, Stepanović-Petrović, Radica, "Topical hydrogels with escin β-sitosterol phytosome and escin: Formulation development and in vivo assessment of antihyperalgesic activity" in Drug Development Research (2019),
https://doi.org/10.1002/ddr.21572 . .

TY  - JOUR
AU  - Micov, Ana
AU  - Tomić, Maja
PY  - 2019
UR  - https://farfar.pharmacy.bg.ac.rs/handle/123456789/3655
AB  - Pain management is a challenge and imperative for all health professionals, including pharmacists. The most of visits to community pharmacies involve acute pain issues, such as tension-type headache (TTH) and dysmenorrhea. Pharmacists are the first-line health care providers faced by those pain sufferers therefore they are in a unique position to recognize pain as a symptom of possibly life threatening underlying health condition, when the patient should be referred to a physician. Based on the probable diagnosis, the pharmacist is able to select the appropriate OTC analgesic, its dosage/pharmaceutical form/route of administration, recommend non-pharmacological measures, advise and educate the patient regarding its pain condition, evaluate treatment efficacy/tolerability and prevent the adverse treatment outcomes (e.g. medication overuse headache development). Pharmacist should recommend OTC nonsteroidal anti-inflammatory drugs (NSAIDs) or paracetamol as drugs of first choice for the treatment of TTH, and NSAIDs, preferably ibuprofen, for the management of dysmenorrhea. To select the appropriate analgesic, the pharmacist should consider the prior patient experience with analgesics. To prevent medication overuse headache development, simple analgesics should not be used more than 14 days/month and combination analgesics with caffeine/codeine no more than 9 days/month, in patients suffering from TTH. Patient-pharmacist-physician partnership is necessary for effective and safe acute pain treatment.
AB  - Terapija  bola  izazov  je  i  imperativ  za  sve  zdravstvene  stručnjake,  uključujući  i farmaceute. Najčešći razlog zbog čega se pacijenti obraćaju farmaceutu u javnoj apoteci je neko akutno bolno stanje, poput glavobolje tenzionog tipa (GTT) i dismenoreje. Kako su farmaceuti prva linija zdravstvenih radnika sa kojima se ovi pacijenti susreću, oni imaju važnu ulogu u prepoznavanju  bola  koji  može  biti  simptom  nekog  životno  ugrožavajućeg  zdravstvenog problema  kada  pacijenta  treba uputiti  lekaru.  Dalje,  farmaceut može  na  osnovu  verovatne dijagnoze  da  izvrši  izbor  odgovarajućeg  OTC  analgetika,  njegove  doze/farmaceutskog oblika/puta primene, preporuči nefarmakološke mere, izvrši savetovanje i edukaciju pacijenta o bolnom  stanju,  isprati  efikasnost/podnošljivost  terapije  i  spreči  nastanak  nepovoljnih  ishoda terapije (npr. razvoj glavobolje usled prekomerne upotrebe analgetika). Kao lekove prvog izbora u lečenju GTT farmaceut treba da preporuči OTC nesteroidne antiinflamatorne lekove (NSAIL) ili paracetamol, dok se za lečenje dismenoreje prednost daje NSAIL-ima (ibuprofenu). Izbor leka prevashodno zavisi od prethodnog iskustva pacijenta sa lekom.U pacijenata sa GTT treba ograničiti  upotrebu  monokomponentnih preparata  NSAIL/paracetamola  na  najviše  14,  a kombinovanih preparata sa kofeinom/kodeinom na najviše 9 dana u mesecu, da bi se sprečio razvoj glavobolje usled prekomerne upotrebe analgetika. Samo partnerskim odnosom na relaciji pacijent-farmaceut-lekar može da se ostvari efikasna i bezbedna terapija akutnih bolnih stanja.
PB  - Beograd : Savez farmaceutskih udruženja Srbije
T2  - Arhiv za farmaciju
T1  - The role of pharmacists in the management of certain common acute pain states
T1  - Uloga farmaceuta u lečenju nekih od najčešćih akutnih bolnih stanja
VL  - 69
IS  - 1
SP  - 15
EP  - 27
DO  - 10.5937/arhfarm1901015M
ER  - 

@article{
author = "Micov, Ana and Tomić, Maja",
year = "2019",
abstract = "Pain management is a challenge and imperative for all health professionals, including pharmacists. The most of visits to community pharmacies involve acute pain issues, such as tension-type headache (TTH) and dysmenorrhea. Pharmacists are the first-line health care providers faced by those pain sufferers therefore they are in a unique position to recognize pain as a symptom of possibly life threatening underlying health condition, when the patient should be referred to a physician. Based on the probable diagnosis, the pharmacist is able to select the appropriate OTC analgesic, its dosage/pharmaceutical form/route of administration, recommend non-pharmacological measures, advise and educate the patient regarding its pain condition, evaluate treatment efficacy/tolerability and prevent the adverse treatment outcomes (e.g. medication overuse headache development). Pharmacist should recommend OTC nonsteroidal anti-inflammatory drugs (NSAIDs) or paracetamol as drugs of first choice for the treatment of TTH, and NSAIDs, preferably ibuprofen, for the management of dysmenorrhea. To select the appropriate analgesic, the pharmacist should consider the prior patient experience with analgesics. To prevent medication overuse headache development, simple analgesics should not be used more than 14 days/month and combination analgesics with caffeine/codeine no more than 9 days/month, in patients suffering from TTH. Patient-pharmacist-physician partnership is necessary for effective and safe acute pain treatment., Terapija  bola  izazov  je  i  imperativ  za  sve  zdravstvene  stručnjake,  uključujući  i farmaceute. Najčešći razlog zbog čega se pacijenti obraćaju farmaceutu u javnoj apoteci je neko akutno bolno stanje, poput glavobolje tenzionog tipa (GTT) i dismenoreje. Kako su farmaceuti prva linija zdravstvenih radnika sa kojima se ovi pacijenti susreću, oni imaju važnu ulogu u prepoznavanju  bola  koji  može  biti  simptom  nekog  životno  ugrožavajućeg  zdravstvenog problema  kada  pacijenta  treba uputiti  lekaru.  Dalje,  farmaceut može  na  osnovu  verovatne dijagnoze  da  izvrši  izbor  odgovarajućeg  OTC  analgetika,  njegove  doze/farmaceutskog oblika/puta primene, preporuči nefarmakološke mere, izvrši savetovanje i edukaciju pacijenta o bolnom  stanju,  isprati  efikasnost/podnošljivost  terapije  i  spreči  nastanak  nepovoljnih  ishoda terapije (npr. razvoj glavobolje usled prekomerne upotrebe analgetika). Kao lekove prvog izbora u lečenju GTT farmaceut treba da preporuči OTC nesteroidne antiinflamatorne lekove (NSAIL) ili paracetamol, dok se za lečenje dismenoreje prednost daje NSAIL-ima (ibuprofenu). Izbor leka prevashodno zavisi od prethodnog iskustva pacijenta sa lekom.U pacijenata sa GTT treba ograničiti  upotrebu  monokomponentnih preparata  NSAIL/paracetamola  na  najviše  14,  a kombinovanih preparata sa kofeinom/kodeinom na najviše 9 dana u mesecu, da bi se sprečio razvoj glavobolje usled prekomerne upotrebe analgetika. Samo partnerskim odnosom na relaciji pacijent-farmaceut-lekar može da se ostvari efikasna i bezbedna terapija akutnih bolnih stanja.",
publisher = "Beograd : Savez farmaceutskih udruženja Srbije",
journal = "Arhiv za farmaciju",
title = "The role of pharmacists in the management of certain common acute pain states, Uloga farmaceuta u lečenju nekih od najčešćih akutnih bolnih stanja",
volume = "69",
number = "1",
pages = "15-27",
doi = "10.5937/arhfarm1901015M"
}

Micov, A.,& Tomić, M.. (2019). The role of pharmacists in the management of certain common acute pain states. in Arhiv za farmaciju
Beograd : Savez farmaceutskih udruženja Srbije., 69(1), 15-27.
https://doi.org/10.5937/arhfarm1901015M

Micov A, Tomić M. The role of pharmacists in the management of certain common acute pain states. in Arhiv za farmaciju. 2019;69(1):15-27.
doi:10.5937/arhfarm1901015M .

Micov, Ana, Tomić, Maja, "The role of pharmacists in the management of certain common acute pain states" in Arhiv za farmaciju, 69, no. 1 (2019):15-27,
https://doi.org/10.5937/arhfarm1901015M . .

TY  - JOUR
AU  - Janićijević, Jelena
AU  - Milić, Jela
AU  - Čalija, Bojan
AU  - Micov, Ana
AU  - Stepanović-Petrović, Radica
AU  - Tomić, Maja
AU  - Daković, Aleksandra
AU  - Dobričić, Vladimir
AU  - Nedić-Vasiljević, Bojana
AU  - Krajišnik, Danina
PY  - 2018
UR  - https://farfar.pharmacy.bg.ac.rs/handle/123456789/3050
AB  - Refined diatomite from the Kolubara coal basin (Serbia) was inorganically functionalized through a simple, one-pot, non-time-consuming procedure. Model drug ibuprofen was adsorbed on the functionalized diatomite under optimized conditions providing high drug Loading (similar to 201 mg g(-1)). Physicochemical characterization was performed on the starting and modified diatomite before and after ibuprofen adsorption. Dissolution testing was conducted on comprimates containing the drug adsorbed on the modified diatomite (composite) and those containing a physical mixture of the drug with the modified diatomite. The antihyperalgesic and the antiedematous activity of ibuprofen from both composites and physical mixtures were evaluated in vivo employing an inflammatory pain model in rats. Functionalization and subsequent drug adsorption had no significant effect on the diatomite ordered porous structure. Two forms of ibuprofen most likely coexisted in the adsorbed state - the acidic form and a salt/complex with aluminium. Both comprimate types showed extended ibuprofen release in vitro, but no significant influence on the duration of the ibuprofen effect was observed upon in vivo application of the composite or physical mixture. However, both the composite and the physical mixture were more effective than equivalent doses of ibuprofen in pain suppression in rats. This potentiation of the ibuprofen antihyperalgesic effect may result from the formation of the drug complex with the carrier and can be of clinical relevance.
PB  - Royal Soc Chemistry, Cambridge
T2  - Journal of Materials Chemistry B
T1  - Potentiation of the ibuprofen antihyperalgesic effect using inorganically functionalized diatomite
VL  - 6
IS  - 36
SP  - 5812
EP  - 5822
DO  - 10.1039/c8tb01376d
ER  - 

@article{
author = "Janićijević, Jelena and Milić, Jela and Čalija, Bojan and Micov, Ana and Stepanović-Petrović, Radica and Tomić, Maja and Daković, Aleksandra and Dobričić, Vladimir and Nedić-Vasiljević, Bojana and Krajišnik, Danina",
year = "2018",
abstract = "Refined diatomite from the Kolubara coal basin (Serbia) was inorganically functionalized through a simple, one-pot, non-time-consuming procedure. Model drug ibuprofen was adsorbed on the functionalized diatomite under optimized conditions providing high drug Loading (similar to 201 mg g(-1)). Physicochemical characterization was performed on the starting and modified diatomite before and after ibuprofen adsorption. Dissolution testing was conducted on comprimates containing the drug adsorbed on the modified diatomite (composite) and those containing a physical mixture of the drug with the modified diatomite. The antihyperalgesic and the antiedematous activity of ibuprofen from both composites and physical mixtures were evaluated in vivo employing an inflammatory pain model in rats. Functionalization and subsequent drug adsorption had no significant effect on the diatomite ordered porous structure. Two forms of ibuprofen most likely coexisted in the adsorbed state - the acidic form and a salt/complex with aluminium. Both comprimate types showed extended ibuprofen release in vitro, but no significant influence on the duration of the ibuprofen effect was observed upon in vivo application of the composite or physical mixture. However, both the composite and the physical mixture were more effective than equivalent doses of ibuprofen in pain suppression in rats. This potentiation of the ibuprofen antihyperalgesic effect may result from the formation of the drug complex with the carrier and can be of clinical relevance.",
publisher = "Royal Soc Chemistry, Cambridge",
journal = "Journal of Materials Chemistry B",
title = "Potentiation of the ibuprofen antihyperalgesic effect using inorganically functionalized diatomite",
volume = "6",
number = "36",
pages = "5812-5822",
doi = "10.1039/c8tb01376d"
}

Janićijević, J., Milić, J., Čalija, B., Micov, A., Stepanović-Petrović, R., Tomić, M., Daković, A., Dobričić, V., Nedić-Vasiljević, B.,& Krajišnik, D.. (2018). Potentiation of the ibuprofen antihyperalgesic effect using inorganically functionalized diatomite. in Journal of Materials Chemistry B
Royal Soc Chemistry, Cambridge., 6(36), 5812-5822.
https://doi.org/10.1039/c8tb01376d

Janićijević J, Milić J, Čalija B, Micov A, Stepanović-Petrović R, Tomić M, Daković A, Dobričić V, Nedić-Vasiljević B, Krajišnik D. Potentiation of the ibuprofen antihyperalgesic effect using inorganically functionalized diatomite. in Journal of Materials Chemistry B. 2018;6(36):5812-5822.
doi:10.1039/c8tb01376d .

Janićijević, Jelena, Milić, Jela, Čalija, Bojan, Micov, Ana, Stepanović-Petrović, Radica, Tomić, Maja, Daković, Aleksandra, Dobričić, Vladimir, Nedić-Vasiljević, Bojana, Krajišnik, Danina, "Potentiation of the ibuprofen antihyperalgesic effect using inorganically functionalized diatomite" in Journal of Materials Chemistry B, 6, no. 36 (2018):5812-5822,
https://doi.org/10.1039/c8tb01376d . .

TY  - JOUR
AU  - Tomić, Maja
AU  - Pecikoza, Uroš
AU  - Micov, Ana
AU  - Vučković, Sonja M.
AU  - Stepanović-Petrović, Radica
PY  - 2018
UR  - https://farfar.pharmacy.bg.ac.rs/handle/123456789/3122
AB  - Inflammatory pain is the most common type of pain that is treated clinically. The use of currently available treatments (classic analgesics - NSAID5, paracetamol and opioids) is limited by insufficient efficacy and/or side effects/ tolerance development. Antiepileptic drugs (AEDs) are widely used in neuropathic pain treatment, but there is substantial preclinical evidence on their efficacy against inflammatory pain, too. In this review we focus on gabapentinoids (gabapentin and pregabalin) and dibenzazepine AEDs (carbamazepine, oxcarbazepine, and recently introduced eslicarbazepine acetate) and their potential for relieving inflammatory pain. In models of somatic, visceral and trigeminal inflammatory pain, that have a translational value for inflammatory conditions in locomotor system, viscera and head/face, AEDs have demonstrated analgesic activity. This activity was mostly consistent, dependent on the dose and largely independent on the site of inflammation and method of its induction, nociceptive stimuli, species, specific drug used, its route of administration and dosing schedule. AEDs exerted comparable efficacy with classic analgesics. Effective doses of AEDs are lower than toxic doses in animals and, when expressed as equivalent human doses, they are largely overlapping with AEDs doses already used in humans for treating epilepsy/neuropathic pain. The main mechanism of antinociceptive/antihyperalgesic action of gabapentinoids in inflammatory pain models seems to be alpha 2 delta-dependent suppression of voltage -gated calcium channels in primary sensory neurons that leads to reduced release of neurotransmitters in the spinal/medullar dorsal horn. The suppression of NMDA receptors via co-agonist binding site primarily at spinal sites, activation of various types of K+ channels at spinal and peripheral sites, and activation of noradrenergic and serotonergic descending pain modulatory pathways may also contribute. Inhibition of voltage -gated sodium channels along the pain pathway is probably the main mechanism of antinociceptive/antihyperalgesic effects of dibenzazepines. The recruitment of peripheral adrenergic and purinergic mechanisms and central GABAergic mechanisms may also contribute. When co-administered with classic/other alternative analgesics, AEDs exerted synergistic/additive interactions. Reviewed data could serve as a basis for clinical studies on the efficacy/safety of AEDs as analgesics/adjuvants in patients with inflammatory pain, and contribute to the improvement of the treatment of various inflammatory pain states.
PB  - Pergamon-Elsevier Science Ltd, Oxford
T2  - Pharmacology & Therapeutics
T1  - Antiepileptic drugs as analgesics/adjuvants in inflammatory pain: current preclinical evidence
VL  - 192
SP  - 42
EP  - 64
DO  - 10.1016/j.pharmthera.2018.06.002
ER  - 

@article{
author = "Tomić, Maja and Pecikoza, Uroš and Micov, Ana and Vučković, Sonja M. and Stepanović-Petrović, Radica",
year = "2018",
abstract = "Inflammatory pain is the most common type of pain that is treated clinically. The use of currently available treatments (classic analgesics - NSAID5, paracetamol and opioids) is limited by insufficient efficacy and/or side effects/ tolerance development. Antiepileptic drugs (AEDs) are widely used in neuropathic pain treatment, but there is substantial preclinical evidence on their efficacy against inflammatory pain, too. In this review we focus on gabapentinoids (gabapentin and pregabalin) and dibenzazepine AEDs (carbamazepine, oxcarbazepine, and recently introduced eslicarbazepine acetate) and their potential for relieving inflammatory pain. In models of somatic, visceral and trigeminal inflammatory pain, that have a translational value for inflammatory conditions in locomotor system, viscera and head/face, AEDs have demonstrated analgesic activity. This activity was mostly consistent, dependent on the dose and largely independent on the site of inflammation and method of its induction, nociceptive stimuli, species, specific drug used, its route of administration and dosing schedule. AEDs exerted comparable efficacy with classic analgesics. Effective doses of AEDs are lower than toxic doses in animals and, when expressed as equivalent human doses, they are largely overlapping with AEDs doses already used in humans for treating epilepsy/neuropathic pain. The main mechanism of antinociceptive/antihyperalgesic action of gabapentinoids in inflammatory pain models seems to be alpha 2 delta-dependent suppression of voltage -gated calcium channels in primary sensory neurons that leads to reduced release of neurotransmitters in the spinal/medullar dorsal horn. The suppression of NMDA receptors via co-agonist binding site primarily at spinal sites, activation of various types of K+ channels at spinal and peripheral sites, and activation of noradrenergic and serotonergic descending pain modulatory pathways may also contribute. Inhibition of voltage -gated sodium channels along the pain pathway is probably the main mechanism of antinociceptive/antihyperalgesic effects of dibenzazepines. The recruitment of peripheral adrenergic and purinergic mechanisms and central GABAergic mechanisms may also contribute. When co-administered with classic/other alternative analgesics, AEDs exerted synergistic/additive interactions. Reviewed data could serve as a basis for clinical studies on the efficacy/safety of AEDs as analgesics/adjuvants in patients with inflammatory pain, and contribute to the improvement of the treatment of various inflammatory pain states.",
publisher = "Pergamon-Elsevier Science Ltd, Oxford",
journal = "Pharmacology & Therapeutics",
title = "Antiepileptic drugs as analgesics/adjuvants in inflammatory pain: current preclinical evidence",
volume = "192",
pages = "42-64",
doi = "10.1016/j.pharmthera.2018.06.002"
}

Tomić, M., Pecikoza, U., Micov, A., Vučković, S. M.,& Stepanović-Petrović, R.. (2018). Antiepileptic drugs as analgesics/adjuvants in inflammatory pain: current preclinical evidence. in Pharmacology & Therapeutics
Pergamon-Elsevier Science Ltd, Oxford., 192, 42-64.
https://doi.org/10.1016/j.pharmthera.2018.06.002

Tomić M, Pecikoza U, Micov A, Vučković SM, Stepanović-Petrović R. Antiepileptic drugs as analgesics/adjuvants in inflammatory pain: current preclinical evidence. in Pharmacology & Therapeutics. 2018;192:42-64.
doi:10.1016/j.pharmthera.2018.06.002 .

Tomić, Maja, Pecikoza, Uroš, Micov, Ana, Vučković, Sonja M., Stepanović-Petrović, Radica, "Antiepileptic drugs as analgesics/adjuvants in inflammatory pain: current preclinical evidence" in Pharmacology & Therapeutics, 192 (2018):42-64,
https://doi.org/10.1016/j.pharmthera.2018.06.002 . .

TY  - JOUR
AU  - Pecikoza, Uroš
AU  - Micov, Ana
AU  - Tomić, Maja
AU  - Stepanović-Petrović, Radica
PY  - 2018
UR  - https://farfar.pharmacy.bg.ac.rs/handle/123456789/3061
AB  - Aims: Eslicarbazepine acetate (ESL) is a novel dibenzazepine antiepileptic, that has demonstrated efficacy against trigeminal pain, both in preclinical and clinical studies. However, ESL's mechanism of antinociceptive action remains uncertain. Here, we aimed to examine the contribution of adrenergic/cholinergic/opioid receptors to the antinociceptive effects of ESL in a trigeminal pain model, as these neurotransmitter systems are known to have an important role in the modulation of trigeminal nociception. Main methods: ESL's effects in the orofacial formalin test were examined following peroral and local peripheral administration (subcutaneous, into the perinasal region). The involvement of adrenergic/cholinergic/opioid receptors was evaluated by intraperitoneally pretreating mice with an appropriate antagonist immediately after peroral application of ESL. We used antagonists of alpha(1)-adrenergic (prazosin), alpha(2)-adrenergic (yohimbine), beta(3)-adrenergic (non-selective, propranolol and beta(1)-selective, metoprolol), muscarinic (atropine), nicotinic (mecamylamine) and opioid receptors (naloxone). Additionally, the role of peripheral alpha(2)-adrenergic, beta(1)-adrenergic, muscarinic and opioid receptors was evaluated by co-injecting ESL with an antagonist into the perinasal area. Key findings: ESL dose-dependently reduced formalin-induced nociceptive behavior after systemic and local peripheral application. Systemic administration of yohimbine, propranolol, metoprolol, atropine and naloxone inhibited ESL's antinociceptive effects in a dose-related manner. Prazosin and mecamylamine did not produce inhibitory effects. Local application of yohimbine, atropine and naloxone into the perinasal area also produced a dose-related inhibition of ESL's efficacy, whereas metoprolol failed to inhibit the local antinociceptive effects of ESL. Significance: This study suggests that ESL's efficacy against trigeminal nociception is mediated by peripheral (and possibly central) alpha(2)-adrenergic, muscarinic and opioid receptors, as well as central beta(1)-adrenergic receptors.
PB  - Pergamon-Elsevier Science Ltd, Oxford
T2  - Life Sciences
T1  - Eslicarbazepine acetate reduces trigeminal nociception: Possible role of adrenergic, cholinergic and opioid receptors
VL  - 214
SP  - 167
EP  - 175
DO  - 10.1016/j.lfs.2018.10.059
ER  - 

@article{
author = "Pecikoza, Uroš and Micov, Ana and Tomić, Maja and Stepanović-Petrović, Radica",
year = "2018",
abstract = "Aims: Eslicarbazepine acetate (ESL) is a novel dibenzazepine antiepileptic, that has demonstrated efficacy against trigeminal pain, both in preclinical and clinical studies. However, ESL's mechanism of antinociceptive action remains uncertain. Here, we aimed to examine the contribution of adrenergic/cholinergic/opioid receptors to the antinociceptive effects of ESL in a trigeminal pain model, as these neurotransmitter systems are known to have an important role in the modulation of trigeminal nociception. Main methods: ESL's effects in the orofacial formalin test were examined following peroral and local peripheral administration (subcutaneous, into the perinasal region). The involvement of adrenergic/cholinergic/opioid receptors was evaluated by intraperitoneally pretreating mice with an appropriate antagonist immediately after peroral application of ESL. We used antagonists of alpha(1)-adrenergic (prazosin), alpha(2)-adrenergic (yohimbine), beta(3)-adrenergic (non-selective, propranolol and beta(1)-selective, metoprolol), muscarinic (atropine), nicotinic (mecamylamine) and opioid receptors (naloxone). Additionally, the role of peripheral alpha(2)-adrenergic, beta(1)-adrenergic, muscarinic and opioid receptors was evaluated by co-injecting ESL with an antagonist into the perinasal area. Key findings: ESL dose-dependently reduced formalin-induced nociceptive behavior after systemic and local peripheral application. Systemic administration of yohimbine, propranolol, metoprolol, atropine and naloxone inhibited ESL's antinociceptive effects in a dose-related manner. Prazosin and mecamylamine did not produce inhibitory effects. Local application of yohimbine, atropine and naloxone into the perinasal area also produced a dose-related inhibition of ESL's efficacy, whereas metoprolol failed to inhibit the local antinociceptive effects of ESL. Significance: This study suggests that ESL's efficacy against trigeminal nociception is mediated by peripheral (and possibly central) alpha(2)-adrenergic, muscarinic and opioid receptors, as well as central beta(1)-adrenergic receptors.",
publisher = "Pergamon-Elsevier Science Ltd, Oxford",
journal = "Life Sciences",
title = "Eslicarbazepine acetate reduces trigeminal nociception: Possible role of adrenergic, cholinergic and opioid receptors",
volume = "214",
pages = "167-175",
doi = "10.1016/j.lfs.2018.10.059"
}

Pecikoza, U., Micov, A., Tomić, M.,& Stepanović-Petrović, R.. (2018). Eslicarbazepine acetate reduces trigeminal nociception: Possible role of adrenergic, cholinergic and opioid receptors. in Life Sciences
Pergamon-Elsevier Science Ltd, Oxford., 214, 167-175.
https://doi.org/10.1016/j.lfs.2018.10.059

Pecikoza U, Micov A, Tomić M, Stepanović-Petrović R. Eslicarbazepine acetate reduces trigeminal nociception: Possible role of adrenergic, cholinergic and opioid receptors. in Life Sciences. 2018;214:167-175.
doi:10.1016/j.lfs.2018.10.059 .

Pecikoza, Uroš, Micov, Ana, Tomić, Maja, Stepanović-Petrović, Radica, "Eslicarbazepine acetate reduces trigeminal nociception: Possible role of adrenergic, cholinergic and opioid receptors" in Life Sciences, 214 (2018):167-175,
https://doi.org/10.1016/j.lfs.2018.10.059 . .

TY  - JOUR
AU  - Tomić, Maja
AU  - Pecikoza, Uroš
AU  - Micov, Ana
PY  - 2018
UR  - https://farfar.pharmacy.bg.ac.rs/handle/123456789/3108
AB  - Pain is a symptom of most diseases that can significantly impair the patient's quality of life. In many diseases it is impossible to eliminate the cause of pain therefore the real goal of treatment is the removal of pain as a symptom, by application of analgesics. Contemporary pharmacotherapy employs conventional (opioid and non-opioid analgesics - NSAIDs and paracetamol) and adjuvant analgesics (antiepileptics, antidepressants and others). Analgesic effect of non-opioid analgesics is mainly the consequence of prostaglandin synthesis inhibition. They are effective for pain of mild/moderate intensity. In acute pain there is no difference in efficiency between NSAIDs and paracetamol, so the choice of the drug is individual. In chronic pain, when inflammation is present, NSAIDs are more effective than paracetamol. Long-term use of high doses of NSAIDs is often accompanied by side effects. In order to reduce their frequency, a careful assessment of risk for each patient should be made, a drug with a low risk of certain side effects should be chosen, the dose and duration of treatment should be limited and the possibility of topical application should be considered. The need for long-term use of NSAIDs should be reviewed periodically.
AB  - Bol je simptom većine oboljenja koji može značajno narušiti kvalitet života pacijenta. Kod mnogih oboljenja nemoguće je otkloniti uzrok bola, stoga je realni cilj lečenja uklanjanje bola kao simptoma, primenom analgetika. Savremena farmakoterapija raspolaže klasičnim (opioidni i ne-opiodini analgetici: NSAIL i paracetamol) i adjuvantnim analgeticima (antiepileptici, antidepresivi i drugi). Analgetičko dejstvo ne-opioidnih analgetika uglavnom je posledica inhibicije sinteze prostaglandina. Efikasni su kod bola blagog/umerenog intenziteta. Kod akutnog bola nema razlike u efikasnosti između NSAIL i paracetamola pa je izbor leka individualan. NSAIL su efikasniji kod hroničnih bolnih stanja u kojima je prisutna inflamacija, ali njihovu dugotrajnu primenu često prate neželjena dejstva. Kako bi se smanjila učestalost neželjenih efekata NSAIL, treba izvršiti pažljivu procenu rizika za svakog pacijenta, odabrati lek sa niskim rizikom za određeno neželjeno dejstvo, ograničiti dozu i trajanje tretmana i razmotriti mogućnost topikalne primene. Potrebu za dugotrajnom primenom NSAIL treba povremeno preispitivati.
PB  - Savez farmaceutskih udruženja Srbije, Beograd
T2  - Arhiv za farmaciju
T1  - Non-opioid analgesics in contemporary treatment of pain
T1  - Neopioidni analgetici u savremenom lečenju bola
VL  - 68
IS  - 6
SP  - 1021
EP  - 1031
DO  - 10.5937/ArhFarm1806021T
ER  - 

@article{
author = "Tomić, Maja and Pecikoza, Uroš and Micov, Ana",
year = "2018",
abstract = "Pain is a symptom of most diseases that can significantly impair the patient's quality of life. In many diseases it is impossible to eliminate the cause of pain therefore the real goal of treatment is the removal of pain as a symptom, by application of analgesics. Contemporary pharmacotherapy employs conventional (opioid and non-opioid analgesics - NSAIDs and paracetamol) and adjuvant analgesics (antiepileptics, antidepressants and others). Analgesic effect of non-opioid analgesics is mainly the consequence of prostaglandin synthesis inhibition. They are effective for pain of mild/moderate intensity. In acute pain there is no difference in efficiency between NSAIDs and paracetamol, so the choice of the drug is individual. In chronic pain, when inflammation is present, NSAIDs are more effective than paracetamol. Long-term use of high doses of NSAIDs is often accompanied by side effects. In order to reduce their frequency, a careful assessment of risk for each patient should be made, a drug with a low risk of certain side effects should be chosen, the dose and duration of treatment should be limited and the possibility of topical application should be considered. The need for long-term use of NSAIDs should be reviewed periodically., Bol je simptom većine oboljenja koji može značajno narušiti kvalitet života pacijenta. Kod mnogih oboljenja nemoguće je otkloniti uzrok bola, stoga je realni cilj lečenja uklanjanje bola kao simptoma, primenom analgetika. Savremena farmakoterapija raspolaže klasičnim (opioidni i ne-opiodini analgetici: NSAIL i paracetamol) i adjuvantnim analgeticima (antiepileptici, antidepresivi i drugi). Analgetičko dejstvo ne-opioidnih analgetika uglavnom je posledica inhibicije sinteze prostaglandina. Efikasni su kod bola blagog/umerenog intenziteta. Kod akutnog bola nema razlike u efikasnosti između NSAIL i paracetamola pa je izbor leka individualan. NSAIL su efikasniji kod hroničnih bolnih stanja u kojima je prisutna inflamacija, ali njihovu dugotrajnu primenu često prate neželjena dejstva. Kako bi se smanjila učestalost neželjenih efekata NSAIL, treba izvršiti pažljivu procenu rizika za svakog pacijenta, odabrati lek sa niskim rizikom za određeno neželjeno dejstvo, ograničiti dozu i trajanje tretmana i razmotriti mogućnost topikalne primene. Potrebu za dugotrajnom primenom NSAIL treba povremeno preispitivati.",
publisher = "Savez farmaceutskih udruženja Srbije, Beograd",
journal = "Arhiv za farmaciju",
title = "Non-opioid analgesics in contemporary treatment of pain, Neopioidni analgetici u savremenom lečenju bola",
volume = "68",
number = "6",
pages = "1021-1031",
doi = "10.5937/ArhFarm1806021T"
}

Tomić, M., Pecikoza, U.,& Micov, A.. (2018). Non-opioid analgesics in contemporary treatment of pain. in Arhiv za farmaciju
Savez farmaceutskih udruženja Srbije, Beograd., 68(6), 1021-1031.
https://doi.org/10.5937/ArhFarm1806021T

Tomić M, Pecikoza U, Micov A. Non-opioid analgesics in contemporary treatment of pain. in Arhiv za farmaciju. 2018;68(6):1021-1031.
doi:10.5937/ArhFarm1806021T .

Tomić, Maja, Pecikoza, Uroš, Micov, Ana, "Non-opioid analgesics in contemporary treatment of pain" in Arhiv za farmaciju, 68, no. 6 (2018):1021-1031,
https://doi.org/10.5937/ArhFarm1806021T . .