Review Article

Herbal Remedy: An Alternate Therapy of Nonsteroidal Anti-Inflammatory Drug Induced Gastric Ulcer Healing

Table 2

Some of the market available synthetic antiulcer drugs and their mode of action are summarized in Table 2 (http://www.wikipedia.com).

Sl. no.Synthetic drugData bank
(accession number)
Acts asMode of action

1OmeprazoleDB00338Proton
pump inhibitor
Proton pump inhibitor that suppresses gastric acid secretion by specific inhibition of the H+/K+-ATPase in the gastric parietal cell. Omeprazole blocks the final step in acid production, thus reducing gastric acidity.

2MisoprostolDB00929Proton
pump inhibitor
A synthetic analog of natural prostaglandin E1. It produces a dose-related inhibition of gastric acid and pepsin secretion and enhances mucosal resistance to injury. It is an effective antiulcer agent and also has oxytocic properties.

3PantoprazoleDB00213Proton
pump inhibitor
Pantoprazole is a proton pump inhibitor (PPI) that suppresses the final step in gastric acid production by forming a covalent bond to two sites of the (H+, K+)-ATPase enzyme system at the secretory surface of the gastric parietal cell.

4LansoprazoleDB00448Proton
pump inhibitor
Lansoprazole belongs to a class of antisecretory compounds, the substituted benzimidazoles, that do not exhibit anticholinergic or histamine H2-receptor antagonist properties, but rather suppress gastric acid secretion by specific inhibition of the (H+, K+)-ATPase enzyme system at the secretory surface of the gastric parietal cell.

5EsomeprazoleDB00736Proton
pump inhibitor
Esomeprazole is a proton pump inhibitor that suppresses gastric acid secretion by specific inhibition of the H+/K+-ATPase in the gastric parietal cell. By acting specifically on the proton pump, esomeprazole blocks the final step in acid production, thus reducing gastric acidity.

6RabeprazoleDB01129Proton
pump inhibitor
Rabeprazole belongs to a class of antisecretory compounds (substituted benzimidazole proton-pump inhibitors) that do not exhibit anticholinergic or histamine H2-receptor antagonist properties, but suppress gastric acid secretion by inhibiting the gastric H+/K+ATPase Rabeprazole blocks the final step of gastric acid secretion.

7SucralfateDB00364 In acidic environment (pH < 4) reacts with hydrochloric acid in the stomach acting as an acid bufferAlthough sucralfate's mechanism is not entirely understood, there are several factors that most likely contribute to its action. In the presence of stomach acid and binds bile salts coming from the liver via the bile thus protecting the stomach lining from injury caused by the bile acids. Sucralfate may increase prostaglandin production.

8CimetidineDB00501Histamine
H2-receptor antagonists
Cimetidine binds to an H2-receptor located on the basolateral membrane of the gastric parietal cell, blocking histamine effects. This competitive inhibition results in reduced gastric acid secretion and a reduction in gastric volume and acidity.

9RanitidineDB00863Histamine
H2-receptor antagonists
The H2 antagonists are competitive inhibitors of histamine at the parietal cell H2-receptor. They suppress the normal secretion of acid by parietal cells and the meal-stimulated secretion of acid.

10FamotidineDB00927Histamine
H2-receptor antagonists
Famotidine binds competitively to H2-receptors located on the basolateral membrane of the parietal cell, blocking histamine affects. This competitive inhibition results in reduced basal and nocturnal gastric acid secretion and a reduction in gastric volume, acidity, and amount of gastric acid released in response to stimuli including food, caffeine, insulin, betazole, or pentagastrin.