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Forwarding this information I found on Zinaxin from a newsgroup posting as

there has been some interest in it here:

<snip>

>> Yes, I am that Dr. . It's just that I have been bombarded by

>>phone calls, v-mail, e-mail, letters, etc. To a point I can understand

>>that. But I've become selective about whom I will answer. Yes, I do

>>have experience with Zinaxin--probably now >500 patients over the past

>>15-16 months. And yes, It has been very effective and very safe. Its

>>active ingredient is an extract of two very specific subtypes of ginger

>>root--one found in China, one in India--each with an array of potent

>>anti-inflammatory compounds which work synergistically when combined. I

>>have seen benefit across the spectrum of musculoskeletal/rheumatic

>>problems diagnosed in my office, including several patients with

>>psoriatic arthritis--in fact one 70+ yr old patient with psoriatic

>>arthritis came back and said that her knee was feeling better on the

>>Zinaxin, but then stated that her psoriasis, which she had had since her

>>20's had cleared up very significantly since being on it--and she stated

>>she'd been thru the whole 9 yards of anti-psoriatic junk, including all

>>the messy coal tars, etc.

>> It does inhibit formation of COX2 mediated inflammatory

>>prostaglandins(PGs), but actually at a step before the " COX2-selective

>>NSAIDS. " Whereas Celebrex blocks the enzyme from producing the

>>inflammatory PGs, esp. PGE2, Zinaxin inhibits the induction of the enzyme

>>itself by inhibiting the cytokines responsible for inducing its

>>production--IL1 and TNF-alpha. It also inhibits the enzyme

>>5-lipoxygenase, which is responsible for formation of inflammatory

>>leukotrienes, and thru its inhibition of IL1 and TNF inhibits production

>>of several of the enzymes responsible for breakdown of cartilage.

>> There is a lot of info on Zinaxin, and will be much more once the

>>studies in progress are published. In the meantime, the proof is in the

>>pudding. Clinically it is quite effective and without any significant

>>medical side effects or interaction with medicines. It has been very

>>pleasing to me to have this completely natural alternative to the NSAIDS,

>>which I feel have an unacceptable side effect profile for anything but

>>very short term use.

>

>

>He asks that people not send him any email, but that if there are any

>questions that needed answering, I could send them to him.

<snip>

>> How does Zinaxin work as a -2 inhibitor?

>>

>>Dr. Morton Wiedner who developed Zinaxin (Zinaxin extract is referred to

as

>>EV.EXT 33) writes, " EV.EXT 33 is a slightly selective COX-2 inhibitor at

>>the enzyme level. In addition to this, EV.EXT 33 enhances the secretion

of

>>IL-4 and IL-10, which selectively inhibits the expression of COX-2 in

>>inflammatory cells. This is a new and interesting pharmacological effect,

>>which differentiates EV.EXT 33 from the new NSAIDS which are selective

>>COX-2 inhibitors only at the enzyme level. The effects on IL-4 and IL-10

>>secretion are also interesting because these interleukins stimulate

>>secretion of growth factors that can increase the regeneration of

cartilage

>>in the joints, thus resulting in a disease modifying effect in

>>osteoarthritis. EV.EXT 33 is a strong inhibitor of 5-lipooxygenase, the

>>enzyme responsible for the generation of leukotriene B4, which is one of

>>the most powerful chemotactic factors involved in chronic inflammation in

>>relation to rheumatic disorders. EV.EXT 33 also inhibits leukotriene C4,

>>but the role of this leukotriene is not well established in relation to

the

>>pathogenesis of arthritic conditions. Leukotriene C4 is known for its

>>central role in asthma and allergic rhinitis. "

>>

>>This January 23, 1999, Eurovita introduced an improved " Fast-acting

>>Zinaxin " called EV.EXT 77. This new Zinaxin includes the same extract,

>>with the addition of another extract from a different one of the 200+

>>subspecies of ginger. Here is a basic outline from Eurovita that explains

>>how it works:

>>

>>Fast-acting Zinaxin inhibits the formation of:

>>

>>1. Prostoglandins (PGE2) - responsible for acute symptoms

>>2. Leukotrienes - responsible for long term aggravation

>>3. Cytokins (TNF- and IL-1) - responsible for aggravation and tissue

>>destruction

>>

>>Furthermore, Zinaxin has been shown to stimulate tissue-rebuilding

factors:

>>Interleukins IL4 and IL 10.

>>

>>The new Zinaxin is referred to as fast-acting because people feel a

>>significant improvement after just five days; Objective clinical findings

>>confirm it.

>>

>

>>Studies:

>>

>>Pilot study, Copenhagen, Denmark by Dr. M. Norgaard

>>An open dosefinding study was carried out over three months including 28

>>subjects suffering 735 years from poor joint health. During the first 30

>>days of the study, the subjects were asked to rate themselves on a visual

>>analog scale (VAS). In an attempt to minimize bias, subjects were asked to

>>send in the VAS every day. Conclusions:

>> Good, positive effect (25 out of 28 subjects).

>> It is relevant for all people with poor muscle or joint health to try

>>Zinaxin.

>> No side effects were observed.

>>

>>Copenhagen Municipal Hospital, Copenhagen, Denmark by Dr. Henning Bliddal

>>A group of doctors headed by Dr. Henning Bliddal tested the efficacy and

>>safety of the dietary supplement Zinaxin in subjects with unhealthy joints

>>in the Copenhagen Municipal area.

>>Zinaxin was compared to a placebo in subjects with unhealthy joints of the

>>hip or knee in a controlled, double blind, double dummy, crossover study

>>with a washout period of one week followed by three treatment periods of

>>randomized sequence. Visual analog scale (VAS), Lequesneindex and

>>rangeofmotion (ROM) were tested before and at the end of each period, as

>>well as measurement of hemoglobin and registration of all adverse events.

>>A total of 56 subjects completed the study. A highly significant ranking

of

>>efficacy of the treatment periods: Zinaxin placebo was found for VAS (chi

>>square test 24.65 p) No side effects were observed.

>>

>>Double blind, double dummy, crossover study, Tan Toc Seng Hospital,

>>Singapore by Dr. Leong Keng Hong

>>A threeway complete crossover study was performed comparing Zinaxin with

>>placebo in subjects with unhealthy knee joints. The treatment period

lasted

>>three weeks.

>>62 subjects completed the study. The average was 59.1 years and 77% of the

>>subjects were females. Subjects were measured on a 80mm VAS scale. There

>>was an average improvement from placebo to Zinaxin of 2.7mm. This

>>difference was significant (p=0.032) on a onetailed Wilcoxon rank sum

test.

>>These results support findings from a similar study showing that there

>>seems to be improvement in the subjects who use Zinaxin for a three week

>>period. No adverse events were reported during the study.

>>

>>Multi-Center, Phase III, Placebo controlled, Double Blind, Block

>>Randomized, Two Armed, Five Month Cross-over Study followed by a One Year

>>Open Label Phase. United States. [to be released before 2000] To compare

>>the efficacy and safety of treatment with oral Zinaxin given twice daily

>>over ten weeks versus placebo in subjects with unhealthy knee joints. To

>>evaluate the safety and efficacy of Zinaxin in an open label study of one

>>year. 140 randomized subjects with a clinical diagnosis of unhealthy knee

>>joints, to obtain 100 subjects to evalute. All subjects have been

>>randomized into a double-blind phase.

>>At each visit, subjects will evaluate their function/mobility according to

>>WOMAC. The subjects will give an assessment and global status after

>>walking 50 feet, on a visual analog scale (VAS). At the beginning of the

>>study, in the middle and at the end of the open label phase, subjects will

>>assess their quality of life.

>>This study is conducted in accordance with local IRB regulations. Good

>>Clinical Practice and the Declaration of Helsinki.

>>

>>Exciting new studies have shown that Zinaxin inhibits the formation of TNF

>>Alpha and IL1 Beta, both of which are involved in poor joint health.

>>

>>Zinaxin related references from international literature:

>>

>>Gigtforeningen 1995 (Danish Rheumatism Association)

>>Gigtforeningen 1996 (Danish Rheumatism Association))

>>Encyclopedia of Common Natural Ingredients. Ed. LeungAY. WileyInterscience

>>1980

>>Teedrogen; Ed. WichtlM 1989

>>Economic and Medicinal Plant Research. Vol.1

>>Ed. WagnerH, HikmoH, New York: Academic Press. 1985:62

>>SrivastavaKC; MustafaT; MedHypotheses. 1989 May, 29(1);258

>>AwangDVC; Herbal Medicine 1992 July; 30911

>>ChenCC; RosenRT; Journal of Chromatography 1986; 360; 16373

>>ChenCC; RosenRT, Journal of Chromatography 1986; 360; 17584

>>SwainAR; DuttonSP; TruswellAS; Journal of The American Dietetic

Association

>>1985; 85(8); 95060

>>KiuchiF; IwakamiS; ShibuyaM; HanaokaF; SankawaU; ChemPharmBullTokyo. 1992

>>Feb; 40(2); 38791

>>FlynnDL; RaffertyMF; BoctorAM; ProstaglandinsLeukotMed. 1986 Oct;

24(2.3):1958

>>RonneIA; Danish Medical Bulletin 1991 38(4); 291303

>>FoghK; Danish Medical Bulletin 1990 37(4): 289307

>>MascoloN; JainR; JainSC; CapassoJ; JEthnopharmacol. 1989 Nov: 27(12);

12940

>>SrivastavaKC; ProstaglandinsLeukotMed. 1986 Dec: 25(23): 18798

>>YamaharaJ; MochizukiM; RongHQ; Matsuda H; Fujimura H; JEthnopharmacol.

1988

>>JulAug, 23(23): 299304

>>SrivastavaKC; MustafaT; MedHypotheses. 1992 Dec; 29(4): 3428

>>S; RuggierR; HurchinsonSE; Anaesthesia. 1993 Aug; 48(8): 7157

>>GrontvedA; BraskT; KambskardJ; HentzerE; ActaOrolaryngolStockh. 1988

>>JanFeb: 103(12): 459

>>S; HutchinsonS; RuggierR; Anaesthesia. 1993 May; 48(5): 3935

>>HoltmannS; eAH; ScheterH; HohnM; ActaOtolaryngolStockh. 1989 SepOct;

>>108(34); 16874

>>FischerRasmussenW; KjaerSK; DahlC; AspingU; EurJObstetGynccolReprodBiol.

>>1991 Jan 4: 38(1); 1924

>>JJ; WoodMJ; WoodCD; MimsME; Pharmacology. 1991; 42(2): 11120

>>MowreyDR; ClaysonDE; Lancet. 1982 Mar 20: 1(8273): 6557

>

>

>

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