Effects of garlic tablet (GARLET) in combination with telmisartan on high blood pressure

  • Rahimi Ahmad Mustafa Department of Para Clinic, Faculty of Medicine, Alberoni University, Kapisa, Afghanistan
  • Haseebullah Ayami Department of Para Clinic, Faculty of Medicine, Alberoni University, Kapisa, Afghanistan
  • Mahbubullah Halimi Department of Para Clinic, Faculty of Medicine, Alberoni University, Kapisa, Afghanistan
  • GULAQA ANWARI Faculty of Agriculture, Kunduz University
Keywords: garlic, telmisartan, systolic blood pressure, diastolic blood pressure, hypertension

Abstract

Hypertension (HTN) is a health problem worldwide affecting tens of millions of people. Giving modern antihypertensive alone is not enough to cure this disease. Garlic has been used to treat and cure various diseases, including high blood pressure (BP). This study aims to evaluate the effectiveness of administering telmisartan with garlic in reducing BP. In this study, 96 people with mild to moderate HTN were randomly selected and assigned to three groups consisting of 32 subjects; each participant in the garlic group received 400mg BD, the telmisartan group received 20mg OD, and the mixed group received 400 mg garlic BD and 20mg telmisartan OD for 8 wk of treatment. Blood pressure was measured at the beginning of each week, as well as on the closing day of the 8 wk. Combining telmisartan with garlic is more effective in reducing systolic blood pressure/SBP (113.0±22.9 mmHg) compared to telmisartan  (147.7±4.6 mmHg; p=0.015) and diastolic blood pressure/DBP (71.0±21.2 mmHg vs 90.75±11.9 mmHg; p=0.038) during 8 wk of treatment in hypertensive patients. No significant side effects were identified during the treatment period. In conclusion, garlic, like other BP control pills, increases the effectiveness of chemical pills to lower SBP and DBP.

References

Giles TD, Berk BC, Black HR, Cohn JN, Kostis JB, Izzo JL Jr, et al. Expanding the definition and classification of hypertension. J Clin Hypertens (Greenwich), 2005; 7(9):505-12.

https://doi.org/10.1111/j.1524-6175.2005.04769.x

WHO. Global action plan on physical activity 2018-2030: more active people for a healthier world. Genewa: World Health Organization. 2019.

Chen ZY, Peng C, Jiao R, Wong YM, Yang N, Huang Y. Anti-hypertensive nutraceuticals and functional foods. J Agric Food Chem, 2009; 57(11):4485-99.

https://doi.org/10.1021/jf900803r

Cowley AW Jr, Nadeau JH, Baccarelli A, Berecek K, Fornage M, Gibbons GH, et al. Report of the National Heart, Lung, and Blood Institute Working Group on epigenetics and hypertension. Hypertension, 2012; 59(5):899-905.

https://doi.org/10.1161/HYPERTENSIONAHA.111.190116

Jugdutt BI. Clinical effectiveness of telmisartan alone or in combination therapy for controlling BP and vascular risk in the elderly. Clin Interv Aging, 2010; 5:403-16.

https://doi.org/10.2147/CIA.S6709

Korean Society Hypertension (KSH); Hypertension Epidemiology Research Working Group; Kim HC, Cho MC. Korea hypertension fact sheet 2018. Clin Hypertens, 2018; 24:13.

https://doi.org/10.1186/s40885-018-0098-0

Shouk R, Abdou A, Shetty K, Sarkar D, Eid AH. Mechanisms underlying the antihypertensive effects of garlic bioactives. Nutr Res 2014; 34(2):106-15.

https://doi.org/10.1016/j.nutres.2013.12.005

Silagy CA, Neil HA. A meta-analysis of the effect of garlic on BP. J Hypertens, 1994; 12(4):463-8.

https://doi.org/10.1097/00004872-199404000-00017

Piragine E, Citi V, Lawson K, Calderone V, Martelli A. Potential effects of natural H2S-donors in hypertension management. Biomolecules, 2022; 12(4):581.

https://doi.org/10.3390/biom12040581

Rahimi AM, Nabavizadeh F, Ashabi G, Halimi S, Rahimpour M, Vahedian J, et al. Probiotic lactobacillus rhamnosus supplementation improved capecitabine protective effect against gastric cancer growth in male BALB/c Mice. Nutr Cancer, 2021;73(10):2089-2099.

https://doi.org/10.1080/01635581.2020.1832237

Martelli A, Testai L, Breschi MC, Lawson K, McKay NG, Miceli F, Taglialatela M, Calderone V. Vasorelaxation by hydrogen sulphide involves activation of Kv7 potassium channels. Pharmacol Res, 2013; 70(1):27-34.

https://doi.org/10.1016/j.phrs.2012.12.005

Calderone V, Martelli A, Testai L, Citi V, Breschi MC. Using hydrogen sulfide to design and develop drugs. Expert Opin Drug Discov, 2016;11(2):163-75.

https://doi.org/10.1517/17460441.2016.1122590

Sobenin IA, Andrianova IV, Fomchenkov IV, Gorchakova TV, Orekhov AN. Time-released garlic powder tablets lower systolic and diastolic BP in men with mild and moderate arterial hypertension. Hypertens Res, 2009;32(6):433-7.

https://doi.org/10.1038/hr.2009.36

Hao G, Wang Z, Guo R, Chen Z, Wang X, Zhang L, et al. Effects of ACEI/ARB in hypertensive patients with type 2 diabetes mellitus: a meta-analysis of randomized controlled studies. BMC Cardiovasc Disord 2014;14:148.

https://doi.org/10.1186/1471-2261-14-148

Glaus TM, Elliott J, Herberich E, Zimmering T, Albrecht B. Efficacy of long-term oral telmisartan treatment in cats with hypertension: Results of a prospective European clinical trial. J Vet Intern Med, 2019; 33(2):413-22.

https://doi.org/10.1111/jvim.15394

Camilleri M. Assessment of medicinal products: a comparative study between Europe and United States of America [Dissertation]. Malta: L-Università ta' Malta. 2018.

Fuchs FD, Whelton PK. High BP and cardiovascular disease. Hypertension, 2020; 75(2):285-92.

https://doi.org/10.1161/HYPERTENSIONAHA.119.14240

Matsutomo T. Potential benefits of garlic and other dietary supplements for the management of hypertension. Exp Ther Med, 2020; 19(2):1479-84.

https://doi.org/10.3892/etm.2019.8375

Sharpe M, Jarvis B, Goa KL. Telmisartan: a review of its use in hypertension. Drugs. 2001;61(10):1501-29.

https://doi.org/10.2165/00003495-200161100-00009

Ernst E. Cardiovascular effects of garlic (Allium sativum): a review. Pharmatherapeutica. 1987;5(2):83-9.

Auer W, Eiber A, Hertkorn E, Hoehfeld E, Koehrle U, Lorenz A, et al. Hypertension and hyperlipidaemia: garlic helps in mild cases. Br J Clin Pract Suppl, 1990; 69:3-6.

Neil HA, Silagy CA, Lancaster T, Hodgeman J, Vos K, Moore JW, Jones L, Cahill J, Fowler GH. Garlic powder in the treatment of moderate hyperlipidaemia: a controlled trial and meta-analysis. J R Coll Physicians Lond, 1996;30(4):329-34.

Satyanand V, Reddy CB, RamaMohan P, Kumar MR, Narayanaswamy D, Seelam A, et al. Effects of garlic extract (Allium sativum) in combination with Amlodipine in mild to moderate essential hypertensive patients: An open randomized parallel group study. J Pharmace Res Dev 2013, 2 (4), 181-8.

Afzaal M, Saeed F, Rasheed R, Hussain M, Aamir M, Hussain S, et al. Nutritional, biological, and therapeutic properties of black garlic: A critical review. Int J Food Proper 2021; 24 (1): 1387-402.

https://doi.org/10.1080/10942912.2021.1967386

Sobenin IA, Myasoedova VA, Iltchuk MI, Zhang DW, Orekhov AN. Therapeutic effects of garlic in cardiovascular atherosclerotic disease. Chin J Nat Med, 2019;17(10):721-8.

https://doi.org/10.1016/S1875-5364(19)30088-3

Rahman K, Lowe GM. Garlic and cardiovascular disease: a critical review. J Nutr 2006; 136(3 Suppl):736S-740S.

https://doi.org/10.1093/jn/136.3.736S

Voora R, Cohen DL, Townsend RR. Evaluation and management of hypertension. In National Kidney Foundation Primer on Kidney Diseases. Elsevier; 2018: 616-28.

https://doi.org/10.1016/B978-0-323-47794-9.00065-2

Baguet JP, Legallicier B, Auquier P, Robitail S. Updated meta-analytical approach to the efficacy of antihypertensive drugs in reducing BP. Clin Drug Investig, 2007;27(11):735-53.

https://doi.org/10.2165/00044011-200727110-00001

Published
2024-08-21
Section
Articles