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As with many other commonly used therapeutic agents, the exact mechanism of action
of Traumeel® is not fully understood. However, the product’s ingredients appear
to modulate various cellular and biochemical pathways.
Placebo-controlled studies, drug monitoring studies, and in vitro experimental models
(including the carragenean-induced edema test and the adjuvant arthritis test) have
all demonstrated the inflammation regulating, anti-edematous and anti-exudative
effects of Traumeel® [1][2][3][4][5][6]. Various in vitro and in vivo studies offer
a possible mechanism for Traumeel’s inflammation regulating effects as observed
in clinical practice.
In resting as well as activated immune cells, Traumeel® inhibits pro-inflammatory
mediators such as IL-1β, TNF-α and IL-8 [7].
The ingredients of Traumeel® are non-cytotoxic to granulocytes, lymphocytes, platelets,
and endothelial cells, indicating that the defensive functions of these cells are
preserved during treatment with Traumeel® [3]. Components of Traumeel® raise levels
of the anti-inflammatory cytokine TGF-β, indicating that the “immunological bystander
reaction” may play a role in the medication’s inflammation regulating effect [8].
Although Traumeel® appears to be as effective as NSAIDs, it differs in its mechanism
of action from NSAIDs, COX-2 inhibitors and steroids and is therefore better tolerated
and free of the side effects associated with these agents.
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