Drug Database
DI

diosmin + hesperidine (Daflon / Capiven / Detralex)

✓ Approved

Servier · therapeutic agent

What is diosmin + hesperidine?

diosmin + hesperidine is a therapeutic agent developed by Servier. It is approved for therapeutic indications via oral (po).

Drug Profile

Brand NamesDaflon, Capiven, Detralex
CompanyServier
RouteOral (PO)
StatusApproved

Therapeutic Indications

diosmin + hesperidine is developed for 2 unique indications across 2 therapeutic areas.

Therapeutic AreaConditionPhase
Gastrointestinal disordersAbdominal pain✓ Approved
Vascular disordersPeripheral venous disease✓ Approved

Related Research Articles

PubMedMedical oncology (Northwood, London, England)2026-10-08

Nano-Diosmin mitigates EAC-induced renal injury through Nrf2-mediated antioxidant activation and NF-κB-dependent apoptotic suppression.

Alshammari Ahmad Najem AN, Alfawaz Mohammed Saleh MS, Oraby Fatma F, Mohamed Ahmed M AM et al.

The present study provides the first evidence of the anticancer-associated renoprotective efficacy of diosmin (DI) delivered via chitosan nanoparticles (DI-CHNPs) in mice bearing Ehrlich ascites carcinoma (EAC). Sixty female Swiss albino mice were divided into six groups: controls, DI, DI-CHNPs, EAC, EAC+DI, and EAC+DI-CHNPs. Treatments involved DI or DI-CHNPs (100 mg/kg/day) for 20 days with or without tumor induction. DI-CHNPs significantly reduced tumor burden, as evidenced by lower body weight gain, abdominal circumference, tumor volume, and viable tumor cell count, and these effects were superior to free DI. DI-CHNPs also prolonged survival and improved renal function markers (urea, creatinine, electrolytes), indicating that attenuation of tumor progression was accompanied by reduced secondary renal injury. Antioxidant defenses in kidney tissues were strengthened through increased superoxide dismutase, catalase, glutathione peroxidase activities, and reduced glutathione levels, alongside reduced malondialdehyde. DI-CHNPs activated the Nrf2/HO-1/NQO1 pathway while down-regulated the inflammatory pathways controlling genes (Tgfb 1, Nfkb 1, Il6) and pro-apoptotic markers (Bax, Caspase-3), with increased Bcl-2 expression. Histopathological and ultrastructural analyses confirmed superior renal protection compared with DI. Molecular docking provided in silico supportive evidence for DI interaction with Nrf2, NF-κB, caspase-3, and TGF-β-related molecular targets involved in oxidative stress, inflammation, and apoptosis. Overall, the findings suggest that nanoparticle formulation enhanced the therapeutic performance of DI, likely through improved stability and sustained-release properties, resulting in superior antitumor efficacy and attenuation of tumor-associated renal injury.

PubMedNatural product research2026-10-07

Phytochemical profiling and biological evaluation of Duranta serratifolia (Griseb.) Kuntze cultivated in Egypt: HPLC and lC-mS characterization, antimicrobial and anticancer activities, and in silico validation.

Mahmoud Asmaa A AA, Eid Mona M MM, Mahrous Fatma S FS, Afifi Tarek H TH et al.

The present study provides a phytochemical and biological evaluation of Duranta serratifolia (Griseb.) Kuntze cultivated in Egypt. Preliminary screening revealed the predominance of flavonoids and phenolic compounds, which was supported by high total phenolic (101.6 mg ± 2.1 GAE/g) and flavonoid (166.3 ± 1.1 mg QuE/g) contents. HPLC and LC-MS analyses identified diverse phenolic acids and flavonoid glycosides, with cinnamic acid, naringenin, kaempferol, quercetin derivatives, and diosmin as major constituents. The extract exhibited potent antimicrobial activity, particularly against Bacillus subtilis and Candida albicans, with low MIC values, alongside antioxidant capacity (DPPH IC50 = 12.77 ± 0.4 µg/mL). Cytotoxic effects were observed against MCF-7 and PC-3 cancer cell lines. TEM analysis confirmed microbial ultrastructural damage. Molecular docking demonstrated strong binding affinities of major flavonoids towards β-lactamase and DHFR, supporting the in vitro findings. These results highlight D. serratifolia (Griseb.) Kuntze as a source of bioactive natural products with therapeutic potential.

PubMedRSC advances2026-10-02

The improvement of diosmin dissolution by PLGA complexes for oral delivery: physicochemical characterization and anti-inflammatory evaluation.

Ton Anh-Khoa AK, Phan Truc Thi-Anh TT, Tran Mi Thi-Tra MT, Huynh Thi-Kim-Chi TK et al.

Diosmin (DSN) is a potent flavonoid used for chronic venous insufficiency, but its therapeutic potential is constrained by poor aqueous solubility and low oral bioavailability (BCS Class IV). To overcome these challenges, a hybrid polymeric nanocarrier system comprising poly(lactic-co-glycolic acid) (PLGA) and (2-hydroxypropyl)-β-cyclodextrin (HPCD), surface-stabilized by chitosan, was successfully engineered via single-emulsion solvent evaporation. Systematic optimization identified a 95 : 5 (w/w) PLGA : HPCD formulation (95P5H-DSN), achieving an encapsulation efficiency of 71.47 ± 1.38% and a drug loading of 12.81 ± 0.25%. The nanoparticles exhibited a uniform spherical morphology with a hydrodynamic diameter of 223 ± 15.72 nm, a polydispersity index of 0.329, and a high positive zeta potential (+70.00 ± 7.35 mV), indicating good colloidal stability. Solid-state analyses (XRD, DSC, and FTIR) verified drug amorphization and successful entrapment within the matrix. In vitro release studies demonstrated pH-dependent behavior that fits the Higuchi diffusion model; the nanocarrier suppressed gastric release at pH 2.0 while providing a controlled and improved dissolution profile at intestinal pH 7.8 (17.73% at 24 h). Furthermore, in LPS-stimulated RAW264.7 macrophages, 95P5H-DSN partially attenuated the intrinsic cytotoxicity of raw DSN and exerted concentration-dependent anti-inflammatory efficacy via nitric oxide suppression. The anti-inflammatory IC50 was 58.95 µg mL-1. These findings establish the PLGA-HPCD nanocomplex as a promising oral drug-delivery platform for enhancing the dissolution and therapeutic efficacy of diosmin.

PubMedMolecules (Basel, Switzerland)2026-09-26

Ex Vivo Study of the Vasomotor and Anti-Inflammatory Activity of Class 2 Elastic Venous Compression Devices Combined with Diosmetin-3-O-β-D-Glucuronide.

Belabed Yasmine Y, Boisnic Sylvie S, Stroumza Nathaniel N, Talbot Charlotte P J CPJ et al.

Diosmin, a flavonoid, is widely used to alleviate the symptoms of chronic venous disease (CVD), while compression stockings remain a key component of its conservative management. This study used an ex vivo model of human skin explants to evaluate the vasomotor and anti-inflammatory effects of a class II elastic venous compression model (EVC2), applied alone or in combination with diosmetin-3-O-β-D-glucuronide (DT), the major circulating metabolite of diosmin. The explants were exposed to substance P to induce neurogenic inflammation, after which they were treated with EVC2, DT at a concentration of 2700 pg/mL, or both. Compared with substance P alone, all treatments led to a significant reduction in capillary dilation and IL-8 secretion, as well as a change in endothelial CD34 expression. While the combination improved all parameters, only significant additional effects were observed for reducing low CD34 expression versus DT alone (77% for score 0, no CD34 expression, p = 0.043; 62.1% for score 1, low CD34 expression, p = 0.013), and for decreasing IL-8 versus EVC2 alone (41.2%, p = 0.033). These findings suggest vasomotor and anti-inflammatory effects of DT and mechanical compression, and highlight their combined effects on inflammatory parameters in CVD.

PubMedInternational immunopharmacology2026-09-18

Retraction notice to "Combined diosmin and bisoprolol attenuate cobalt chloride-induced cardiotoxicity and endothelial dysfunction through modulating miR-143-3P/MAPK/MCP-1, ERK5/CXCR4, Orai-1/STIM-1 signaling pathways" [Int. Immunopharmacol. 140 (2024) 112777].

El-Shoura Ehab A M EAM, Mohamed Ahmed A N AAN, Atwa Ahmed M AM, Salem Esraa A EA et al.

PubMedMolecular diversity2026-08-29

Machine learning-driven drug repurposing and computational validation for Nipah virus.

Sharma Shivangi S, Yadav Pragya D PD, Cherian Sarah S

The recurring Nipah virus outbreaks and the lack of effective antiviral therapies, emphasize the urgent need for effective therapeutic interventions. Given the sporadic and unpredictable nature of NiV outbreaks, drug repurposing offers a time-efficient alternative to the development of novel antivirals. In this study, we leveraged machine learning (ML) techniques to accelerate the process of identifying potential therapeutic candidates. Several supervised ML models such as Support Vector Machines, Random Forest, Logistic Regression, Decision Tree, k-Nearest Neighbors, Artificial Neural Networks, and Ridge Classifier were implemented using publicly available NiV inhibitor datasets (viz. Anti-Nipah, NVIK, PubChem) as well as literature review (n = 211 compounds). Among these, the Random Forest model demonstrated highest predictive performance, achieving high accuracy on both training (95%) and testing (86%) datasets. The optimized model was subsequently applied to screen FDA-approved, preclinical, clinical, and antiviral drug libraries (comprising 9021 compounds) to identify potential anti-NiV candidates. The shortlisted compounds underwent further validation through molecular docking to evaluate binding affinity and molecular dynamics simulations to assess structural stability and interactions with key viral targets, including the glycoprotein and RNA-dependent RNA polymerase (RdRp). Based on docking scores and molecular dynamics stability, we identified three and five promising candidates: 2,3,4,5,6-Pentagalloylglucose, Echinacoside, Parishin A, and Neohesperidin dihydrochalcone, Naringin dihydrochalcone, Diosmin, Orientin, Amikacin, against the glycoprotein and RdRp respectively. This integrative approach, combining ML, drug repurposing, and computational validation, aims to expedite the discovery of effective therapeutic agents against the Nipah virus and strengthen preparedness for future outbreaks.

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