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Sinomenine is a natural plant alkaloid commonly used to alleviate inflammation associated with rheumatoid arthritis.1 It activates histamine release, reduces joint stiffness and pain, and alters cytokine generation without producing gastrointestinal adverse events.1,2,3,4 Sinomenine also impairs signaling through NF-
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1. Immunosuppressive and anti-
2. The site of histamine release by sinomenine. Jpn. J. Pharmacol. 3(2), 73-81 (1954).
3. A combination of sinomenine and methotrexate reduces joint damage of collagen induced arthritis in rats by modulating osteoclast-
4. Sinomenine versus NSAIDs for the treatment of rheumatoid arthritis: A systematic review and meta-
5. Bioavailability enhancers of herbal origin: An overview. Asian Pac. J. Trop. Biomed. 3(4), 253-266 (2013).
6. Sinomenine sensitizes multidrug-