SlideShare ist ein Scribd-Unternehmen logo
1 von 39
Osteoarthritis The need for innovative therapeutic options?
OA – current status ,[object Object],[object Object],[object Object]
OA – multiple spheres of influence
OA – multiple influences Injury Obesity Biomechanics Genetics Age / Sex Metabolic abnormalities Subchondral bone changes
OA - approaches ,[object Object],[object Object],[object Object],[object Object],[object Object]
DMOADs DMOADs What they need to do How they need to do Delay structural progression Prevent the OA Effect on Radiographic Joint Space Narrowing (JSN) Effect on progression to control JSN and pain / function relation Halting progression (improving the x-ray) Reversing progression (normalizing the x-ray)
Diacerein ,[object Object],[object Object]
Role of IL-1
Role of different therapies
Role of different therapies Diacerein Steroids NSAIDs
DMOAD clinical targets
DMOAD clinical targets
DMOAD clinical trials
DMOAD clinical trials
What did we learn ,[object Object],[object Object],[object Object],[object Object]
What did we learn ,[object Object],[object Object],[object Object],[object Object],[object Object]
Diacerein as a DMOAD ,[object Object],[object Object],Arch Intern Med. 2006;166:1899-1906
Diacerein as a DMOAD ,[object Object],[object Object],[object Object],Arch Intern Med. 2006;166:1899-1906
Case study 1 – before & after therapy with diacerein Before treatment After treatment
Case study 2 – before & after therapy with diacerein Before treatment After treatment
Case study 3 – before & after therapy with diacerein Before treatment After treatment
Study1 Arch Intern Med. 2006;166:1899-1906
Study2 Arch Intern Med. 2006;166:1899-1906
Study3 Arch Intern Med. 2006;166:1899-1906
Study4 Arch Intern Med. 2006;166:1899-1906
Study5 Arch Intern Med. 2006;166:1899-1906
Study6 Arch Intern Med. 2006;166:1899-1906
Study7 ,[object Object]
Summary of the studies ,[object Object],[object Object]
Summary of the studies
Diacerein - pharmacology ,[object Object],[object Object],[object Object],[object Object]
Diacerein - pharmacokinetics ,[object Object],[object Object],[object Object],[object Object],[object Object]
Diacerein – anabolic effects ,[object Object],[object Object]
Diacerein - tolerability ,[object Object],[object Object]
Diacerein - precautions ,[object Object],[object Object],[object Object],[object Object]
Diacerein - MOA ,[object Object],[object Object]
Diacerein - MOA ,[object Object],[object Object],[object Object],[object Object]
Diacerein - MOA ,[object Object],[object Object]
Diacerein - dosage ,[object Object],[object Object]

Weitere ähnliche Inhalte

Was ist angesagt?

Pharmacology of NSAIDs (Non-Steroidal Anti-Inflammatory Drugs (Dr. Sohail Ahmad)
Pharmacology of NSAIDs (Non-Steroidal Anti-Inflammatory Drugs (Dr. Sohail Ahmad)Pharmacology of NSAIDs (Non-Steroidal Anti-Inflammatory Drugs (Dr. Sohail Ahmad)
Pharmacology of NSAIDs (Non-Steroidal Anti-Inflammatory Drugs (Dr. Sohail Ahmad)Sohail Ahmad
 
Proton pump inhibitors (ppi)
Proton pump inhibitors (ppi)Proton pump inhibitors (ppi)
Proton pump inhibitors (ppi)Domina Petric
 
Gliclazide MR in the management of Type 2 Diabetes Mellitus
Gliclazide MR in the management of Type 2 Diabetes MellitusGliclazide MR in the management of Type 2 Diabetes Mellitus
Gliclazide MR in the management of Type 2 Diabetes MellitusEndocrinology Department, BSMMU
 
5.adrenergics and antiadrenergics
5.adrenergics and antiadrenergics 5.adrenergics and antiadrenergics
5.adrenergics and antiadrenergics Dr.Manish Kumar
 
Oral anti diabetic drugs
Oral anti diabetic drugs Oral anti diabetic drugs
Oral anti diabetic drugs Fatima Avci
 
Drugs used in treatment of gout
Drugs used in treatment of goutDrugs used in treatment of gout
Drugs used in treatment of goutPravin Prasad
 
Rheumatoid arthritis
Rheumatoid arthritisRheumatoid arthritis
Rheumatoid arthritisViraj Shinde
 
Pharmacotherapy of osteoporosis
Pharmacotherapy of osteoporosisPharmacotherapy of osteoporosis
Pharmacotherapy of osteoporosissouravpharma
 
Sulfonylureas for Diabetes: A deep insight
Sulfonylureas for Diabetes: A deep insightSulfonylureas for Diabetes: A deep insight
Sulfonylureas for Diabetes: A deep insightRxVichuZ
 
Recent Advances in Pharmacotherapy of Inflammatory Bowel Disease
Recent Advances in Pharmacotherapy of Inflammatory Bowel DiseaseRecent Advances in Pharmacotherapy of Inflammatory Bowel Disease
Recent Advances in Pharmacotherapy of Inflammatory Bowel DiseaseShreya Gupta
 

Was ist angesagt? (20)

Pharmacology of NSAIDs (Non-Steroidal Anti-Inflammatory Drugs (Dr. Sohail Ahmad)
Pharmacology of NSAIDs (Non-Steroidal Anti-Inflammatory Drugs (Dr. Sohail Ahmad)Pharmacology of NSAIDs (Non-Steroidal Anti-Inflammatory Drugs (Dr. Sohail Ahmad)
Pharmacology of NSAIDs (Non-Steroidal Anti-Inflammatory Drugs (Dr. Sohail Ahmad)
 
Presentation sitagliptin
Presentation sitagliptinPresentation sitagliptin
Presentation sitagliptin
 
NSAIDs.pptx
NSAIDs.pptxNSAIDs.pptx
NSAIDs.pptx
 
Proton pump inhibitors (ppi)
Proton pump inhibitors (ppi)Proton pump inhibitors (ppi)
Proton pump inhibitors (ppi)
 
NSAIDS.
NSAIDS.NSAIDS.
NSAIDS.
 
Dmards
DmardsDmards
Dmards
 
Gliclazide MR in the management of Type 2 Diabetes Mellitus
Gliclazide MR in the management of Type 2 Diabetes MellitusGliclazide MR in the management of Type 2 Diabetes Mellitus
Gliclazide MR in the management of Type 2 Diabetes Mellitus
 
5.adrenergics and antiadrenergics
5.adrenergics and antiadrenergics 5.adrenergics and antiadrenergics
5.adrenergics and antiadrenergics
 
Oral anti diabetic drugs
Oral anti diabetic drugs Oral anti diabetic drugs
Oral anti diabetic drugs
 
Basic Pharmacology of Diuretics
Basic Pharmacology of DiureticsBasic Pharmacology of Diuretics
Basic Pharmacology of Diuretics
 
Drugs used in treatment of gout
Drugs used in treatment of goutDrugs used in treatment of gout
Drugs used in treatment of gout
 
Rheumatoid arthritis
Rheumatoid arthritisRheumatoid arthritis
Rheumatoid arthritis
 
Pharmacotherapy of osteoporosis
Pharmacotherapy of osteoporosisPharmacotherapy of osteoporosis
Pharmacotherapy of osteoporosis
 
DMARDs
DMARDsDMARDs
DMARDs
 
GLP-1 Agonist
GLP-1 AgonistGLP-1 Agonist
GLP-1 Agonist
 
Management of rheumatoid arthritis .by Dr.Harmanjit Singh,GMC, Patiala
Management of rheumatoid arthritis .by Dr.Harmanjit Singh,GMC, PatialaManagement of rheumatoid arthritis .by Dr.Harmanjit Singh,GMC, Patiala
Management of rheumatoid arthritis .by Dr.Harmanjit Singh,GMC, Patiala
 
Sulfonylureas for Diabetes: A deep insight
Sulfonylureas for Diabetes: A deep insightSulfonylureas for Diabetes: A deep insight
Sulfonylureas for Diabetes: A deep insight
 
Rabeprazole
RabeprazoleRabeprazole
Rabeprazole
 
Recent Advances in Pharmacotherapy of Inflammatory Bowel Disease
Recent Advances in Pharmacotherapy of Inflammatory Bowel DiseaseRecent Advances in Pharmacotherapy of Inflammatory Bowel Disease
Recent Advances in Pharmacotherapy of Inflammatory Bowel Disease
 
Pharma brand plan
Pharma brand planPharma brand plan
Pharma brand plan
 

Ähnlich wie Diacerein

ortho 04 drugs in orthopaedic (principle & common use)
ortho 04 drugs in orthopaedic (principle & common use)ortho 04 drugs in orthopaedic (principle & common use)
ortho 04 drugs in orthopaedic (principle & common use)vora kun
 
Self blood with betamethasone in management of rheumatoid
Self blood with betamethasone in management of rheumatoidSelf blood with betamethasone in management of rheumatoid
Self blood with betamethasone in management of rheumatoidDr. Avinash shankar
 
Cox 1 and cox 2 inhibitirs
Cox 1 and cox 2 inhibitirs Cox 1 and cox 2 inhibitirs
Cox 1 and cox 2 inhibitirs Ashok Jangra
 
Pharmacology for RA-OA Ikhsan 2021
Pharmacology for RA-OA Ikhsan 2021Pharmacology for RA-OA Ikhsan 2021
Pharmacology for RA-OA Ikhsan 2021Ikhsan557044
 
Managing Osteoarthritis
Managing OsteoarthritisManaging Osteoarthritis
Managing OsteoarthritisRyan Mills
 
Effect of Nonsteriodal Anti-Inflammatory Drugs on Orthodontic Tooth Movement ...
Effect of Nonsteriodal Anti-Inflammatory Drugs on Orthodontic Tooth Movement ...Effect of Nonsteriodal Anti-Inflammatory Drugs on Orthodontic Tooth Movement ...
Effect of Nonsteriodal Anti-Inflammatory Drugs on Orthodontic Tooth Movement ...iosrphr_editor
 
ARTHRITIS and TOFACITINIB Discussion
ARTHRITIS and TOFACITINIB  DiscussionARTHRITIS and TOFACITINIB  Discussion
ARTHRITIS and TOFACITINIB DiscussionSWAROOP KUMAR K
 
acute surgical pain management
acute surgical pain managementacute surgical pain management
acute surgical pain managementananya nanda
 
Non-steroidal anti-inflammatory drugs (NSAIDs) Pharmacology review
Non-steroidal anti-inflammatory drugs (NSAIDs)  Pharmacology reviewNon-steroidal anti-inflammatory drugs (NSAIDs)  Pharmacology review
Non-steroidal anti-inflammatory drugs (NSAIDs) Pharmacology reviewPharmacy Universe
 
"INFLUENCE OF SYSTEMIC FACTORS (CONDITIONS) ON PERIODONTIUM" PART-I
"INFLUENCE OF SYSTEMIC FACTORS (CONDITIONS) ON PERIODONTIUM"  PART-I"INFLUENCE OF SYSTEMIC FACTORS (CONDITIONS) ON PERIODONTIUM"  PART-I
"INFLUENCE OF SYSTEMIC FACTORS (CONDITIONS) ON PERIODONTIUM" PART-IPerio Files
 
Review article - Nutraceuticals and Functional foods in the management of art...
Review article - Nutraceuticals and Functional foods in the management of art...Review article - Nutraceuticals and Functional foods in the management of art...
Review article - Nutraceuticals and Functional foods in the management of art...DANIEL AYINE NYAABA, RD
 
MANAGEMENT_OF_RHEUMATOID_ARTHRITIS-1[1]-1.pptx
MANAGEMENT_OF_RHEUMATOID_ARTHRITIS-1[1]-1.pptxMANAGEMENT_OF_RHEUMATOID_ARTHRITIS-1[1]-1.pptx
MANAGEMENT_OF_RHEUMATOID_ARTHRITIS-1[1]-1.pptxJENNIFERENEKWECHI
 
1362576395 metabolic and pathologic consequences of diabetes
1362576395 metabolic and pathologic consequences of diabetes1362576395 metabolic and pathologic consequences of diabetes
1362576395 metabolic and pathologic consequences of diabetesdfsimedia
 
1362397185 metabolic and pathologic consequences of diabetes
1362397185 metabolic and pathologic consequences of diabetes1362397185 metabolic and pathologic consequences of diabetes
1362397185 metabolic and pathologic consequences of diabetesdfsimedia
 

Ähnlich wie Diacerein (20)

Jointec max
Jointec maxJointec max
Jointec max
 
Role of drugs in orthodontics
Role of drugs in orthodonticsRole of drugs in orthodontics
Role of drugs in orthodontics
 
ortho 04 drugs in orthopaedic (principle & common use)
ortho 04 drugs in orthopaedic (principle & common use)ortho 04 drugs in orthopaedic (principle & common use)
ortho 04 drugs in orthopaedic (principle & common use)
 
Self blood with betamethasone in management of rheumatoid
Self blood with betamethasone in management of rheumatoidSelf blood with betamethasone in management of rheumatoid
Self blood with betamethasone in management of rheumatoid
 
Cox 1 and cox 2 inhibitirs
Cox 1 and cox 2 inhibitirs Cox 1 and cox 2 inhibitirs
Cox 1 and cox 2 inhibitirs
 
Pharmacology for RA-OA Ikhsan 2021
Pharmacology for RA-OA Ikhsan 2021Pharmacology for RA-OA Ikhsan 2021
Pharmacology for RA-OA Ikhsan 2021
 
Managing Osteoarthritis
Managing OsteoarthritisManaging Osteoarthritis
Managing Osteoarthritis
 
Effect of Nonsteriodal Anti-Inflammatory Drugs on Orthodontic Tooth Movement ...
Effect of Nonsteriodal Anti-Inflammatory Drugs on Orthodontic Tooth Movement ...Effect of Nonsteriodal Anti-Inflammatory Drugs on Orthodontic Tooth Movement ...
Effect of Nonsteriodal Anti-Inflammatory Drugs on Orthodontic Tooth Movement ...
 
E0562023029
E0562023029E0562023029
E0562023029
 
Arthritis ppt priya
Arthritis ppt priyaArthritis ppt priya
Arthritis ppt priya
 
ARTHRITIS and TOFACITINIB Discussion
ARTHRITIS and TOFACITINIB  DiscussionARTHRITIS and TOFACITINIB  Discussion
ARTHRITIS and TOFACITINIB Discussion
 
acute surgical pain management
acute surgical pain managementacute surgical pain management
acute surgical pain management
 
Non-steroidal anti-inflammatory drugs (NSAIDs) Pharmacology review
Non-steroidal anti-inflammatory drugs (NSAIDs)  Pharmacology reviewNon-steroidal anti-inflammatory drugs (NSAIDs)  Pharmacology review
Non-steroidal anti-inflammatory drugs (NSAIDs) Pharmacology review
 
"INFLUENCE OF SYSTEMIC FACTORS (CONDITIONS) ON PERIODONTIUM" PART-I
"INFLUENCE OF SYSTEMIC FACTORS (CONDITIONS) ON PERIODONTIUM"  PART-I"INFLUENCE OF SYSTEMIC FACTORS (CONDITIONS) ON PERIODONTIUM"  PART-I
"INFLUENCE OF SYSTEMIC FACTORS (CONDITIONS) ON PERIODONTIUM" PART-I
 
Review article - Nutraceuticals and Functional foods in the management of art...
Review article - Nutraceuticals and Functional foods in the management of art...Review article - Nutraceuticals and Functional foods in the management of art...
Review article - Nutraceuticals and Functional foods in the management of art...
 
Osteoporosis ppt
Osteoporosis pptOsteoporosis ppt
Osteoporosis ppt
 
Rational NSAID Use IM.pptx
Rational NSAID Use IM.pptxRational NSAID Use IM.pptx
Rational NSAID Use IM.pptx
 
MANAGEMENT_OF_RHEUMATOID_ARTHRITIS-1[1]-1.pptx
MANAGEMENT_OF_RHEUMATOID_ARTHRITIS-1[1]-1.pptxMANAGEMENT_OF_RHEUMATOID_ARTHRITIS-1[1]-1.pptx
MANAGEMENT_OF_RHEUMATOID_ARTHRITIS-1[1]-1.pptx
 
1362576395 metabolic and pathologic consequences of diabetes
1362576395 metabolic and pathologic consequences of diabetes1362576395 metabolic and pathologic consequences of diabetes
1362576395 metabolic and pathologic consequences of diabetes
 
1362397185 metabolic and pathologic consequences of diabetes
1362397185 metabolic and pathologic consequences of diabetes1362397185 metabolic and pathologic consequences of diabetes
1362397185 metabolic and pathologic consequences of diabetes
 

Mehr von BALASUBRAMANIAM IYER (20)

Project Status Report PowerPoint Template.pptx
Project Status Report PowerPoint Template.pptxProject Status Report PowerPoint Template.pptx
Project Status Report PowerPoint Template.pptx
 
dyslipidemia6.ppt
dyslipidemia6.pptdyslipidemia6.ppt
dyslipidemia6.ppt
 
Cancer and immunology
Cancer and immunologyCancer and immunology
Cancer and immunology
 
Stem cells in cardiac care
Stem cells in cardiac careStem cells in cardiac care
Stem cells in cardiac care
 
Telmisartan combination uses
Telmisartan combination usesTelmisartan combination uses
Telmisartan combination uses
 
Infiximab
InfiximabInfiximab
Infiximab
 
Temisartan + chlorthalidone
Temisartan + chlorthalidoneTemisartan + chlorthalidone
Temisartan + chlorthalidone
 
Rrt
RrtRrt
Rrt
 
1
11
1
 
News2
News2News2
News2
 
Cilnidipine
CilnidipineCilnidipine
Cilnidipine
 
NGAL - Acute kidney injury biomarker
NGAL - Acute kidney injury biomarkerNGAL - Acute kidney injury biomarker
NGAL - Acute kidney injury biomarker
 
Are all arbs the same?
Are all arbs the same?Are all arbs the same?
Are all arbs the same?
 
Amh test
Amh testAmh test
Amh test
 
Karyotyping
KaryotypingKaryotyping
Karyotyping
 
Ca
CaCa
Ca
 
Amh
AmhAmh
Amh
 
Torch
TorchTorch
Torch
 
Triple maternal screen
Triple maternal screenTriple maternal screen
Triple maternal screen
 
Risk stratification in post cardiac event cases
Risk stratification in post cardiac event casesRisk stratification in post cardiac event cases
Risk stratification in post cardiac event cases
 

Kürzlich hochgeladen

Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Dipal Arora
 
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escortsvidya singh
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Call Girls in Nagpur High Profile
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...Taniya Sharma
 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsGfnyt
 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...Garima Khatri
 
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...Neha Kaur
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...indiancallgirl4rent
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...aartirawatdelhi
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...narwatsonia7
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...chandars293
 
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls JaipurRussian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipurparulsinha
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...astropune
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...Arohi Goyal
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...jageshsingh5554
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiAlinaDevecerski
 
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 

Kürzlich hochgeladen (20)

Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
 
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
 
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
 
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
 
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
 
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls JaipurRussian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
 
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
 

Diacerein