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WHO monographs on selected medicinal plants - travolekar.ru

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<str<strong>on</strong>g>WHO</str<strong>on</strong>g> <str<strong>on</strong>g>m<strong>on</strong>ographs</str<strong>on</strong>g> <strong>on</strong> <strong>selected</strong> <strong>medicinal</strong> <strong>plants</strong><br />

Antispasmodic activity<br />

An aqueous or methanol extract of the aerial parts of the plant (c<strong>on</strong>centrati<strong>on</strong><br />

not stated) inhibited c<strong>on</strong>tracti<strong>on</strong>s of rabbit small intestines in vitro (30).<br />

Antiviral activity<br />

A 50% methanol extract of the aerial parts inhibited HIV-1 reverse transcriptase<br />

in vitro at a c<strong>on</strong>centrati<strong>on</strong> of 10% of the nutrient medium (31).<br />

Intraperit<strong>on</strong>eal administrati<strong>on</strong> of a hot-water extract of the dried flowers<br />

and leaves of the plant to mice (dose not stated) was active against tickborne<br />

viral encephalitis (32).<br />

Toxicology<br />

Intraperit<strong>on</strong>eal administrati<strong>on</strong> of an aqueous extract of the aerial parts to<br />

rats had a median lethal dose of 1.5 g/kg bw (33). Intragastric or subcutaneous<br />

administrati<strong>on</strong> of an aqueous extract of the flowers to mice had a<br />

median lethal dose of > 1 g/kg bw (33).<br />

Clinical pharmacology<br />

Oral administrati<strong>on</strong> of a 70% ethanol extract of the flowers (dose not<br />

stated) increased the secreti<strong>on</strong> of gastric juice in healthy volunteers by<br />

178% (16). No further informati<strong>on</strong> <strong>on</strong> this study was available.<br />

Adverse reacti<strong>on</strong>s<br />

Numerous reports of allergic c<strong>on</strong>tact dermatitis have been published (33–<br />

39). In clinical testing, product formulati<strong>on</strong>s c<strong>on</strong>taining 2% of extracts of<br />

the c<strong>ru</strong>de d<strong>ru</strong>g were generally not irritating. In provocative testing, patients<br />

reacted to a Compositae mix that c<strong>on</strong>tained the c<strong>ru</strong>de d<strong>ru</strong>g, as well<br />

as to the c<strong>ru</strong>de d<strong>ru</strong>g al<strong>on</strong>e. In clinical testing, a formulati<strong>on</strong> c<strong>on</strong>taining<br />

0.1% yarrow extract (propylene glycol and water) was not a sensitizer in<br />

a maximizati<strong>on</strong> test and alcoholic extracts of aerial parts of A. millefolium<br />

did not produce a phototoxic resp<strong>on</strong>se (33).<br />

A 5-year follow-up (1985–1990) of patients who were sensitive to<br />

Compositae showed that more than 50% reacted when tested with an<br />

ether extract of the plant, indicating cross-sensitivity (35). However, exacerbati<strong>on</strong><br />

of the patch test sites by irradiati<strong>on</strong> with UV light was not observed<br />

in any of the tested patients. One guaianolide compound, with a<br />

peroxide-bridged cyclopentane ring and an -methylene--butyrolact<strong>on</strong>e<br />

st<strong>ru</strong>cture, named -peroxyachifolide, has been isolated from the flowers<br />

and appears to be resp<strong>on</strong>sible for the allergic c<strong>on</strong>tact dermatitis (35, 37).<br />

Therefore, direct c<strong>on</strong>tact with the c<strong>ru</strong>de d<strong>ru</strong>g or its preparati<strong>on</strong>s may<br />

cause hypersensitivity reacti<strong>on</strong>s of the skin or mucosa, such as rash, formati<strong>on</strong><br />

of vesicles and p<strong>ru</strong>ritus, in sensitive individuals.<br />

186

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