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 Dhatura , a member of the solanaceae family and belongs to the
genus Datura , which consists of 9 species such as Datura ferox ,
Datura alba , Datura fastuosa etc.
 Common names : Thoran apple , Jimson weed , hell’s bell and
devil’s trumpet.
Toxic part:
•all parts of these plant are poisonous - fruits , flowers
, seeds .
•The seeds resemble chill seeds , poison occurs only if
seeds are masticated and swallowed .
•ROUTES OF INTAKE : seeds are ingested or plant parts
in tea , and smoking dry leaves are common.
 The plants contains belladonna alkaloids whose primary
actions are anticholinergic ,
 1. scopolamine;
 2. hyoscyamine,
 3. Atropine.
 Atropine and hyoscine blocks the acetylcholine receptor and
produces sympathomimetic or parasympatholytic actions.
 CNS stimulation in early phase , but later CNS depression
occurs, especially of the respiratory center.
 Vagolytic action resulting in stimulation of the heart.
 Anticholinergic syndrome;
 Symptoms are seen 30 – 60 minutes after ingestion and may continue for
24 – 48 hours.
 1. Dryness of mouth
 2. Dysphagia
 3.Dysarthria
 4.Dilatation of cutaneous blood vessels
 5.Diplopia ( dilated pupil)
 6.Dry hot skin
 7.Distension of urinary bladder
 8.Drunken gait
 9. Delirium
 10.Diminished bowel sounds
 11.Drowsiness.
 Seeds : 75 – 125
 Hyoscine : 15 – 30 mg
 Fatal period : 24 hours
 Diagnosis : atropine can be detected by radioimmunoassay ,
GS-MS, thin layer chromatography and liquid
chromatography. Scopolamine can be analyzed in plasma and
urine by radio-receptor assay and GC-MS.
 1.Emetics
 2. Gastric lavage with tannic acid, kmno4 or activated
charcoal.
 3.Physostigmine 0.5-1mg slow IV over 5 min with ecg
monitoring.
 4.Purgatives and colonic lavage is recommended
 5.Tepid sponge baths to control high temperature , diazepam
IV for sedation and seizures.
 6.O2 inhalation and artificial respiration.
 7.Hemodialysis
 8.Catheterization in case of urinary retention .
 External: signs of asphyxia
 Internal : seeds may be detected in the stomach and small
intestine
 Stomach : mucosa may show inflammation.
 Lungs : Edematous and congested.
 Heart : petechial hemorrhages in endocardium.
 In india , dhatura is employed mainly as a stupefying poison
before robbery, rail road poison.
 Occasionally , it is used for suicidal purpose and for criminal
abortion.
 Accidental poisoning is common in children .
 Unintentional overdose from therapeutic use may occur.
 Homicide is rare.

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DHATURA FINAL.pptx

  • 1.
  • 2.  Dhatura , a member of the solanaceae family and belongs to the genus Datura , which consists of 9 species such as Datura ferox , Datura alba , Datura fastuosa etc.  Common names : Thoran apple , Jimson weed , hell’s bell and devil’s trumpet. Toxic part: •all parts of these plant are poisonous - fruits , flowers , seeds . •The seeds resemble chill seeds , poison occurs only if seeds are masticated and swallowed . •ROUTES OF INTAKE : seeds are ingested or plant parts in tea , and smoking dry leaves are common.
  • 3.
  • 4.  The plants contains belladonna alkaloids whose primary actions are anticholinergic ,  1. scopolamine;  2. hyoscyamine,  3. Atropine.
  • 5.  Atropine and hyoscine blocks the acetylcholine receptor and produces sympathomimetic or parasympatholytic actions.  CNS stimulation in early phase , but later CNS depression occurs, especially of the respiratory center.  Vagolytic action resulting in stimulation of the heart.
  • 6.  Anticholinergic syndrome;  Symptoms are seen 30 – 60 minutes after ingestion and may continue for 24 – 48 hours.  1. Dryness of mouth  2. Dysphagia  3.Dysarthria  4.Dilatation of cutaneous blood vessels  5.Diplopia ( dilated pupil)  6.Dry hot skin  7.Distension of urinary bladder  8.Drunken gait  9. Delirium  10.Diminished bowel sounds  11.Drowsiness.
  • 7.  Seeds : 75 – 125  Hyoscine : 15 – 30 mg  Fatal period : 24 hours  Diagnosis : atropine can be detected by radioimmunoassay , GS-MS, thin layer chromatography and liquid chromatography. Scopolamine can be analyzed in plasma and urine by radio-receptor assay and GC-MS.
  • 8.  1.Emetics  2. Gastric lavage with tannic acid, kmno4 or activated charcoal.  3.Physostigmine 0.5-1mg slow IV over 5 min with ecg monitoring.  4.Purgatives and colonic lavage is recommended  5.Tepid sponge baths to control high temperature , diazepam IV for sedation and seizures.  6.O2 inhalation and artificial respiration.  7.Hemodialysis  8.Catheterization in case of urinary retention .
  • 9.  External: signs of asphyxia  Internal : seeds may be detected in the stomach and small intestine  Stomach : mucosa may show inflammation.  Lungs : Edematous and congested.  Heart : petechial hemorrhages in endocardium.
  • 10.
  • 11.  In india , dhatura is employed mainly as a stupefying poison before robbery, rail road poison.  Occasionally , it is used for suicidal purpose and for criminal abortion.  Accidental poisoning is common in children .  Unintentional overdose from therapeutic use may occur.  Homicide is rare.