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PLANT
TOXICOLOGY
NABEELA JABEEN
Objectives
 Definition of plants toxin
 Difference between poison & toxin
 Classification of plant toxins
 Toxicity symptoms
 Dose
 Treatment of this toxin
Lecture 1
Definition
 Many constituents of plants elicit pharmacological or toxicological effects
in man and animals and may be classified as plant toxins.
 These are commonly secondary metabolites, i.e. they are produced
within the plant besides primary biosynthetic metabolites such as
carbohydrates and lipids.
Function of plants toxin
 Plant toxins fulfill important functions in living plants, for example
function
 flavanoids as free radical scavengers,
 terpenoids may attract pollinators
 alkaloids can ward off herbivore animals or insect attacks.
One possible way of classifying plant toxins is based on
their common chemistry and biochemistry:
 Glycosides (cardiac glycosides, cyanogenic glycosides, glucosinolates and
saponins)
 Flavanoids and proanthocyanidins
 Tannins
 Terpenes (mono-, di- and sesquiterpenoids)
 Resins
 Lignans
 Alkaloids (tropane alkaloids, pyrrolizidine alkaloids, isoquinoline alkaloids and
methylxanthine alkaloids)
 Furocoumarines and naphtodianthrones
 Proteins and peptides (e.g. ricin)
Toxin vs Poison
Toxin
 Toxins are small poisonous molecules,
peptides, or protein produced by plants,
animals, and other organisms like viruses,
fungi, bacteria, or protozoa.
 They can cause diseases when absorbed
by body tissues and interact with the
body’s enzymes.
 While some toxins only cause minor
discomfort and pain, some can be deadly.
Poison
 Poisons are substances that are
absorbed through the skin or gut of
organisms and causes chemical
reactions. It is used to describe any
harmful substance especially those that
are corrosive, carcinogens, and harmful
pollutants.
INTRODUCTION OF PLANT TOXIN
 , some phytochemical or secondary metabolites produced by plant are
toxins like substances, which are alike to extracellular bacterial toxins in
their properties and may cause problems in humans
 These have both useful and harmful effects in human beings and
animals.
 The problems are varying widely side-effect from skin irritation to thyroid
problems and neurological syndromes. .
 Plant toxins may enter into the body either by inhalation, swallowing or by
contact.
 The action is mainly dependent on their phytoconstituents like
 alkaloids,
 glycosides,
 proteins,
 tannins,
 volatile oils,
 terpenes, steroids etc.
Classification of Plant Toxins
 Plant toxins are food components of plant origin that may be low-
molecular-weight endogenous toxins or products of secondary
metabolism.
 Products of secondary metabolism are species specific and are
responsible for the particular characteristics of plant.
 They include plant pigments, flavours, and compounds that serve to
protect the plants.
 Some of these secondary metabolic products cause toxicity to the
individual when taken orally.
 These substances may be growth inhibitors, neurotoxins, carcinogens,
and teratogens
 These are classified based on their structural and chemical properties.
Plant toxins can be classified as follows:
Alkaloids
 These are organic compounds containing nitrogen in heterocyclic ring,
basic in nature and derived from amino acid,
 most of which exhibit strong physiological activity.
 For example, colchicines, nicotine, aconitine, taxine, cocaine and many
others.
Some common toxins from this class
include:
 Indole alkaloids: beta-carbolines like harmine active on the central
nervous system5
 Pyrrolizidine: veno occlusive disease of the liver
 Tropanes: atropine, scopolamine, hyoscyamine active on the
autonomous nerve system
 Vicine/covicine: important in G-6PD deficiency and fauvism
(haemolytic anaemia)
 Glycoalkaloid: The greatest worry for glycoalkaloid toxicity is its acute
toxicity.
 There have been many reported cases of human poisonings (sometimes
fatal) due to the ingestion of greened, damaged or sprouted potatoes as
a consequence of high levels of glycoalkaloid i.e. solanine
Glycosides
 These substances are consisting of a nonsugar moiety i.e. aglycone to
which one or more sugar chains is bound
 Cyanogenic glycosides release prussic acid.
 The cyanide ions (CN-) attach to the mitochondrial cytochrome oxidase
and in this way blocks electron transport.
 The clinical symptoms of acute cyanide intoxication can include: rapid
respiration, drop in blood pressure, rapid pulse, dizziness, headache,
stomach pains, vomiting, diarrhoea, mental confusion, stupor, cyanosis
with twitching and convulsions followed by terminal coma
 Cardiac glycosides such as digitoxin from foxglove. Digoxin inhibits the
enzyme Na-K-ATPase. Vomiting, confusion, changes in colour
perception and in particular, cardiac arrhythmias are dominant
symptoms.
 Goitrogenic glycosides: too much ingestion and simultaneous iodine
deficiency may lead to thyroid disorders.
 Mustard seed oil glycosides: After splitting of the sugar, irritating
mustard oils were released.
Tannins
 These substances have the capability to precipitate proteins.
 They make the skin tough by deception of the proteins in the skin.
Proteins
 A number of protein toxins produced by plants enter eukaryotic cells and
inhibit protein synthesis enzymatically.
 Examples of poisonous proteins include ricin (castor plant), abrin (rosary
pea) and white acacia.
 Lathyrism occurs due to a toxic amino acid that mimics glutamate
Oxalic acid and oxalates
 These substances may be present in trichomes or in raphides (needle-like
structures).
 They can provoke mechanical irritation. Ingested oxalate will be
absorbed.
 Oxalate in blood binds calcium to form the insoluble calcium oxalate.
Severe hypocalcaemia with tetany can occur.
Anti-vitamins
 Some substances work against the vitamins,
 e.g. thiaminases in horsetails and
 bracken (breakdown of thiamine)
 anti-vitamin K such as coumarins.
Photosensitising and contact-
sensitising substances
 St. John’s wort with hypericin and hogweed causes photoallergy.
 Poison ivy is known in North America.
 Many of the active substances are phenols, furano- coumarins or
derivatives of these, which causes allergy to sunlight.
Volatile oils
 Volatile oils are liquid substances formed in special oil cells, glands, hairs,
or channels.
 They are all soluble in alcohol. At certain concentrations, some are
irritant (forming blisters) and emetic.
 Some volatile oils are nephrotoxic
Lecture 2
Higher plant toxins
 Essential oils
 Cineol
 Pine oil
 Phenyl propane
 Apiol
 Safrole
 Myristicin
Essential oils (Cineol)
 Eucalyptus oil is the generic name for distilled oil from the leaf
of Eucalyptus, a genus of the plant family Myrtaceae native
to Australia and cultivated worldwide.
 Eucalyptus oil has a history of wide application, as
a pharmaceutical, antiseptic, repellent, flavouring, fragrance and industria
l uses. The leaves of selected Eucalyptus species are steam
distilled to extract eucalyptus oil.
 TOXICTY
 If consumed internally at low dosage as a flavouring component or in
pharmaceutical products at the recommended rate, cineole-based 'oil of
eucalyptus' is safe for adults.
 However, systemic toxicity can result from ingestion or topical application
at higher than recommended doses.
 The probable lethal dose of pure eucalyptus oil for an adult is in the
range of 0.05 mL to 0.5 mL/per kg of body weight.
 Because of their high body surface area to mass ratio, children are more
vulnerable to poisons absorbed transdermally.
 Severe poisoning has occurred in children after ingestion of 4 mL to 5 mL
of eucalyptus oil.
SIGN & SYMPTOMS
 Confusion.
 Depression.
 Dilated eyes.
 Diarrhea.
 Difficulty swallowing.
 Excessive drooling.
 Lethargy.
 Loss of appetite.
Pine oil
 Pine oil is an essential oil obtained by the steam distillation of
stumps, needles, twigs and cones from a variety of species of pine,
particularly Pinus sylvestris
 In alternative medicine, it is said to be used in aromatherapy, as a scent
in bath oils
 Chemically, pine oil consists mainly of alpha-Terpineol or
cyclic terpene alcohols.
 It may also contain terpene hydrocarbons, ethers, and esters.
TOXICITY OF PINE OIL
 Pine oil has a relatively low human toxicity level, a low corrosion level and
limited persistence;
 however, it irritates the skin and mucous membranes and has been
known to cause breathing problems.
 Large doses may cause central nervous system depression.
SIGN & SYMPTOMS
 Eyes, ears, nose, and throat
 Difficulty swallowing
 Throat burning
 Eye burning
 Lungs
 Breathing difficulty
 Gastrointestinal
 Abdominal pain
 Diarrhea
 Nausea
 Vomiting
 Heart and blood circulation
 Rapid heartbeat
 Nervous system
 Unconsciousness
 Convulsions
 Dizziness
Treatment
 The health care provider will measure and monitor the patient's vital
signs, including temperature, pulse, breathing rate, and blood pressure.
 Blood and urine tests will be done. The patient may receive:
 Endoscopy -- camera down the throat to see burns in the esophagus and
the stomach
 Fluids through a vein (by IV)
 Medicines to treat symptoms
 Tube through the mouth into the stomach to wash out the stomach
(gastric lavage)
 Washing of the skin (irrigation), perhaps every few hours for several days
 Skin debridement (surgical removal of burned skin)
Outlook (Prognosis)
 How well a patient does depends on the amount of poison swallowed
and how quickly treatment was received.
 Swallowing pine oil can have severe effects on many parts of the body.
 Usually the biggest problem is that pine oil is swallowed (aspirated) into
the lungs instead of the stomach, causing problems breathing.
Apiol
 The apiol is an organic chemical compound, a
phenylpropanoid extracted from the seeds and leaves of
parsley (Petrosileum hortense).
 Even in the ancient Greece, Hippocrates knew that parsley had abortive
effects.
 Plants containing apiol were also used by women in the Middle Ages to
terminate pregnancies.
 Coincidentally, some patients, sicked with malaria and treated with apiol,
suffered of amenorrhea (absence of menstruation).
 It was thus discovered that, among the side effects, apiol regularizes
menstruation: it was discovered a new emmenagogue.
 The apiol began to be sold by many pharmaceutical companies under
different names (Ergapiol, Apergol, Salutol)
Toxic effects
 Abortive effect
 Apiol increases the tone and strength of contraction, reduces the tone of
vessels and causes necrosis of placental tissue.
 The lowest dose of apiol that seems to be necessary to induce abortion is
0.9 g taken for 8 consecutive days.
 In the past there have been numerous cases of severe poisoning, often
fatal,
 Due to the empirical practice to use concentrated decoction of parsIey
seeds and / or leaves to induce abortion.
 The toxic dose is difficult to define, because it depends on the mode of
preparation and on the association with other substances that can
enhance the toxicity of the product.
 But the facts that patient ingestes an excedingly large dose of the drug in
a short period of time may help to enhance the severity of the symptoms.
 1.it reacts with cell membrane dissolving the latter;
2.Patients show a bleeding tendency associated to trombocytopenia and an
anemia partly due to blood loss and partly on a hemolytic basis.
3.Hematuria the presence of blood in urine.
4.Fatty liver and necrosis
5. demyelinating of peripheral nerves.

Symptoms
 In relation to the mode of intoxication (abortion attempt), most of the
subjects reach hospital at a distance of 12-24 hours or more after
ingestion of the toxin.
 The symptoms are: nausea, vomiting, abdominal distress and diarrhea
particularly in the early stages, a state of shock, massive hematuria,
metroraggia, cutaneous petechiae and other signs of severe coagulation’s
alteration.
 Frequently is observed hyperthermia and rapid progression to coma
associated with brain damage..
 This syndrome has usually a rapid progression and ends with a fatal
outcome. In the case of survival, the resolution of the coma and liver
damage and kidney is slow
Treatment
 Within a few hours of ingestion, it must be done gastric lavage.
 If the most of the toxic has already been absorbed, it is necessary to follow
very frequently the coagulative parameters
 In the presence of metroraggia, hysterectomy is deemed necessary.
 Finally it’s necessary to make dialysis for compensating the kidney failure.
 If the hemolysis is massive, the clinical can choose to performe
plasmapheresis to remove free hemoglobin and prevent kidney failure or
exsanguigno tranfusion.
Safrole
 Background;
 Safrole is a phenylpropene.
 It is a colorless or slightly yellow oily liquid typically extracted from the
root-bark or the fruit of sassafras plants in the form of sassafras oil
 sassafras oil made from Sassafras albidum
Uses
 Diuretics
 UTI treatment
Toxic effects
 Ingestion of sassafras oil leads to
 Vomitting
 Stupor
 Vertigo
 Pollar within 10-90 mins
 Tea preparation from root lead to sweating mucous membrane irritatent
 Cardiovascualar collapse
 Flushing of skin
spermatogenesis in mice
Laboratory
 Monitor fluids and electrolytes
 Both kidney and liver function
 Serum & plasma level of safrole & its metabolite
Treatment
 Treatment is supportive and symptomatics
 Administer IV fluids and electrolyte
 Minor flaculation does not need intervention
Myristicin
 Myristicin, or methoxysafrole, is the principal aromatic constituent of the
volatile oil of nutmeg, the dried ripe seed of Myristica fragrans.
 Myristicin is also found in several members of the carrot family
(Umbelliferae).
 Several intoxications have been reported after an ingestion of
approximately 5 g of nutmeg, corresponding to 1-2 mg myristicin/kg
body weight (b.w.).
 Although these intoxications may be ascribed to the actions of myristicin,
it is likely that other components of nutmeg may also be involved.
Sign & symptoms
 Giddiness
 Hallucination
 Feelins of depersonalization
 Drowsiness
 Delirium
Treatment
 Supportive treatment
 Symptoms treatment

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Introduction of plant toxicology

  • 2. Objectives  Definition of plants toxin  Difference between poison & toxin  Classification of plant toxins  Toxicity symptoms  Dose  Treatment of this toxin
  • 4. Definition  Many constituents of plants elicit pharmacological or toxicological effects in man and animals and may be classified as plant toxins.  These are commonly secondary metabolites, i.e. they are produced within the plant besides primary biosynthetic metabolites such as carbohydrates and lipids.
  • 5. Function of plants toxin  Plant toxins fulfill important functions in living plants, for example function  flavanoids as free radical scavengers,  terpenoids may attract pollinators  alkaloids can ward off herbivore animals or insect attacks.
  • 6. One possible way of classifying plant toxins is based on their common chemistry and biochemistry:  Glycosides (cardiac glycosides, cyanogenic glycosides, glucosinolates and saponins)  Flavanoids and proanthocyanidins  Tannins  Terpenes (mono-, di- and sesquiterpenoids)  Resins  Lignans  Alkaloids (tropane alkaloids, pyrrolizidine alkaloids, isoquinoline alkaloids and methylxanthine alkaloids)  Furocoumarines and naphtodianthrones  Proteins and peptides (e.g. ricin)
  • 7. Toxin vs Poison Toxin  Toxins are small poisonous molecules, peptides, or protein produced by plants, animals, and other organisms like viruses, fungi, bacteria, or protozoa.  They can cause diseases when absorbed by body tissues and interact with the body’s enzymes.  While some toxins only cause minor discomfort and pain, some can be deadly. Poison  Poisons are substances that are absorbed through the skin or gut of organisms and causes chemical reactions. It is used to describe any harmful substance especially those that are corrosive, carcinogens, and harmful pollutants.
  • 8. INTRODUCTION OF PLANT TOXIN  , some phytochemical or secondary metabolites produced by plant are toxins like substances, which are alike to extracellular bacterial toxins in their properties and may cause problems in humans  These have both useful and harmful effects in human beings and animals.  The problems are varying widely side-effect from skin irritation to thyroid problems and neurological syndromes. .
  • 9.  Plant toxins may enter into the body either by inhalation, swallowing or by contact.  The action is mainly dependent on their phytoconstituents like  alkaloids,  glycosides,  proteins,  tannins,  volatile oils,  terpenes, steroids etc.
  • 10. Classification of Plant Toxins  Plant toxins are food components of plant origin that may be low- molecular-weight endogenous toxins or products of secondary metabolism.  Products of secondary metabolism are species specific and are responsible for the particular characteristics of plant.  They include plant pigments, flavours, and compounds that serve to protect the plants.
  • 11.  Some of these secondary metabolic products cause toxicity to the individual when taken orally.  These substances may be growth inhibitors, neurotoxins, carcinogens, and teratogens  These are classified based on their structural and chemical properties. Plant toxins can be classified as follows:
  • 12. Alkaloids  These are organic compounds containing nitrogen in heterocyclic ring, basic in nature and derived from amino acid,  most of which exhibit strong physiological activity.  For example, colchicines, nicotine, aconitine, taxine, cocaine and many others.
  • 13. Some common toxins from this class include:  Indole alkaloids: beta-carbolines like harmine active on the central nervous system5  Pyrrolizidine: veno occlusive disease of the liver  Tropanes: atropine, scopolamine, hyoscyamine active on the autonomous nerve system  Vicine/covicine: important in G-6PD deficiency and fauvism (haemolytic anaemia)
  • 14.  Glycoalkaloid: The greatest worry for glycoalkaloid toxicity is its acute toxicity.  There have been many reported cases of human poisonings (sometimes fatal) due to the ingestion of greened, damaged or sprouted potatoes as a consequence of high levels of glycoalkaloid i.e. solanine
  • 15. Glycosides  These substances are consisting of a nonsugar moiety i.e. aglycone to which one or more sugar chains is bound  Cyanogenic glycosides release prussic acid.  The cyanide ions (CN-) attach to the mitochondrial cytochrome oxidase and in this way blocks electron transport.  The clinical symptoms of acute cyanide intoxication can include: rapid respiration, drop in blood pressure, rapid pulse, dizziness, headache, stomach pains, vomiting, diarrhoea, mental confusion, stupor, cyanosis with twitching and convulsions followed by terminal coma
  • 16.  Cardiac glycosides such as digitoxin from foxglove. Digoxin inhibits the enzyme Na-K-ATPase. Vomiting, confusion, changes in colour perception and in particular, cardiac arrhythmias are dominant symptoms.  Goitrogenic glycosides: too much ingestion and simultaneous iodine deficiency may lead to thyroid disorders.  Mustard seed oil glycosides: After splitting of the sugar, irritating mustard oils were released.
  • 17. Tannins  These substances have the capability to precipitate proteins.  They make the skin tough by deception of the proteins in the skin.
  • 18. Proteins  A number of protein toxins produced by plants enter eukaryotic cells and inhibit protein synthesis enzymatically.  Examples of poisonous proteins include ricin (castor plant), abrin (rosary pea) and white acacia.  Lathyrism occurs due to a toxic amino acid that mimics glutamate
  • 19. Oxalic acid and oxalates  These substances may be present in trichomes or in raphides (needle-like structures).  They can provoke mechanical irritation. Ingested oxalate will be absorbed.  Oxalate in blood binds calcium to form the insoluble calcium oxalate. Severe hypocalcaemia with tetany can occur.
  • 20. Anti-vitamins  Some substances work against the vitamins,  e.g. thiaminases in horsetails and  bracken (breakdown of thiamine)  anti-vitamin K such as coumarins.
  • 21. Photosensitising and contact- sensitising substances  St. John’s wort with hypericin and hogweed causes photoallergy.  Poison ivy is known in North America.  Many of the active substances are phenols, furano- coumarins or derivatives of these, which causes allergy to sunlight.
  • 22. Volatile oils  Volatile oils are liquid substances formed in special oil cells, glands, hairs, or channels.  They are all soluble in alcohol. At certain concentrations, some are irritant (forming blisters) and emetic.  Some volatile oils are nephrotoxic
  • 24. Higher plant toxins  Essential oils  Cineol  Pine oil  Phenyl propane  Apiol  Safrole  Myristicin
  • 25. Essential oils (Cineol)  Eucalyptus oil is the generic name for distilled oil from the leaf of Eucalyptus, a genus of the plant family Myrtaceae native to Australia and cultivated worldwide.  Eucalyptus oil has a history of wide application, as a pharmaceutical, antiseptic, repellent, flavouring, fragrance and industria l uses. The leaves of selected Eucalyptus species are steam distilled to extract eucalyptus oil.
  • 26.  TOXICTY  If consumed internally at low dosage as a flavouring component or in pharmaceutical products at the recommended rate, cineole-based 'oil of eucalyptus' is safe for adults.  However, systemic toxicity can result from ingestion or topical application at higher than recommended doses.
  • 27.  The probable lethal dose of pure eucalyptus oil for an adult is in the range of 0.05 mL to 0.5 mL/per kg of body weight.  Because of their high body surface area to mass ratio, children are more vulnerable to poisons absorbed transdermally.  Severe poisoning has occurred in children after ingestion of 4 mL to 5 mL of eucalyptus oil.
  • 28. SIGN & SYMPTOMS  Confusion.  Depression.  Dilated eyes.  Diarrhea.  Difficulty swallowing.  Excessive drooling.  Lethargy.  Loss of appetite.
  • 29. Pine oil  Pine oil is an essential oil obtained by the steam distillation of stumps, needles, twigs and cones from a variety of species of pine, particularly Pinus sylvestris  In alternative medicine, it is said to be used in aromatherapy, as a scent in bath oils  Chemically, pine oil consists mainly of alpha-Terpineol or cyclic terpene alcohols.  It may also contain terpene hydrocarbons, ethers, and esters.
  • 30. TOXICITY OF PINE OIL  Pine oil has a relatively low human toxicity level, a low corrosion level and limited persistence;  however, it irritates the skin and mucous membranes and has been known to cause breathing problems.  Large doses may cause central nervous system depression.
  • 31. SIGN & SYMPTOMS  Eyes, ears, nose, and throat  Difficulty swallowing  Throat burning  Eye burning  Lungs  Breathing difficulty  Gastrointestinal  Abdominal pain  Diarrhea  Nausea  Vomiting
  • 32.  Heart and blood circulation  Rapid heartbeat  Nervous system  Unconsciousness  Convulsions  Dizziness
  • 33. Treatment  The health care provider will measure and monitor the patient's vital signs, including temperature, pulse, breathing rate, and blood pressure.  Blood and urine tests will be done. The patient may receive:  Endoscopy -- camera down the throat to see burns in the esophagus and the stomach  Fluids through a vein (by IV)
  • 34.  Medicines to treat symptoms  Tube through the mouth into the stomach to wash out the stomach (gastric lavage)  Washing of the skin (irrigation), perhaps every few hours for several days  Skin debridement (surgical removal of burned skin)
  • 35. Outlook (Prognosis)  How well a patient does depends on the amount of poison swallowed and how quickly treatment was received.  Swallowing pine oil can have severe effects on many parts of the body.  Usually the biggest problem is that pine oil is swallowed (aspirated) into the lungs instead of the stomach, causing problems breathing.
  • 36. Apiol  The apiol is an organic chemical compound, a phenylpropanoid extracted from the seeds and leaves of parsley (Petrosileum hortense).  Even in the ancient Greece, Hippocrates knew that parsley had abortive effects.  Plants containing apiol were also used by women in the Middle Ages to terminate pregnancies.
  • 37.  Coincidentally, some patients, sicked with malaria and treated with apiol, suffered of amenorrhea (absence of menstruation).  It was thus discovered that, among the side effects, apiol regularizes menstruation: it was discovered a new emmenagogue.  The apiol began to be sold by many pharmaceutical companies under different names (Ergapiol, Apergol, Salutol)
  • 38. Toxic effects  Abortive effect  Apiol increases the tone and strength of contraction, reduces the tone of vessels and causes necrosis of placental tissue.  The lowest dose of apiol that seems to be necessary to induce abortion is 0.9 g taken for 8 consecutive days.
  • 39.  In the past there have been numerous cases of severe poisoning, often fatal,  Due to the empirical practice to use concentrated decoction of parsIey seeds and / or leaves to induce abortion.  The toxic dose is difficult to define, because it depends on the mode of preparation and on the association with other substances that can enhance the toxicity of the product.  But the facts that patient ingestes an excedingly large dose of the drug in a short period of time may help to enhance the severity of the symptoms.
  • 40.  1.it reacts with cell membrane dissolving the latter; 2.Patients show a bleeding tendency associated to trombocytopenia and an anemia partly due to blood loss and partly on a hemolytic basis. 3.Hematuria the presence of blood in urine. 4.Fatty liver and necrosis 5. demyelinating of peripheral nerves. 
  • 41. Symptoms  In relation to the mode of intoxication (abortion attempt), most of the subjects reach hospital at a distance of 12-24 hours or more after ingestion of the toxin.  The symptoms are: nausea, vomiting, abdominal distress and diarrhea particularly in the early stages, a state of shock, massive hematuria, metroraggia, cutaneous petechiae and other signs of severe coagulation’s alteration.
  • 42.  Frequently is observed hyperthermia and rapid progression to coma associated with brain damage..  This syndrome has usually a rapid progression and ends with a fatal outcome. In the case of survival, the resolution of the coma and liver damage and kidney is slow
  • 43. Treatment  Within a few hours of ingestion, it must be done gastric lavage.  If the most of the toxic has already been absorbed, it is necessary to follow very frequently the coagulative parameters  In the presence of metroraggia, hysterectomy is deemed necessary.  Finally it’s necessary to make dialysis for compensating the kidney failure.  If the hemolysis is massive, the clinical can choose to performe plasmapheresis to remove free hemoglobin and prevent kidney failure or exsanguigno tranfusion.
  • 44. Safrole  Background;  Safrole is a phenylpropene.  It is a colorless or slightly yellow oily liquid typically extracted from the root-bark or the fruit of sassafras plants in the form of sassafras oil  sassafras oil made from Sassafras albidum
  • 46. Toxic effects  Ingestion of sassafras oil leads to  Vomitting  Stupor  Vertigo  Pollar within 10-90 mins  Tea preparation from root lead to sweating mucous membrane irritatent  Cardiovascualar collapse  Flushing of skin spermatogenesis in mice
  • 47. Laboratory  Monitor fluids and electrolytes  Both kidney and liver function  Serum & plasma level of safrole & its metabolite
  • 48. Treatment  Treatment is supportive and symptomatics  Administer IV fluids and electrolyte  Minor flaculation does not need intervention
  • 49. Myristicin  Myristicin, or methoxysafrole, is the principal aromatic constituent of the volatile oil of nutmeg, the dried ripe seed of Myristica fragrans.  Myristicin is also found in several members of the carrot family (Umbelliferae).  Several intoxications have been reported after an ingestion of approximately 5 g of nutmeg, corresponding to 1-2 mg myristicin/kg body weight (b.w.).  Although these intoxications may be ascribed to the actions of myristicin, it is likely that other components of nutmeg may also be involved.
  • 50. Sign & symptoms  Giddiness  Hallucination  Feelins of depersonalization  Drowsiness  Delirium