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Ipecac, Hydrastis, Sanguinaria, Curare, Opium Poppy
Isoquinolines
Cephaelis ipecacuanha
Brazilian ipecac
Cephaelis acuminata
Panama ipecac
emetine, psychotrine, cephaeline
AC of Ipecac
Ipecac
Use: Ipecac syrup (emetic) Ipecac fluid extract (14x
more potent) Dover's powder ( ipecac + opium
(diaphoretic))
Hydrastis canadensis
Hydrastis
Hydrastis
o Aka goldenseal
o AC: hydrastine, berberine
o Use as astringent
Sanguinaria canadensis
Sanguinaria
Sanguinaria
o Bloodroot
o AC: Sanguinarine
o Use expectorant, emetic
Strychnos castelnaei, Chondrondendron tomentosum
Curare
Curare
Aka south American arrow poison
o Use: skeletal muscle relaxant (paralysis)
o Antidote for strychnine poisoning
Papaver somniferum
Opium Poppy
Opium Poppy
Stone of Immortality
Morphine, Codeine, Noscapine, Papaverine, Thebaine
Opiates (Naturally Occurring)
Morphine
narcotic analgesic; most important
and most abundant; discovered by Friedrick Serturner
Codeine
(methylmorphine) - obtained from
methylation of morphine; antitussive; discovered
by Pierre Jean Robiquet
Noscapine
(anarcotine) - non narcotic opium alkaloid
Papaverine
antitussive; smooth muscle relaxant
Thebaine
non used therapeutically; precursor of oxycodone, oxymorphone, nalbuphine, naloxone,
naltrexone
Heroin, Hydromorphone, Hydrocodone, Apomorphine
Opioids - synthetic/semi synthetic drugs that act on opioid receptor
Heroin
(diacetylmorphine) - acetylation of
morphine; increase danger of habit formation;
very potent; most common AE: constipation;
most severe AE: respiratory depression
Hydromorphone
most potent analgesic; less frequent SE
Hydrocodone
most potent antitussive
Apomorphine
condensation of morhine +HCL; use potent emetic; tx of Parkinson's disease
powdered opium, pare goric, laudanum, dover's powder
Other opium related products
powdered opium
10-15% opium
Pare goric
camphorate opium tincture
laudanum
opium tincture
dover's powder
ipecac + opium
Rauwolfia, Vinca/Cathatranthus, Nux Vomica, Physostigmine
Indoles
Rauwolfia
(Rauvolfia serpentina)
• AC: reserpine
• Tx of snakebites to insanity,hypotensive effect and
traquilizer effect
Vinca/cathatranthus
(aka periwinkle) (Catharanthus roseus)
• Vincristine, vinblastine
• Use for antineoplastic - arrest the cell cycle at
metaphase
Nux vomica
(Strychnus nux-vomica; Strychnus ignatti)
• Strychnine- toxic CNS stimulant ; rat killer
• Brucine - alcohol denaturant
Physostigmine
(Physostigma venenosum)
• AC: physostigmine/eserine
• - tx of glaucoma
Ergonovonine/ergometrin, methylsergide, ergotamine, LSD
Ergots
Ergonovonine/ergometrin
oxytocic agent
methylsergide
oral propylaxis for migraine
ergotamine
drug of choice for migraine
LSD
most active and most specific psychomimetic drug/hallucinogen
Pilocarpine
Imidazole
Pilocarpine
Pilocarpus jaborandi
—Cholinergic agent that improves outflow of aqueous humor à decrease intraocular pressure-tx of glaucoma
Green hellebore, white hellebore
steroidal
ephedra, colchicum, khat, peyote
Alkaloidal amines
Ephedra
Ephedra sinica
AC: ephedrine - nasal decongestant cardiac stimulant bronchodilator
Colchicum
Colchicum autumnale
AC: colchicine - tx of gout
Khat
Catha edulis
AC: Cathinone (only alkaloidal that could mimic the effect of amphetamine à mild euphoria and excitement
Peyote
Locophora williamsi
Streetname: mushroom, shroom
AC: mescaline, psilocybin - hallucinogenic and euphoric effect
caffeine, theophylline, theobromine, cola, coffee, gusanasa, mate/yerba mate, thea, theobroma
Purine
Caffeine
1,3,7-trimethylxanthine
Theophylline
1,3, dimethylxanthine
Theobromine
3,7 dimethylxanthine
Cola
Cola nitida
AC: caffeine, theobromine (CNS stimulant
Gusanasa
Paullina cupana
Caffeine catechutannin - CNS stimulant
Mate/yerba mate
Ilex paraguariensis - AC: caffeine
Thea
Camelia sinensis
AC: o theophylline (use:
bronchodilator tx for asthma) and caffeine
o Aminophylline - diethylamide complex of theophylline- tx of bronchial asthma
Theobroma
Theobroma cacao
- theobromine - diuretic in cardiac and pulmonary edema