Carapichea ipecacuanha

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Carapichea ipecacuanha
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Scientific classification OOjs UI icon edit-ltr.svg
Kingdom: Plantae
Clade: Tracheophytes
Clade: Angiosperms
Clade: Eudicots
Clade: Asterids
Order: Gentianales
Family: Rubiaceae
Genus: Carapichea
Species:
C. ipecacuanha
Binomial name
Carapichea ipecacuanha
(Brot.) L.Andersson
Synonyms

Callicocca ipecacuanha
Cephaelis ipecacuanha
Evea ipecacuanha
Psychotria ipecacuanha
Uragoga ipecacuanha

Ipecac plant Ipecac.jpg
Ipecac plant

Carapichea ipecacuanha is a species of flowering plant in the family Rubiaceae. It is native to Costa Rica, Nicaragua, Panama, Colombia, and Brazil. Its common name, ipecacuanha (Portuguese pronunciation: [ipekɐkuˈɐ̃ɲɐ] ), is derived from the Tupi ipega'kwãi, or "road-side sick-making plant". The plant has been discussed under a variety of synonyms over the years by various botanists. The roots were used to make syrup of ipecac, a powerful emetic, a longtime over-the-counter medicine no longer approved for medical use in the West for lack of evidence of safety and efficacy. An example of emetic compound from the roots is emetine. [1]

Description

Ipecacuanha is a slow-growing plant, which reduces its commercial appeal as a crop plant.[ citation needed ] It is seldom cultivated in South America but it has been cultivated in India and elsewhere. [2]

The root of ipecacuanha has been used in preparation of the medicament, the syrup, is simple or divided into a few branches, flexuous, and composed of rings of various size.[ citation needed ] It is somewhat fleshy when fresh, and appearing as if closely strung on a central woody cord.[ citation needed ] The different kinds known in commerce (gray, red, brown) are all produced by the same plant, the differences arising from the age of the plant, the mode of drying, etc.[ citation needed ] Various other plants can be used as substitutes for it.[ clarification needed ][ citation needed ]

History

Ipecacuanha was known to Europe by the mid 17th century. Nicholas Culpeper, an English botanist, herbalist, and physician, compared Ipecacuanha to the herb Orach in his book, Complete Herbal & English Physician, published in 1653.[ full citation needed ] One of the first recorded shipments of Ipecacuanha to Europe was in 1672, by a traveler named Legros, who imported a quantity of the root to Paris from South America. [3] In 1680, a Parisian merchant named Garnier possessed some 68 kilograms (150 pounds) of the substance and informed the physician Jean Claude Adrien Helvetius (1685–1755, father of Claude-Adrien Helvétius) of its power in the treatment of dysentery.[ citation needed ] Helvetius was granted sole right to vend the remedy by Louis XIV, but sold the secret to the French government, who made the formula public in 1688. [3]

Ipecacuanha has a long history of use as an emetic, for emptying the stomach in cases of poisoning, a use that has been discontinued in medical settings (see syrup of ipecac). It has also been used as a nauseant, expectorant, and diaphoretic, and was prescribed for conditions such as bronchitis. The most common and familiar preparation is syrup of ipecac, which was commonly recommended as an emergency treatment for accidental poisoning until the final years of the 20th century. [4] Ipecacuanha was also traditionally used to induce sweating. A common preparation for this purpose was Dover's powder.

In the 19th century, women prisoners at the Cascades Female Factory, Tasmania, were routinely given "a grain or so of ipecacuanha" as a precaution, especially "upon ladies with gross health and fiery temperaments." [5]

Chemical constituents

Ipecacuanha contains the alkaloids emetine (methylcephaeline) and cephaeline. [6] It also contains the pseudo-tannin ipecacuanhic acid or cephaëlic acid. [7] [ better source needed ]

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<span class="mw-page-title-main">Syrup of ipecac</span> Plant-derived drug used for airway decongestion and to induce vomiting

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<span class="mw-page-title-main">Emetine</span> Chemical compound

Emetine is a drug used as both an anti-protozoal and to induce vomiting. It is produced from the ipecac root. It takes its name from its emetic properties.

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<span class="mw-page-title-main">Cephaeline</span> Chemical compound

Cephaeline is an alkaloid that is found in Cephaelis ipecacuanha and other plant species including Psychotria acuminata. Cephaeline induces vomiting by stimulating the stomach lining and is found in commercial products such as syrup of ipecac. Chemically, it is closely related to emetine.

Saramsa Garden, also known as Ipecac Garden, is a public garden close to Ranipool, in Pakyong District, Sikkim, India. Established in 1922, the garden has served a variety of purposes. Initially dedicated to growing fruit for the local colonial officers, it later became known for cultivating the medicinal plant ipecacuanha. For this reason the garden is also known as Ipecac Garden. When the growing of ipecacuanha was discontinued, the garden was repurposed as an orchidarium and a recreational garden for picknickers. In 2008, the garden hosted the International Floriculture Show, attracting 50,000 visitors on each of its three days.

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References

  1. Emmanuel S. Akinboye, Oladapo Bakare; Biological Activities of Emetine , The Open Natural Products Journal, 2011, 4, pp. 8-15; doi : 10.2174/1874848101104010008
  2. Wapf, Victoria (2018-01-30). The Disease of Chopin. A comprehensive study of a lifelong suffering. ISBN   9785040211166.
  3. 1 2 Druett, Joan (2001). Rough Medicine: Surgeons at Sea in the Age of Sail. pp. 61–62. ISBN   9780415924528.
  4. American Academy Of Pediatrics Committee On Injury, Violence (November 2003). "Policy statement: Poison treatment in the home". Pediatrics. 112 (5): 1182–1185. doi:10.1542/peds.112.5.1182. PMID   14595067.
  5. Daniels, Kay. Convict Women. Allen & Unwin, 1998, p. 129.
  6. Roberts, Margaret F.; Wink, Michael (1998). Alkaloids: biochemistry, ecology, and medicinal applications / edited by Margaret F. Roberts and Michael Wink. ISBN   0306454653.
  7. "530. Ipecacuanha.—Ipecac. | Henriette's Herbal Homepage".