Ephedra

Owing to the disturbed state of China in recent years, supplies of Ephedra from that quarter have diminished and for some time were replaced by a drug of Spanish origin and later, as Spain also became involved in civil war, by supplies from India, where attentidn has been given to the five indigenous species E. intermedia Schrenk and Mayer, E. gerardiana Wall, E. nebrodensis Tineo, E. pachyclada Boiss. and E. foliata Boiss., of which the first three are of commercial importance. ... 

The world war made all these sources of supply difficult of access and stimulated interest in the possibilities of local production. Examination of a number of American species of ephedra had already shown them to be devoid of alkaloids, except for the S. American species E. andina, in which Chavezt found ephedrine, and in the United States attention has been given to the experimental cultivation of imported species, notably E. sinica and E. gerardiana a Moroccan type, E. alenda, was found to contain only ). In Australia experimental cultivation of the Indian species E. gerardiana, E. intermedia and E. nebrodensis has been tried and preliminary yields of 1-35, 1-OS and 0-98 per cent, of total alkaloids respectively have been recorded. In Russia, E. equisetina and E. intermedia are available and are considered to be worth exploitation. In Italy various local species have been found to contain mainly i -ephedrine and that in small amount, but better results are recorded for two species already referred to and which are available in Sardinia, viz. E. vulgaris Rich and E. nebrodensis. ... 

To avoid the difficulty of variation in alkaloidal content liable to occur in commercial Ephedra a proposal.has been made in India for the manufacture of a standardised extract representing 5 per cent, of the weight of the crude drug and containing 18 to 20 per cent, of the total alkaloids. Both in India and China experimental extraction of ephedrine has been started. ... 

The total alkaloidal eontent of Ephedra varies widely, being influeneed by the speeies eolleeted and the seasonal and environmental eonditions, as has been shown by Read and by Chopra and their eolleagues. For speeially eolleeted material yields as high as 2- 56 per cent., of which 1- 8 per cent, is ephedrine, have been recorded, but about 1 per cent, of total alkaloids is not usually exceeded in the commercial product. 

For commercial Ephedra the British Pharmaceutical Codex, 1934, specifies a total alkaloidal content of not less than 1-25 per cent, when assayed by the method therein prescribed. The proportion of Z-ephedrine is generally about 70 per cent. Methods of assay for total alkaloids are described by Feng and Read and by Krishna and Chose, who discuss the various difficulties involved and comments on these and other methods have been made by various workers. Conditions affecting the results of such assays have also been discussed by T ang and Wang, and Brownlee has shown that chloroform is not a suitable medium for the assay since it converts ephedrine quickly and 0-ephedrine slowly to the hydrochloride. 

Many alkaloids have pronounced biological properties, and a substantial number of the pharmaceutical agents used today are derived from naturally occurring amines. As a few examples, morphine, an analgesic agent, is obtained from the opium poppy Papaver somnifemm. Cocaine, both an anesthetic and a central nervous system stimulant, is obtained front the coca bush Erythroxylon coca, endemic to upland rain forest areas of Colombia, Ecuador, Peru, Bolivia, and western Brazil. Reserpine, a tranquilizer and antihypertensive, comes from powdered roots of the semitropical plant Rauwolfia serpentina. Ephedrine, a bronchodilator and decongestant, is obtained front the Chinese plant Ephedra sinica. 

Numerousherbai diureticsare available as over-the-counter (OTQ products. Most plants and herbal extracts available as OTCdiureticsare nontoxic. However, most are either ineffective or no more effective than caffeine. The following are selected herbals reported to possess diuretic activity cetery, chicory, sassafras juniper berries St. John s wort, foxglove, horsetail, licorice, dandelion, digital is purpurea, ephedra, hibiscus parsley, and elderberry. 

Ephedra (sea grape, ma-huang, yellow horse) ephedra sinica Relieves colds, improves respiratory function, headaches, diuretic effects 3heart rate, psychosis l hedra should only be used after consulting with the physician. Many restrictions apply and the herb can cause serious reactions. Do not use with cardiac glycosides, monoamine oxidase inhibitor halothane, guanethidine, (MAOIs) or oxytocin. Do not use with 3. John s wort or in weight loss formulas. 

At one time, Coca-Cola actually contained a form of cocaine. These days, the primary stimulant in Coca-Cola and many other beverages is caffeine. Other stimulants are less obvious. Chocolate contains theobromine, a caffeinelike stimulant. Nondrowsy cold remedies contain pseudoephedrine, a relative of ephedra, another plant-alkaloid stimulant. 

Ephedrine is the principal active ingredient in the herb ephedra, or ma huang. It is similar in form to the appetite-control drug phenylpropanolamine (banned in the United States), which is also known as norephedrine, meaning ephedrine whose methyl group has been replaced by a hydrogen. 

Ephedra is used in diet products as an appetite depressant and stimulant, and in sports drinks to mask fatigue. It is also used as a bronchial stimulator, and to relieve symptoms of the common cold. 

Ephedrine and pseudoephediine are a vasodilator and decongestant respectively used widely in the treatment of asthma and the symptoms of colds and influenza. These pharmaceuticals were derived originally fi om the plant Ephedra sinica and used in traditional Chinese medicinal preparations. Although some are still produced fi om such sources, the major production is via a fermentation process followed by a chemical catalytic reaction. As shown in Figure 1, the intermediate / -phenylacetylcarbinol (PAC) is produced by decarboxylation of pyruvate followed by ligation to benzaldehyde. 

Ephedra is a genus of 40-50 species widespread in Old World and New World desert areas. Preparations of many different species have been used in folk remedies for a very long time. The physiological effects of these preparations are very likely... 

Select over-the-counter dietary supplements and non-traditional medicines (e.g., ephedra, ma huang, and bitter orange)... 

Ma Huang (Ephedra sinica) is another potentially harmful herb that is available in the United States. Claims of utility of Ma Huang for the treatment of bronchial asthma, cold and flu symptoms, fevers or chills, headaches and other aches, edema, and lack of perspiration have been made [23], Ma Huang contains approximately 1% of ephedrine and therefore possesses central nervous stimulatory potential [24], However, ephedrine is difficult to extract and purify from Ma Huang, so it presently has no street value. 

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