Ginseng carbohydrates

Physioiogicai There is an extensive literature that deals with the effects ginseng on CNS function, but effects are also seen in neuroendocrine function, carbohydrate and lipid metabolism, the immune system, and cardiovascular function (Gillis 1997). Ginsenosides induce a decrease in heart rate and have biphasic effects on blood pressure, with decreases preceded by a slight increase (Kaku et al. 1975). Ginsenoside Rgl had the most potent effects on blood pressure. Little or no effect is observed on respiration. 

Uses Type 2 DM Action a-Glucosidase inhibitor delays digestion of carbohydrates Dose Initial 25 mg PO rid maint 50-100 mg rid (w/ 1st bite of each meal) Caution [B, —] Contra DKA, obst/inflammatory GI disorders SCr >2 mg/dL Disp Tabs SE Flatulence, D, abd pain Interactions T Effects W/ celery, coriander, juniper berries, ginseng, garlic X- effects W/ENH, niacin, intestinal absorbents, amylase, pancreatin X- effects OF digoxin, propranolol, ranitidine EMS Can X- digoxin level-monitor ECG in pts on digoxin therapy OD May cause severe adverse GI Sxs symptomatic and supportive... 

The polysaccharides of the ginseng comprised 40 % (by weight) of the root. This class of compound was first isolated and documented in 1966 [20]. Most biologically active carbohydrates in ginseng are acidic polysaccharides, known as ginsan, which have the typical structure of pectin [21, 22]. 

Gao QP, Kiyohara H, Cyong JC, Yamada H (1988) Characterization of anti-comple-mentary acidic heteroglycans from the leaves of Panax ginseng C. A. Meyer. Carbohydr Res 181 175-187... 

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