Pharmacology Quiz on Colchicine and Glycosides
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Questions and Answers

What happens at larger amounts according to the information?

  • Symptoms worsen and complications may arise. (correct)
  • No significant changes occur.
  • Symptoms become less noticeable.
  • Symptoms begin to disappear.
  • Which of the following is a potential outcome of higher amounts?

  • Serious complications may occur. (correct)
  • A mild headache.
  • Increased energy levels.
  • Improved overall health.
  • When might death occur related to the content discussed?

  • With larger amounts consumed. (correct)
  • When symptoms are mild.
  • If there are no noticeable symptoms.
  • With very minimal usage.
  • What is the relationship between amount and symptom severity?

    <p>Higher amounts correlate with increased severity of symptoms. (D)</p> Signup and view all the answers

    What can result from untreated severe complications?

    <p>Potential for long-term complications. (B)</p> Signup and view all the answers

    What is the primary chemical component that can be extracted from the dried ripe seed of Colchicum autumnale?

    <p>Colchicine (B)</p> Signup and view all the answers

    From which plant family is Colchicum autumnale classified?

    <p>Liliaceae (C)</p> Signup and view all the answers

    What percentage of colchicine can be derived from the seeds of Colchicum autumnale?

    <p>0.5% (C)</p> Signup and view all the answers

    Which of the following best describes the state of Colchicum seeds when they yield colchicine?

    <p>Dried and ripe (B)</p> Signup and view all the answers

    Which statement about the Colchicum autumnale is true?

    <p>It belongs to the Liliaceae family. (B)</p> Signup and view all the answers

    What is one of the outcomes of the action of cardioactive glycosides?

    <p>Spasms of neck musculature and painful convulsions (C)</p> Signup and view all the answers

    Which component of Strophanthus gratus is noted for its stability?

    <p>Rhamnoside glycoside (C)</p> Signup and view all the answers

    What percentage of ouabain is found in Strophanthus gratus?

    <p>4-8% (D)</p> Signup and view all the answers

    What is the primary use of cardioactive glycosides?

    <p>To positively affect heart function (C)</p> Signup and view all the answers

    Cardioactive glycosides like those found in Strophanthus gratus are most commonly associated with which of the following?

    <p>Toxicity in high doses (D)</p> Signup and view all the answers

    What is the primary use of ouabain in medical treatment?

    <p>To treat congestive heart failure (B)</p> Signup and view all the answers

    Which component does ouabain consist of?

    <p>Ouabagenin and rhamnose (D)</p> Signup and view all the answers

    How does hypokalemia influence cardiac glycoside sensitivity?

    <p>By increasing the affinity for sodium pumps (A)</p> Signup and view all the answers

    What is a potential effect of ingesting 1 to 3 'nuts' derived from Myristicin?

    <p>Production of amphetamine derivatives (B)</p> Signup and view all the answers

    Which symptom is NOT commonly associated with nutmeg toxicity?

    <p>Elevated blood pressure (D)</p> Signup and view all the answers

    In what way can ouabain be used at lower doses?

    <p>To treat hypotension (D)</p> Signup and view all the answers

    Which of the following best describes ouabain's mechanism of action?

    <p>Directly affects sodium pump affinity (A)</p> Signup and view all the answers

    What type of stimulant effect does nutmeg typically have on the central nervous system?

    <p>It acts as a strong CNS stimulant (A)</p> Signup and view all the answers

    Which symptom indicates a severe reaction to nutmeg toxicity?

    <p>Hallucinations (C)</p> Signup and view all the answers

    Which of the following symptoms can escalate in severity as a reaction to nutmeg ingestion?

    <p>Alterations of consciousness (D)</p> Signup and view all the answers

    What is the primary classification of Ouabain in the USA, France, and Germany?

    <p>Extremely hazardous substance (A)</p> Signup and view all the answers

    What is the LD50 of Ouabain?

    <p>5 mg/kg (C)</p> Signup and view all the answers

    In which nations is Ouabain not approved for medicinal use?

    <p>USA, France, and Germany (D)</p> Signup and view all the answers

    Why is Ouabain considered highly toxic?

    <p>It has a low LD50 value. (B)</p> Signup and view all the answers

    What effect does decreasing competition with K+ have on Ouabain's function?

    <p>Increases its toxicity (D)</p> Signup and view all the answers

    Flashcards

    Increased Dosage = Increased Severity

    When larger quantities of a substance are consumed, the severity of the symptoms increases.

    High Doses: Serious Complications

    High doses of a substance can lead to very dangerous side effects or even death.

    Dosage and Risk

    The amount of a substance taken directly affects the risk of negative consequences.

    High Dosage = Severe Symptoms

    Larger amounts of a substance can lead to severe health problems.

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    Non-Linear Dose-Response

    The relationship between dosage and severity is not always linear, meaning a small increase in dosage may lead to a significant increase in severity.

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    Nutmeg Toxicity: Bioconversion

    Ingestion of 1 to 3 "nuts" can produce amphetamine derivatives through bioconversion of Myristicin.

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    Nutmeg Toxicity: CNS Effect

    A strong central nervous system (CNS) stimulant.

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    Nutmeg Toxicity: Symptom 1 - Thirst

    Intense thirst.

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    Nutmeg Toxicity: Symptom 2 - Nausea

    Nausea.

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    Nutmeg Toxicity: Symptom 3 - Face

    Reddening and swelling of the face.

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    Colchicum Seed

    Colchicum seed is a natural source of colchicine, a powerful alkaloid used in medicine.

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    Colchicum autumnale

    Colchicum autumnale is the scientific name for the plant from which colchicum seed is derived.

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    Dried Ripe Seed

    The dried, ripe seeds of the Colchicum autumnale plant.

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    Colchicine Content

    Colchicine content refers to the amount of the active alkaloid present in the Colchicum seed.

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    Natural Colchicine Source

    Colchicum seed is a plant-based source of colchicine, a valuable substance with medicinal applications.

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    Cardioactive Glycosides

    A type of heart medication derived from plants. They can affect the heart's rhythm and strength of contraction.

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    Ouabain

    A specific type of cardioactive glycoside found in the Strophanthus gratus plant.

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    Strophanthus gratus

    A plant that contains ouabain, a cardioactive glycoside.

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    Ouabain Stability

    Ouabain is a more stable form of the glycoside compared to those found in other plants.

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    Rhamnoside glycoside

    An example of a glycoside that is more stable than others.

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    What is ouabain?

    Ouabain is a type of medicine that affects the heart. It's made up of two parts: rhamnose and ouabagenin.

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    How is ouabain used?

    Ouabain can be used to treat different heart conditions. It helps with congestive heart failure, a condition where the heart doesn't pump blood well. In smaller doses, it can also be used for low blood pressure (hypotension) and irregular heartbeats (arrhythmias).

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    How does low potassium affect ouabain?

    Low potassium levels in the blood (hypokalemia) can affect how ouabain works. It makes the medicine more powerful, meaning it can bind to the heart muscle more easily.

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    How does ouabain work on the heart?

    Ouabain helps the heart by affecting the sodium pump. This is a tiny machine in the heart cells that moves sodium in and out. By affecting this pump, ouabain makes the heart beat stronger and more regularly.

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    What type of medicine is ouabain?

    Ouabain is a type of medicine called a cardioactive glycoside. This means it comes from plants and affects the heart muscle.

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    Explain how low potassium levels affect ouabain's sensitivity.

    Low potassium (hypokalemia) can influence the effectiveness of ouabain because it directly increases ouabain's binding affinity to sodium pumps in the heart muscle.

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    Why is Ouabain no longer used in certain countries?

    Ouabain is no longer approved for use in the United States, France, and Germany due to its significant toxicity. The US has classified it as an extremely hazardous substance due to its potential to cause severe health effects, even at relatively small doses.

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    How does Ouabain work?

    Ouabain exerts its effects by inhibiting the sodium-potassium pump, an enzyme that is crucial for maintaining the balance of sodium and potassium ions across cell membranes, particularly in heart muscle cells. This disruption can lead to a number of potentially serious health consequences.

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    What is the LD50 of Ouabain?

    The LD50 (lethal dose 50) of Ouabain is 5mg/kg. This means that a dose of 5mg per kilogram of body weight is enough to kill 50% of the individuals exposed to it. This demonstrates its high toxicity, and emphasizes the need for extreme caution when handling this substance.

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    What are the dangers of Ouabain?

    Ouabain is a highly toxic compound that can cause a wide range of adverse effects, including cardiac arrhythmias, gastrointestinal disturbances, and neurological symptoms. In severe cases, exposure can be fatal.

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    Study Notes

    Medicinal Seeds

    • Psyllium:

      • Derived from Plantago psyllium, Plantaginaceae family
      • Psyllium husk is a concentrated source of dietary fiber, containing arabinoxylan
      • Arabinoxylan is a viscous, water-soluble fiber that attracts and binds with water, forming mucilage
      • Used as a bulk-forming laxative for constipation treatment and stool softener for hemorrhoids
      • Psyllium generally produces a bowel movement within 12 to 72 hours.
      • Caution: Take with sufficient liquid and at least half an hour after other medications to prevent delayed medication absorption.
      • Potential side effects: gas, bloating, abdominal cramps, dehydration, diarrhea, bloating, abdominal cramps, vomiting, nausea, rectal irritation, lazy bowel, constipation (if taken long-term)
      • Improper use, especially with low fluid intake can lead to esophageal or intestinal obstruction.
    • Nutmeg:

      • Derived from Myristica fragrans, Myristicaceae family, dried ripe seeds deprived of aril and seed coat
      • Chemical constituents: volatile oil (myristicin [2-5%], elemicin [1-2.5%]), fixed oil (30-40% [palmitic, stearic, oleic acid]), triterpene saponins, sterols
      • External uses: rheumatism, neuralgia, upper respiratory tract disorders (oil)
      • Popular spice, safe in small amounts (2 tsp or 5g)
      • Toxicity (large amounts): hallucinations, adverse symptoms, serious complications, or even death
      • Overdose toxicity: Myristicin is active at 5-HT (serotonin) receptors in the brain, leading to hypotension, sedative, and hallucinogenic properties; and large doses cause severe hyperexcitability followed by CNS depression
      • Bioconversion of myristicin in doses of 1 to 3 nuts can generate amphetamine derivatives
      • Treatment for toxicity: gastrointestinal emptying (inducing vomiting, gastric lavage), and activated charcoal administration
    • Colchicum seed:

      • Derived from Colchicum autumnale, Liliaceae family
      • Contains at least 0.5% colchicine as a trupolone alkaloid.
      • Uses: Gout treatment
        • Uric acid dissolves in blood, passes through kidneys into urine
        • Uric acid buildup forms sharp needle-like urate crystals in joints or around tissues, causing pain, inflammation, and swelling.
        • Colchicine reduces the body's response to uric acid crystals
        • Colchicine reduces the number of white blood cells that travel to inflamed areas.
        • Colchicine helps break the inflammation and pain cycle of a gout attack.
      • Other uses: Familial Mediterranean fever (FMF) treatment (reduces attack frequency, improves quality of life)
      • Severity of poison: extremely poisonous, symptoms such as stomachaches, diarrhea, nausea, vomiting, and intestinal hemorrhages
    • Nux vomica seed (poison nut):

      • Derived from Strychnos nux vomica, Loganiceae family, dried ripe seeds
      • Chemical constituents: Indole alkaloids (strychnine and brucine) [2.0% to 5.0%]
      • Severe toxicity due to strychnine
      • No recommended use
      • Strychnine poisoning symptoms (after ingestion of one bean): initial restlessness, equilibrium disorders, stiff neck and back muscles; later, painful muscle spasms, followed by convulsions of the entire body
      • Lethal dosage for adults: 50 mg strychnine
      • Treatment: activated charcoal, anticonvulsants, and muscle relaxants, possibly respiratory ventilation
    • Strophanthus seed (arrow poison):

      • Derived from Strophanthus kombe, S. gratus, Apocynaceae family, dried ripe seeds deprived of awns.
      • Chemical constituents: Cardioactive glycosides, including 4-8% ouabain (G-strophanthin), rhamnoside glycoside more stable than other cardiac glycosides found elsewhere
      • Uses: cardiac insufficiency, hypotension
      • Ouabain: A cardial glycoside similar to digoxin, inhibits Na+/K+ ATPase pump, increasing intracellular calcium and improving cardiac cell contractility used to treat congestive heart failure, hypotension, and arrhythmias
      • Ouabain is not currently approved for use in the USA.
      • Ouabain is highly toxic (LD50 5mg/kg)
      • Ouabain overdose symptoms: rapid twitching of the neck, respiratory distress, rapid/irregular heartbeat, increased blood pressure, convulsions, and cardiac arrest
      • Drug interactions:quinidine, calcium salts, laxatives, and glucocorticoids enhance both effects and side effects

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    Description

    Test your knowledge on the pharmacological effects of Colchicum autumnale and cardioactive glycosides. This quiz covers key concepts, including the relationship between dosage and symptom severity, as well as the extraction and usage of these compounds. Perfect for students of pharmacology, botany, and medicinal chemistry.

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