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NIS - libdoc.who.int - World Health Organization

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WHO monographs on medicinal plants commonly used in the Newly Independent States (<strong>NIS</strong>)<br />

Clinical pharmacology<br />

A 70% ethanol extract of Herba Leonuri was tested in an open clinical<br />

study in patients with cardiovascular diseases. An improvement in cardiac<br />

activity, and a reduction in blood pressure was observed in 69% of patients<br />

(41).<br />

The effect of Herba Leonuri on blood hyperviscosity was investigated<br />

in 105 patients. An extract of Herba Leonuri, 10 ml (5 g/ml) in 250 ml of<br />

5% glucose, was given once daily <strong>int</strong>ravenously for 15 days. In 94.5% of<br />

patients, improvement was observed. The researchers noted a decrease in<br />

blood viscosity and in fibrinogen volume, an increase in the deformability<br />

of red blood cells, and a decrease in platelet aggregation (42).<br />

In an open controlled study 121 normal fertile women were given an<br />

oral dose of a decoction of Herba Leonuri (30 g dry weight equivalent).<br />

An increase in <strong>int</strong>rauterine pressure in 41.3% of the women was demonstrated.<br />

The increase ranged from 150% to more than 300% of spontaneous<br />

activity before dosing. Intramuscular injection of ergonovine (positive<br />

control) at a dose of 0.2 mg produced a 1% increase in <strong>int</strong>rauterine pressure.<br />

A blind control with water yielded a positive response rate of 2.7%.<br />

There were no observable side-effects reported apart from diuresis (54).<br />

The efficacy of several plants (Valeriana, Leonurus, Aralia, Hypericum,<br />

Echinopanax, Eleutherococcus, Schizandra, and Panax ginseng) as<br />

photoprotectors and photosensitizers was tested by assessing the influence<br />

of their extracts on the photochemiluminescence of glycyl-tryptophan<br />

solutions. Photosensitization was studied under irradiation with<br />

light λ > 280 nm, as well as with monochromatic light λ = 313, 365,<br />

405 and 436 nm. All of the plants studied acted as photoprotectors at low<br />

concentrations and as photosensitizers at high concentrations. The efficiency<br />

of photoprotection or photosensitization of a single dose of plant<br />

extracts and their concentration in humans were determined. In order of<br />

decreasing effect, the sequence was as follows: Leonurus > Hypericum ><br />

Aralia > Schizandra > Echinopanax > Eleutherococcus > Valeriana ><br />

Panax ginseng. Photosensitization is attributed to the components of the<br />

plant extracts which have strong absorption at high wavelengths (55).<br />

Adverse reactions<br />

No information was found.<br />

Contraindications<br />

Herba Leonuri should be avoided during pregnancy due to its uterotonic<br />

activity, and its ability to affect the menstrual cycle (46, 53). Herba Leon-<br />

236

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