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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 />

Uterine stimulant and abortifacient effects<br />

The methanol extract of the aerial parts of the plant at a dose of approximately<br />

2.5 g/kg/day, offered in food or in drinking suspension to female<br />

rats for 30 days, significantly prolonged diestrus by 1 day. At doses of 2,<br />

2.5 and 3.5 g/kg/day, the extract appeared to cause a significant dosedependent<br />

decrease in litter size. No change in the physical and nutritional<br />

status of the animals and no other adverse toxicological effects were<br />

observed (65).<br />

Effects on male fertility<br />

Intragastric administration of the dried seeds of Herba Pegani harmalae<br />

(100 mg/kg bw) to male rats caused a significant (p < 0.05) increase in<br />

sperm motility and testosterone level, and augmentation of weight of epididymis,<br />

prostate, seminal vesicles and testes (66).<br />

Toxicology<br />

The therapeutic and toxic effects in relation to an oral dose of the aqueous<br />

extract of Herba Pegani harmalae were studied in Wistar rats. In acute<br />

studies, a median lethal dose of 2.70 ± 0.05 g/kg was reported. In chronic<br />

studies, oral administration of the extract six times per week at doses of 1,<br />

1.35 and 2 g/kg bw for a 3-month period increased transaminase activity.<br />

Histological examination showed liver degeneration and spongiform<br />

changes in the central nervous system in rats treated with the 2 g/kg dose,<br />

but not in those that received the therapeutic dose of 1 g/kg (67). Subcutaneous<br />

administration of the 95% ethanol extract (120 mg/kg) of fresh<br />

Herba Pegani harmalae to rats, and <strong>int</strong>raperitoneal administration of the<br />

extract to mice (250 mg/kg bw) resulted in toxic effects including stiffness,<br />

trembling, frequent urination, hypothermia, weakness, stimulation<br />

of the central nervous system, convulsions and death. A median lethal<br />

dose of 500 mg/kg was determined from studies of oral administration of<br />

the ethanol extract to mice (68, 69). An analysis of 56 medical records of<br />

patients admitted to a toxicological <strong>int</strong>ensive care unit from 1983 to 1998<br />

following the ingestion of medicinal plants in Tunisia was performed. The<br />

sex ratio of patients (men/women) was 1:2; the mean age of patients was<br />

26 years. A number of plant species were involved; in 7% of the cases<br />

Peganum harmala was associated with toxicity. Poisoning involved the<br />

neurological (91%), gastro<strong>int</strong>estinal (73%) and cardiovascular systems<br />

(18%) (70).<br />

Clinical pharmacology<br />

No information was found.<br />

306

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