ABSTRACT
Abstract Objective: To describe the use of nutritional supplements and blood status (hemogram, lipidogram, hepatic function, inflammatory markers, minerals, and homocysteine) in a sample of Brazilian T21 children with private health support before their first consultation with a T21 expert. Method: This descriptive cross-sectional study enrolled 102 participants. Brazilian families with a T21 member under 18 years old were contacted and those that consented answered a survey regarding socio-demographics and the use of nutritional supplements and shared the blood tests that their T21 members have collected for the first consultation with a T21 expert. Results: Frequencies and percentages were used to describe the variables. The most used supplements included vitamins (A, C and D), minerals (zinc and iron), omega-3, and antioxidants (curcumin). Hypothyroidism was observed in 56.9% of the participants. Hemogram alterations (increased hemoglobin, hematocrit, mean corpuscular volume, mean corpuscular hemoglobin and red cell distribution width, leukopenia, and lymphocytopenia), dyslipidemia, altered hepatic and inflammatory blood markers were frequently found. Conclusions: Nutritional supplements (mainly vitamins, minerals, omega-3 and antioxidants) are frequently used by Brazilian T21 children independently of professional counseling and/or supervision and should be a question to be raised during the clinical anamnesis since some of them may impact medical conduct. Moreover, many blood tests are altered in this population and clinicians should be aware of them in order to warrant an appropriate screening and the implementation of risk management measures as soon as possible and improve the general health of these persons.
ABSTRACT
In 2009 the Brazilian Ministry of Health published a document named RENISUS that lists 71 herbs traditionally used in Brazil that could result in phytomedicines to be dispensed by the governmental health care program. This manuscript reviews female reproductive and/or developmental toxicity information of these herbs. More than half (35) of the herbs lack information regarding female reproductive and/or developmental effects. From the fourteen herbs used traditionally to disturb female reproduction, five present experimental data corroborating their actions as abortifacients (Maytenus ilicifolia, Momordica charantia, Plectranthus barbatus, Ruta graveolens) or labour facilitator (Bidens pilosa). For 23 of the herbs evaluated experimentally for any type of female reproductive endpoint, only a single study was retrieved and at least twelve of these studies were conducted with a single dose. This scenario suggests that the scientific power of the published information is very low and that a scientifically-based risk/benefit analysis about the use of these herbs during pregnancy is not possible. Considering the appeal that phytomedicines have for pregnant women, usually aware and afraid of the risks that synthetic drugs may have in their pregnancy and progeny, well designed studies evaluating reproductive and/or developmental toxicity of these herbs urge.
ABSTRACT
Erythrina speciosa Andrews, Fabaceae, is used in the South of Brazil as sedative and tranquilizers. In this study, behavioral effects of aqueous (AE) and dichloromethane (DCM) extracts of E. speciosa leaves were evaluated in male mice, as well as their lethal dose 50 percent (LD50). The extracts were administered by gavage in doses ranging from 50 to 400 mg/kg 1 h before the behavioral tests. AE decreased ambulation (50, 100 and 400 mg/kg) and rearing (50 and 400 mg/kg) in the open-field but did not influence elevated plus maze, rotarod and pentobarbital-induced sleep tests. No behavioral effects were observed after DCM administration. LD50 for both extracts were higher than 2000 mg/kg. The results showed that AE and DCM extracts of E. speciosa leaves do not produce anxiolytic effect in the elevated plus maze nor seems to depress the Central Nervous System. However, since serotonergic mechanisms may be involved in the pharmacological action of Erythrina plants and the elevated plus maze test is not adequate to evaluate serotonergic drugs, our results do not invalidate the use of this plant in folk medicine but suggest that the mechanism involved in a possible central action of Erythrina needs to be clarified.
Erythrina speciosa Andrews, Fabaceae, é usada na região Sul do Brasil como sedativa e tranquilizante. Neste estudo, uma possível ação central do extrato aquoso (EA) e fração diclorometano (DCM) das folhas da E. speciosa foi avaliada em camundongos machos submetidos a testes comportamentais 1 h após o tratamento (gavage). Também foi avaliada a dose letal 50 por cento (DL50) como indicativa da toxicidade aguda desta planta. O EA diminuiu a locomoção (50, 100 e 400 mg/kg) e o levantar (50 e 400 mg/kg) no teste de campo aberto mas não alterou nenhum dos comportamentos avaliados nos testes de labirinto em cruz elevado, rotarod e sono induzido. A DCM não alterou nenhum dos comportamentos avaliados. A DL50 de ambos os extratos foi estimada como sendo >2000 mg/kg. Os resultados sugerem ausência de efeito ansiolítico e depressor do Sistema Nervoso Central das folhas de E. speciosa. Entretanto, como mecanismos serotonérgicos podem estar envolvidos na ação farmacológica de plantas do gênero Erythrina e o teste de labirinto em cruz elevado não é adequado para avaliar o efeito de drogas serotonérgicas, nossos resultados não invalidam o uso desta planta na medicina popular, mas apontam a necessidade de se investigar o mecanismo de ação envolvido no possível efeito central de plantas do gênero Erythrina.
ABSTRACT
Extract of Vernonia condensata (Asteraceae = Compositae) leaves has different uses in Brazilian folk medicine, which includes analgesic and antiinflamatory agent. The aim of this study was to apply a modified simplex-centroid mixture design to evaluate the best extractor system for the antinociceptive activity, evaluated by writhing test. Different solvents (acetone, dichloromethane, ethanol and ethyl acetate) as well as their binary, ternary and quaternary mixtures were used. For comparison, aqueous extract was also evaluated. LD50 was estimated and qualitative phytochemical screening, conducted. The extracts with antinociceptive activity were: aqueous, acetone, dicloromethane (DCM), ethanol (ETOH), acetone-DCM, acetone-ETOH, acetone-ethyl acetate, ETOH-ethyl acetate, acetone-DCM-ethyl acetate, acetone-ETOH-ethyl acetate and DCM-ETOH-ethyl acetate. The higher margin of safety (LD50/ED50) was for acetone > acetone-ETOH-ethyl acetate > aqueous > ETOH = acetone-ETOH > DCM > acetone-ethyl acetate > DCM-ETOH-ethyl acetate > acetone-DCM > acetone-DCM-ethyl acetate. Phytochemical screening showed that all the extracts contained alkaloids, phenolic compounds, flavonoids, tannins and saponins. In conclusion, the extractor system influences both the pharmacological activity and acute toxicity of leaves from V. condensata. Acetone and the ternary mixture, acetone-ETOH-ethyl acetate extracts showed higher margin of safety than aqueous extract.