SCHEMA OF RESPIRATORY TRACT COUGHT (TUSSIS) Tussis – common symptom of disease of pulmonary tract According to the duration • acute (acute infection viral, during diseases from cold), at the beginning dry, later productive • chronic (longer than three weeks, usually symptom of serious disease) It is necessary to diagnose the causation of tussis and to determine, if better to support expectoration or suppress. THERAPEUTICS OF RESPIRATORY TRACT 1 Antitussics central - codeine, noscapine, glaucine local – some antiphlogistics tpye of essential oils, plant mucilages 2 Expektorants mucolytics (saponins) secretolytics, secretomotorics (essential oils, saponins) plant mucilages 3 Antiasthmatika ephedrine lobeline tropane alkaloids, khellin ANTITUSSICS – DRUGS SUPRESSING COUGHT via central mechanism Codeinum monohydricum – Codeine monohydrate (ČL 2005) Source: Opium (1,5 %) Preparation: Isolation, semisynthetic from morphine, less from thebaine Usage: 0,015-0,030 g central antitussic, lowers bronchial secretion Comment: In organism is from 10-15 % demethylated to morphine, during repeated dosage causes addiction N CH3 OH H H HO MeO O N OH H CH3 MeO 1 3 2 4 5 6 7 8 9 10 11 12 13 14 15 16 A B C D codeine 5 6 7 8 9 14 15 16 3 ANTITUSSICS – DRUGS SUPRESSING COUGHT via central mechanism Noscapinum – Noscapine (narcotine) (ČL 2005) Source: Opium (2–10 %) Preparation: isolation Usage: 0,015–0,03 g central antitussic, possesses papaverine relaxation effect. Does not trigger addiction. Comment: can trigger release of histamine → can cause bronchocontstriction O NO O CH3 OMe OMe MeO O noscapine ANTITUSSICS – DRUGS SUPRESSING COUGHT via central mechanism Glaucinum hydrochloridum Source: Glaucium flavum – yellow hornpoppy (Papaveraceae); annual to perennial robust bluegreen plant, contains latex Drug: dried aerial part CC: 3,9 % of alkaloids, from that 50 % of glaucine (aporphine derivative). Usage: 0,05 g central antitussic, no inhibition of gut motility, does not trigger addiction. Lowers blood pressure. N CH3 MeO MeO MeO OMe glaucine EXPEKTORANTS – SUBSTANCES FACILITATING EXPECTORATION Compounds affecting tussis caused by irritation of pharyngeal mucosa According to the mechanism of effect • mucilaginose • emetic • secretolytic • secretomotoric • mucolytic Used in form of galenic preparations Single effects are mutually penetrated and the effect is supported also by antiphlogistic, antiseptic and spasmolytic properties of used drugs content compounds. ALTHAEAE FOLIUM – COMMON MARSHMALLOW LEAVES (ČL 2005) ALTHAEAE RADIX – COMMON MARSHMALLOW ROOT (ČL 2005) Source: Althaea officinalis – common marshmallow (Malvaceae); perennial, robust, velvet-like herb with thick rhizome and numerous roots, native to wet meadows, for pharmaceutical purposes is cultivated. Drug: green-yellow leaves, grey hairy, collected permanently in vegetative period Root strong 0,5-2 cm, harvested from two years old plants in the autumn, after washing are peeled and dried. CC: Mucilage – GalUA, Rha, Glc, Gal, Ara, further sugars, lipids, pectin, starch; Usage: Folium – 1,5 g – maceration Radix – 0,5 g cold macerate Considerable protective effect on mucosal layer, threfore during pharyngeal inflammations. Also as gargle. Protective of GIT mucosa. FARFARAE FOLIUM – CLOTSFOOT LEAVES Source: Tussilago farfara – coltsfoot (Asteraceae); perennial plant with creeping rhizome – flowers, later leaves; found at fields, pastures, embankments Drug: dried leaves with short stalk CC: 7 % of mucilage from Fru, Gal, Ara, GlcUA; furthermore tannins, inulin, flavonoids and triterpens. Comment: Some chemovars contain hepatotoxic and carcinogenic pyrrolizidine alkaloids, for example senkirkin. Usage: 1,5 g of drugs – maceration – expectorant. Farfarae flos – coltsfoot flower – harvested without stalk; contains mucilage, carotenoids, flavonoids and triterpenic alcohols. Expectorant. SALEP TUBER – SALEPOVÁ HLÍZA Source: Orchis mascula – Early Purple Orchid, O. militaris, O. morio Orchidaceae Drug: dried daughter tubers harvested in flowering period; blanched in hot water, washed and dried; main producer Greece CC: 50 % in water soluble mucilage composed of mainly Man and less Glc; furthermore starch and proteins Usage: mucilaginose, gut inflammations, pediatrics PLANTAGINIS FOLIUM – NARROWLEAF PLANTAIN LEAVES Source: Plantago lanceolata – narrowleaf plantain (Plantaginaceae); perennial plant with rosette of ground leaves; inflorescence – cylindric spike. Weed. Can be cultivated. Drug: dried green leaves, collected several times per year, before flowering; no dark stains. CC: Mucilage - Xyl, Ara, Glc, Gal, GalUA, GlcUA; further more tannins, iridoid glycosides, silicic acid Usage: 1,5 g maceration or infusion, expectorant with antiphlogistic effect O O H H HOH2C OH Glc aukubin MALVAE SYLVESTRIS FLOS – MALLOW FLOWER (ČL 2005) MALVAE FOLIUM – MALLOW LEAVES Source: Malva sylvestris – mallow (Malvaceae); biennial to perennial plants; for pharmaceutical purposes is cultivated. Priority to polypetalous cultivars. Drug: dried whole or cut flowers with calyxes during whole flowering period. For pharmaceutical purposes cultivated. Dried leaves harvested during whole vegetation period. Content compounds: mucilage - Rha, Ara, Gal, GlcUA , furthermore tannins, organic acids, flowers anthocyanine pigments Usage: 1,5 g maceration, similarly to Folium althaeae LICHEN ISANDICUS – ICELAND MOSS (ČL 2005) Source: Cetraria islandica – Iceland moss (Parmeliaceae); perennial moss with straight thallus. Mountain areas of noth, middle and east Europe, Czech republic – Krkokonoše mountains Drug: dried, shrub-like thallus of bitter taste CC: cca 50 % of polysaccharides soluble in water • lichenine – linear polymer from β-D-Glc connected alternately (1–3) and (1–4) bonds; soluble in hot water, when cooled gelated, do not react with iodine • isolichenine – linear polymer of α-D-Glc connected (1–4) bonds; soluble in cold water, positively reacts with iodine • Polysaccharides soluble under basic condition • flavonoids, vitamins A, B1 and iodine LICHEN ISANDICUS – ICELAND MOSS (ČL 2005) CC: lichen acids – depsidones 2-3 % Indication: • expectorant with bacteriostatic depsidones • immunomodulation effect of extract • gastroenteritis and aversion to food – bitter taste of depsidones Dosage: 1,5-2,5 g of smoothly cut drug / 2 dcl /10 min. (use of hot water and immediate decantation removes bitter tasting substances, following maceration leads to obtaining of mucilages). O O CH3 CH3 OH CH3 OH CH3 O O O CH2 OH3 C(CH2 )12 HOOC O O CH3 OH C H2 O R OCH3 OH O H COOH R R R usnic acid protolichsterinic acid = H protocetraric acid = C2H5 cetraric acid = CO-CH=CH-COOH fumarprotocetraric acid FOENUGRAECI SEMEN – FENUGREEK SEED Source: Trigonella foenum-graecum – fenugreek. Annual plant, up to 50 cm tall. Fruit is a loment. Demands warm climate. In agriculture food. Drug: dried seed of irregular angular shape, very hard CC: 20-45 % of mucilage (Man, Gal, Xyl), 25 % of proteins, oil, steroidal furostane saponins (hydrolyse on diosgenin, yamogenin), sterols, flavonoids. Usage: 0,5 g of powdered drug – maceration (3 h in cold water) – expectorant during catarrh of upper respiratory tract. Externally to prepare antiphlogistic cataplasm EMETIC EXPECTORANTS After p.o. administration irritate stomach mucose membrane, that triggers irritation of parasympaticus and it increases the secretion of mucus. • Alkaloid emetine • Drugs containing saponins (infusion, decoction) - lower surface tension - secretolytic effect – lowering of mucus viscosity and easier expectoration EMETINI DIHYDROCHLORIDUM – EMETINE DIHYDROCHLORIDE (ČL 2005) IPECACUANHAE RADIX – IPECACUANHA ROOT (ČL 2005) Source: Cephaelis ipecacuanha – ipecacuanha (Rubiaceae); evergreen shrub 40 cm tall; wet forests of south America (Brazil, Nicaragua), cultivated in India and Malaysia Drug: dried, worm-shaped, nodular roots of 3-4 years old plants, harvested during flowering period (l - III) CC: alkaloids 2-6 % in root bark; 2/3 represents emetine, furthermore cephaeline and others, saponins, starch Usage: preparation of infusion or extract; reflexive expectorant, higher doses emetic, antiamoebic. EMETINI DIHYDROCHLORIDUM (ČL 2005) MeO MeO N N H O MeO R R = CH3 R = H emetine cephaeline LIQUIRITIAE RADIX – LIQUORICE ROOT (ČL 2005) Source: Glycyrrhiza glabra – liquorices (Fabaceae). Perennial up to 1,5 m tall plant, 4-8 member leaves, blue-purple flowers. South Europe, Mediterranean. Cultivated (Spain, France, Italy, Turkey, China, Iran) Drug: Dried roots and projections (stolones); harvested in the autumn from 3-4 years old plants. Before drying sometimes peeled (removal of bitter tasting substances, but also removal of glycyrrhizin) CC: Triterpenic saponins (3-15 %), prevalent sweet tasting glycyrrhizic acid (according ČL 2002 at least 4 %) – approx. 50x sweeter than saccharose; without hemolytic activity; aglycon – glycyrrhetin is not sweet, possesses hemolytic activity; further compounds: triterpenes, flavonoids, coumarins, bitter substances, starch. Usage: Expectorant with secretolytic, secretomotoric and antiphlogistic effect Indirect corticoid-like effect of glycyrrhizic acid Coregents of taste Flavonoids and isoflavonoids possess spasmolytic effect, inhibit mitochondrial MAO, estrogenic activity Preparations: Liquiritiae extractum fluidum ethanolicum normatum – ethanolic extract from liquorice liquid standardized (3-5 % of glycyrrhizic acid) Liquiritiae succus Further usage: Food industry, tobacco industry LIQUIRITIAE RADIX – LIQUORICE ROOT (ČL 2005) content compounds O OH OH OH O O OH OH O 3 12 11 13 18 17 2019 CH3 CH3 H CH3 CH3 O CH3 CH3 23 CH334 COOH COOH H H COOH glycyrrhizic acid = glycyrrhizin (salt) O O OH OH OH O OH OH liquiritigenin isoliquiritigenin 8 O 7 4 3 O 1 OH CH3 CH3 OMe 4' 4´-O-methylglabrin PRIMULAE RADIX – COWSLIP ROOT (ČL 2005) PRIMULAE FLOS – COWSLIP FLOWER Source: Primula veris – cowslip; P. elatior – (Primulaceae); perennial plants of Europe. Drug: dried rhizome with 1 mm thick, up to 10 cm long roots; dried (rapidly) flower with calyx. CC: Triterpenic saponins (5-10 %), main is primula acid A Usage: Expectorant in form of infusion during acute and chronic inflammatory disases of upper respiratory tract. Mild diuretic effect Primula saponin - standard PRIMULAE RADIX – COWSLIP ROOT (ČL 2005) PRIMULAE FLOS – COWSLIP FLOWER content compounds O OH O-D-GlcUA 1 2 3 1 131 -L-Rha -D-Gal-D-Glc primula acid OH OH R1 R2 priverogenin A, R1 = CHO, R2 = OH priverogenin B, R1 = CH2OH, R2 = OH primulagenin A, R1 = CH2OH, R2 = H echinocystic acid, R1 = COOH, R2 = H SENEGAE RADIX – SENEGOVÝ KOŘEN Source: Polygala senega – Vítod senega (Polygalaceae); perennial plant nativein north America, where is cultivated for pharmaceutical purposes Drug: root with spherical, nodulary rough head, on the internal side of bending string-shaped keel; smells like methyl ester of salicylic acid CC: Senega-saponins I to VIII, main is senegin Usage: Expectorant in form of infusion or extract SENEGAE RADIX – SENEGOVÝ KOŘEN content compounds COO CH2OH O OH COOH O CO C H C H OMe OMe 1 2 4 1 1 1 14 4D-Fuc L-Rha D-Xyl -D-Gal -D-Glc senegin SAPONARIAE RUBRAE RADIX – COMMON SOAPWORT ROOT Source: Saponaria officinalis – common soapwort (Caryophylaceae); perennial plant, in Europe in wet areas Drug: dried spindle-like root with narrow white cortex and yellow wood CC: up to 5 % of saponins – „saporubin“; main are triterpenic, acidic bidesmosides, their aglycon is gypsogenin. Does not contain starch, lots of calcium oxalate aggregates Usage: expectorant, diuretic. Prevalently for technical purposes. SAPONARIAE RUBRAE RADIX – COMMON SOAPWORT ROOT content compounds OH CHO COOH gypsogenin SAPONARIAE ALBAE RADIX – BABY´S BREATH ROOT Source: Gypsophila paniculata – baby´s breath (Caryophyllaceae); perennial plant native in Europe, ornamental Drug: dried root with white cortex and yellow wood. CC: up to 20 % of saponins – main is gypsosid A Usage: for isolation of saponins, which are asigned as „saponinum album“. Expectorant, used for technical purposes C O O O CHO 1 2 3 4 1 1 1 1 1 1 1 1 3 3 4 4 L-Rha -B-GlcUA -D-Gal -D-Glc -L-Rha D-Xyl D-Fuc D-Xyl D-Xyl gypsosid A VERBASCI FLOS – MULLEIN FLOWER (ČL 2005) Source: Verbascum phlomoides – mullein, V. densiflorum (Scrophulariaceae); biennial plants, in the 2nd year a haulm bearing bunch-like organized yellow flowers; for pharmaceutical purposes is cultivated Drug: dried flower corolla with stamens grown back; harvested in dry weather and immediately is dried; must be well protected aginst excessive humidity CC: Triterpenic saponins; cca 2,5 % of flavonoids (luteolin, apigenin, kaempferol, rutin, hesperidin) iridoids (aucubin, catalpol), fenolic glycosides (verbascoside), carotenoids, pigment crocin, mucilage Usage: Expectorant in form of infusion or decoction - effect is caused by saponins and mucilage; mild diuretic, diaphoretic, spasmolytic. VERBASCI FLOS – DIVIZNOVÝ KVĚT obsahové látky CH2 OH O OH FucGlcRha Glc CH2 OH verbaskový saponin OH Rha-Glu-O OH O H OMe verbaskosid HOOC COOH krocetin krocin krocetin gentiobiosa HEDERAE FOLIUM – COMMON IVY LEAVES Source: Hedera helix – common ivy (Araliaceae); evegreen climbing shrub, leaves with hear-shaped or 3-5 lobular blade Drug: dried lobular, leathery, tough, shiny leaves, collected in spring CC: up to 5 % of mixture of triterpenic saponins with prevalence of bidesmosides - hederacosides Usage: Expectorant with spasmolytic effect (used during gag cough) HEDERAE FOLIUM – COMMON IVY LEAVES content compounds Hederacosides possesses molluscidal (mollusks killing) effect. They are used against Biomphalaria glabrata, which is vector of bilharziosis (it is caused by Schistosomum bilharzia) C O O O 1 6 4 2 1 1 1 1-L-Rha -D-Glc-D-Glc -L-Rha -L-Ara hederagenin -hederin hederakosid C QUILLAJAE CORTEX – SOAP BARK TREE BARK Source: Quillaja saponaria – soap bark tree (Rosaceae); tree native in South America (Chile, Peru, Bolivia, cultivated in USA and India). Drug: dried bark peeled from outer part of bark CC: up to 10 % of mixture of triterpenic saponins, main are acidic bidesmosides. Hydrolysis gives quillaic acid and Gal, GalUA, GlcUA Usage: Expectorant, food industry, cosmetics. Saponins are used as component of toothpastes, mouthwashes, emulgators OH OH CHO COOH quillajic acid DROSERAE HERBA – ROUNDED SUNDEW AERIAL PART Source: Drosera rotundifolia – common sundew or rounded sundew (Droseraceae); perennial carnivorous plant. Leaf blade is covered with tentacles secreting proteolytic enzymes. In Czech republic strictly preserved. It is cultivated. Drug: Whole plant is harvested in the beginning of flowering period CC: Derivatives of naphtoquinone (droseron, plumbagin, ramenton and others), tannins, organic acids. Usage: In form of extract or tincture • Expectorant with spasmolytic and antibacterial effect, against pertussis • Drug is a component of mixtures used in therapy of hypertension and arteriosclerosis O R CH3 O OH droseron, R = OH plumbagin, R = H STIMULATION EXPECTORANTS Substances from this group are excreted by bronchial glands and rirectly stimulate them to support the production of phlegm. Used are mainly infusions from some drugs containing essential oils, furthermore after isolation the essential oil can by administered by inhalation or percutaneously. Some components of essential oils are surface active compounds and act as • secretolytics (Etheroleum anisi, E. foeniculi, E. thymi) • secretomotorics (Etheroleum eucalypti, E. pini pumilionis) Further components of essential oil possesses effect antibacterial, spasmolytic and antiphlogistic. ANISI FRUCTUS – ANISE FRUIT (ČL 2005) Source: Pimpinella anisum – aniseed (Apiaceae); annual plant, inflorescence is umbel, fruits are diachenes with little pronounced ribs; it is cultivated in Mediterranean, in north Africa, in Asia and south America. Drug: dried whole or partially decomposed diachene, opositte pear shaped, strongly aromatic odour. CC: At least 20 ml of essential oil / kg of drug, contains up to 90 % of transanethol, furthermore its isomer methylchavicol, anisaldehyde, mono- and sesquiterpenic carbohydrates, sugars, proteins Usage: Infusion from grinded drug expectorant, carminative; for obtaining of essential oil ANISI ETHEROLEUM – ANISE ESSENTIAL OIL (ČL 2005) Essential oil obtained from dried fruits of Pimpinella anisum or Illicium verum by distillation with water steam; liquid weakly yellow, after storage can crystallize; characteristic pleasant odour, aromatic sweetish taste. Temperature of solidification is 15-19 0C. Solid essential oil is before use melted by mild heating and mixing. MeO H H MeO C C H H CH3 MeO O C O C H C H2 CH3 CH3 CHO MeO trans-anethole methylchavicol ester of 2-hydroxyanethol and 2-methylbutyric acid anisaldehyde PHOTOCHEMICAL REACTIONS OF ANETHOL C C H H CH3 MeO CHO MeO C C H O MeO OMe OH C C MeO OMe trans-anethole anisaldehyde dianisoine dianethole ANISI STELATI FRUCTUS – STAR ANISE FRUIT (ČL 2005) Source: Illicium verum – star anise (Illiciaceae); evergreen tree native to Asia, cultivated in Japan, China, Vietnam, Philipines. Drug: Dried compound fruit (from 6 to 11 keelshaped follicles), contains at least 70 ml of essential oil / kg of drug; essential oil is obtained by water steam distillation. CC: Weakly yellow liquid, during storage crystallizing, characteristic pleasant odour, aromatic sweetish taste. Temperature of solidification 15-19 0C. Solid essential oil is before use melted by mild heating and mixing. Essential oil possesses similar composition as essential oil from Anisum vulgare (+ saphrol, terpineol, phelandren) Usage: expectorant; confectionery spice Comment: Illicium religiosum (japonicum, anisatum) – japanese star anise, – violently poisonous – shikimine, shikimitoxine FOENICULI DULCIS FRUCTUS – SWEET FENNEL FRUIT (ČL 2005) Source: Foeniculum vulgare var. dulce – sweet fennel; biennial or perennial plant, up to 150 cm tall, inflorescence is an umbel, fruits are diachenes Drug: dried, ripened, usually desintegrated to sinlge achenes; strong aromatic odour, typical spicy taste CC: essential oil, at least 20 ml / kg of drug, containing at least 80,0 % of trans-anethole, furthermore fenchon, methylchavicole, anisaldehyde, α-pinene, limonene; proteins, organic acids, flavonoids, fatty oil Usage: Infusion from grinded drug expectorant, carminative; pediatrics, ?galactagogue? C C H H CH3 MeO trans-anethol O CH3 CH3 CH3 fenchon FOENICULI AMARI FRUCTUS – PLOD FENYKLU OBECNÉHO PRAVÉHO (ČL 2005) Zdroj: Foeniculum vulgare sp. vulgare var. vulgare – Fenykl obecný pravý; dvouletá nebo vytrvalá bylina, 120 cm vysoká, květenství okolík, plod dvojnažka Droga: Usušená, zralá dvojnažka, většinou rozpadlá na jednotlivé nažky; silně aromatický zápach, chutná kořenitě. OL: Silice, nejméně 40 ml / kg drogy, v ní nejméně 70,0 % trans-anetholu a 15,0 % fenchonu, dále je methylchavikol, anisaldehyd, α-pinen, limonen; bílkoviny, organické kyseliny, flavonoidy, mastný olej Použití: Nálev z drcené drogy expektorans, karminativum. C C H H CH3 MeO trans-anethol O CH3 CH3 CH3 fenchon FOENICULI ETHEROLEUM – FENNEL ESSENTIAL OIL Essential oil obtained from ripened fruits Foeniculum vulgare by hydrodistillation • Yellowish liquid, characteristic pleasant odour • Firstly sweetish taste, than bitter, aromatic • Temperature of solidification 4-9 0C Usage: • expectorant • carminative • Corigent of taste and odour Higher doses can cause the congestion of pelvic area. THYMI HERBA – COMMON THYME AERIAL PART (ČL 2005) THYMI ETHEROLEUM – COMMON THYME ESSENTIAL OIL (ČL 2005) Zdroj: Thymus vulgaris – common thyme, T. zygis (Lamiaceae); perennial, branched, evergreen shrub; leaves from the top bald, from the down white-felt-like; native in Mediterranean, cultivated also in India and USA Drug: dried whole leaves and flowers separated from stems CC: Essential oil at least 12 ml / kg of drug and at least 40 % of thymol and carvacrol, furthermore cineol, limonene, bornylacetate; tannins, flavonoids, bitter substances, triterpenic acids Usage: Infusion – expectorant, bronchospasmolytic, antiseptic. Externally as gargle. Comment: Higher doses or long-termed using can affect thyroideal gland, should not be a component of teas for daily use OH OH thymol karvakrol SERPYLLI HERBA – WILD THYME AERIAL PART Source: Thymus serpyllum – wild thyme (Lamiaceae); perennial plant, polymorphous and variable, sesile to earth, with purple read flowers; widespread in Europe Drug: dried flowering herb, pleasant aromatic odour, bitterish spicy taste CC: 0,1-0,6 % of essential oil, composition dependent on taxon (thymol, carvacrol, p-cymene, linalool, terpineol, borneol, geraniol, geranylacetate, citral); tannins, bitter substances, flavonoids. Usage: Infusion – expektorant with antispetic effect. Externaly hyperemising for balneologic preparations EUCALYPTI FOLIUM – TASMANIAN BLEU GUM (ČL 2005) EUCALYPTI ETHEROLEUM – TASMANIAN BLUE GUM ESSENTIAL OIL (ČL 2005) Source: Eucalyptus globulus – Tasmanian blue gum (Myrtaceae); up to 25 m tall tree with alternating, leathery, long, sickle-like curved leaves; native in Australia, cultivated also in Spain, Morocco, Brazil Drug: dried sickle-like leaves from older trees, long up to 20 cm, whole or in pieces, considerably prominent main vein, on the blade visible ducti with essential oil, camphorlike odour, sharply spicy taste. CC: Essential oil – uncut drug at least 20 ml /kg; cut drug at least 15 ml / kg; in essential oil 70-95 % of cineol = eucalyptol, p-cymen, pinene, phellandren, piperiton. Usage: expectorant with disinfection effect, secretolytic action prevalent besides weak secretomotoric effect Drug used mainly for essential oil isolation. OO cineol eucalyptol -phellandrene (-)--pinene PINI PUMILIONIS ETHEROLEUM – MOUNTAIN PINE ESSENTIAL OIL Source: needles of shrub Pinus mughus – mountain pine (Pinaceae); mountain woody plant with procumbent stem, dense, deep green; Alps. Drug: essential oil obtained by distillation with water steam. Transparent liquid, characteristic odour; under UV and O2 becomes denser and more dark. CC: 3-10 % of esters expressed as bornylacetate; pinenes, phellandrene, carene, limonene. Usage: Inhalation expectorant secretolytic with antiseptic properties; component of oitments applied on the margin of nostrils during rhinitis. External derivant, desinficient of public places. O C CH3 O OH OH bornylacetate -phellandrene -phellandrene 3-carene -pinene -pinene sobrerol BALSAMUM TOLUTANUM – TOLU BALSAM (ČL 2005) Source: Myroxylon balsamum var. germinum (Fabaceae); up to 40 m tall tree native in south America (cultivated in Columbia) Drug: Balsam is obtained by cutting of bark pathologic product; from wounds flows balsam, in time solidifies and gets brown; melts at 60-65 0C, possesses pleasant aromatic odour, scratchy taste. CC: 25,0 to 50,0 % free or bonded acids expressed as cinnamic acid; resin (esters of toluresinotanol with benzoic and cinnamic acid), cinnameine (benzylester of benzoic acid and cinnamic acid 2:1; vanillin, mono- and sesqui- terpenes, eugenol Usage: Component of expectorant and bronchodilatation preparations; part of healing oitments accelarating granulation. C O O CH2 C O O CH2C H C H 2 : 1 cinnameine ANTIASTHMATICS Bronchodilatants • ephedrine, adrenaline • methylxanthines, especially theophylline, caffeine, aminophylline • spasmolytics, atropine, khellin Adjuvants • expectorants, Ol. eucalypti • antitussics • analgetic-antipyretic • central analeptics, lobeline • cardioactive glycosides, digitoxin, ouabain