Pilocarpine Health Dictionary

Pilocarpine: From 4 Different Sources


A drug used to treat glaucoma. It may initially cause blurred vision, headache, and eye irritation.pilonidal sinus A pit in the skin, often containing hairs, in the upper part of the buttock cleft. The cause is probably hair fragments growing inwards. Although usually harmless, infection may occur, causing recurrent, painful abscesses. If a sinus is infected, a wide area around it is surgically removed. Recurrence of infection is common, and plastic surgery is sometimes required. pimozide An antipsychotic drug also used to treat Gilles de la Tourette’s syndrome. Pimozide may cause sedation, dry mouth, constipation, and blurred vision. pimple A small pustule or papule. pindolol A beta-blocker drug used to treat angina pectoris and hypertension. Possible side effects are typical of other beta-blocker drugs, except that pindolol is less likely to cause bradycardia. pineal gland A tiny, cone-shaped structure deep within the brain, whose sole function appears to be the secretion of melatonin in response to changes in light.
Health Source: BMA Medical Dictionary
Author: The British Medical Association
An alkaloid (see ALKALOIDS) derived from the leaves of Pilocarpus microphyllus (jaborandi). It produces the same effects as stimulation of the PARASYMPATHETIC NERVOUS SYSTEM: i.e. it has exactly the opposite e?ect to ATROPINE, but cannot be used in the treatment of atropine poisoning as it does not antagonise the action of poisonous doses of atropine on the brain. Its main use today is in the form of eye drops to decrease the pressure inside the eyeball in GLAUCOMA.
Health Source: Herbal Medical
Author: Health Dictionary
A plant alkaloid and the primary bioactive substance reducible from Pilocarpus spp. (Jaborandi leaves). It is an almost pure parasympathomimetic (cholinergic), inducing lowered blood pressure and stimulating glandular secretions...EVERYWHERE. It stimulates sweating as well, a sympathetic cholinergic response. Anyway, it is used in eye drops these days to contract the pupil, lower ocular fluid pressure and take some of the stress off glaucoma. The refined alkaloid is better in the eyes, but the dried leaves are the usual complex agents of herb use and have some therapeutic values in low doses. Good Lobelia or Asclepias will work similarly and are both safer, fresher and more predictable as botanicals.
Health Source: Medical Dictionary
Author: Health Dictionary
n. a *parasympathomimetic drug administered to reduce the pressure inside the eye in angle-closure *glaucoma (see miotic). It is also used to treat *dry mouth and dry eyes; side-effects may include headache, frequent urination, and sweating.
Health Source: Oxford | Concise Colour Medical Dictionary
Author: Jonathan Law, Elizabeth Martin

Glaucoma

A group of disorders of the eye characterised by the intraocular pressure being so high as to damage the nerve ?bres in the retina and the optic nerve (see EYE) as it leaves the eye en route to the brain. The affected person suffers limitation of the ?eld of vision and on examination the optic disc can be seen to be cupped. The clinical signs depend on the rate and extent of rise in pressure.

Individuals most at risk have a family history of GLAUCOMA (especially among siblings), are myopic (short-sighted), or have diabetic or thyroid eye disease. People with a strong family history of the disease should have regular eye checks, including tonometry, from the age of 35 years.

Glaucoma is usually classi?ed as being either open-angle glaucoma or narrow-angle glaucoma.

Open-angle glaucoma is a chronic, slowly progressive, usually bilateral disorder. It occurs in one in 200 of people over 40 and accounts for 20 per cent of those registered blind in Great Britain. Symptoms are virtually non-existent until well into the disease, when the patient may experience visual problems. It is not painful. The characteristic ?ndings are that the intraocular pressure is raised (normal pressure is up to 21 mm Hg) causing cupping of the optic disc and a glaucomatous visual-?eld loss. The angle between the iris and the cornea remains open. Treatment is aimed at decreasing the intraocular pressure initially by drops, tablets and intravenous drug administration. Surgery may be required later. A trabeculectomy is an operation to create a channel through which ?uid can drain from the eye in a controlled fashion in order to bring the pressure down.

Narrow-angle glaucoma affects one in 1,000 people over 40 years of age and is more common in women. Symptoms may start with coloured haloes around street lights at night. These may then be followed by rapid onset of severe pain in and around the eye accompanied by a rapid fall in vision. One eye is usually affected ?rst; this alerts the surgeon so that action can be taken to prevent a similar attack in the other eye. Treatment must be started as an emergency with a topical beta blocker (see BETA-ADRENOCEPTOR-BLOCKING DRUGS) in eye drops with other drugs such as ADRENALINE or pilocarpine added as necessary. Dorzolamide, a topical anhydrase inhibitor, can also be used. ACETAZOLAMIDE, also an anhydrase inhibitor, can be given by mouth. In an emergency before surgery, MANNITOL can be given through an intravenous infusion; this is followed by surgery to prevent recurrence. Acute narrow-angle glaucoma occurs because the peripheral iris is pushed against the back of the cornea. This closes o? the angle between iris and cornea through which aqueous humour drains out of the eye. Since the aqueous humour cannot drain away, it builds up inside the eye causing a rapid increase in pressure.

Various types of LASER treatment – trabeculoplasty (‘burning’ the trabecular network); iridotomy (cutting holes to relieve pressure); and ciliary-body ablation by ‘burning’ – are sometimes used in preference to surgery.... glaucoma

Miosis

Condition of constriction (reduction in size) of the pupil (see EYE). It may be the result of disease affecting the AUTONOMIC NERVOUS SYSTEM. Bright light causes miosis and some drugs

– for example, PILOCARPINE or OPIUM – have the same e?ect.... miosis

Alkaloids

Substances found commonly in various plants. They are natural nitrogenous organic bases and combine with acids to form crystalline salts. Among alkaloids, morphine was discovered in 1805, strychnine in 1818, quinine and ca?eine in 1820, nicotine in 1829, and atropine in 1833. Only a few alkaloids occur in the animal kingdom, the outstanding example being ADRENALINE, which is formed in the medulla of the suprarenal, or adrenal, gland. Alkaloids are often used for medicinal purposes. The name of an alkaloid ends in ‘ine’ (in Latin, ‘ina’).

Neutral principals are crystalline substances with actions similar to those of alkaloids but having a neutral reaction. The name of a neutral principal ends in ‘in’, e.g. digitalin, aloin.

The following are the more important alkaloids, with their source plants:

Aconite, from Monkshood.

Atropine, from Belladonna (juice of Deadly

Nightshade).

Cocaine, from Coca leaves.

Hyoscine, from Henbane.

Morphine, Codeine, from Opium (juice of

Poppy). Thebaine, Nicotine, from Tobacco. Physostigmine, from Calabar beans. Pilocarpine, from Jaborandi leaves. Quinidine, from Cinchona or Peruvian bark. Strychnine, from Nux Vomica seeds.... alkaloids

Parasympathomimetic

Mimicking major aspects of parasympathetic function. EXAMPLES: Amanita muscaria mushrooms, Pilocarpine, Lobelia.... parasympathomimetic

Miotic Drugs

Drugs used in the treatment of glaucoma to reduce pressure in the eye. Used topically, miotic drugs cause the pupil to contract, which opens up the drainage channels and drains fluid from the front of the eye. Side effects include headache, particularly over the eye, and blurred vision. Common miotics include carbachol and pilocarpine. (See also mydriatic drugs.)... miotic drugs

Miotic

1. n. a drug that causes the pupil of the eye to contract by constricting the ciliary muscle (see ciliary body). Miotics, such as *pilocarpine, are used to reduce the pressure in the eye in the treatment of glaucoma: contraction of the ciliary muscle increases the angle between the iris and cornea through which aqueous humour drains from the eye. 2. adj. showing *miosis.... miotic

Tonic Pupil

(Adie’s pupil) a pupil that is dilated as a result of damage to the nerves supplying the ciliary muscle and iris. It reacts poorly to light but may constrict better for near vision, with slow redilation on refixation at a distance. The tonic pupil is sensitive to dilute 0.1% pilocarpine drops, which cause marked constriction but have little effect on a normal pupil. The tonic pupil may become miotic (see miosis) over time.... tonic pupil

Picrorhiza Scrophulariaeflora

Pennell.

Family: Scrophulariaceae.

Habitat: Eastern Himalayan in Nepal and Sikkim.

Action: Properties similar to those of Picrorhiza kurroa.

The root contains the iridoid glyco- sides, amphicoside, catalpol, aucubin and androsin; also cucurbitacin glyco- sides.

Action: Stimulant (excites most glands), expectorant, powerful diaphoretic. Used in hair tonics to stimulate hair growth. (Irritates stomach and causes vomiting in overdose.)

The leaf contains a parasympathetic stimulant pilocarpine (0.5%). It is an obsolete medicinal herb, but is used in the production of pilocarpine. (Natural Medicines Comprehensive Database, 2007.)... picrorhiza scrophulariaeflora

Jaborandi

Pilocarpus jaborandi

FAMILY: Rutaceae

SYNONYMS: Pernambuco jaborandi, P. pennatifolius, iaborandi, jamborandi, arrudo do mato, arruda brava, jamguaraddi, juarandi.

GENERAL DESCRIPTION: A woody shrub up to 2 metres high with a smooth, greyish bark, large brownish-green leathery leaves containing big oil glands and reddish-purple flowers.

DISTRIBUTION: Native to Brazil; other species are found in Paraguay, Cuba, the West Indies and Central America.

OTHER SPECIES: There are many members of the Rutaceae and Piperaceae family known simply as jaborandi, such as Piper jaborandi. Others include maranham jaborandi (P. microphyllus), ceara jaborandi (P. trachylophus) and aracti jaborandi (P. spicatus).There is consequently some confusion about the exact botanical source of the oil.

HERBAL/FOLK TRADITION: Jaborandi induces salivation and most gland secretions; it was also used at one time to promote hair growth. ‘Useful in psoriasis, prurigo, deafness ... chronic catarrh, tonsillitis and particularly dropsy.’ .

ACTIONS: Antiseptic, diaphoretic, emmenagogue, galactagogue, stimulant (nerve).

EXTRACTION: Essential oil by steam distillation from the dried leaflets.

CHARACTERISTICS: An orange or yellow liquid with a sweet-herbaceous fruity odour.

PRINCIPAL CONSTITUENTS: Pilocarpine is the main active constituent; also isopilocarpine, pilocarpidine, methyl nonyl ketone, dipentene and other hydrocarbons.

SAFETY DATA: Oral toxin, skin irritant, abortifacient.

AROMATHERAPY/HOME: USE None.

OTHER USES: Various hypodermic solutions are prepared from pilocarpine: the crude oil is rarely used. Little used in perfumery or flavour work due to toxicity.... jaborandi




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