Lack of knowledge regarding the misuse of domperidone in Pakistan and its serious consequences: short communication.

Domperidone is an antagonist of the peripheral dopamine (D2) receptor. It works as an antiemetic by blocking D2-receptors at the chemoreceptor trigger zone and as a gastroprokinetic drug by blocking GI tract D2-receptors. According to research, using domperidone significantly raises the risk of cardiac arrhythmia and sudden cardiac death by 70%, most likely through prolonging the QT interval. Blockade of hERG voltage-gated potassium channels is thought to be the reason. Here in Pakistan, this drug is being prescribed by every other physician and even patients frequently self-medicate themselves with it. Due to the serious side effects of this medication, extreme caution should be exercised when prescribing it, especially to the elderly, those who have underlying QT prolongation, those taking medications known to prolong QT, and even more so in pregnant women as there is some evidence that domperidone crosses into breast milk in small amounts and causes an irregular heartbeat in the baby. At least we, on our part, can limit the usage of the drug only with a prescription and, where necessary, if not completely, stop it.

Toxicity of Kadsura coccinea (Lem.) A. C. Sm. Essential Oil to the Bed Bug, Cimex lectularius L. (Hemiptera: Cimicidae).

Kadsura coccinea (Lem.) A.C. Smith is an evergreen, woody climbing plant that is widely distributed throughout southwest mainland China. Extracts of this plant are used in traditional Chinese medicine (TCM) for the treatment of various diseases, like cancer and dermatosis, and as an anodyne to relieve pain, while the leaves are used to treat eczema. In the current study, the toxicity of essential oil from its stem (EOKC) was studied against two strains of bed bugs (Cimex lectularius). Essential oil from the plant was obtained by hydrodistillation and analyzed by GC/MS. The major compound identified was ß-caryophyllene (24.73%), followed by caryophyllene oxide (5.91%), α-humulene (3.48%), and ß-pinene (2.54%). Preliminary screening was performed by topically delivering a 1 µL droplet of the treatments dissolved in acetone. At 24 h after treatment, the EOKC induced mortality rates of 61.9% and 66.7% in the Bayonne and Ft. Dix strains, respectively, at 100 µg/bug. Four major compounds-ß-caryophyllene, caryophyllene oxide, α-humulene, and ß-pinene-were selected based on their availability and were subjected to topical, residual, and fumigation methods. When applied topically, only ß-caryophyllene induced high toxicity in both strains. None of the selected compounds induced significant toxicity in the residual and fumigation methods.

Schinus molle: anatomy of leaves and stems, chemical composition and insecticidal activities of volatile oil against bed bug (Cimex lectularius)

Abstract The present work investigates the leaf and stem anatomy, chemical composition and insecticidal activities (against Cimex lectularius Linnaeus, 1758) of the volatile oils of Schinus molle L., Anacardiaceae, a Brazilian native traditional medicinal plant. Noteworthy micro-morphological features that can help in the identification and quality control of the species include the presence of isobilateral and amphistomatic leaves, anomocytic and cyclocytic stomata, capitate glandular and conical non-glandular trichomes, large secretory ducts in the midrib, presence of druses and prismatic crystals, and the petiole vascular system comprising of five vascular bundles arranged in U-shape and an additional dorsal bundle. The major components of the volatile oil include β-pinene (14.7%), α-pinene (14.1%), limonene (9.4%) and muurolol (11.8%). Insecticidal activities of the volatile oil against bed bugs were investigated for the first time; strong toxicity by fumigation with the volatile oil of S. molle was observed and reported herein.

Essential Oils of Five Baccharis Species: Investigations on the Chemical Composition and Biological Activities.

This paper provides a comparative account of the essential oil chemical composition and biological activities of five Brazilian species of Baccharis (Asteraceae), namely B. microdonta, B. pauciflosculosa, B. punctulata, B. reticularioides, and B. sphenophylla. The chemical compositions of three species (B. pauciflosculosa, B. reticularioides, and B. sphenophylla) are reported for the first time. Analyses by GC/MS showed notable differences in the essential oil compositions of the five species. α-Pinene was observed in the highest concentration (24.50%) in B. reticularioides. Other major compounds included α-bisabolol (23.63%) in B. punctulata, spathulenol (24.74%) and kongol (22.22%) in B. microdonta, ß-pinene (18.33%) and limonene (18.77%) in B. pauciflosculosa, and ß-pinene (15.24%), limonene (14.33%), and spathulenol (13.15%) in B. sphenophylla. In vitro analyses for antimalarial, antitrypanosomal, and insecticidal activities were conducted for all of the species. B. microdonta and B. reticularioides showed good antitrypanosomal activities; B. sphenophylla showed insecticidal activities in fumigation bioassay against bed bugs; and B. pauciflosculosa, B. reticularioides, and B. sphenophylla exhibited moderate antimalarial activities. B. microdonta and B. punctulata showed cytotoxicity. The leaves and stems of all five species showed glandular trichomes and ducts as secretory structures. DNA barcoding successfully determined the main DNA sequences of the investigated species and enabled authenticating them.

Eleutherococcus senticosus (Araliaceae) Leaf Morpho-Anatomy, Essential Oil Composition, and Its Biological Activity Against Aedes aegypti (Diptera: Culicidae).

The roots of Eleutherococcus senticosus (Rupr. & Maxim.) Maxim., a well-known medicinal plant from Eastern Asia, are used worldwide for their known beneficial medicinal properties. Recently, the leaves have been used as an alternative to the roots. The present study was aimed at exploring the leaf essential oil as a potential source of compounds for mosquito management. Gas chromatography/mass spectrometry analysis of the leaf essential oil revealed 87 compounds, constituting 95.2% of the oil. α-Bisabolol (26.46%), ß-caryophyllene (7.45%), germacrene D (6.87%), ß-bisabolene (4.95%), and α-humulene (3.50%) were five of the major constituents. The essential oil was subjected to biting deterrence and repellent activity against mosquito Aedes aegypti. The biting deterrence of the oil produced a proportion not biting (PNB) value of 0.62 at 10 µg/cm2 as compared with 0.86 of control DEET (N,N-diethyl-3-methylbenzamide) at a standard dose of 25 nmol/cm2. Among individually selected compounds present in the oil (α-bisabolol, ß-caryophyllene, α-humulene, and caryophyllene oxide), only α-bisabolol produced a PNB value of 0.80, equivalent to DEET at 25 nmol/cm2, whereas the others were not repellent. The artificial mixture (AMES-1) of these four selected compounds produced a relatively high PNB value of 0.80. The repellent activity measured by minimum effective dosage (MED) for α-bisabolol and α-humulene produced MED values of 0.094 and 0.104 mg/cm2, respectively, as compared with 0.023 mg/cm2 of DEET. The leaf essential oil, the artificial mixture (AMES-1), and other binary and tertiary combinations of major compounds showed no repellent activity. In addition, morpho-anatomical features of the leaf are provided for correct identification of the species.

A Novel in vitro Bioassay to Explore the Repellent Effects of Compounds Against Mosquito Aedes aegypti (Diptera: Culicidae).

Mosquitoes are vectors for many pathogens resulting in many deaths of humans. Repellents play an important role in reducing mosquito bites and the spread of mosquito-borne diseases. Currently, Klun & Debboun (K & D) and human-arm-based bioassay systems are used to identify repellent properties of compounds, extracts, and essential oils. Risks involved with human-arm-based systems are allergic reactions and limited replicates. We are reporting an in vitro bioassay method "NCNPR repellent bioassay (NCNPR-RB)" that can closely simulate the results of the cloth patch bioassay system used to determine repellency against mosquitoes. The NCNPRRB method uses heat to attract mosquito and edible collagen sheets as an alternate to human skin. Multiple plant compounds with documented repellency were tested. DEET (N,N-diethyl-3-methylbenzamide) was used as a positive control. Treatments were prepared in EtOH and applied in dosages ranging from 0.011­1.5mg/cm2 to a 20-cm2 collagen sheet. The number of mosquitoes commencing to bite per probe was recorded visually for 1 min. The minimum effective dosage (mg/cm2) of compounds: DEET (0.021), carvacrol (0.011), thymol (0.013), undecanoic acid (0.023), thymol methyl ether (0.269), and 2-nonanone (>0.375 mg/cm2) determined in NCNPRRB were similar to those reported in literature using a cloth patch bioassay system. The NCNPR-RB can be used to screen compounds with reasonable reproducibility of the data at a faster rate than the cloth patch bioassay, which involves the use of human subjects.

Plant based products: use and development as repellents against mosquitoes: A review.

Global warming and deforestation have resulted in the relocation of many living creatures including insects during the recent years. This has affected the population balance of disease vectors including mosquitoes resulting in outbreaks. Traditionally, mankind has been using plants as means of protection from the mosquitoes which are considered to be environment friendly unlike the synthetic chemicals that cause major risk to human health and the ecosystem. Researchers explored mainly, essential oils and traditional plants using different testing methodologies to find out repellent molecules effective against mosquitoes which is the main focus of this review. Among the promising plant species, Eucalyptus spp., Ocimum spp. and Cymbopogon spp. are the most cited. Data of repellency produced from the bioassay systems is difficult to quantify because of different parameters, testing system and standards of material used against mosquitoes. Mainly, the human forearm based bioassays have been used with different sizes of treatment area in the laboratory and the results have not been tested in the field conditions for residual activity. In addition, effectiveness of essential oils and their protection time can be increased by using vanillin as synergist and formulation techniques like microencapsulation and nanoemulsion. There is a need to develop an alternate in vitro bioassay system that can address the problems of uniformity of the results.