Pseudoephedrine, and Ephedra
the real poison please stand up.
week’s article will address the recent concern in the news
with Ephedra. However, there are other substances on the market
which could get confused with Ephedra.
here is to share with you the facts behind these items which will
give you more information to make better health decisions.
first section will discuss the substances and common uses and the
next section will discuss other options these.
off to clarify these items Ephedrine and Pseudoephedrine are closely
related drugs. Whereas, Ephedra is an herb; and is the plant from
which ephedrine was originally isolated. Ephedra—also called
ma huang—is used in many herbal products, including supplements
promoted for weight loss.
important to note that just because something is an herb does not
mean it should not be used with caution and know that is does have
a pharmacological effect on the body. Herbs are quite powerful.
been using herbs in my office for nearly twelve years and have spent
hundreds of hours in the study of their use.
generic name is Ephedrine Sulfate, which is often used as a bronchodilator.
This drug relaxes the smooth muscle in the lungs and dilates airways
to improve breathing. It is used in the treatment of asthma, chronic
bronchitis or emphysema. As with every drug it does not come without
risk. Prior to using this medication one must weigh the probable benefit
against the risk.
most common reaction to this drug is insomnia and nervousness. Also,
included are Dizziness, headache, lightheadedness, heartburn, loss
of appetite, altered taste sensation, restlessness, anxiety, nervousness,
trembling or sweating, increased blood pressure, chest pain, palpitations,
vomiting or breathing difficulties may also occur and should be
Tell your doctor if you have heart disease, high blood pressure,
an overactive thyroid gland, epilepsy or diabetes. Tell your doctor
if you ever had a bad reaction to bitolterol, ephedrine, epinephrine,
metaproterenol, phenylephrine, phenylpropanolamine, pseudoephedrine,
or terbutaline. Many nonprescription products contain these drugs
(e.g., diet pills and medication for colds and asthma), so check
the labels carefully. Do not take any of these medications without
consulting your doctor (even if you never had a problem taking them
before). Do not allow anyone else to take this medication. Before
you use this drug, tell your doctor if you are pregnant or breast-feeding.
This drug should not be used unless clearly needed if you are pregnant.
For information on Medic Alert(TM) call 1-800-854-1166. In Canada
this drug will interact with Ephedra and can be quite hazardous.
this is known as Pseudoephedrine HCl. This drug is most often used
for relief from nasal or sinus congestion caused by allergies or
the common cold, or ear congestion caused by inflammation or infection.
Just as Ephedrine the most common reactions
are insomnia and nervousness. Followed by dizziness, headache, fast
or pounding heartbeat, slowing of the heart, difficulty breathing,
nausea, vomiting, difficult or painful urination, sweating, nervousness,
restlessness, or trouble sleeping. You may even experience convulsions
This will also interact with a number of
other substances as does Ephedrine.
Note: Ephedrine and Pseudoephedrine
Also indexed as: Novafed®, Pretz-D®,
Sudafed®, Vick's Vatronol®
Combination drugs: Alka-Seltzer Plus®,
Allegra®-D, Chlor-Trimeton® 12 Hour, Claritin®-D, Nyquil®,
Nyquil® Hot Therapy Powder, Primatene® Dual Action, Theraflu®,
Tylenol® Allergy Sinus, Tylenol® Cold, Tylenol® Flu
NightTime Maximum Strength Powder, Tylenol® Multi-Symptom Hot
Medication, Tylenol® Sinus
Also known as Ma huang
names: Ephedra sinica, Ephedra intermedia, Ephedra equisetina
is a shrub-like plant found in desert regions throughout the world.
It is distributed from northern China to Inner Mongolia. The dried
green stems of the three Asian species (Ephedra sinica, E. intermedia,
E. equisetina) are used medicinally. The North American species
of Ephedra, sometimes called Desert Tea or Mormon Tea, does not
appear to contain the active ingredients of its Asian counterparts.
or traditional use:
The Chinese have used Ephedra medicinally for over 5,000 years.
Ephedra is listed as one of the original 365 herbs from the classical
first century A.D. text on Chinese herbalism by Shen Nong. Ephedra’s
traditional medicinal uses include the alleviation of sweating,
lung and bronchial constriction, and water retention. Coughing,
shortness of breath, the common cold, and fevers without sweat are
all indications for its use. While its active constituent, ephedrine,
was isolated in 1887, the herb did not become popular with U.S.
physicians until 1924 for its bronchodilating and decongesting properties.
constituents: Ephedra’s main active medicinal ingredients
are the alkaloids ephedrine and pseudoephedrine. The stem contains
1–3% total alkaloids, with ephedrine accounting for 30–90%
of this total, depending on the plant species. Both ephedrine and
its synthetic counterparts stimulate the central nervous system,
dilate the bronchial tubes, elevate blood pressure, and increase
heart rate. A synthetic form of pseudoephedrine is a popular over-the-counter
remedy for relief of nasal congestion. Little research has been
done on the whole plant (compared to its isolated alkaloids) for
much is usually taken?
The crude powdered stems of Ephedra (with less than 1% ephedrine)
are used at 1.5–6 grams per day, taken as a tea. The crude
herb can also be taken in capsule or tablet form, at 500–1,000
mg of Ephedra two to three times daily. Tinctures of 1–4 ml
three times per day can be taken. Alternatively, standardized extracts
supplying 12–25 mg of total alkaloids (calculated as ephedrine)
per capsule or tablet may be taken two to three times daily. This
form may be preferable for monitoring total daily intake of ephedrine.
I do not recommend taking this or any other similar herbs without
the assistance of health care provider.
effects or interactions?
has a long history of safe use at the recommended amounts. However,
abuse of Ephedra (and particularly ephedrine)—especially for
weight loss or as a recreational drug—can lead to amphetamine-like
side effects, including elevated blood pressure,
rapid heart beat, nervousness, irritability, headache, urination
disturbances, vomiting, muscle disturbances, insomnia, dry mouth,
heart palpitations, and even death
due to heart failure. One study has shown that a single application
of Ephedra caused mild elevation of heart rate but did not consistently
affect blood pressure in otherwise healthy adults. When taken at
higher levels, Ephedra can cause drastic increases in blood pressure,
as well as cardiac arrhythmias. Ephedrine is considered potentially
habit-forming, though it is unclear if the whole herb Ephedra is
likely to have the same effect. Long-term (months or more) overdose
of Ephedra or ephedrine can potentially cause kidney stones composed
of ephedrine, though this is rare. A review of 140 reports of heart
and nervous-system emergencies concluded that one-third of the adverse
health reports were “definitely or probably related”
to Ephedra and another one-third “possibly related.”9
All of the cases cited were people taking Ephedra together with
either caffeine and/or drugs with known cardiovascular side effects,
such as theophylline and phenylpropanolamine.
with high blood pressure, heart conditions, diabetes, glaucoma,
hyperthyroidism, anxiety or restlessness, impaired circulation to
the brain, benign prostatic hyperplasia with residual urine accumulation,
pheochromocytoma (primary adrenal tumor), and those taking MAO-inhibiting
antidepressants, digtoxin, or guanethidine should consult with a
physician before using any type of product containing Ephedra. Pseudoephedrine
can cause drowsiness and should be used with caution if driving
or operating machinery. Ephedra-based products
should be avoided during pregnancy and breast-feeding and should
not be used in children.
conditions listed in this article can all be handled with methods
that are much safer than the substances listed herein. Every person
is as unique on the inside as he or she is on the outside.
primary use for Ephedra was for weight loss. Our weight loss program
has an paralleled track record and will not only insure healthy
weight loss but will also help you to change your habits and keep
the weight off for good.
more about our weight lose program click the following link.
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