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Open AccessReview

Worldwide Occurrence and Investigations of Contamination of Herbal Medicines by Tropane Alkaloids

1
Division of Clinical Pharmacology and Drug and Poisons Information Bureau, Department of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong, China
2
Prince of Wales Hospital Poison Treatment Centre, Hong Kong, China
Academic Editor: Kevin Welch
Toxins 2017, 9(9), 284; https://doi.org/10.3390/toxins9090284
Received: 7 August 2017 / Revised: 12 September 2017 / Accepted: 14 September 2017 / Published: 15 September 2017
(This article belongs to the Collection Toxicity of Natural Alkaloids)
Tropane alkaloids occur mainly in Solanaceae plants. In the present review, the main objective is to describe the worldwide occurrence and investigations of anticholinergic poisoning due to the contamination of herbal teas and herbs by tropane alkaloids. Tropane alkaloid poisoning can occur after consumption of any medicinal plant if Solanaceae plants or plant parts are present as contaminants. Globally, almost all reports in 1978–2014 involve herbal teas and one of the prescribed herbs in composite formulae. Contamination most likely occurs during harvest or processing. As for prescribed herbs, on-site inspection is necessary to exclude cross-contamination and accidental mix-up at the retail level. The diagnosis is confirmed by screening for the presence of Solanaceae species and tropane alkaloids. Herbal teas and herbs contaminated by tropane alkaloids can pose a serious health hazard because these relatively heat-stable alkaloids may exist in large quantities. The WHO repeatedly emphasises the importance of good agricultural and collection practices for medicinal plants. DNA barcoding is increasingly used to exclude the presence of contaminants (particularly toxic species) and product substitution. All suspected cases should be reported to health authorities so that investigations along the supply chain and early intervention measures to protect the public can be initiated. View Full-Text
Keywords: tropane alkaloids; anticholinergic poisoning; herbal medicines; medicinal plants tropane alkaloids; anticholinergic poisoning; herbal medicines; medicinal plants
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Chan, T.Y.K. Worldwide Occurrence and Investigations of Contamination of Herbal Medicines by Tropane Alkaloids. Toxins 2017, 9, 284.

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