Phytochemistry, Pharmacology, and Toxicology of Datura Species—A Review

Datura, a genus of medicinal herb from the Solanaceae family, is credited with toxic as well as medicinal properties. The different plant parts of Datura sp., mainly D. stramonium L., commonly known as Datura or Jimson Weed, exhibit potent analgesic, antiviral, anti-diarrheal, and anti-inflammatory activities, owing to the wide range of bioactive constituents. With these pharmacological activities, D. stramonium is potentially used to treat numerous human diseases, including ulcers, inflammation, wounds, rheumatism, gout, bruises and swellings, sciatica, fever, toothache, asthma, and bronchitis. The primary phytochemicals investigation on plant extract of Datura showed alkaloids, carbohydrates, cardiac glycosides, tannins, flavonoids, amino acids, and phenolic compounds. It also contains toxic tropane alkaloids, including atropine, scopolamine, and hyoscamine. Although some studies on D. stramonium have reported potential pharmacological effects, information about the toxicity remains almost uncertain. Moreover, the frequent abuse of D. stramonium for recreational purposes has led to toxic syndromes. Therefore, it becomes necessary to be aware of the toxic aspects and the potential risks accompanying its use. The present review aims to summarize the phytochemical composition and pharmacological and toxicological aspects of the plant Datura.


Introduction
Medicinal plants present a wide range of bioactive substances known for their pharmacological activities. In fact, the majority of conventional medicines rely on plant products. One such plant species is Datura spp., a flowering medicinal herb that pertains to the Solanaceae family [1], primarily used as an intoxicant and hallucinogen [2]. It is widely cultivated in Europe, Asia, America, South Africa, and other tropical and subtropical regions [3]. Datura can be well-grown in average soils, but it prefers nutrient-rich and moist soil or alkaline soil [4]. Although the plant acts as a narcotic, it has distinct effects on human health, rendering it incredibly beneficial as medicine [5,6]. This may be attributed to the fact that it possesses antimicrobial, antidiabetic, anti-asthmatic, anti-inflammatory, antioxidant, analgesic, insecticidal, cytotoxic, wound healing, and neurological activities [7,8]. The Datura plant is also known for its larvicidal effects against red flour beetle (Tribolium castaneum) and mosquito repellent activities [9,10]. In addition, Datura spp. has also been used against animal bites such as snake bites, which helps relieve pain. D. stramonium, the well-known species of this family, is utilized for mystic and religious purposes along with its use as herbal medicine [11]. Moreover, D. stramonium seed is generally smoked to get a hallucinogenic experience [3].
The consumption of any part of Datura plant may lead to the severe anticholinergic effect that may cause toxicity. In fact, the entire plant is toxic to some extent, but the seeds are found to be the most toxic; neither drying out nor boiling destroys the toxic properties [12,13]. Ayurvedic system of medicine has described D. stramonium as a valuable therapy for numerous human illnesses such as wounds, ulcers, rheumatism, fever, inflammation, asthma, and toothache [3,14]. A leaf extract taken orally can treat asthma along with sinus infection, and stripped bark can heal burns, swellings, and ulcers when applied externally to the affected area [9,15]. However, in the modern system of medicine, the therapeutic potentials of D. stramonium are dominated by its toxic effects. The intake of large doses of D. stramonium disturbs the central nervous system and produces symptoms like confusion, hallucinations and amnesia, and bizarre behavior [16]. In addition, the signs and symptoms of acute D. stramonium poisoning include dryness of the lips and the epidermis, pupil dilation, urinary retention, impaired vision, and fast heartbeat [15,17].
Several incidences of accidental or intentional D. stramonium poisoning have been reported from different parts of the world, when eaten directly or through decoction made from herbal prescriptions, owing to its mind-affecting properties [18]. Therefore, the therapeutic applications require extensive research and analysis of the plant from every aspect, especially its toxicity. It should be consumed only with prior knowledge of its adverse effects since the consequences can be extremely harmful. With these facts, it is necessary to be aware of the toxic aspects and the potential risks accompanying its use.
As a result, a systematic review of the literature was conducted using keywords: datura; datura phytoconstituents; atropine datura; using the Preferred Reporting Items for Systematic Meta-Analysis (PRISMA) approach [19]. The present review aims to summarize the phytochemical composition, pharmacological and toxicological aspects of the plant Datura.

Ethnobotanical Description of Datura
The genus Datura is generally represented as annual or perennial herbs with glandular or more often simple hair [20]. Leaves of the plant are petiolate, having a simple leaf blade, and sinuate or completely dentate. They are approximately 10-20 cm in length and 5-18 cm in breadth, coated with soft and short greyish hairs [2]. The solitary flowers are found in inflorescences situated in leaf axils or branch forks. The larger flowers are generally actinomorphic with stout pedicels. The bracts, peduncles, and bracteoles are generally absent [20].
Further, the funnel-shaped and elongated corolla has cuspidate lobes. In many instances, elongated anthers are observed that are longitudinally dehiscing. The unevenly dehiscent, four valved fruit is discovered as a dry capsule that is unarmed and delimited usually by remnants of the persistent calyx [20]. The plants also consist of numerous seeds compressed laterally with a curved embryo and 12 pairs of chromosomes usually. Several species of Datura originated at different places globally. D. stramonium is an annual plant with an herbaceous base that is branched and glabrous, extending up to an approximate level of 1 m [13]. The branches are leafy, firm, erect, with pale yellow or green color, generally branched in a forked fashion. The top surface is greyish-green and dark, typically soft, while the lower surface is paler and minutely wrinkled when dehydrated. The calyx is very long, tubular, and swollen. The seeds are dark, flat, and kidney-shaped. Fruits are comparable to walnuts and filled with thorns (hence called "thorn apple") [13].

Biochemical Composition of Datura
Datura, in general, constitutes significant amounts of carbohydrates, fats, protein, moisture, ash content, and crude fiber (Table 1). Besides, major phytochemicals found in Datura include alkaloids, phenolic compounds, tannins, flavonoids, and cardiac glycosides [21,22]. In addition, many amino acids such as alanine, phenylalanine, glutamate, and tyrosine have also been isolated from the seeds [8]. Datura species are particularly rich in tropane alkaloids. Hyoscine [(-)-Scopolamine] constitutes the major tropane alkaloid, along with hyoscyamine and atropine, having different concentration levels in different plant parts ( Figure 1) [11,23]. The atropine content in the leaves in Datura metel was found to be 0.426%, whereas hyoscyamine levels were found to be 0.426% in the seeds and 0.43% in flower [8]. The alkaloid contents of scopolamine and atropine in the entire plant in D. metel increase gradually with the development of various growth stages and becomes most apparent when the plant reaches the end of its reproductive stage [24,25]. However, in the case of D. stramonium, the maximum amounts of alkaloids were found after ten weeks of seed germination, decreasing gradually with the beginning of the generative phase in plants [8,26]. Generally, the alkaloid concentration varies with the plant part and different growth stages in the plant. For example, leaves develop maximum alkaloid concentration in the vegetative phase, decreasing rapidly in the generative phase [27,28]. The stems and leaves of young plants contain hyoscyamine as a significant component. However, the concentrations of atropine and scopolamine differ in different plant parts in young and adult plants (

Pharmacological Activity of Datura
Datura is known to exhibit analgesic, antioxidant, anticancer, and antimicrobial properties. Especially, owing to the potent analgesic activities, D. metel acts as an effective painkiller. D. stramonium has antifungal activity against Fusarium mangiferae and Fusarium oxysporum, alkaloids found in D. stramonium are potential anticholinergic agents [31]. Atropine and scopolamine are muscarinic antagonists that may be utilized to cure Parkinson's disease and parasympathetic stimulation of the eye, respiratory, urinary, heart, and gastrointestinal tract [32]. They prevent parasympathetic nerve impulses by selectively blocking the binding site of the neurotransmitter acetylcholine to the receptor of nerve cells [33]. In addition, Datura has long been utilized as a beneficial therapy for asthma symptoms. Atropine is the active anti-asthmatic agent that triggers paralysis of pulmonary branches of the lungs, removing the spasms responsible for the asthma attacks [34].
The technique of smoking Datura leaves through a pipe to alleviate allergies has its origins in the standard ayurvedic medicine in India. D. stramonium is utilized recreationally mainly for its anticholinergic consequences and can be produced by boiling the crushed seeds [13]. However, exposure of the fetus to D. stramonium causes a continuous release of acetylcholine, leading to desensitization of nicotinic receptors, resulting in permanent damage to the fetus [3].

Pharmacological Activity of Datura
Datura is known to exhibit analgesic, antioxidant, anticancer, and antimicrobial properties. Especially, owing to the potent analgesic activities, D. metel acts as an effective painkiller. D. stramonium has antifungal activity against Fusarium mangiferae and Fusarium oxysporum, alkaloids found in D. stramonium are potential anticholinergic agents [31]. Atropine and scopolamine are muscarinic antagonists that may be utilized to cure Parkinson's disease and parasympathetic stimulation of the eye, respiratory, urinary, heart, and gastrointestinal tract [32]. They prevent parasympathetic nerve impulses by selectively blocking the binding site of the neurotransmitter acetylcholine to the receptor of nerve cells [33]. In addition, Datura has long been utilized as a beneficial therapy for asthma symptoms. Atropine is the active anti-asthmatic agent that triggers paralysis of pulmonary branches of the lungs, removing the spasms responsible for the asthma attacks [34].
The technique of smoking Datura leaves through a pipe to alleviate allergies has its origins in the standard ayurvedic medicine in India. D. stramonium is utilized recreationally mainly for its anticholinergic consequences and can be produced by boiling the crushed seeds [13]. However, exposure of the fetus to D. stramonium causes a continuous release of acetylcholine, leading to desensitization of nicotinic receptors, resulting in permanent damage to the fetus [3].

Anti-Inflammatory and Analgesic Activities
The phytochemicals present in Datura species are well-known for their anti-inflammatory and analgesic properties due to their ability to suppress the production of chemical mediators responsible for the stimulation of nociceptors and induction of pain or inflammation [35,36]. The ethanolic extract of roots of D. fastuosa was found to exhibit anti-inflammatory activity when studied for paw edema induced by carrageenan in rats, with Indomethacin as a standard drug [37,38]. The progress of edema can be explained in different phases; release of histamine and serotonin in the initial phase, edema maintained by substances like kinin in the plateau phase, and prostaglandin release in the edema accelerating phase [37,38]. The root extracts showed considerable activity against inflammation at 200 mg/kg compared to Indomethacin (at 10 mg/kg). Moreover, the aqueous extracts of seeds and leaves possessed significant analgesic effects at 800 and 400 mg/kg dosage, respectively, when experimented on mice using a writhing test (induced by acetic acid) and hot plate reaction [8]. However, the analgesic activity induced by leaves could be potentially decreased by naloxone, while that of seed extract remained unaffected. The aqueous leaf extracts of D. innoxia have been evaluated for their anti-inflammatory activity to develop an active herbal pain-relieving drug [39]. The basic mechanism involved in anti-inflammatory and analgesic action is believed to be the cyclooxygenase (COX1 and COX2) inhibition, followed by suppression of prostaglandin-synthesis or probably the narcotic effects of Datura species [36,39].

Antioxidation Activities
The antioxidant activity of Datura extracts can also be attributed to the presence of phytochemical compounds, which act as potent free radical scavengers and help prevent cellular damage [40]. Analysis of Datura plant extracts for antioxidant characteristics revealed its ability to cure various health disorders, including cancers, since antioxidants are known to inhibit cell damage, the general pathway for cancers, aging, and several other diseases [41]. The antioxidant capacity of leaf extracts in different solvents, estimated by various in vitro methods, including hydroxyl radical scavenging activity, DPPH (2,2-diphenyl-1-picrylhydrazyl) scavenging activity, superoxide radical scavenging activity, β-carotene bleaching activity, and reducing power assay, revealed that chloroform extract of leaves possessed maximum concentration-dependent antioxidant activity [42,43]. The IC 50 value of methanolic and hydroalcoholic seed extracts of D. metel recorded using the DPPH model showed that hydroalcoholic extract possesses slightly higher antioxidant activities (IC 50 of 25.78 µg/mL) than methanolic seed extract (IC 50 of 28.34 µg/mL) [7,42].
In the estimation of DPPH free radicals scavenging activities, a positive correlation was observed between the flavonoid and phenolic content of the D. metel extracts [8,42]. Maximum DPPH scavenging activity of methanolic seed extracts of D. stramonium was found to be 59.50% at a concentration of 60 µg/mL with IC 50 value of 94.87 µg/mL; similarly, the maximum superoxide radical scavenging activity was 53.17% at a concentration of 60 µg/mL, while maximum scavenging activity of hydroxyl radical was 57.88% at concentration of 30 µg/mL with IC 50 value of 39.59 µg/mL [41]. Moreover, the hydromethanolic root extract of D. stramonium exhibited a significant amount of correlation with DPPH free radical scavenging activity (Table 3).

Antimicrobial Potential of Datura
The antimicrobial activity against pathogenic microbes was evaluated using aqueous and ethanolic extracts of different plant parts of D. stramonium, and the results revealed that the ethanolic extracts showed better antimicrobial activity than the aqueous extracts [44,45]. Moreover, the leaf extracts were found to be more effective than stem and root. The branches and leaves of Datura stramonium extracted with different organic solvents such as benzene, chloroform, and ethanol exhibited significant antibacterial and antifungal activity when studied against Enterobacter sp., Micrococcus luteus, Pseudomonas aeruginosa, Escherichia coli, Staphylococcus aureus, and Klebsiella pneumonia [8,46]. It was observed from the MBC (minimum bactericidal concentration) values that benzene extracts with the concentration of 3.12 mg/mL inhibited P. aeruginosa while the chloroform extracted with the same concentration was effective against S. aureus, P. aeruginosa, and M. luteus. Further, all the D. stramonium extracts were effective against various fungal strains such as Aspergillus fumigatus, Aspergillus niger, and Saccharomyces cerevisiae also, with maximum activity against S. cerevisiae and minimum antifungal activity against A. niger [8]. The methanolic and hydroalcoholic seed extracts of D. fastuosa also possessed considerable antimicrobial properties against bacterial (Bacillus subtilis, Escherichia coli, Staphylococcus aureus) and fungal (Aspergillus niger and Candida albicans) strains [8,20]. The methanolic extract acted against E. coli effectively with MBC of 25 µg/mL, while the hydroalcoholic extract was more effective against B. subtilis with both MBC and MIC (minimum inhibitory concentration) of 25 µg/mL. Methanolic plant extracts of D. inoxia also showed antifungal activity, and Fusarium solani was found more sensitive than other fungal species. The inhibition against different fungal species varied from 18.29 to 85.36%, where F. solani were affected more while A. niger showed more resistance [47]. D. metel seed oil had antibacterial activity against at least seven bacterial strains with the highest inhibition zone and lowest MIC against Lactobacillus delbrueckii lactis (19 mm) and Pseudomonas aeruginosa (18 mm), signifying susceptibility of bacterial strains to D. metel seed oil. The antibacterial activity exhibited a concentration-dependent response, and the inhibition zone increased with an increase in seed oil concentration [48].

Anti-Asthmatic and Bronchodilating Effects
Alkaloids found in D. stramonium, such as atropine and scopolamine, which possess significant anticholinergic and bronchodilating activities, block the muscarinic receptors (which are important for airways regulation), subsequently dilating bronchial smooth muscles [49,50]. Acetylcholine (the neurotransmitter synthesized and released by cholinergic neurons) leads to the contraction of smooth muscle after interaction with cholinergic muscarinic Acetylcholine (Ach) receptors [51]. The muscarinic receptors associated with the airway and lung tissues are M1, M2, and M3, of which M1 and M3, fully active in asthmatics, are responsible for bronchoconstriction while M2 which suppresses the release of acetylcholine, are less functional in asthmatics [52]. Datura administration inhibits M2 function, ultimately leading to the continued release of neurotransmitters. The anticholinergic activity of D. stramonium involves blocking the functions of muscarinic receptors on airway smooth muscles and submucosal gland cells [14]. The anti-asthmatic D. stramonium cigarette acts as a potential bronchodilator in asthmatic patients with the mild airway. A substantial decrease in the specific airway resistance (sRaw) was observed after inhaling smoke from the cigarette [8,53]. However, when exposed to the fetus during its use by the mother for asthma, D. stramonium releases acetylcholine. It desensitizes nicotinic receptors, resulting in slow or no response to repetitive agonist modulatory effects on the brain's functioning, consequently damaging the fetus [3,13].

Anticancer Potentail of Datura
Chemical analysis of methanolic flower extracts of D. fastuosa resulted in the isolation of ten new withanolides, four of which possessed cytotoxic effects against various cancer cells, including BGC-823 (gastric), K562 (leukemia), and A549 (lung) [4,31]. The withanolides extracted from D. fastuosa when investigated for their cytotoxicity against human colorectal adenocarcinoma cells (DLD-1) and human lung carcinoma cells (A549), 12α-hydroxyDaturametelin was found to exhibit cytotoxicity against DLD-1 and A549 cell lines, with corresponding IC 50 values 2.0 and 7.0 µM [8,20]. Moreover, the root and stem extracts of Datura showed cytotoxic effects against human liver cancer cells (HepG-2) with IC 50 values 613.88 and 341.12 µg/mL, respectively, while the leaf and root extracts are effective against cervical carcinoma cells (HeLa) with IC 50 values of 267.76 and 348.35 µg/mL, respectively [8,20]. The MTT [3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide] assay method was used to carry out in vitro cytotoxicity assay in the Vero cell line; the IC 50 value of methanolic fruit extracts against the Vero cell line was determined to be 3 mg/mL [54].
In addition, the seeds of D. stramonium are effective in treating gliomas, owing to their inhibitory effect on the proliferation of human glial tumor cells [55,56]. Moreover, malignancy of gliomas correlates inversely with the concentration of glial fibrillary acidic protein (GFAP). Interestingly, D. stramonium seed agglutinin were found to enhance the expression of GFAP, which provides them anticancer potential against gliomas. Experiments on cytotoxicity of the methanolic seed extracts of D. Stramonium on human-breast adenocarcinoma (MCF-7) cells revealed an increase in cytotoxicity with the increasing concentration of the extract with IC 50 value of 113.05 µg/mL [41]. The ethanolic extracts of D. innoxia exerted cytotoxic effects on different cancer cells, especially against human colon cancer cells (LoVo), inducing cell-cycle arrest at the sub G1 phase and apoptosis [57].

Activity against Harmful Insects
Most of the plant extracts from Datura have insecticidal activity and help control the pest infestation. The methanolic seed extracts of D. metel are active against Helicoverpa armigera (Hubner), adversely affecting various development stages, including larval survival, pupal period, pupation percentage, and adult emergence [4,8]. In addition, the ethanolic leaf extracts of D. stramonium exhibited larvicidal and mosquito repellent properties against Aedes aegypti (86.25 µg/mL), Anopheles stephensi (16.07 mg/L), and Culex quinquefasciatus (6.25 mg/L), which is evident from the half lethal dose (LD 50 ) values for larvicidal activity given in brackets, and complete protection time for mosquito repellency [3,58]. Further, the insecticidal activity of seed extracts of D. stramonium against Sitophilus oryzae in stored wheat grains was evaluated in different solvents [59]. Observations showed that acetone extracts exhibit the most potent activities (LD 50 of 1.19 mL/kg), followed by chloroform extracts (LD 50 of 7.38 mL/kg) and ethanol extract (LD 50 of 8.59 mL/kg). Moreover, it was observed that longer intervals of time were required to obtain satisfactory levels of mortality. The mortality rate increased with increasing concentration from 4 mL/kg to 16 mL/kg and exposure time of 24 hrs and 96 hrs [59].
Furthermore, the extract from the different parts D. stramonium has shown the larvicidal and oviposition preventive potential against Plutella xylostella [60]. The highest toxicity against P. xylostella larvae was exhibited by extracts obtained from flowers (LC 50 82.3 µg/mL) followed by seeds (LC 50 of 146.8 µg/mL), roots (LC 50 of 165.3 µg/mL), leaves (LC 50 of 526.6 µg/mL), and stem (LC 50 of 841.4 µg/mL). Similarly, oviposition deterrent activity was highest with flower extracts (63%), while root (46%) and seed (44%) extract also produced significant results, which renders the extracts of flower, seed, and root highly effective against P. xylostella larvicidal as well as oviposition activity [60]. The investigation of toxic effects of D. innoxia acetone extracts against Tribolium castaneum, Trogoderma granarium, and Sitophilus granarius and the subsequent comparison of mortality rates showed that D. innoxia extracts exhibit remarkable lethal effects against these three insect species of stored grains and result in maximum mortality of 15.12%, 13.52%, and 14.07% in T. castaneum, T. granarium, and S. granarius, respectively [61]. Further a summary of activity of Datura of various plant parts of Datura species against harmful insects is presented in Table 4. Table 4. Activity of different plant parts of Datura species against harmful insects.

Cellular Protective and Wound-Healing Effects
The pre-treatment of rats with the seed extracts of Datura enhanced the survival rate after poisoning with organophosphate (dichlorvos), probably due to the presence of a significant amount of atropine in seeds and other anticholinergic compounds [17,62]. A dose of 7.5 mg/kg Datura seed extract (as a single intraperitoneal injection) prior to 25 mg/kg dichlorvos subcutaneous injection in male rats resulted in a significantly longer duration of survival with a median survival time of more than 24 h for the Datura treated animals [8,63].
Investigations on Wistar albino rats using the excision wound model demonstrated a positive correlation between the concentration of D. fastuosa ethanol extracts and woundhealing activities [8,64], examined based on several parameters, including the percentage of wound closure, the meantime for epithelization, hydroxyproline, DNA, and protein level. It was observed that D. fastuosa extracts (10% w/w) in the form of ointment possessed significant wound-healing capacity as compared to the standard Nitrofurazone ointment (0.2% w/w) [7,64].

Toxicology of Datura
In addition to a number of beneficial health outcomes, the presence of anticholinergic alkaloids such as tropane renders the Datura species toxic to the nervous system [6], and the symptoms of toxicity include fever, dry skin, dry mouth, headache, hallucinations, convulsions, rapid and weak pulse, acute confusion, delirium, tachycardia, coma, and death [4,8]. However, D. fastuosa was rendered safe up to a 2000 mg/kg body-weight dosage since it produced no sign of toxicity or mortality. Histological studies demonstrated the reduced weight of the organs, necrotic modifications in the liver accompanied by elevation of serum alkaline phosphatase, serum glutamic-oxaloacetic transaminase, and glutamyl pyruvic transaminase [65,66]. Moreover, due to its toxicity, D. stramonium should not be used in case of glaucoma, pyloric stenosis, paralytic ileus, tachycardia arrhythmias, enlarged prostate, and acute pulmonary edema [8]. The seed extracts at a concentration greater than 0.5% induced adverse physiological modifications. In fact, all the parts of Datura have severe anticholinergic effects due to suppression of central and peripheral cholinergic neurotransmission, ultimately leading to death in humans. Intoxication with Datura extracts leads to adverse impact on the central nervous system, disorientation, memory loss, inability to process information, impaired vision due to mydriasis, myoclonic jerking, hyperpyrexia, and respiratory and cardiovascular problems [3,67]. However, the aqueous extracts of leaves and seeds of D. metel demonstrated certain neurological effects in rats at doses of 400 and 800 mg/kg, which include enhanced motor activity in the brain, aggravated catalepsy, antagonized ptosis, and reduction in the duration of barbiturate induced sleep, in addition to its antidepressant characteristics at low doses [68]. The study also suggested that the seed extracts were comparatively safer to induce sleep with better anesthetic indices.

Conclusions
Plants and herbs have always been recognized as highly efficient and reliable medicines in modern and traditional medical systems. D. stramonium is among such medicinal herbs. A flowering plant, mostly found in the wild, Datura is a rich source of tropane alkaloids known for their anticholinergic activities, including atropine and scopolamine. They are extensively studied for their pharmacological properties, including decongestion of the respiratory system, stimulation of the central nervous system, treatment of skin infections, toothache, and other dental problems, and relief from pain. Although all the plant parts are toxic, the ripe seeds are found to contain the highest concentration of alkaloids. Thus, they can be effectively used to treat the symptoms observed due to organophosphate-induced toxicity and certain central anticholinergic effects. The leaf extract is taken orally to treat sinus infections, and the bark extract is applied externally to treat burns, ulcers, swellings, and other skin infections.
Owing to the medicinal properties of Datura, it has long been used to treat arthritis, aches, abscesses, headaches, rattlesnake bites, swellings, sprains, and tumors. Moreover, Datura has found its use in ayurvedic medicine for the treatment of wounds, inflammation, bruises and swellings, sciatica, ulcers, rheumatism, asthma, bronchitis, and body ache. It is also used as an ointment for reducing the pain of rheumatism and sciatica. The juice extracted from the leaves in the milk is highly effective in expelling intestinal worms such as cestodes.
The dried plant parts such as flowers, leaves, and roots were generally used as anti-asthmatic, antispasmodic, antitussive, bronchodilator, hallucinogenic, and narcotic agents. In addition, the plant is considered significantly important due to its antiphlogistic, antiseptic, anodyne, and sedative characteristics. Different parts of D. stramonium have been extensively used as a traditional remedy for various health disorders.
In addition to its use for numerous human ailments, D. stramonium is known for its toxicity also. Its toxic effects generally conceal its medicinal effects. Intoxication due to higher doses of D. stramonium causes severe damage to the central nervous system leading to an uncontrolled mental state. The other adverse impacts include hallucinations, convulsions, dryness in skin, irregular heart and pulse rates, memory loss, blurred vision, and coma, leading to death. Therefore, the pharmacological properties of Datura should be utilized with thorough knowledge of the possible toxicological outcomes to avoid its side effects.