Atropa belladonna
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''Atropa belladonna'', commonly known as belladonna or deadly nightshade, is a toxic
perennial A perennial plant or simply perennial is a plant that lives more than two years. The term ('' per-'' + '' -ennial'', "through the years") is often used to differentiate a plant from shorter-lived annuals and biennials. The term is also wid ...
herbaceous plant in the nightshade family Solanaceae, which also includes
tomato The tomato is the edible berry of the plant ''Solanum lycopersicum'', commonly known as the tomato plant. The species originated in western South America, Mexico, and Central America. The Mexican Nahuatl word gave rise to the Spanish word ...
es,
potato The potato is a starchy food, a tuber of the plant ''Solanum tuberosum'' and is a root vegetable native to the Americas. The plant is a perennial in the nightshade family Solanaceae. Wild potato species can be found from the southern Unit ...
es, and eggplant (aubergine). It is native to
Europe Europe is a large peninsula conventionally considered a continent in its own right because of its great physical size and the weight of its history and traditions. Europe is also considered a subcontinent of Eurasia and it is located entirel ...
,
North Africa North Africa, or Northern Africa is a region encompassing the northern portion of the African continent. There is no singularly accepted scope for the region, and it is sometimes defined as stretching from the Atlantic shores of Mauritania in ...
, and Western Asia. Its distribution extends from
Great Britain Great Britain is an island in the North Atlantic Ocean off the northwest coast of continental Europe. With an area of , it is the largest of the British Isles, the largest European island and the ninth-largest island in the world. It i ...
in the west to western
Ukraine Ukraine ( uk, Україна, Ukraïna, ) is a country in Eastern Europe. It is the second-largest European country after Russia, which it borders to the east and northeast. Ukraine covers approximately . Prior to the ongoing Russian inv ...
and the
Iran Iran, officially the Islamic Republic of Iran, and also called Persia, is a country located in Western Asia. It is bordered by Iraq and Turkey to the west, by Azerbaijan and Armenia to the northwest, by the Caspian Sea and Turkmeni ...
ian province of Gilan in the east. It is also naturalised or introduced in some parts of Canada and the United States. The foliage and berries are extremely toxic when ingested, containing
tropane alkaloid Tropane alkaloids are a class of bicyclic .2.1alkaloids and secondary metabolites that contain a tropane ring in their chemical structure. Tropane alkaloids occur naturally in many members of the plant family Solanaceae. Certain tropane alkaloid ...
s. These toxins include atropine, scopolamine, and hyoscyamine, which cause delirium and
hallucination A hallucination is a perception in the absence of an external stimulus that has the qualities of a real perception. Hallucinations are vivid, substantial, and are perceived to be located in external objective space. Hallucination is a combinati ...
s, and are also used as pharmaceutical
anticholinergic Anticholinergics (anticholinergic agents) are substances that block the action of the neurotransmitter called acetylcholine (ACh) at synapses in the central and peripheral nervous system. These agents inhibit the parasympathetic nervous sys ...
s. Tropane alkaloids are of common occurrence not only in the Old World tribes
Hyoscyameae Hyoscyameae is an Old World tribe of the subfamily Solanoideae of the flowering plant family Solanaceae. It comprises eight genera: '' Anisodus'', '' Archihyoscyamus'', ''Atropa'', '' Atropanthe'', '' Hyoscyamus'', ''Physochlaina'', ''Przewalskia ...
(to which the genus Atropa belongs) and
Mandragoreae ''Mandragora'' is a plant genus belonging to the nightshade family (Solanaceae). Members of the genus are known as mandrakes. Between three and five species are placed in the genus. The one or two species found around the Mediterranean constitut ...
, but also in the
New World The term ''New World'' is often used to mean the majority of Earth's Western Hemisphere, specifically the Americas."America." ''The Oxford Companion to the English Language'' (). McArthur, Tom, ed., 1992. New York: Oxford University Press, p. ...
tribe
Datureae Daturae is a tribe of flowering plants in the subfamily Solanoideae of the family Solanaceae. It comprises three genera: ''Datura'', the Devil's trumpets, ''Brugmansia ''Brugmansia'' is a genus of seven species of flowering plants in the nigh ...
- all of which belong to the subfamily
Solanoideae Solanoideae is a subfamily of the flowering plant family Solanaceae, and is sister to the subfamily Nicotianoideae. Within Solanaceae, Solanoideae contains some of the most economically important genera and species, such as the tomato (''Solanum l ...
of the plant family Solanaceae. ''Atropa belladonna'' has unpredictable effects. The antidote for belladonna poisoning is
physostigmine Physostigmine (also known as eserine from ''éséré'', the West African name for the Calabar bean) is a highly toxic parasympathomimetic alkaloid, specifically, a reversible cholinesterase inhibitor. It occurs naturally in the Calabar bean a ...
or pilocarpine, the same as for atropine.


History

''Atropa belladonna'' has a long history of use as a medicine, cosmetic, and poison. Known originally under various folk names (such as "deadly nightshade" in English), the plant was baptized ''Atropa belladonna'' by
Carl Linnaeus Carl Linnaeus (; 23 May 1707 – 10 January 1778), also known after his Nobility#Ennoblement, ennoblement in 1761 as Carl von Linné#Blunt, Blunt (2004), p. 171. (), was a Swedish botanist, zoologist, taxonomist, and physician who formalise ...
(1707–1778) when he devised his classification system. Linnaeus chose the genus name ''Atropa'' because of the poisonous properties of these plants. Atropos (lit. "unturning one"), one of the Three Fates in Greek mythology, is said to have cut a person's thread of life after her sisters had spun and measured it. Linnaeus chose the species name ''belladonna'' ("beautiful woman" in Italian) in reference to the cosmetic use of the plant during the
Renaissance The Renaissance ( , ) , from , with the same meanings. is a period in European history The history of Europe is traditionally divided into four time periods: prehistoric Europe (prior to about 800 BC), classical antiquity (800 BC to AD ...
, when women used the juice of the berries in eyedrops intended to dilate the pupils and make the eyes appear more seductive. Extracts of plants in the deadly nightshade family have been in use since at least the 4th century BC, when ''Mandragora'' (
mandrake A mandrake is the root of a plant, historically derived either from plants of the genus '' Mandragora'' found in the Mediterranean region, or from other species, such as ''Bryonia alba'', the English mandrake, which have similar properties. The ...
) was recommended by Theophrastus for treatment of wounds, gout, and sleeplessness, and as a love
potion A potion () is a liquid "that contains medicine, poison, or something that is supposed to have magic powers.” It derives from the Latin word ''potus'' which referred to a drink or drinking. The term philtre is also used, often specifically ...
. In the first century BC, Cleopatra used Atropine-rich extracts from the Egyptian
henbane ''Hyoscyamus niger'', commonly known as henbane, black henbane, or stinking nightshade, is a poisonous plant in the nightshade family Solanaceae. It is native to temperate Europe and Siberia, and naturalised in Great Britain and Ireland. ...
plant (another nightshade) for the above-mentioned purpose of dilating the pupils of her eyes. The use of deadly nightshades as a poison was known in ancient Rome, as attested by the rumor that the Roman empress Livia Drusilla used the juice of ''Atropa belladonna'' berries to murder her husband, the emperor
Augustus Caesar Augustus (born Gaius Octavius; 23 September 63 BC – 19 August AD 14), also known as Octavian, was the first Roman emperor; he reigned from 27 BC until his death in AD 14. He is known for being the founder of the Roman Pr ...
. In the first century AD,
Dioscorides Pedanius Dioscorides ( grc-gre, Πεδάνιος Διοσκουρίδης, ; 40–90 AD), “the father of pharmacognosy”, was a Greek physician, pharmacologist, botanist, and author of '' De materia medica'' (, On Medical Material) —a 5-vo ...
recognized wine of mandrake as an
anaesthetic An anesthetic (American English) or anaesthetic (British English; see spelling differences) is a drug used to induce anesthesia ⁠— ⁠in other words, to result in a temporary loss of sensation or awareness. They may be divided into two ...
for treatment of pain or sleeplessness, to be given prior to surgery or cautery. citing J. Arena, Poisoning: Toxicology-Symptoms-Treatments, 3rd edition. Springfield, Charles C. Thomas, 1974, p 345 The use of nightshade preparations for anesthesia, often in combination with opium, persisted throughout the Roman and Islamic Empires and continued in Europe until superseded in the 19th century by modern anesthetics. The modern pharmacological study of ''Atropa belladonna'' extracts was begun by the German
chemist A chemist (from Greek ''chēm(ía)'' alchemy; replacing ''chymist'' from Medieval Latin ''alchemist'') is a scientist trained in the study of chemistry. Chemists study the composition of matter and its properties. Chemists carefully describe t ...
Friedlieb Ferdinand Runge Friedlieb Ferdinand Runge (8 February 1794 – 25 March 1867) was a German analytical chemist. Runge identified the mydriatic (pupil dilating) effects of belladonna (deadly nightshade) extract, identified caffeine, and discovered the first c ...
(1795–1867). In 1831, the German pharmacist Heinrich F. G. Mein (1799–1864) succeeded in preparing a pure crystalline form of the active substance, baptized ''atropine''.


Description

''Atropa belladonna'' is a branching herbaceous perennial
rhizomatous In botany and dendrology, a rhizome (; , ) is a modified subterranean plant stem that sends out roots and shoots from its nodes. Rhizomes are also called creeping rootstalks or just rootstalks. Rhizomes develop from axillary buds and grow ho ...
hemicryptophyte, often growing as a subshrub from a fleshy rootstock. Plants can reach a height of (more commonly ), and have ovate leaves up to long. The bell-shaped
flower A flower, sometimes known as a bloom or blossom, is the reproductive structure found in flowering plants (plants of the division Angiospermae). The biological function of a flower is to facilitate reproduction, usually by providing a mechani ...
s are dull purple tinged yellow-green toward the base and are faintly scented. The
fruit In botany, a fruit is the seed-bearing structure in flowering plants that is formed from the ovary after flowering. Fruits are the means by which flowering plants (also known as angiosperms) disseminate their seeds. Edible fruits in particu ...
s are berries, which are green, ripening to a shiny black, and approximately in diameter. The berries are sweet and are consumed by animals that disperse the
seed A seed is an embryonic plant enclosed in a protective outer covering, along with a food reserve. The formation of the seed is a part of the process of reproduction in seed plants, the spermatophytes, including the gymnosperm and angiospe ...
s in their droppings, even though they contain toxic alkaloids (see '' Toxicity''). There is a pale-yellow flowering form called ''Atropa belladonna'' var. ''lutea'' with pale yellow fruit. ''A. belladonna'' is sometimes confused with the much less poisonous black nightshade, ''Solanum nigrum'', belonging to a different genus within Solanaceae. A comparison of the fruit shows that black nightshade berries are spherical, have a dull lustre and grow in clusters, whereas the berries of deadly nightshade are much glossier, twice as large, somewhat flattened and are borne singly. Another distinction is that black nightshade flowers are not tubular but white and star-shaped, bearing a central cone of yellow anthers.


Distribution

''Atropa belladonna'' is native to temperate southern, Central and Eastern Europe;
North Africa North Africa, or Northern Africa is a region encompassing the northern portion of the African continent. There is no singularly accepted scope for the region, and it is sometimes defined as stretching from the Atlantic shores of Mauritania in ...
,
Turkey Turkey ( tr, Türkiye ), officially the Republic of Türkiye ( tr, Türkiye Cumhuriyeti, links=no ), is a transcontinental country located mainly on the Anatolian Peninsula in Western Asia, with a small portion on the Balkan Peninsula in ...
,
Iran Iran, officially the Islamic Republic of Iran, and also called Persia, is a country located in Western Asia. It is bordered by Iraq and Turkey to the west, by Azerbaijan and Armenia to the northwest, by the Caspian Sea and Turkmeni ...
and the
Caucasus The Caucasus () or Caucasia (), is a region between the Black Sea and the Caspian Sea, mainly comprising Armenia, Azerbaijan, Georgia (country), Georgia, and parts of Southern Russia. The Caucasus Mountains, including the Greater Caucasus range ...
, but has been cultivated and introduced outside its native range. In southern Sweden it was recorded in Flora of Skåne in 1870 as grown in
apothecary ''Apothecary'' () is a mostly archaic term for a medical professional who formulates and dispenses '' materia medica'' (medicine) to physicians, surgeons, and patients. The modern chemist (British English) or pharmacist (British and North Amer ...
gardens near Malmö. In Britain it is native only on calcareous soils, on disturbed ground, field margins, hedgerows and open woodland. More widespread as an alien, it is often a relic of cultivation as a medicinal herb. Seed is spread mainly by birds. It is naturalized in parts of North America, where it is often found in shady, moist locations with
limestone Limestone ( calcium carbonate ) is a type of carbonate sedimentary rock which is the main source of the material lime. It is composed mostly of the minerals calcite and aragonite, which are different crystal forms of . Limestone forms whe ...
-rich
soil Soil, also commonly referred to as earth or dirt Dirt is an unclean matter, especially when in contact with a person's clothes, skin, or possessions. In such cases, they are said to become dirty. Common types of dirt include: * Debri ...
s. It is considered a
weed A weed is a plant considered undesirable in a particular situation, "a plant in the wrong place", or a plant growing where it is not wanted.Harlan, J. R., & deWet, J. M. (1965). Some thoughts about weeds. ''Economic botany'', ''19''(1), 16-24. ...
species in parts of the world, where it colonizes areas with disturbed soils.


Cultivation

''Atropa belladonna'' is rarely used in gardens, but, when grown, it is usually for its large upright habit and showy berries. Germination of the small seeds is often difficult, due to hard seed coats that cause seed dormancy. Germination takes several weeks under alternating temperature conditions, but can be sped up with the use of gibberellic acid. The seedlings need sterile
soil Soil, also commonly referred to as earth or dirt Dirt is an unclean matter, especially when in contact with a person's clothes, skin, or possessions. In such cases, they are said to become dirty. Common types of dirt include: * Debri ...
to prevent
damping off Damping off (or damping-off) is a horticultural disease or condition, caused by several different pathogens that kill or weaken seeds or seedlings before or after they germinate. It is most prevalent in wet and cool conditions. Symptoms There ar ...
and resent root disturbance during transplanting.


Taxonomy

''Atropa belladonna'' is in the nightshade family ('' Solanaceae''), which it shares with
potato The potato is a starchy food, a tuber of the plant ''Solanum tuberosum'' and is a root vegetable native to the Americas. The plant is a perennial in the nightshade family Solanaceae. Wild potato species can be found from the southern Unit ...
es,
tomato The tomato is the edible berry of the plant ''Solanum lycopersicum'', commonly known as the tomato plant. The species originated in western South America, Mexico, and Central America. The Mexican Nahuatl word gave rise to the Spanish word ...
es, eggplants,
jimsonweed ''Datura stramonium'', known by the common names thorn apple, jimsonweed (jimson weed), devil's snare, or devil's trumpet, is a poisonous flowering plant of the nightshade family Solanaceae. It is a species belonging to the ''Datura'' genus a ...
,
tobacco Tobacco is the common name of several plants in the genus '' Nicotiana'' of the family Solanaceae, and the general term for any product prepared from the cured leaves of these plants. More than 70 species of tobacco are known, but the ...
, wolfberry, and
chili pepper Chili peppers (also chile, chile pepper, chilli pepper, or chilli), from Nahuatl '' chīlli'' (), are varieties of the berry-fruit of plants from the genus ''Capsicum'', which are members of the nightshade family Solanaceae, cultivated for ...
s. The common names for this species include belladonna, deadly nightshade, divale, dwale, banewort, devil's berries, death cherries, beautiful death, devil's herb, great morel, and dwayberry.


Etymology

The name ''Atropa belladonna'' was published by
Carl Linnaeus Carl Linnaeus (; 23 May 1707 – 10 January 1778), also known after his Nobility#Ennoblement, ennoblement in 1761 as Carl von Linné#Blunt, Blunt (2004), p. 171. (), was a Swedish botanist, zoologist, taxonomist, and physician who formalise ...
in '' Species Plantarum'' in 1753. ''Atropa'' is derived from the name of the Greek goddess Atropos ('she who may not be turned aside' i.e. 'the inflexible' or 'the implacable')—one of the three Greek fates or destinies who would determine the course of a man's life by the weaving of threads that symbolized his birth, the events in his life, and finally his death, with Atropos cutting these threads to mark the last of these. The name "belladonna" comes from the
Italian language Italian (''italiano'' or ) is a Romance language of the Indo-European language family that evolved from the Vulgar Latin of the Roman Empire. Together with Sardinian, Italian is the least divergent language from Latin. Spoken by about ...
, meaning 'beautiful lady'; originating either from its usage as a cosmetic to beautify pallid skin,Gledhill, David (2008). ''The Names of Plants''. Cambridge University Press. (hardback), (paperback). pp. 61, 68. or more probably, from its usage to increase the pupil size in women. Notes: v.4–5 (1838–1839)


Toxicity

Belladonna is one of the most toxic plants known, and its use by mouth increases risk in numerous clinical conditions, such as complications of pregnancy, cardiovascular diseases, gastrointestinal disorders, and psychiatric disorders, among others. All parts of the plant contain tropane alkaloids. Roots have up to 1.3%, leaves 1.2%, stalks 0.65%, flowers 0.6%, ripe berries 0.7%, and seeds 0.4% tropane alkaloids; leaves reach maximal alkaloid content when the plant is budding and flowering, roots are most poisonous in the end of the plant's vegetation period. Belladonna nectar is transformed by bees into honey that also contains tropane alkaloids. The berries pose the greatest danger to children because they look attractive and have a somewhat sweet taste. The root of the plant is generally the most toxic part, though this can vary from one specimen to another. The active agents in belladonna, atropine, hyoscine (scopolamine), and hyoscyamine, have
anticholinergic Anticholinergics (anticholinergic agents) are substances that block the action of the neurotransmitter called acetylcholine (ACh) at synapses in the central and peripheral nervous system. These agents inhibit the parasympathetic nervous sys ...
properties. The symptoms of belladonna poisoning include dilated
pupil The pupil is a black hole located in the center of the Iris (anatomy), iris of the Human eye, eye that allows light to strike the retina.Cassin, B. and Solomon, S. (1990) ''Dictionary of Eye Terminology''. Gainesville, Florida: Triad Publishing ...
s, sensitivity to light, blurred
vision Vision, Visions, or The Vision may refer to: Perception Optical perception * Visual perception, the sense of sight * Visual system, the physical mechanism of eyesight * Computer vision, a field dealing with how computers can be made to gain und ...
,
tachycardia Tachycardia, also called tachyarrhythmia, is a heart rate that exceeds the normal resting rate. In general, a resting heart rate over 100 beats per minute is accepted as tachycardia in adults. Heart rates above the resting rate may be normal ( ...
, loss of
balance Balance or balancing may refer to: Common meanings * Balance (ability) in biomechanics * Balance (accounting) * Balance or weighing scale * Balance as in equality or equilibrium Arts and entertainment Film * ''Balance'' (1983 film), a Bulgaria ...
, staggering, headache, rash, flushing, severely dry mouth and throat, slurred speech,
urinary retention Urinary retention is an inability to completely empty the bladder. Onset can be sudden or gradual. When of sudden onset, symptoms include an inability to urinate and lower abdominal pain. When of gradual onset, symptoms may include loss of bladd ...
, constipation,
confusion In medicine, confusion is the quality or state of being bewildered or unclear. The term "acute mental confusion"
,
hallucination A hallucination is a perception in the absence of an external stimulus that has the qualities of a real perception. Hallucinations are vivid, substantial, and are perceived to be located in external objective space. Hallucination is a combinati ...
s, delirium, and convulsions. In 2009, ''A. belladonna'' berries were mistaken for blueberries by an adult woman; the six berries she ate were documented to result in severe
anticholinergic syndrome Anticholinergics (anticholinergic agents) are substances that block the action of the neurotransmitter called acetylcholine (ACh) at synapses in the central and peripheral nervous system. These agents inhibit the parasympathetic nervous system ...
. The plant's deadly symptoms are caused by atropine's disruption of the parasympathetic nervous system's ability to regulate involuntary activities, such as sweating, breathing, and heart rate. The
antidote An antidote is a substance that can counteract a form of poisoning. The term ultimately derives from the Greek term φάρμακον ἀντίδοτον ''(pharmakon) antidoton'', "(medicine) given as a remedy". Antidotes for anticoagulants are s ...
for belladonna poisoning is an
anticholinesterase Cholinesterase inhibitors (ChEIs), also known as anti-cholinesterase, are chemicals that prevent the breakdown of the neurotransmitter acetylcholine or butyrylcholine. This increases the amount of the acetylcholine or butyrylcholine in the sy ...
(such as
physostigmine Physostigmine (also known as eserine from ''éséré'', the West African name for the Calabar bean) is a highly toxic parasympathomimetic alkaloid, specifically, a reversible cholinesterase inhibitor. It occurs naturally in the Calabar bean a ...
) or a cholinomimetic (such as pilocarpine), the same as for atropine. ''Atropa belladonna'' is also toxic to many domestic animals, causing
narcosis Narcosis may refer to: In science * Carbon dioxide narcosis, carbon dioxide retention leading to a reduction in the hypoxic drive * Hydrogen narcosis, an effect of diving deep with hydrogen * Nitrogen narcosis, an effect of diving deep with nit ...
and paralysis. However, cattle and rabbits eat the plant seemingly without suffering harmful effects. In humans, its
anticholinergic Anticholinergics (anticholinergic agents) are substances that block the action of the neurotransmitter called acetylcholine (ACh) at synapses in the central and peripheral nervous system. These agents inhibit the parasympathetic nervous sys ...
properties will cause the disruption of cognitive capacities, such as memory and learning.


Legal status

Belladonna cultivation is legal in Southern and Eastern Europe, Pakistan, North America, and Brazil. Belladonna leaves and roots can be bought with a medical prescription in pharmacies throughout Germany. In the United States, there is only one approved prescription drug containing belladonna alkaloids such as atropine, and the FDA regards any over-the-counter products claiming efficacy and safety as an anticholinergic drug, to be illegal.


Uses


Cosmetics

The common name ''belladonna'' originates from its historic use by women, as ''bella donna'' is
Italian Italian(s) may refer to: * Anything of, from, or related to the people of Italy over the centuries ** Italians, an ethnic group or simply a citizen of the Italian Republic or Italian Kingdom ** Italian language, a Romance language *** Regional Ita ...
for "beautiful woman". Drops prepared from the belladonna plant were used to
dilate Dilation (or dilatation) may refer to: Physiology or medicine * Cervical dilation, the widening of the cervix in childbirth, miscarriage etc. * Coronary dilation, or coronary reflex * Dilation and curettage, the opening of the cervix and surgic ...
women's
pupil The pupil is a black hole located in the center of the Iris (anatomy), iris of the Human eye, eye that allows light to strike the retina.Cassin, B. and Solomon, S. (1990) ''Dictionary of Eye Terminology''. Gainesville, Florida: Triad Publishing ...
s, an effect considered to be attractive and seductive. Belladonna drops act as a
muscarinic antagonist A muscarinic receptor antagonist (MRA) is a type of anticholinergic agent that blocks the activity of the muscarinic acetylcholine receptor. The muscarinic receptor is a protein involved in the transmission of signals through certain parts of the ...
, blocking receptors in the muscles of the eye that constrict pupil size. Belladonna is currently rarely used cosmetically, as it carries the
adverse effects An adverse effect is an undesired harmful effect resulting from a medication or other intervention, such as surgery. An adverse effect may be termed a "side effect", when judged to be secondary to a main or therapeutic effect. The term complica ...
of causing minor visual distortions, inability to focus on near objects, and increased heart rate. Prolonged usage was reputed to cause
blindness Visual impairment, also known as vision impairment, is a medical definition primarily measured based on an individual's better eye visual acuity; in the absence of treatment such as correctable eyewear, assistive devices, and medical treatment ...
.


Dietary supplements

In the United States, belladonna is marketed as a dietary supplement, typically as an atropine ingredient in over-the-counter
cold medicine Cold medicines are a group of medications taken individually or in combination as a treatment for the symptoms of the common cold and similar conditions of the upper respiratory tract. The term encompasses a broad array of drugs, including ...
products. Although such cold medicine products are probably safe for oral use at typical atropine dosages (0.2 milligram), there is inadequate scientific evidence to assure their effectiveness. By FDA guidelines for supplements, there are no regulated manufacturing standards for cold medicines containing atropine, with some belladona supplements found to contain contaminants.


Medicinal uses

Scientific evidence to recommend the use of ''A. belladonna'' in its natural form for any condition is insufficient, although some of its components, in particular ''l''- atropine, which was purified from belladonna in the 1830s, have accepted medical uses.
Donnatal Donnatal is a combination medication that provides natural belladonna alkaloids in a specific fixed ratio combined with phenobarbital to provide peripheral anticholinergic/antispasmodic action and mild sedation.Donnatal Tablets Package Insert. Conco ...
is a prescription
pharmaceutical A medication (also called medicament, medicine, pharmaceutical drug, medicinal drug or simply drug) is a drug used to diagnose, cure, treat, or prevent disease. Drug therapy (pharmacotherapy) is an important part of the medical field an ...
, that combines natural belladonna alkaloids in a specific, fixed ratio with phenobarbital to provide peripheral
anticholinergic Anticholinergics (anticholinergic agents) are substances that block the action of the neurotransmitter called acetylcholine (ACh) at synapses in the central and peripheral nervous system. These agents inhibit the parasympathetic nervous sys ...
or
antispasmodic An antispasmodic (synonym: spasmolytic) is a pharmaceutical drug or other agent that suppresses muscle spasms. Smooth muscle spasm One type of antispasmodics is used for smooth muscle relaxation, especially in tubular organs of the gastrointest ...
action and mild sedation. Donnatal contains 0.0194 mg of atropine. According to the FDA and Donnatal
labeling Labelling or using a label is describing someone or something in a word or short phrase. For example, the label "criminal" may be used to describe someone who has broken a law. Labelling theory is a theory in sociology which ascribes labelling ...
, it is ''possibly effective'' for use as adjunctive therapy in the treatment of
irritable bowel syndrome Irritable bowel syndrome (IBS) is a "disorder of gut-brain interaction" characterized by a group of symptoms that commonly include abdominal pain and or abdominal bloating and changes in the consistency of bowel movements. These symptoms may ...
(irritable colon, spastic colon, mucous colitis) and acute enterocolitis. Donnatal is not approved by the FDA as being either safe or effective. According to the FDA, Donnatal use has significant risks: it can cause harm to a fetus if administered to a pregnant woman, can lead to heat prostration if used in hot climates, may cause constipation, and may produce drowsiness or blurred vision. The Towns-Lambert or Bella Donna Cure was a regimen for treating alcohol use disorder in the early 20th century.


Alternative medicine and toxicity risk

Belladonna has been used in herbal medicine for centuries as a pain reliever, muscle relaxer, and anti-inflammatory, and to treat menstrual problems, peptic ulcer disease, histaminic reaction, and motion sickness. At least one 19th-century
eclectic medicine Eclectic medicine was a branch of American medicine that made use of botanical remedies along with other substances and physical therapy practices, popular in the latter half of the 19th and first half of the 20th centuries. The term was coined by ...
journal explained how to prepare a belladonna tincture for direct administration. In homeopathic practices, belladonna was prescribed by German physician
Samuel Hahnemann Christian Friedrich Samuel Hahnemann (; 10 April 1755 – 2 July 1843) was a German physician, best known for creating the pseudoscientific system of alternative medicine called homeopathy. Early life Christian Friedrich Samuel Hahnemann was ...
as a
topical medication A topical medication is a medication that is applied to a particular place on or in the body. Most often topical medication means application to body surfaces such as the skin or mucous membranes to treat ailments via a large range of classes ...
for
inflammation Inflammation (from la, inflammatio) is part of the complex biological response of body tissues to harmful stimuli, such as pathogens, damaged cells, or irritants, and is a protective response involving immune cells, blood vessels, and molec ...
and pain. In the form of Doktor Koster's Antigaspills, belladonna was a homeopathic medication for
upset stomach Abdominal pain, also known as a stomach ache, is a symptom associated with both non-serious and serious medical issues. Common causes of pain in the abdomen include gastroenteritis and irritable bowel syndrome. About 15% of people have a more ...
and excessive flatulence. There is insufficient scientific evidence justifying the use of belladonna for these or any other clinical disorders. In 2010 and 2016, the US
Food and Drug Administration The United States Food and Drug Administration (FDA or US FDA) is a List of United States federal agencies, federal agency of the United States Department of Health and Human Services, Department of Health and Human Services. The FDA is respon ...
warned consumers against the use of homeopathic
teething Teething is the process by which an infant's first teeth (the deciduous teeth, often called "baby teeth" or "milk teeth") appear by emerging through the gums, typically arriving in pairs. The mandibular central incisors are the first primary te ...
tablets and gels containing belladonna as used for infants and children, stating that the products may be toxic, causing "seizures, difficulty breathing, lethargy, excessive sleepiness, muscle weakness, skin flushing, constipation, difficulty urinating, or agitation".


Recreational drug

''Atropa belladonna'' and related plants, such as ''
Datura stramonium ''Datura stramonium'', known by the common names thorn apple, jimsonweed (jimson weed), devil's snare, or devil's trumpet, is a poisonous flowering plant of the nightshade family Solanaceae. It is a species belonging to the ''Datura'' genus a ...
'' (commonly known as jimson weed), have occasionally been used as recreational drugs because of the vivid
hallucination A hallucination is a perception in the absence of an external stimulus that has the qualities of a real perception. Hallucinations are vivid, substantial, and are perceived to be located in external objective space. Hallucination is a combinati ...
s and delirium they produce. These hallucinations are most commonly described as very unpleasant, and recreational use is considered extremely dangerous because of the high risk of unintentional fatal
overdose A drug overdose (overdose or OD) is the ingestion or application of a drug or other substance in quantities much greater than are recommended.
. The main psychoactive ingredients are the alkaloids scopolamine and, to a lesser extent, hyoscyamine. The effects of atropine on the central nervous system include memory disruption, which may lead to severe confusion. The major effects of belladonna consumption last for three to four hours; visual hallucinations can last for three to four days, and some negative aftereffects are preserved for several days.


Poison

The tropane alkaloids of ''A. belladonna'' were used as poisons, and early humans made
poisonous arrows from the plant. In
Ancient Rome In modern historiography, ancient Rome refers to Roman civilisation from the founding of the city of Rome in the 8th century BC to the collapse of the Western Roman Empire in the 5th century AD. It encompasses the Roman Kingdom (753–509 BC ...
, it was used as a poison by Agrippina the Younger, wife of Emperor Claudius, on the advice of Locusta, a woman who specialized in poisons, and Livia, who is rumored to have used it to kill her husband Emperor
Augustus Caesar Augustus (born Gaius Octavius; 23 September 63 BC – 19 August AD 14), also known as Octavian, was the first Roman emperor; he reigned from 27 BC until his death in AD 14. He is known for being the founder of the Roman Pr ...
.
Macbeth of Scotland Macbeth ( – 15 August 1057) was King of Scots from 1040 until his death. He ruled over the Kingdom of Alba, which covered only a portion of present-day Scotland. Little is known about Macbeth's early life, although he was the son of Findl ...
, when he was still one of the lieutenants of King Duncan I of Scotland, used it during a truce to poison the troops of the invading
Harold Harefoot Harold I (died 17 March 1040), also known as Harold Harefoot, was King of the English from 1035 to 1040. Harold's nickname "Harefoot" is first recorded as "Harefoh" or "Harefah" in the twelfth century in the history of Ely Abbey, and according ...
, King of England, to the point that the English troops were unable to stand their ground and had to retreat to their ships. Medical historians also suspect that Solomon Northup, a free black man who was kidnapped and sold into slavery in 1841, was poisoned using a combination of ''Atropa belladonna'' and laudanum.


Folklore


Flying ointment

In the past, witches were believed to use a mixture of belladonna, opium poppy and other plants, typically poisonous (such as
monkshood ''Aconitum'' (), also known as aconite, monkshood, wolf's-bane, leopard's bane, mousebane, women's bane, devil's helmet, queen of poisons, or blue rocket, is a genus of over 250 species of flowering plants belonging to the family Ranunculaceae. ...
and hemlock), in
flying ointment Flying ointment is a hallucinogenic ointment said to have been used by witches in the practice of European witchcraft from at least as far back as the Early Modern period, when detailed recipes for such preparations were first recorded. Name ...
, which they allegedly applied to help them fly to gatherings with other witches or to experience bacchanalian carousal. Carlo Ginzburg and others have argued that flying ointments were preparations meant to encourage hallucinatory dreaming; a possible explanation for the inclusion of belladonna and opium poppy in flying ointments concerns the known antagonism between tropane alkaloids of belladonna ( scopolamine) and opiate alkaloids in the opium poppy, ''
Papaver somniferum ''Papaver somniferum'', commonly known as the opium poppy or breadseed poppy, is a species of flowering plant in the family Papaveraceae. It is the species of plant from which both opium and poppy seeds are derived and is also a valuable orname ...
'' (to be specific,
morphine Morphine is a strong opiate that is found naturally in opium, a dark brown resin in poppies (''Papaver somniferum''). It is mainly used as a pain medication, and is also commonly used recreationally, or to make other illicit opioids. T ...
), which produces a dream-like waking state (
hypnagogia Hypnagogia is the experience of the transitional state from wakefulness to sleep: the ''hypnagogic'' state of consciousness, during the onset of sleep. Its opposite state is described as the transitional state from sleep into wakefulness. Mental ...
) or potentiated dreams while the user is asleep. This antagonism was known in folk medicine and discussed in traditional medicine formularies. Belladonna is also notable for the unpredictability of its toxic effects.


Female attractiveness

Among the ancient folk traditions of the
Romania Romania ( ; ro, România ) is a country located at the crossroads of Central, Eastern, and Southeastern Europe. It borders Bulgaria to the south, Ukraine to the north, Hungary to the west, Serbia to the southwest, Moldova to the east, and ...
n ( Moldavian) / Ukrainian region of Bukovina in the Carpathians is the ritual for a Bukovinian girl to enhance her attractiveness by making an offering to deadly nightshade. She entered the fields on a Sunday in
Shrovetide Shrovetide, also known as the Pre-Lenten Season or Forelent, is the Christian period of preparation before the beginning of the liturgical season of Lent. Shrovetide starts on Septuagesima Sunday, includes Sexagesima Sunday, Quinquagesima S ...
, clad in her Sunday best, accompanied by her mother and bringing a bag of bread, salt, and brandy. She would dig up a deadly nightshade root and leave the three offerings in its place. As she returned home, she carried the root on the top of her head. On the way both to and from home, she avoided all quarrels and arguments. If asked by anyone on the way back what she was taking home, she would not divulge the truth or the spell would break.Schenk, Gustav ''Das Buch der Gifte'' translated by Michael Bullock as ''The Book of Poisons'' pub. Weidenfeld and Nicolson 1956 page 28, quoting Hovorka, Oskar von and Kronfeld, Adolf : ''Vergleichende Volksmedizin Zweiter Band. Eine Darstellung volksmedizinische Sitten und Gebräuche, Anschauungen und Heilfaktoren des Aberglaubens und der Zaubermedizin'' ranslation : ''Comparative Folk Medicine, a study in two volumes: an account of the ethnomedical practices, habits of thought and healing practices to be found in Superstition and Magical Medicine''2 vols., pub. Strecker und Schröder Stuttgart 1908-9


Gallery

File:Atropa-bella-donna Staude 102 b.jpg, Specimen with abundant flowers and green, immature berries File:Atropa belladonna L. longipedicellate flower.jpg, Single flower, showing long pedicel springing from leaf axil. File:IMG 8028 Atropa belladonna L. Single flower in profile.jpg, Atropa belladonna L. Corolla and calyx of single flower in profile. File:IMG 8052 Atropa belladonna L. Single flower Exterior & Interior.jpg, Atropa belladonna L. Single flower angled to show both exterior and interior. File:IMG 8017 Atropa belladonna L. Heart of Single Flower.jpg, Atropa belladonna L. Single flower, full face, showing reticulated corolla base and insertion of (characteristically curled) stamens, and pistil. File:Atropa belladonna 074.jpg, Single flower, three-quarter face, showing fine detail of puberulent stigma File:Atropa belladonna L. back-lit corolla reticulation.jpg, Atropa belladonna L. single flower back-lit by bright sunlight to reveal purple reticulation of yellowish-green corolla tube. File:Atropa belladonna back-lit corolla exterior interior contrast.jpg, Back-lit corolla, showing contrast between pubescent, ribbed exterior and more glabrous interior File:Atropa belladonna by Danny S. 093.jpg, Cross-section of corolla, showing ripe anthers with flocculent, cream pollen File:IMG 8073 Atropa belladonna L. Back of Calyxj.jpg, Atropa belladonna L. Reverse of fruiting calyx, showing concave backs of calyx lobes with dirt from air pollution coating sticky trichomes. File:Atropa belladonna 'Lutea' Pokrzyk wilcza jagoda 2019-10-26 01.jpg, The translucent yellow berries of ''Atropa belladonna lutea''.


See also

*
List of poisonous plants Plants that produce toxins are referred to as poisonous plants. Plants that cause irritation on contact are also described as "poisonous". The toxins in poisonous plants affect herbivores, and deter them from consuming the plants. Plants cannot ...
*
List of plants poisonous to equines Many plants are poisonous to equines; the species vary depending on location, climate, and grazing conditions. In many cases, entire genera are poisonous to equines and include many species spread over several continents. Plants can cause reactio ...
*
Donnatal Donnatal is a combination medication that provides natural belladonna alkaloids in a specific fixed ratio combined with phenobarbital to provide peripheral anticholinergic/antispasmodic action and mild sedation.Donnatal Tablets Package Insert. Conco ...
, a pharmaceutical containing the active alkaloids in belladonna: scopolamine, hyoscyamine, and atropine, as a medication.


References


External links

* {{Authority control Deliriants Entheogens Flora of North Africa Flora of Western Asia Herbal and fungal hallucinogens Medicinal plants of Africa Medicinal plants of Asia Medicinal plants of Europe Oneirogens Plants described in 1753 Taxa named by Carl Linnaeus Atropa Poisonous plants