Registered Kenya · PPB

CHESTONE STRONG

LIQUORICE LIQUID EXTRACT (GLYCYRRHIZA GLABRA), MENTHOL (MENTHA PIPERITA), ANISE OIL (PIMPINELLA ANISUM), DEMENTHOLISED MINT OIL(MENTHA PIPERITA), CAPSICUM TINCTURE(CAPSICUM ANNUUM),PUMILIO PINE OIL( ABIES SIBIRICA ), EUCALYPTUS OIL( EUCALYPTUS GLOBULUS)

What it does

Anise is a plant commonly used for its flavor and medicinal properties. It is known for its sweet, aromatic taste and is often used in cooking and herbal remedies.

Commonly used for: digestive issues (like bloating and gas), cough relief, menstrual discomfort

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Plain-language summary for general understanding - not medical advice. Always follow your pharmacist/doctor.

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Registration & product details

Registration no.
CAM096
Registration date
-
Expiry date
-
Status
Registered
Active ingredient
LIQUORICE LIQUID EXTRACT (GLYCYRRHIZA GLABRA), MENTHOL (MENTHA PIPERITA), ANISE OIL (PIMPINELLA ANISUM), DEMENTHOLISED MINT OIL(MENTHA PIPERITA), CAPSICUM TINCTURE(CAPSICUM ANNUUM),PUMILIO PINE OIL( ABIES SIBIRICA ), EUCALYPTUS OIL( EUCALYPTUS GLOBULUS)
Strength
-
Pack size
50 X 2 TABLETS IN A PACK.
Therapeutic class
GENERIC/BIOSIMILARS
RxNorm RxCUI
1309292
Manufacturer / MAH
Shalina Healthcare
Applicant / LTR
ORANGE PHARMA LTD
Country of origin
FOREIGN
Manufacturer location
Shalina House, Opp. Kenafric business park, Baba dogo road, Ruaraka, Nairobi, Kenya

Source: Pharmacy and Poisons Board · fetched 2026-01-28 20:38:42 · updated 2026-07-26 11:29:14

Disclaimer: This information is sourced from Pharmacy and Poisons Board (Kenya). Always consult a qualified healthcare professional before using any medication.

About anise

Anise is a plant commonly used for its flavor and medicinal properties. It is known for its sweet, aromatic taste and is often used in cooking and herbal remedies.

What it treats

  • digestive issues (like bloating and gas)
  • cough relief
  • menstrual discomfort

How it works

Anise contains compounds that may help soothe the digestive system and relieve coughs. It also has potential benefits for menstrual symptoms.

Who it's for

Anise is suitable for adults and may be used by those looking for natural remedies for digestive problems or coughs.

Cautions

  • • May cause allergic reactions in some individuals.
  • • Consult a healthcare provider if pregnant or nursing.

AI-assisted summary grounded in BNF data - general information only, not medical advice. Always confirm with your pharmacist or doctor.

About capsicum

Capsicum is a natural ingredient that comes from chili peppers and is often used for its potential health benefits.

What it treats

  • pain relief
  • muscle soreness
  • joint pain
  • nerve pain

How it works

Capsicum works by reducing the feeling of pain by blocking pain signals in the body.

Who it's for

Capsicum may be suitable for adults looking for relief from various types of pain.

Cautions

  • • May cause irritation on the skin or mucous membranes.
  • • Avoid contact with eyes.

AI-assisted summary grounded in BNF data - general information only, not medical advice. Always confirm with your pharmacist or doctor.

About dementholised

Dementholised is a medication used to relieve symptoms associated with certain conditions.

What it treats

  • cough
  • cold
  • throat irritation

How it works

It helps soothe the throat and reduce coughing by numbing the area.

Who it's for

This medication is for adults and children who are experiencing coughing or throat discomfort.

AI-assisted summary grounded in BNF data - general information only, not medical advice. Always confirm with your pharmacist or doctor.

About eucalyptus

Eucalyptus is a natural remedy often used for its soothing properties, especially for respiratory issues.

What it treats

  • coughs
  • cold symptoms
  • respiratory infections

How it works

Eucalyptus contains compounds that can help relieve symptoms by reducing inflammation and acting as a mild antiseptic.

Who it's for

Eucalyptus is suitable for adults and children, but care should be taken with young children and those with allergies.

Cautions

  • • Avoid if allergic to eucalyptus or related plants.
  • • Use with caution in young children.

AI-assisted summary grounded in BNF data - general information only, not medical advice. Always confirm with your pharmacist or doctor.

About extract

This medicine is an extract that is used for various health conditions.

What it treats

  • general health improvement
  • nutritional support

How it works

The extract may provide health benefits by supplying essential nutrients or compounds that support bodily functions.

Who it's for

This medicine is suitable for individuals looking to improve their overall health or address specific nutritional needs.

AI-assisted summary grounded in BNF data - general information only, not medical advice. Always confirm with your pharmacist or doctor.

About liquid

Liquid medications can come in various forms, including solutions, syrups, and suspensions. They are often used for easier swallowing and faster absorption.

What it treats

  • nausea and vomiting
  • pain relief
  • fever reduction
  • cough relief

How it works

Liquid medications are absorbed quickly into the body, providing rapid relief for various symptoms.

Who it's for

Liquid medications can be suitable for people of all ages, especially those who have difficulty swallowing tablets or capsules.

AI-assisted summary grounded in BNF data - general information only, not medical advice. Always confirm with your pharmacist or doctor.

About liquorice

Liquorice is a natural substance often used for its soothing properties and flavor. It is found in various herbal remedies and candies.

What it treats

  • sore throat
  • stomach ulcers
  • coughs
  • stress relief

How it works

Liquorice contains compounds that can help reduce inflammation and soothe the digestive system.

Who it's for

Adults and children who need relief from throat discomfort or digestive issues.

Cautions

  • • Excessive use may lead to high blood pressure.
  • • People with heart conditions should be cautious.
  • • Not recommended during pregnancy without medical advice.

AI-assisted summary grounded in BNF data - general information only, not medical advice. Always confirm with your pharmacist or doctor.

About menthol

Menthol is a natural compound often used for its soothing and cooling effects.

What it treats

  • cough relief
  • muscle pain relief
  • skin irritation treatment

How it works

Menthol creates a cooling sensation on the skin and mucous membranes, which can help relieve discomfort.

Who it's for

Menthol is suitable for adults and children who need relief from coughs, muscle aches, or skin irritation.

AI-assisted summary grounded in BNF data - general information only, not medical advice. Always confirm with your pharmacist or doctor.

About mint

Mint is a natural herb often used for its flavor and potential health benefits.

What it treats

  • digestive issues (indigestion)
  • relief from nausea
  • common cold symptoms
  • freshening breath

How it works

Mint may help soothe the stomach and has a cooling effect that can ease discomfort.

Who it's for

Mint can be used by most people looking for natural relief from digestive problems or to freshen their breath.

AI-assisted summary grounded in BNF data - general information only, not medical advice. Always confirm with your pharmacist or doctor.

About pine

Pine is a natural substance often used for its potential health benefits.

What it treats

  • respiratory issues
  • inflammation
  • antioxidant support

How it works

Pine may help reduce inflammation and support the immune system due to its natural compounds.

Who it's for

Pine can be used by adults looking for natural ways to support their health, particularly for respiratory and inflammatory conditions.

AI-assisted summary grounded in BNF data - general information only, not medical advice. Always confirm with your pharmacist or doctor.

About pumilio

Pumilio is a medication used to treat various health conditions. It is important to follow your healthcare provider's guidance when using this medication.

How it works

The exact way pumilio works is not clearly defined, but it is believed to help improve symptoms related to certain conditions.

Who it's for

Pumilio may be prescribed to individuals with specific health issues as determined by their healthcare provider.

AI-assisted summary grounded in BNF data - general information only, not medical advice. Always confirm with your pharmacist or doctor.

About tincture

Tincture is a liquid form of medicine that contains a plant extract or other medicinal ingredient dissolved in alcohol or another solvent.

What it treats

  • various ailments
  • pain relief
  • anxiety
  • sleep problems

How it works

Tinctures work by allowing the active ingredients from plants or other substances to be absorbed into the body quickly, providing relief from certain conditions.

Who it's for

Tinctures can be used by adults for various health issues, but it is important to consult with a healthcare provider before use.

Cautions

  • • Not suitable for people with alcohol intolerance.
  • • Use with caution in pregnant or breastfeeding women.

AI-assisted summary grounded in BNF data - general information only, not medical advice. Always confirm with your pharmacist or doctor.

Clinical monograph: anise

Anise, scientifically known as Pimpinella anisum, is a flowering plant belonging to the family Apiaceae. It is widely recognized for its aromatic seeds, which have been used in culinary and medicinal applications for centuries. Anise is primarily known for its distinctive sweet, licorice-like flavor and is often utilized in the manufacture of liqueurs, baked goods, and as a flavoring agent in various cuisines. In traditional medicine, anise seeds are believed to possess various therapeutic properties, including carminative, antimicrobial, and anti-inflammatory effects.

Indications

  • Dyspepsia
  • Flatulence
  • Cough
  • Insomnia
  • Loss of appetite

Dosage

Children: As with adults, dosage for children should be determined by a healthcare provider based on age, weight, and clinical condition.

Adults: Dosage varies based on the form of anise used (e.g., whole seeds, powdered, or oil). Consult a qualified healthcare professional for specific dosing recommendations.

Mechanism of action

The active compounds in anise, particularly anethole, are thought to exert their effects through various mechanisms, including modulation of the gastrointestinal tract's motility, enhancement of mucosal secretion, and antimicrobial activity against a range of pathogens. Anethole may also interact with certain receptors, such as estrogen receptors, contributing to its potential hormonal effects.

Pharmacodynamics

Anise demonstrates several pharmacological effects, including carminative properties, which help alleviate gas and bloating, and antimicrobial effects against certain bacteria and fungi. It may also exhibit antioxidant activity, providing protection against oxidative stress. Anise has been used in traditional medicine for its potential to stimulate appetite and digestive functions, and it may have mild sedative properties.

Pharmacokinetics

The pharmacokinetics of anise have not been extensively studied in clinical settings. However, anise is generally considered to be rapidly absorbed when ingested, with its active constituents metabolized primarily in the liver. The elimination half-life of its key components has not been well-established, but its effects are typically experienced shortly after consumption and may last for a few hours. Anise is primarily excreted in urine as metabolites.

Adverse effects

  • Allergic reactions
  • Nausea
  • Vomiting
  • Diarrhea
  • Skin irritation

Interactions

  • May interact with anticoagulants
  • May enhance the effects of sedatives
  • Potential interaction with other herbal supplements

Precautions

  • Use with caution in individuals with allergies to plants in the Apiaceae family
  • Consult healthcare provider if pregnant or breastfeeding
  • Monitor for allergic reactions in sensitive individuals

Pregnancy

Not enough reliable information is available regarding the safety of anise during pregnancy. It is advisable to consult a healthcare provider before use.

Breast-feeding

Limited data is available on the safety of anise while breastfeeding. Caution is recommended, and consulting a healthcare provider is advisable.

Storage

Store in a cool, dry place away from direct sunlight. Keep out of reach of children.

Formulations

  • Whole seeds
  • Ground powder
  • Essential oil
  • Tinctures

AI-synthesized from BNF references - general information only, not a substitute for professional medical advice or the current BNF. Verify doses with a pharmacist.

Clinical monograph: capsicum

Capsicum, commonly known as chili pepper, contains active compounds such as capsaicin that contribute to its pharmacological properties. It is primarily used for its analgesic and anti-inflammatory effects, and it is known to stimulate digestion and enhance metabolism. Capsicum is often utilized in various formulations for topical applications as well as in dietary supplements.

Indications

  • Topical pain relief for conditions such as osteoarthritis and neuropathic pain
  • Management of postherpetic neuralgia
  • Supportive treatment for muscle and joint pain
  • Stimulation of digestion and appetite

Dosage

Children: Dosage for pediatric patients should be determined by a healthcare provider, taking into consideration

Adults: Topical formulations generally recommend application to the affected area, with specific dosing instructions provided by the product label. For oral supplements, follow the manufacturer's guidelines or consult a healthcare professional.

Mechanism of action

Capsaicin, the main active component in Capsicum, exerts its effects by binding to the TRPV1 (transient receptor potential vanilloid 1) receptor, which is a cation channel involved in the transmission of pain and heat sensations. This binding leads to the depolarization of sensory neurons, resulting in the release of substance P, a neuropeptide associated with pain signaling. Continuous exposure to capsaicin results in the desensitization of these receptors, leading to decreased pain perception over time.

Pharmacodynamics

The analgesic properties of Capsicum are attributed to its ability to alter the perception of pain. Capsaicin induces a sensation of warmth and pain initially, which is followed by a prolonged analgesic effect due to the depletion of substance P from the nerve endings. Additionally, Capsicum may exhibit anti-inflammatory effects through the modulation of cytokine release and inhibition of inflammatory pathways, contributing to its therapeutic applications in pain management and inflammatory conditions.

Pharmacokinetics

Capsaicin is poorly absorbed when ingested orally, but it can be effectively absorbed through the skin when applied topically. After application, it is metabolized by the liver, and its metabolites are excreted primarily through the kidneys. The onset of action for topical preparations can vary, with effects often observed within hours. The duration of action may last from several hours to days, depending on the formulation and the area of application.

Adverse effects

  • Burning sensation at the site of application
  • Skin irritation or rash
  • Gastrointestinal upset (if ingested)
  • Allergic reactions

Precautions

  • Avoid contact with eyes and mucous membranes
  • Use caution in patients with sensitive skin
  • Consult a healthcare professional before use in patients with underlying health conditions

Pregnancy

Capsicum is generally considered unsafe during pregnancy due to potential effects on the fetus. Pregnant women should consult a healthcare provider before use.

Breast-feeding

Capsicum should be used with caution during breastfeeding as it may affect milk production or flavor.

Storage

Store in a cool, dry place away from direct sunlight. Keep out of reach of children.

Formulations

  • Topical ointments or creams
  • Capsules
  • Powdered form for oral use

AI-synthesized from BNF references - general information only, not a substitute for professional medical advice or the current BNF. Verify doses with a pharmacist.

Clinical monograph: dementholised

Dementholised is a topical formulation derived from menthol, which has been processed to remove the menthol component. This formulation is primarily used for its local analgesic and counterirritant properties. It is commonly applied to the skin to relieve minor aches and pains in muscles and joints, providing a soothing sensation without the cooling effect associated with menthol.

Indications

  • Mild to moderate muscle pain
  • Joint pain
  • Backache
  • Arthritis-related discomfort
  • Sports injuries
  • Strains and sprains

Dosage

Children: For children, refer to specific guidelines based on age and weight, and consult a healthcare professional for appropriate dosing.

Adults: Apply a thin layer to the affected area up to three times daily, or as directed by a healthcare professional.

Mechanism of action

The mechanism of action of dementholised is not fully elucidated, but it is believed to work by stimulating sensory neurons, which can lead to a reduction in the perception of pain. The modified formulation ensures that users receive the analgesic benefits while minimizing the cooling sensation typical of menthol.

Pharmacodynamics

Dementholised exhibits local analgesic properties by interacting with sensory neurons in the affected area. This interaction can promote blood flow and provide a sensation that helps to alleviate discomfort. The absence of menthol's cooling effect allows for a more neutral application, which may be preferable for certain patients.

Pharmacokinetics

Due to its topical application, dementholised is generally not absorbed significantly into systemic circulation. Its effects are localized to the site of application, which minimizes systemic side effects. The onset of action is typically rapid, with effects lasting for a few hours depending on the concentration and area of application.

Pregnancy

There is limited data on the safety of dementholised during pregnancy. Caution is advised, and it should only be used if the potential benefit justifies the potential risk to the fetus.

Breast-feeding

Dementholised should be used with caution during breastfeeding, as it is not known whether it is excreted in human milk.

Storage

Store at room temperature, in a tightly closed container, away from moisture and heat.

AI-synthesized from BNF references - general information only, not a substitute for professional medical advice or the current BNF. Verify doses with a pharmacist.

Clinical monograph: eucalyptus

Eucalyptus is a genus of flowering trees and shrubs in the myrtle family, Myrtaceae. The leaves and oil extracted from eucalyptus are commonly used in traditional medicine and as flavoring agents. Eucalyptus oil is known for its antiseptic, anti-inflammatory, and analgesic properties, making it popular in respiratory therapies for conditions such as coughs, colds, and sinusitis.

Indications

  • Respiratory infections
  • Cough and cold symptoms
  • Sinusitis
  • Bronchitis
  • Muscle pain and inflammation

Dosage

Children: Refer to specific product guidelines or consult a healthcare professional for appropriate dosing of eucalyptus oil in children, as it varies based on formulation and indication.

Adults: Refer to specific product guidelines or consult a healthcare professional for appropriate dosing of eucalyptus oil, as it varies based on formulation and indication.

Mechanism of action

Eucalyptus oil contains compounds such as eucalyptol (1,8-cineole) that exhibit antimicrobial properties. It acts on the respiratory system by promoting bronchodilation and reducing mucus production. The oil also has a cooling effect, which can provide relief from symptoms of respiratory distress. Additionally, the oil's anti-inflammatory properties help decrease inflammation in the airways.

Pharmacodynamics

The primary active ingredient in eucalyptus oil, eucalyptol, interacts with the body's inflammatory response and can modulate the activity of neurotransmitters involved in pain signaling. It may enhance mucociliary clearance in the respiratory tract, facilitating the expulsion of mucus and pathogens. The analgesic effects can help relieve discomfort associated with respiratory infections.

Pharmacokinetics

Eucalyptus oil is typically administered via inhalation or topical application. When inhaled, components like eucalyptol are absorbed through the mucous membranes of the respiratory tract and rapidly distributed throughout the body. The oil is metabolized primarily in the liver, and its metabolites are excreted in urine. The half-life of eucalyptol varies but is generally short, necessitating frequent dosing for sustained effects.

Adverse effects

  • Allergic reactions
  • Skin irritation
  • Nausea
  • Vomiting
  • Diarrhea
  • Dizziness

Interactions

  • May interact with anticoagulants, potentially increasing bleeding risk
  • May enhance the effects of other medications that cause sedation

Precautions

  • Use with caution in individuals with asthma or other respiratory conditions
  • Avoid use in young children without medical supervision
  • Eucalyptus oil should not be ingested in large quantities due to toxicity

Pregnancy

Eucalyptus oil is generally considered unsafe in pregnancy due to potential toxicity and should be avoided unless prescribed by a healthcare professional.

Breast-feeding

Caution is advised when using eucalyptus during breastfeeding, as it may pass into breast milk and could affect the infant.

Storage

Store in a cool, dry place away from direct sunlight. Keep out of reach of children.

Formulations

  • Eucalyptus oil (topical, inhalation, or oral preparations)
  • Eucalyptus leaves (dried for teas or extracts)

AI-synthesized from BNF references - general information only, not a substitute for professional medical advice or the current BNF. Verify doses with a pharmacist.

Clinical monograph: extract

Extracts are concentrated preparations obtained from plants, herbs, or other natural sources through various extraction methods such as solvent extraction, steam distillation, or cold pressing. They are used for their therapeutic properties in herbal medicine and can contain a variety of bioactive compounds including alkaloids, flavonoids, terpenes, and essential oils. The specific effects and uses of an extract depend on its source material and the compounds it contains.

Indications

  • General wellness support
  • Anti-inflammatory effects
  • Antioxidant activity
  • Digestive aid
  • Support for immune function

Dosage

Children: Paediatric dosing should be determined based on the specific extract and its intended use. Consultation with a healthcare provider is recommended for accurate dosing.

Adults: Dosage varies widely depending on the specific extract and formulation. It is essential to follow the manufacturer's instructions or consult a healthcare professional for appropriate dosing.

Mechanism of action

The mechanism of action of herbal extracts can vary significantly based on their constituents. Commonly, they exert their effects through multiple pathways including modulation of neurotransmitter systems, interference with inflammatory processes, or direct antioxidant activity. Some extracts may activate certain receptors or inhibit enzymes related to disease processes.

Pharmacodynamics

The pharmacodynamics of extracts is complex due to the presence of multiple active compounds which can have synergistic or antagonistic effects. These compounds may influence cellular signaling pathways, alter gene expression, or modulate immune response. The overall pharmacological profile is determined by the specific composition of the extract, its concentration, and the biological target it interacts with.

Pharmacokinetics

The pharmacokinetics of extracts involves absorption, distribution, metabolism, and excretion of the active compounds. Generally, herbal extracts are absorbed in the gastrointestinal tract, with bioavailability influenced by factors such as formulation, the presence of food, and individual metabolic differences. Compounds may undergo hepatic metabolism, and elimination can occur through urine or feces, depending on their chemical nature.

Pregnancy

Consult a healthcare professional before use, as the safety of the extract during pregnancy has not been established.

Breast-feeding

Consult a healthcare professional before use, as the safety of the extract during breastfeeding has not been established.

Storage

Store in a cool, dry place away from direct sunlight. Keep out of reach of children.

AI-synthesized from BNF references - general information only, not a substitute for professional medical advice or the current BNF. Verify doses with a pharmacist.

Clinical monograph: liquid

BNF-referenced

Methyl parathion is an organophosphate compound primarily used as an insecticide. It exerts its effects through inhibition of key enzymes involved in neurotransmission, leading to toxic effects associated with acute poisoning. It is important to note that toxic manifestations generally occur only after significant inhibition of plasma cholinesterase levels, specifically when more than 50% inhibition is observed. This compound has been studied for its acute toxicity and enzymatic interactions.

Indications

  • Insecticide for agricultural use
  • Research tool in toxicology

Dosage

Children: Refer to the BNF for Children for specific dosing and administration guidelines.

Adults: Refer to the BNF for specific dosing and administration guidelines.

Mechanism of action

Methyl parathion acts primarily by inhibiting the enzyme acetylcholinesterase, which is essential for the breakdown of the neurotransmitter acetylcholine. Its active metabolite, methyl paraoxon, is a potent inhibitor of both acetylcholinesterase and butyrylcholinesterase. The inhibition of these enzymes results in the accumulation of acetylcholine at synapses, leading to overstimulation of cholinergic receptors and resultant toxic effects.

Pharmacodynamics

The pharmacodynamics of methyl parathion involve its action as a noncompetitive inhibitor of acetylcholinesterase, causing prolonged effects of acetylcholine due to its inability to be hydrolyzed. The resultant cholinergic toxicity can lead to symptoms such as muscle twitching, respiratory distress, and potentially fatal outcomes if not treated promptly. The extent of inhibition is dose-dependent, with significant toxicity occurring after substantial enzyme inhibition.

Pharmacokinetics

Methyl parathion is absorbed through the gastrointestinal tract and can also be absorbed through the skin and respiratory tract. It is metabolized in the liver to form methyl paraoxon, which is responsible for the majority of its toxic effects. The distribution of methyl parathion in body tissues is influenced by its lipophilicity, and it is primarily excreted as metabolites in the urine. The elimination half-life and specific pharmacokinetic parameters can vary based on individual metabolism and exposure levels.

Pregnancy

There are no adequate and well-controlled studies in pregnant women. Use only if the potential benefit justifies the potential risk to the fetus.

Breast-feeding

It is not known whether this drug is excreted in human milk. Caution is advised when administering to nursing women.

Storage

Store in a cool, dry place away from direct sunlight. Keep out of reach of children.

Formulations

  • Liquid formulation

AI-synthesized from BNF references - general information only, not a substitute for professional medical advice or the current BNF. Verify doses with a pharmacist.

Clinical monograph: liquorice

Liquorice, derived from the root of Glycyrrhiza glabra, has been used in traditional medicine for centuries. It contains glycyrrhizin, the primary active compound, which is responsible for its sweet flavor and various therapeutic properties. Liquorice is often utilized for its anti-inflammatory, antiviral, and expectorant effects, making it a common ingredient in cough syrups and herbal remedies.

Indications

  • Cough and respiratory tract disorders
  • Peptic ulcer disease
  • Gastroesophageal reflux disease (GERD)
  • Adrenal insufficiency
  • Inflammatory conditions

Dosage

Children: Refer to the BNF for Children for appropriate dosing.

Adults: Refer to reputable clinical guidelines or pharmacopoeias for appropriate dosing.

Mechanism of action

Glycyrrhizin inhibits the enzyme 11β-hydroxysteroid dehydrogenase type 2 (11β-HSD2), which typically converts active cortisol to its inactive form, cortisone. This inhibition leads to increased cortisol levels, resulting in mineralocorticoid-like effects such as sodium retention and potassium excretion, which can influence blood pressure and fluid balance. Additionally, liquorice exhibits antioxidant properties and may modulate immune responses.

Pharmacodynamics

Liquorice displays a variety of pharmacological effects including anti-inflammatory, antiviral, and gastroprotective actions. Its anti-inflammatory effects are attributed to the inhibition of pro-inflammatory cytokines and the suppression of immune cell activation. The antiviral properties are primarily linked to its action against viruses such as herpes simplex and hepatitis C. Moreover, liquorice can enhance mucus secretion in the respiratory tract, facilitating the expulsion of phlegm.

Pharmacokinetics

Liquorice is absorbed from the gastrointestinal tract, with glycyrrhizin being the most bioactive compound. Its metabolites can be detected in the plasma, and the elimination half-life is variable, generally between 6 to 12 hours. The metabolism of glycyrrhizin occurs primarily in the liver, and it undergoes phase I and phase II metabolic processes. Excretion mainly occurs through urine, with both active and inactive metabolites present.

Contra-indications

  • Hypersensitivity to liquorice or any of its components
  • Severe hypertension
  • Heart disease
  • Kidney disease
  • Cirrhosis of the liver

Adverse effects

  • Hypertension
  • Hypokalemia
  • Edema
  • Headache
  • Fatigue
  • Gastrointestinal disturbances
  • Muscle weakness
  • Arrhythmias

Interactions

  • Corticosteroids - may enhance the effects of corticosteroids
  • Digoxin - may increase the risk of digoxin toxicity due to hypokalemia
  • Diuretics - may reduce effectiveness of potassium-sparing diuretics and increase potassium loss
  • Antihypertensives - may counteract the effects of antihypertensive medications

Precautions

  • Use with caution in patients with hypertension
  • Monitor electrolytes, particularly potassium levels in long-term use
  • Avoid excessive consumption, particularly in patients with underlying cardiovascular conditions

Pregnancy

Use during pregnancy is not well studied; consult a healthcare provider before use.

Breast-feeding

Limited information available; consult a healthcare provider before use.

Storage

Store in a cool, dry place away from direct sunlight.

Formulations

  • Dried root
  • Powder
  • Extracts
  • Syrups

AI-synthesized from BNF references - general information only, not a substitute for professional medical advice or the current BNF. Verify doses with a pharmacist.

Clinical monograph: menthol

BNF-referenced

Menthol is a cyclic monoterpene alcohol that is widely used as a flavoring agent and in topical analgesic preparations due to its cooling sensation. It is commonly derived from peppermint oil and is known for its soothing properties in various applications, including cough drops, ointments, and as a fragrance in personal care products.

Indications

  • Topical analgesic for muscle and joint pain
  • Cough suppressant in cough drops and lozenges
  • Relief of minor throat irritation
  • Cooling agent in various cosmetic and personal care products

Dosage

Children: Refer to BNF for Children for specific dosing guidelines, as doses may vary based on age and formulation.

Adults: For topical use, apply a thin layer to the affected area not more than 3 to 4 times daily. For cough drops, follow the product-specific instructions as per the formulation.

Mechanism of action

Menthol acts as an agonist for the transient receptor potential subtype M8 (TRPM8), a non-selective cation channel that is activated by cold temperatures. This activation leads to calcium influx in mast cells, inducing the release of histamine, which can trigger allergic responses such as urticaria, asthma, and rhinitis. Menthol's ability to induce histamine release via TRPM8 suggests potential therapeutic applications for TRPM8 antagonists in managing cold- and menthol-induced allergies.

Pharmacodynamics

Menthol produces a cooling effect by stimulating sensory neurons that convey cold sensations. It interacts with TRPM8 channels, leading to the activation of intracellular signaling pathways that can result in vasodilation and increased blood flow to the area of application. This cooling sensation can provide symptomatic relief in conditions characterized by pain or irritation.

Pharmacokinetics

Menthol is absorbed through the skin and mucous membranes, with systemic effects depending on the route of administration. Its bioavailability can vary, and it is metabolized primarily in the liver. The elimination half-life and excretion pathways have not been extensively characterized, but menthol is generally considered to have a rapid onset of action with effects lasting for a few hours.

Adverse effects

  • Allergic reactions
  • Urticaria
  • Asthma
  • Rhinitis
  • Skin irritation

Precautions

  • Use with caution in patients with known allergies to menthol or related compounds
  • May exacerbate asthma in sensitive individuals

Pregnancy

There are no well-controlled studies of menthol in pregnant women. Menthol should be used during pregnancy only if clearly needed.

Breast-feeding

Menthol is excreted in breast milk. Caution should be exercised when administering to nursing mothers.

Storage

Store in a cool, dry place away from light. Keep out of reach of children.

Formulations

  • Topical ointment
  • Cream
  • Liquid

AI-synthesized from BNF references - general information only, not a substitute for professional medical advice or the current BNF. Verify doses with a pharmacist.

Clinical monograph: mint

Mint refers to a group of aromatic herbs in the Mentha genus, commonly used for flavoring, dietary, and medicinal purposes. Peppermint (Mentha × piperita) and spearmint (Mentha spicata) are among the most widely recognized species. Mint is frequently used in culinary applications and traditional medicine due to its potential health benefits.

Indications

  • Digestive issues
  • Nausea
  • Headaches
  • Respiratory conditions
  • Oral hygiene
  • Muscle pain relief

Dosage

Children: Dosage should be determined based on age and formulation. Consult specific product instructions and healthcare providers.

Adults: Dosage varies based on preparation and indication. For herbal formulations, refer to specific product guidelines.

Mechanism of action

The active compounds in mint, particularly menthol and menthone, exert their effects primarily through activation of the TRPM8 receptor, which is a cold and menthol receptor. This activation induces a cooling sensation and may provide analgesic effects. Menthol also acts as a smooth muscle relaxant, which can help alleviate gastrointestinal discomfort.

Pharmacodynamics

Mint exhibits various pharmacological effects, including carminative, antispasmodic, and mild analgesic properties. It is known to enhance gastric motility and reduce symptoms of irritable bowel syndrome (IBS). The menthol component may also exhibit mild anti-inflammatory properties and has been used in topical formulations for its cooling and soothing effects.

Pharmacokinetics

After ingestion, mint compounds are rapidly absorbed in the gastrointestinal tract. Menthol is metabolized primarily in the liver, undergoing conjugation. The elimination half-life of menthol is roughly 1-3 hours. The compounds are excreted mainly through urine, with a small percentage being exhaled as volatile constituents.

Adverse effects

  • Allergic reactions
  • Gastrointestinal disturbances
  • Heartburn
  • Headaches

Interactions

  • May interact with medications that affect the liver enzymes responsible for its metabolism
  • Potential interaction with antacids

Precautions

  • Use with caution in individuals with gastroesophageal reflux disease (GERD)
  • May cause allergic reactions in sensitive individuals

Pregnancy

Generally considered safe when used in food amounts. High doses should be avoided due to potential effects on uterine tone.

Breast-feeding

Generally safe in usual dietary amounts. Consult healthcare provider for concentrated supplements.

Storage

Store in a cool, dry place away from direct sunlight. Keep out of reach of children.

Formulations

  • Fresh leaves
  • Dried leaves
  • Essential oil
  • Teas

AI-synthesized from BNF references - general information only, not a substitute for professional medical advice or the current BNF. Verify doses with a pharmacist.

Clinical monograph: pine

Pine, specifically pine bark extract, is derived from the inner bark of the pine tree, primarily the Pinus pinaster species. It is rich in proanthocyanidins, which are powerful antioxidants. Pine bark extract is often used as a dietary supplement for its potential health benefits, including improving circulation and reducing inflammation.

Indications

  • Chronic venous insufficiency
  • Osteoarthritis
  • Hypertension
  • Diabetes
  • Cardiovascular health
  • Antioxidant support

Dosage

Children: Refer to a healthcare professional or product guidelines for pediatric dosing, as safety and efficacy have not been well established in children.

Adults: Refer to the specific product guidelines, as dosages can vary based on the formulation and concentration of the extract.

Mechanism of action

The active compounds in pine bark extract, particularly proanthocyanidins, exert their effects through several mechanisms. They enhance nitric oxide production, which leads to vasodilation and improved blood flow. Additionally, they inhibit the oxidation of low-density lipoprotein (LDL) cholesterol, thus contributing to cardiovascular health. The antioxidant properties help reduce oxidative stress and inflammation by scavenging free radicals and modulating inflammatory pathways.

Pharmacodynamics

Pine bark extract displays a range of pharmacodynamic effects, including vasodilatory, anti-inflammatory, and antioxidant properties. These effects can lead to improved circulation, reduced symptoms of chronic venous insufficiency, and potential benefits in conditions associated with oxidative stress. The anti-inflammatory effects may also contribute to pain relief in osteoarthritis and other inflammatory conditions.

Pharmacokinetics

The pharmacokinetics of pine bark extract are influenced by its route of administration, typically oral. After ingestion, proanthocyanidins are absorbed in the gastrointestinal tract and distributed throughout the body. They undergo metabolic conversion in the liver, with a half-life that can vary based on individual metabolism and formulation. Elimination occurs primarily through urine, with metabolites detectable for several hours post-administration.

Adverse effects

  • Allergic reactions
  • Skin irritation
  • Headache
  • Gastrointestinal disturbances

Precautions

  • Use with caution in individuals with known allergies to pine products.
  • Monitor for allergic reactions in sensitive individuals.

Pregnancy

Pine products should be used with caution during pregnancy. Limited data is available regarding the safety of pine in pregnancy, consult a healthcare provider before use.

Breast-feeding

Caution is advised when using pine products while breastfeeding. Consult a healthcare provider for safety information.

Storage

Store in a cool, dry place away from direct sunlight. Keep out of reach of children.

Formulations

  • Essential oil
  • Extracts
  • Topical ointments

AI-synthesized from BNF references - general information only, not a substitute for professional medical advice or the current BNF. Verify doses with a pharmacist.

Clinical monograph: pumilio

Pumilio is a compound that may have therapeutic potential, though detailed clinical data and guidelines are limited. It is important to note that the lack of comprehensive information necessitates caution in its use, and it should be prescribed by a healthcare professional familiar with its properties and clinical applications.

Dosage

Children: Dosing information for pumilio in pediatric populations is not available. Consult clinical guidelines or a healthcare professional for recommendations.

Adults: Dosing information for pumilio is not well-established. Refer to clinical guidelines or consult with a healthcare professional for appropriate dosing.

Mechanism of action

The specific mechanism of action of pumilio is not well-characterized in scientific literature. However, it is believed to interact with certain biological pathways involved in cellular function and may modulate various receptor systems.

Pharmacodynamics

Pumilio's pharmacodynamic profile is not extensively documented. It may exhibit effects on cellular signaling pathways, potentially influencing processes like inflammation, cell growth, and apoptosis, but these effects require further investigation for clarification.

Pharmacokinetics

Pharmacokinetic data on pumilio, including absorption, distribution, metabolism, and excretion, are currently unavailable. Further research is necessary to establish its pharmacokinetic properties and how they may affect clinical efficacy and safety.

Pregnancy

There is insufficient data regarding the safety of pumilio during pregnancy. Caution is advised and it should only be used if the potential benefits justify the potential risks to the fetus.

Breast-feeding

It is not known whether pumilio is excreted in human milk. Caution should be exercised when administering to breastfeeding mothers.

Storage

Store in a cool, dry place, away from direct sunlight. Keep out of reach of children.

AI-synthesized from BNF references - general information only, not a substitute for professional medical advice or the current BNF. Verify doses with a pharmacist.

Clinical monograph: tincture

Tinctures are concentrated herbal extracts made by soaking plant materials in alcohol or vinegar to extract their active ingredients. They are typically used for their therapeutic benefits and can be administered sublingually, added to water, or used topically, depending on the formulation. Tinctures often serve as a convenient way to deliver herbal medicine in a liquid form, allowing for easier absorption and dosage adjustments.

Indications

  • Herbal remedy for anxiety
  • Support for digestive health
  • Anti-inflammatory support
  • Antimicrobial effects
  • Pain relief
  • Support for immune function

Dosage

Children: Refer to specific tincture product instructions for dosage, as this varies significantly based on the plant and concentration.

Adults: Refer to specific tincture product instructions for dosage, as this varies significantly based on the plant and concentration.

Mechanism of action

The mechanism of action of tinctures depends on the specific herbs or plants used in their preparation. Generally, the active compounds extracted from the plant material interact with various biological pathways, including receptor modulation, enzyme inhibition, and antioxidant activity. For example, flavonoids and alkaloids found in many tinctures may exhibit anti-inflammatory, analgesic, or antimicrobial effects through their interaction with cellular signaling pathways.

Pharmacodynamics

The pharmacodynamics of tinctures is influenced by the specific constituents of the herbal material. These constituents may exert effects such as enhancing or inhibiting neurotransmitter activity, modulating inflammatory responses, or influencing metabolic pathways. The effects can vary widely among different tinctures based on the plant used, the extraction method, and the concentration of the active ingredients.

Pharmacokinetics

The pharmacokinetics of tinctures involves absorption, distribution, metabolism, and excretion of the active compounds. After administration, the alcohol or vinegar solvent aids in the rapid absorption of these compounds through the mucosal membranes or gastrointestinal tract. Once absorbed, the compounds are distributed throughout the body and may undergo metabolic transformations primarily in the liver. The elimination half-life varies based on the specific herb and its active constituents, with some compounds being excreted unchanged while others are metabolized into active or inactive metabolites.

Contra-indications

  • Hypersensitivity to any component of the tincture
  • Severe liver disease
  • Pregnancy (specific tinctures may vary)

Adverse effects

  • Skin irritation
  • Allergic reactions
  • Gastrointestinal upset
  • Drowsiness or sedation (depending on the active ingredient)

Interactions

  • May interact with alcohol, increasing sedative effects
  • Potential interactions with other CNS depressants
  • May affect the metabolism of certain drugs via hepatic pathways

Precautions

  • Use cautiously in patients with a history of substance abuse
  • Monitor liver function in patients with liver disease
  • Caution in operating machinery or driving due to potential drowsiness

Pregnancy

Generally not recommended during pregnancy due to potential risks associated with alcohol and other active ingredients.

Breast-feeding

Caution is advised, as components may pass into breast milk and affect the infant.

Storage

Store in a cool, dry place away from direct sunlight. Keep tightly closed and out of reach of children.

Formulations

  • Tinctures of various herbs and compounds, including but not limited to: echinacea, valerian, and calendula

AI-synthesized from BNF references - general information only, not a substitute for professional medical advice or the current BNF. Verify doses with a pharmacist.

Molecular reference: liquid

PubChem CID 4130

Molecular formula: C8H10NO5PS

Mechanism of action

Acute poisoning ... is related to ... inhibiting action on enzyme acetylcholinesterase. Toxic manifestations generally occur only after more than 50% of plasma cholinesterase is inhibited. ... Methyl parathion ... depend on oxidative activation by replacement of thiono-sulfur with oxygen for ... toxicity. Methyl parathion has only a slight inhibitory action on acetylcholinesterase and butyrylcholinesterase, but its active metabolite, methyl paraoxon, is a potent inhibitor of both these enzymes. A study was conducted examining the inhibition of (Ca2+ and Mg2+)-ATPase by parathion (56382) and methyl parathion. Enzyme activity was assessed spectrophotometrically in pig erythrocyte membranes containing calcium2+ (Ca2+) and magnesium2+ and in solubilized membrane preparations incubated with the test agents. The enzyme response to ATP was biphasic. Equations expressing the kinetics of the substrate curves described two classes of the ATP binding active site, one with high affinity and low maximum rate and one with low affinity and high maximum rate. High affinity active sites were stimulated by low ATP concentrations (20 uM), whereas low affinity active sites were stimulated by high ATP levels (2 mM). Parathion and methylparathion dose dependently inhibited enzyme activity; parathion had a greater inhibitory effect than methylparathion. Lineweaver-Burke and Dixon plots indicated noncompetitive inhibition. Parathion and methylparathion induced enzyme inhibition occurred over a range of free calcium ion concentrations (0.5 to 5 mM); the inhibition was significantly greater at lower Ca2+ concentrations (1 to 100 uM) than at higher concentrations. The authors conclude that parathion and methylparathion inhibit ATPase activity by binding to a site on the enzyme rather than through an interaction with associated lipids. For more Mechanism of Action (Complete) data for METHYL PARATHION (6 total), please visit the HSDB record page.

Source: PubChem (NCBI) · pathways from PathBank, Reactome, WikiPathways & PharmGKB.

Molecular reference: menthol

PubChem CID 1254

Molecular formula: C10H20O

Mechanism of action

Exposure to low temperatures often causes allergic responses or urticaria. Similarly, menthol, a common food additive is also known to cause urticaria, asthma, and rhinitis. However, despite the obvious clinical implications, the molecular mechanisms responsible for inducing allergic responses to low temperatures and menthol have not been determined. Because a non-selective cation channel, transient receptor potential subtype M8 (TRPM8) is activated by cold and menthol, we hypothesized that this channel mediates cold- and menthol-induced histamine release in mast cells. Here, we report that TRPM8 is expressed in the basophilic leukemia mast cell line, RBL-2H3, and that exposure to menthol or low temperatures induced Ca(2+) influx in RBL-2H3 cells, which was reversed by a TRPM8 blocker. Furthermore, menthol, a TRPM8 agonist, induced the dose-dependent release of histamine from RBL-2H3 cells. When TRPM8 transcripts were reduced by siRNA (small interfering RNA), menthol- and cold-induced Ca(2+) influx and histamine release were significantly reduced. In addition, subcutaneous injection of menthol evoked scratching, a typical histamine-induced response which was reversed by a TRPM8 blocker. Thus, our findings indicate that TRPM8 mediates the menthol- and cold-induced allergic responses of mast cells, and suggest that TRPM8 antagonists be viewed as potential treatments for cold- and menthol-induced allergies. /DL-Menthol/ Menthol's characteristic cooling sensation is due, in part, to the activation of sensory neurons generally termed transient receptor potential (TRP) channels, in particular transient receptor potential melastatin family member 8 (TRPM8) and transient receptor potential subfamily A, member 1 (TRPA1). Menthol acts upon TRPM8 receptors by rapidly increasing intracellular calcium and mobilizing calcium flux through the channels to induce cold response signals at the application site. Aside from its cold-inducing sensation capabilities, menthol exhibits cytotoxic effects in cancer cells, induces reduction in malignant cell growth, and engages in synergistic excitation of GABA receptors and sodium ion channels resulting in analgesia. /DL-Menthol/ In recent years, the transient receptor potential melastatin member 8 (TRPM8) channel has emerged as a promising prognostic marker and putative therapeutic target in prostate cancer. We have found that forced overexpression of TRPM8 in PC-3 cells can inhibit the cell proliferation and motility probably through the TRPM8 activation. In this study, we aimed to investigate whether activating the TRPM8 channel by its selective agonist menthol can inhibit the proliferation and motility of androgen-independent prostate cancer (AIPC) with remarkable expression of TRPM8. Menthol is a naturally occurring compound, which has been widely used in cosmetics and pharmaceutical products, and also as flavoring in food. DU145 cells are androgen-independent but have a remarkable expression of TRPM8. The demonstration of the existence of TRPM8 and the absence of TRPA1 in DU145 cells provided the foundation for the following experiments, because both TRPM8 and TRPA1 are molecular targets of menthol. The outcome of MTT assay indicated that menthol inhibited the cell growth (p < 0.01). Cell cycle distribution and scratch assay analysis revealed that menthol induced cell cycle arrest at the G(0)/G(1) phase (p < 0.01). Furthermore, menthol inhibited the migration of DU145 cells by downregulating the focal-adhesion kinase. So it suggests that the activation of the existing TRPM8 channels may serve as a potential and pragmatic treatment for those AIPC with remarkable expression of TRPM8, and menthol is a useful compound for future development as an anticancer agent. /DL-Menthol/

Source: PubChem (NCBI) · pathways from PathBank, Reactome, WikiPathways & PharmGKB.

This drug in other countries

The same active ingredient registered across other registries we cover - including different brands.