Summary:
Reserpine, the purified alkaloid of Rauwolfia serpentina, was the first potent drug widely used in the
long-term treatment of hypertension. Rauwolfia serpentina is a tropical woody plant of the Apocyanaceae
family ingenious to Asia, South America and Africa. Extracts of its different parts and of plants
resembling to rauwolfia were used in Hindu medicine for snakebite, insomnia, insanity and many other
diseases and complaints. In Europe, Georg Eberhard Rumpf first reported about rauwolfia in his Herbarium
amboinense, 1755. The first modern paper about therapeutic applications of the whole root of rauwolfia
was published in 1931 in the Indian Medical Journal by Sen and Bose, and many papers dealing
with botanics, chemistry and pharmacology then appeared in Indian and European periodics. In 1949,
Vakil published the first report of the antihypertensive effect of rauwolfia in the British Heart Journal. In
the Ciba laboratories in Basel, Switzerland, Mueller, Schlittler and Bein analysed various rauwolfia alkaloids
and published in 1952 the first complete report about their chemistry and pharmacology. In the
same year, reserpine was introduced under the name Serpasil in the treatment of hypertension, tachycardia
and thyreotoxicosis. The combination of reserpine, dihydroergocristine and a diuretic is still on
the market (Brinerdin, Crystepin). In psychiatry, reserpine was prescribed as a tranqulizing agent until
modern synthetic antidepressant and antipsychotic drugs were introduced. The author also briefly summarizes
the chemistry, pharmacology and clinical use of reserpine.
Key words:
reserpine, Rauwolfia serpentina, antihypertensives, Crystepin, Brinerdin.
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