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'''Proscillaridin''' is a [[cardiac glycoside]], a type of compound that has the ability to increase the force of contractions in the heart. It is derived from plants of the genus ''[[Scilla]]'' and ''[[Drimia]]'', and is used in the treatment of certain heart conditions.
{{DISPLAYTITLE:Proscillaridin}}


== Overview ==
== Proscillaridin ==
[[File:Proscillaridin_structure.svg|thumb|right|Chemical structure of Proscillaridin]]


Proscillaridin works by inhibiting the [[sodium-potassium ATPase]] pump in the heart cells. This leads to an increase in the level of sodium ions in the cells, which then leads to an increase in the level of calcium ions. The increased calcium levels make the heart muscle contract more forcefully.
'''Proscillaridin''' is a [[cardiac glycoside]] derived from the plant species ''[[Urginea maritima]]'', commonly known as the [[squill]]. It is used in the treatment of certain [[cardiac conditions]], particularly [[congestive heart failure]] and [[arrhythmias]]. Proscillaridin is known for its ability to increase the force of [[myocardial contraction]] and to regulate [[heart rate]].


== Medical Uses ==
== Chemical Structure ==
Proscillaridin is a [[steroid]] glycoside, characterized by its unique chemical structure that includes a [[steroidal nucleus]] and a sugar moiety. The structure of proscillaridin is crucial for its biological activity, as it interacts with the [[sodium-potassium ATPase]] pump in [[cardiac cells]]. This interaction leads to an increase in intracellular [[calcium]] concentration, which enhances cardiac contractility.


Proscillaridin is used in the treatment of certain heart conditions, including [[congestive heart failure]] and [[atrial fibrillation]]. It can help to improve the efficiency of the heart and reduce symptoms such as shortness of breath and swelling in the legs.
== Mechanism of Action ==
Proscillaridin exerts its effects primarily by inhibiting the [[Na+/K+ ATPase]] pump. This inhibition results in an increase in intracellular sodium levels, which in turn affects the [[Na+/Ca2+ exchanger]], leading to an increase in intracellular calcium. The elevated calcium levels enhance the contractile force of the heart muscle, making proscillaridin effective in treating heart failure.
 
== Clinical Uses ==
Proscillaridin is used in the management of [[heart failure]] and certain types of [[arrhythmias]]. It is particularly useful in patients who have not responded adequately to other treatments. The drug helps to improve symptoms such as [[dyspnea]], [[fatigue]], and [[edema]] by increasing cardiac output and reducing the workload on the heart.


== Side Effects ==
== Side Effects ==
Like other cardiac glycosides, proscillaridin can cause a range of side effects, particularly if not dosed correctly. Common side effects include [[nausea]], [[vomiting]], [[diarrhea]], and [[dizziness]]. More serious side effects can include [[arrhythmias]], [[bradycardia]], and [[electrolyte imbalances]]. Monitoring of [[serum potassium]] and [[renal function]] is important during treatment.


Like all medications, proscillaridin can cause side effects. These may include [[nausea]], [[vomiting]], [[diarrhea]], and [[abdominal pain]]. In rare cases, it can cause more serious side effects such as [[arrhythmias]] or changes in vision.
== Related Pages ==
 
== Contraindications ==
 
Proscillaridin is contraindicated in patients with certain conditions, including [[hypertrophic cardiomyopathy]], [[ventricular fibrillation]], and [[kidney disease]]. It should also be used with caution in elderly patients and those with electrolyte imbalances.
 
== Interactions ==
 
Proscillaridin can interact with other medications, including [[diuretics]], [[beta blockers]], and [[calcium channel blockers]]. These interactions can affect how proscillaridin works and increase the risk of side effects.
 
== See Also ==
 
* [[Cardiac glycoside]]
* [[Cardiac glycoside]]
* [[Congestive heart failure]]
* [[Congestive heart failure]]
* [[Atrial fibrillation]]
* [[Arrhythmia]]
* [[Sodium-potassium pump]]
* [[Urginea maritima]]


[[Category:Cardiac glycosides]]
[[Category:Cardiac glycosides]]
[[Category:Medications]]
[[Category:Pharmacology]]
 
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Latest revision as of 05:23, 16 February 2025


Proscillaridin[edit]

File:Proscillaridin structure.svg
Chemical structure of Proscillaridin

Proscillaridin is a cardiac glycoside derived from the plant species Urginea maritima, commonly known as the squill. It is used in the treatment of certain cardiac conditions, particularly congestive heart failure and arrhythmias. Proscillaridin is known for its ability to increase the force of myocardial contraction and to regulate heart rate.

Chemical Structure[edit]

Proscillaridin is a steroid glycoside, characterized by its unique chemical structure that includes a steroidal nucleus and a sugar moiety. The structure of proscillaridin is crucial for its biological activity, as it interacts with the sodium-potassium ATPase pump in cardiac cells. This interaction leads to an increase in intracellular calcium concentration, which enhances cardiac contractility.

Mechanism of Action[edit]

Proscillaridin exerts its effects primarily by inhibiting the Na+/K+ ATPase pump. This inhibition results in an increase in intracellular sodium levels, which in turn affects the Na+/Ca2+ exchanger, leading to an increase in intracellular calcium. The elevated calcium levels enhance the contractile force of the heart muscle, making proscillaridin effective in treating heart failure.

Clinical Uses[edit]

Proscillaridin is used in the management of heart failure and certain types of arrhythmias. It is particularly useful in patients who have not responded adequately to other treatments. The drug helps to improve symptoms such as dyspnea, fatigue, and edema by increasing cardiac output and reducing the workload on the heart.

Side Effects[edit]

Like other cardiac glycosides, proscillaridin can cause a range of side effects, particularly if not dosed correctly. Common side effects include nausea, vomiting, diarrhea, and dizziness. More serious side effects can include arrhythmias, bradycardia, and electrolyte imbalances. Monitoring of serum potassium and renal function is important during treatment.

Related Pages[edit]