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Colchicine.
Colchicine is a highly poisonous water-soluble alkaloid found in plants of the genus Colchicum (autumn crocus, meadow saffron) with the chemical formula C22H25NO6. The chemical name or common name for colchicine is (S) N-(5,6,7,9-tetrahydro- 1,2,3, IO-tetramethoxy-9-oxobenzo [alpha] heptaien-7-yl) acetamide. The molecular weight of it is 399.2 grams.
Colchicine has 4 isomers,each pair has either R or S configuration.(-)-(aS,7S)-Colchicine is the natural isomer which can interconvert between aR
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removal by dialysis
* Average elimination half-life is 20 hours
* Colchicine arrests cells in metaphase:
- binds to tubulin
- prevents polymerization into microtubules
- alters nuclear structure
- inhibits intracellular transport
- allows it to be used for cytogenetic diagnostics
Treatment for poisoning:
* Largely supportive
* aggressive rearly GI decontamination
* use of activated charcoal within 24 hours
* Administraion of fluids
* assisted respiration as needed
* transfusions with red blood cells, vitamin K, and fresh plasma
* anti-seizure medication as needed.
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