Peringatan Keamanan

Oral LD50 value in rat is 2426 mg/kg MSDS. In fasted mice, the LD50 following oral administration was 2410 mg/kg F77. Higher doses of peppermint oil has the potential to induce menstruation, bronchospasm, tongue spasms, and, possibly, respiratory arrest A33055 in addition to potential hepatotoxicity and nephrotoxicity A33065.

Overdose may cause severe gastrointestinal symptoms, diarrhoea, rectal ulceration, epileptic convulsions, loss of consciousness, apnoea, nausea, disturbances in cardiac rhythms, ataxia and other CNS problems, probably due to the presence of menthol F78. In the event of overdose, the stomach should be emptied by gastric lavage. Observation should be carried out with symptomatic treatment if necessary F78. A near fatal case of high dose peppermint oil ingestion was reported, the overdose was characterized by comatose and reduced heart rate A33065.

Peppermint oil

DB11198

biotech approved investigational

Deskripsi

Extracted from the stem, leaves, and flowers of Mentha piperita L. plant, peppermint oil (Mentha piperita) is a popular essential oil used in aromatherapy for both external and internal use. Mentha piperita is a hybrid of spearmint (Mentha spicata) and water mint (Mentha aquatica) A33065. Medicinal use of herbal ingredients such as peppermint oil has a long history of treating digestive disorders and upper respiratory symptoms and cough A33055. There are various over-the-counter and commercial uses of peppermint oil due to its carminative, cholagogue, antibacterial, secretolytic, and choleretic actions A33056. Peppermint oil contains pulegone, which is a naturally-occurring pesticide F77. Other active constituents of peppermint oil include DB00825, menthone, cineol, and several other volatile oils A33055, A33056.

Peppermint oil is used as a flavouring agent in foods and fragrance in hygienic or cosmetic products, and as an anti-itch and cooling agent in topical pharmaceutical products. It is also an active ingredient in topical analgesics for the relief of joint and muscle pain. Peppermint oil can be applied topically to temporarily relieve tension-type headache. The use of peppermint oil in the management of irritable bowel syndrome (IBS) has been investigated in many clinical studies due to its relaxing effects on smooth muscle; however the evidence supporting this use is unclear. Due to its effectiveness in relaxing GI smooth muscle but ability to induce gastroesophageal reflux, enteric-coated formulations of peppermint oil has been established which bypass the upper GI tract unmetabolized, thereby facilitating its effect in the lower GI tract without effects in the upper tract A33055. Peppermint oil is safe and well-tolerated at commonly recommended dosage A33055.

Struktur Molekul 2D

Struktur tidak tersedia

Peta Jejaring Molekuler
Legenda: ObatTargetGenEnzim(Panah → menunjukkan arah efek / relasi)TransporterCarrier

Profil Farmakokinetik

Waktu Paruh (Half-Life) No pharmacokinetic data available.
Volume Distribusi No pharmacokinetic data available.
Klirens (Clearance) No pharmacokinetic data available.

Absorpsi

After oral administration, peppermint is rapidly absorbed A33056. Menthol is highly fat-soluble therefore rapidly absorbed from the proximal gut A33059.

Metabolisme

The predominant biliary metabolite of peppermint oil is menthol glucuronide, which undergoes enterohepatic circulation A33056. The urinary metabolites are products of hydroxylation at the C-7 methyl group at C-8 and C-9 of the isopropyl moiety, forming a series of mono- and dihydroxymenthols and carboxylic acids, some of which are excreted in part as glucuronic acid conjugates A33056.

Rute Eliminasi

Peppermint oil is eliminated mainly via the bile following oral administration, with glucuronide and sulphate metabolites predominant A33056. The metabolites, mainly menthol glucuronide and mono- or di-hydroxylated menthol derivatives, may also undergo approximately equal renal and fecal excretion A33056. Renal recovery of total menthol within 24 hours was dose-dependent whereas the recovery in bile was substantially higher over 8 hours A33056.

Interaksi Obat

40 Data
Eliglustat The metabolism of Eliglustat can be decreased when combined with Peppermint oil.
Ibrutinib The metabolism of Ibrutinib can be decreased when combined with Peppermint oil.
Cilostazol The metabolism of Cilostazol can be decreased when combined with Peppermint oil.
Colchicine The metabolism of Colchicine can be decreased when combined with Peppermint oil.
Iloperidone The metabolism of Iloperidone can be decreased when combined with Peppermint oil.
Retapamulin The metabolism of Retapamulin can be decreased when combined with Peppermint oil.
Tofacitinib The metabolism of Tofacitinib can be decreased when combined with Peppermint oil.
Vardenafil The metabolism of Vardenafil can be decreased when combined with Peppermint oil.
Eszopiclone The metabolism of Eszopiclone can be decreased when combined with Peppermint oil.
Zopiclone The metabolism of Zopiclone can be decreased when combined with Peppermint oil.
Lovastatin The metabolism of Lovastatin can be decreased when combined with Peppermint oil.
Zolmitriptan The metabolism of Zolmitriptan can be decreased when combined with Peppermint oil.
Alfuzosin The metabolism of Alfuzosin can be decreased when combined with Peppermint oil.
Alprazolam The metabolism of Alprazolam can be decreased when combined with Peppermint oil.
Warfarin The serum concentration of Warfarin can be increased when it is combined with Peppermint oil.
Acenocoumarol The serum concentration of Acenocoumarol can be increased when it is combined with Peppermint oil.
(R)-warfarin The serum concentration of (R)-warfarin can be increased when it is combined with Peppermint oil.
R,S-Warfarin alcohol The serum concentration of R,S-Warfarin alcohol can be increased when it is combined with Peppermint oil.
S,R-Warfarin alcohol The serum concentration of S,R-Warfarin alcohol can be increased when it is combined with Peppermint oil.
(S)-Warfarin The serum concentration of (S)-Warfarin can be increased when it is combined with Peppermint oil.
Midazolam The serum concentration of Midazolam can be increased when it is combined with Peppermint oil.
Tacrolimus The serum concentration of Tacrolimus can be increased when it is combined with Peppermint oil.
Atorvastatin The metabolism of Atorvastatin can be decreased when combined with Peppermint oil.
Aripiprazole The metabolism of Aripiprazole can be decreased when combined with Peppermint oil.
Aripiprazole lauroxil The metabolism of Aripiprazole lauroxil can be decreased when combined with Peppermint oil.
Prucalopride The metabolism of Prucalopride can be decreased when combined with Peppermint oil.
Ropinirole The risk or severity of adverse effects can be increased when Peppermint oil is combined with Ropinirole.
Voxelotor The serum concentration of Voxelotor can be increased when it is combined with Peppermint oil.
Levamlodipine The serum concentration of Levamlodipine can be increased when it is combined with Peppermint oil.
Tramadol The metabolism of Tramadol can be decreased when combined with Peppermint oil.
Haloperidol The serum concentration of Haloperidol can be increased when it is combined with Peppermint oil.
Finerenone The serum concentration of Finerenone can be increased when it is combined with Peppermint oil.
Roflumilast The serum concentration of Roflumilast can be increased when it is combined with Peppermint oil.
Enzalutamide The serum concentration of Enzalutamide can be increased when it is combined with Peppermint oil.
Dronabinol The serum concentration of Dronabinol can be increased when it is combined with Peppermint oil.
Clozapine The serum concentration of Clozapine can be increased when it is combined with Peppermint oil.
Doxorubicin The serum concentration of Doxorubicin can be increased when it is combined with Peppermint oil.
Fezolinetant The serum concentration of Fezolinetant can be increased when it is combined with Peppermint oil.
Fluticasone furoate The serum concentration of Fluticasone furoate can be increased when it is combined with Peppermint oil.
Gepirone The serum concentration of Gepirone can be increased when it is combined with Peppermint oil.

Referensi & Sumber

Artikel (PubMed)
  • PMID: 25584150
    Oh JY, Park MA, Kim YC: Peppermint Oil Promotes Hair Growth without Toxic Signs. Toxicol Res. 2014 Dec;30(4):297-304. doi: 10.5487/TR.2014.30.4.297.
  • PMID: 17427617
    Kligler B, Chaudhary S: Peppermint oil. Am Fam Physician. 2007 Apr 1;75(7):1027-30.
  • PMID: 16121523
    Grigoleit HG, Grigoleit P: Pharmacology and preclinical pharmacokinetics of peppermint oil. Phytomedicine. 2005 Aug;12(8):612-6. doi: 10.1016/j.phymed.2004.10.007.
  • PMID: 24100754
    Khanna R, MacDonald JK, Levesque BG: Peppermint oil for the treatment of irritable bowel syndrome: a systematic review and meta-analysis. J Clin Gastroenterol. 2014 Jul;48(6):505-12. doi: 10.1097/MCG.0b013e3182a88357.
  • PMID: 16121522
    Grigoleit HG, Grigoleit P: Gastrointestinal clinical pharmacology of peppermint oil. Phytomedicine. 2005 Aug;12(8):607-11. doi: 10.1016/j.phymed.2004.10.006.
  • PMID: 23325948
    Nath SS, Pandey C, Roy D: A near fatal case of high dose peppermint oil ingestion- Lessons learnt. Indian J Anaesth. 2012 Nov;56(6):582-4. doi: 10.4103/0019-5049.104585.

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