Monday, June 8, 2020

CELERY (Apium graveolens L. (Apiaceae/Umbelliferae) +++ )


HERBAL
MEDICINAL
PLANT
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CELERY


Apium graveolens L.
(Apiaceae/Umbelliferae)  +++



BY


RETTODWIKART THENU






CELERY
(seh’luh-ree)


Apium graveolens L.  +++


SUMMARY AND PHARMACEUTICAL COMMENT

Celery fruit should not be confused with the commercial celery stem, which is commonly eaten as a food. The chemistry of celery fruit is well studied and the phototoxic furanocoumarin constituents are well documented. Phototoxicity appears to be associated with the handling of the celery stems, especially diseased plant material. Limited scientific evidence is available to justify the herbal uses of celery, although bacteriostatic activity has been documented for the oil. Celery fruit should be used cautiously in view of the documented allergic reactions.
  

OTHER COMMON NAMES
Apium, celery seed, celery seed oil, marsh parsley, smallage, wild cherry


DESCRIPTION
MEDICINAL PARTS: The medicinal parts are the root, aboveground foliage and stems, the fruit (seeds) of the plant and the oil extracted from the seeds.
FLOWER AND FRUIT: The umbels are greenish-white, small, 6 to 12 rayed, star-shaped and splayed. Some umbels are topheavy, short petioled or sessile, and some are terminal and more or less long-petioled with no involucre. Petals are usually 0.5 mm, white or greenish to yellowish, cordate at the base and have indented tips. The fruit is almost spherical and somewhat compressed at the side. The 5 mm mericarps are rounded in section. They are 5-cornered with 5 equal, weakly protruding, bow-shaped main ribs. The edge of the ribs form the edge of the mericarps. The fruit axis is bristly and slightly crenate at the tip.
LEAVES, STEM AND ROOT: The glabrous plant is a biennial and reaches a height of 30 to 100 cm. The root of the wild variety is fusiform, about 5 to 7 mm thick, branched and becomes woody in the second year. The root of the cultivated variety is fleshy, roundly tuberous and reaches a diameter of over 15 cm. The stem is erect, with edged grooves, often hollow and branched. The leaves are glossy and rich green. The basal and lower cauline leaves are more or less long-petioled and pinnatifid. The upper cauline leaves are sometimes opposite. They are on short white-membrane-edged sheaths and are almost sessile and tri-pinnate. The lower leaves are roundish, almost blunt at the base with broad, lozenge-shaped, indented-serrate, blunt and short-thorned tips. The upper cauline leaves are wedge-shaped and acuminate, also 3-lobed or pinnate or lanceolate and entire-margined.
CHARACTERISTICS: The plant has a strong odor.
PRODUCTION: Celery seed consists of the fruit of Apium graveolons; celery herb consists of the fresh or dried aboveground parts of the plant; and celery root is the plant's fresh or dried underground parts.
OTHER NAMES: Smallage


SPECIES (FAMILY)
Apium graveolens L. (Apiaceae/Umbelliferae)

SYNONYM(S)

Apii Fructus, Celery Fruit, Celery Seed, Smallage, Wild Celery

ORIGIN
Celery is a biennial found worldwide.
Celery is found in Europe from England and Lapland to southern Russia. The plant also grows in western Asia as far as eastern India; in northern and southern Africa and South America; and is cultivated and grows wild in North America, Mexico and Argentina.


PHARMACOPODIAL AND OTHER MONOGRAPHS
BHC 1992(G6)
BHP 1996(G9)
Martindale 35th edition(G85)


LEGAL CATEGORY (LICENSED PRODUCTS)
GSL(G37)


CONSTITUENTS
The following is compiled from several sources, including General References G2, G6, G48 and G58.
Flavonoids Apigenin, apiin, isoquercitrin and others.(1)
Coumarins Apigravin, apiumetin, apiumoside, bergapten, celerin, celereoside, isoimperatorin, isopimpinellin, osthenol, rutaretin, seselin, umbelliferone and 8-hydroxy-5-methoxypsoralen.(1–9) Low concentrations (not exceeding 1.3 ppm) of furanocoumarins have been identified in commercial celery,(10) although concentrations are reported to rise considerably in diseased stems.(11)
Volatile oils 2–3%. Many components including limonene (60%) and selenine (10–15%), and various sesquiterpene alcohols (1–3%), e.g. a-eudesmol and b-eudesmol, santalol.(12, 13) Phthalide compounds, 3-n-butyl phthalide and sedanenolide, provide the characteristic odour of the oil (presence of sedanolide and sedanonic anhydride disputed).(14, 15)
Other constituents Choline ascorbate,(16) fatty acids (e.g linoleic, myristic, myristicic, myristoleic, oleic, palmitic, palmitoleic, petroselinic and stearic acids).

ACTIONS AND PHARMACOLOGY
COMPOUNDS: CELERY SEED (FRUIT)
Volatile oil: chief constituents ((:) - limonene, beta-selinene, phthalides among them 3-butyliden phthalide, 3-butyl phthalide, 3-isovaleryliden-3a, 4-dihydrophthaIid, 3-isobutyliden phthalide, sedanoid, neocnidilid)
Flavonoids: graveobioside A and B, apiin, isoquercitrin
Furocoumarins: including bergapten, isoimperatorin, isopimpinellin
Fatty oil


USES
USES
Celery seeds are used to treat hypertension, seizure disorders, as a diuretic, and to stimulate labor. Celery juice is used to treat edema, hypertension, joint infl ammation, anxiety, and headache. Celery is also used to treat diabetes and has an antiplatelet activity. Therapeutic use in the United States is uncommon.

FOOD USE
Celery is listed by the Council of Europe as a natural source of food flavouring (category N2). This category indicates that celery can be added to foodstuffs in small quantities, with a possible limitation of an active principle (as yet unspecified) in the final product.(G16) Celery stem (not the fruit) is commonly used in foods. Previously, celery seed has been listed as GRAS (Generally Recognised As Safe).(G41)

HERBAL USE
Celery is stated to possess antirheumatic, sedative, mild diuretic and urinary antiseptic properties. It has been used for arthritis, rheumatism, gout, urinary tract inflammation, and specifically for rheumatoid arthritis with mental depression.(G2, G6, G7, G8,G64)

Figure 1. Celery (Apium graveolens).

 
Figure 2. Celery – dried drug substance (root).

 
Figure 3. Celery – dried drug substance (fruit).
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ACTIONS

Antihypertensive/Anticholesterol Action
Studies using dogs have shown that celery products lower the levels of circulating dopamine, norepinephrine, and epinephrine. This action is believed to result from the ability of celery to inhibit tyrosine hydroxylase. These fi ndings support the traditional use of celery as an antihypertensive (Le Ot et al, 1992). Drinking aqueous celery extract for 8 weeks caused a signifi cant reduction in serum total cholesterol in rats. The action was due to increased bile acid excretion (Tsi et al, 2000).
Anticonvulsant Action
One of the chemical components of celery, an alkaloid, has been shown to be an effective anticonvulsant (Yu et al, 1984). In one study, celery seeds were able to protect rats and mice from seizures initiated by chemical, audio, and electric means. The seeds contain an alkaloid that exerts both anticonvulsant and central nervous system depressant actions (Kulshrestha et al, 1970).
Other Actions
Studies have shown that apigenin, one of the chemical components of celery, exerts a strong antiplatelet effect and also inhibits the formation of thromboxane B (Teng et al, 1988). Information has also become available regarding the antifungal effects of celery (Jain et al, 1973). In addition, the oil may possess hypoglycemic and antitumor effects. Caution needs to be exercised with the use of celery in geriatric patients, because celery allergy has been underestimated (Untersmayr et al, 2008).

PHARMACOLOGICAL ACTIONS
IN VITRO AND ANIMAL STUDIES
In mice, sedative and antispasmodic activities have been documented for the phthalide constituents.(17, G22) Celery seed oil has been reported to exhibit bacteriostatic activity against Bacillus subtilis, Vibrio cholerae, Staphylococcus aureus, Staphylococcus albus, Shigella dysenteriae, Corynebacterium diphtheriae, Salmonella typhi, Streptococcus faecalis, Bacillus pumilus, Streptococcus pyogenes and Pseudomonas solanacearum.(9) No activity was observed against Escherichia coli, Sarcina lutea or Pseudomonas aeruginosa.
Apigenin has exhibited potent antiplatelet activity in vitro, inhibiting the aggregation of rabbit platelets induced by collagen, ADP, arachidonic acid and platelet-activating factor (PAF), but not that induced by thrombin or ionophore A23187.(18) Studies with celery plant extracts have demonstrated antiinflammatory activity in the mouse ear test and against carrageenan-induced rat paw oedema,(19) and a hypotensive effect in rabbits and dogs after intravenous administration.(G41) In addition, hypoglycaemic activity has been documented.(G22) Celery juice has been reported to exhibit choleretic activity and the phthalide constituents are stated to possess diuretic activity.(13)
CLINICAL STUDIES
There is a lack of clinical research assessing the effects of celery fruit and rigorous randomised controlled clinical trials are required.


ACTIVITIES
Abortifacient (f; CAN; KAB); Analgesic (1; FEL; FNF; KAB; PED); Anthelminthic (f; KAB; PH2); Antiaggregant (1; FNF; CAN); Antialzheimeran (1; COX; FNF); Antiarthritic (1; FNF; PNC); Antibacterial (1; CAN; FNF; PH2); Anticancer (1; APA; COX); Anticonvulsant (1; APA; KAP; MPI; PH2); Antidepressant (f; CAN; PED); Antidiabetic (f; MAM); Antiedemic (1; CAN); Antiepileptic (1; PNC); Antigalactic (f; JFM); Antiinflammatory (1; APA; FNF; PNC); Antioxidant (1; FNF; PED); Antirheumatic (1; FNF; PED; PNC); Antiseptic (1; FNF; KAP; PED); Antispasmodic (1; CRC; KAP; PED; WO2); Antitumor (1; APA); Aperitif (f; KAB); Aphrodisiac (f; CRC; KAB; KAP; PNC); Astringent (f; KAB); Cancer (1; APA; COX); Carminative (1; CRC; FNF; KAB; PNC; WO2); Cercaricide (1; SPI); Choleretic (1; JAD); Depurative (f; PED); Digestive (f; MBB); Diuretic (2; APA; CAN; FNF; KAB); Emmenagogue (f; CRC; DEP; KAP); Fungicide (1; PH2; PNC); Hepatoprotective (1; APA); Hypoglycemic (1; APA; CAN; FNF); Hypotensive (2; APA; FNF; MAM; PNC); Lipolytic (1; APA); Nervine (f; WO2); Neurotonic (f; FEL; KAP; WO2); Sedative (1; CRC; PED; PNC); Stimulant (1; CRC; KAB; WO2); Stomachic (f; KAB); Tonic (1; CRC; KAB; PNC); Tranquilizer (1; KAP; WO2); Urinary Antiseptic (1; CAN; PED; FNF); Uterotonic (1; CAN).


INDICATIONS
Alzheimer’s (1; COX; FNF); Amenorrhea (f; CRC; DEP; KAB); Anasarca (f; CRC; DEP; KAB; WO2); Anorexia (f; KAB; PHR; PH2); Anxiety (1; APA); Arthrosis (1; APA; FNF; PNC); Ascites (f; KAB); Asthma (f; DEP; JFM; KAB); Bacteria (1; CAN; FNF; PH2); Bronchosis (f; DEP; KAB); Cancer (1; APA; COX; CRC; FNF); Cancer, breast (1; CRC; FNF); Cancer, eye (1; CRC; FNF); Cancer, feet (1; CRC; FNF); Cancer, liver (1; CRC; FNF); Cancer, penis (1; CRC; FNF); Cancer, spleen (1; CRC; FNF); Cancer, stomach (1; CRC; FNF); Cancer, testis (1; CRC; FNF); Cancer, uterus (1; CRC; FNF); Cancer, vulva (1; CRC; FNF); Cardiopathy  (1; APA; KAB); Catarrh (f; KAB); Cholecystosis (f; PH2); Colic (f; DEP; MBB; WO2); Condyloma (f; JLH); Congestion (f; JFM); Convulsion (1; APA; KAP; MPI; PH2); Corn (f; CRC; JLH); Cough (f; KAB; PH2); Cramp (1; CRC; KAP; PED; WO2); Cystosis (1; APA; CAN; FNF; MBB); Depression (f; CAN; PED); Diabetes (f; APA; MAM); Dysmenorrhea (f; APA; JFM); Dyspepsia (f; APA); Dysuria (f; KAB); Edema (f; JFM); Enterosis (f; KAB); Epilepsy (1; PNC; WO2); Fatigue (f; PH2); Felon (f; CRC; JLH); Fever (f; FEL; KAB); Fungus (1; PH2; PNC); Gallstone (f; PHR); Gas (1; CRC; FNF; JFM; KAB; PNC; WO2); Gout (1; CAN; FNF; MBB; MPI; PH2); Hepatosis (f; APA; CRC; DEP; JLH); Hiccup (f; KAB); High Blood Pressure (2; APA; CRC; FNF; MAM; PNC); High Cholesterol (1; APA); Hyperglycemia (1; APA; CAN; FNF); Impostume (f; JLH); Induration (f; CRC; JLH); Infection (1; PH2; PNC); Inflammation (1; APA; FNF; KAB; PNC); Insomnia (1; APA; CRC; FNF; PED; PNC); Jaundice (f; JFM); Kidney Stone (f; PHR); Lumbago (f; CRC); Malaria (f; FEL); Mycosis (1; PH2; PNC); Nausea (f; KAB); Nephrosis (f; APA; PH2); Nervousness (1; APA; CRC; KAP; PED; PHR; PNC; WO2); Obesity (f; APA); Ophthalmia (f; KAB); Ovary (f; PH2); Pain (1; FEL; FNF; KAB; PED); Proctosis (f; KAB); Pulmonosis (f; JFM); Rheumatism (1; CAN; CRC; FEL; FNF; MPI; PED; PH2; PNC); Rhinosis (f; KAB); Scabies (f; KAB); Schistosoma (1; SPI); Scirrhus (f; JLH); Sore (f; CRC); Splenosis (f; CRC; DEP; JLH; KAB; WO2); Sting (f; KAB); Stomachache (f; CRC; JFM); Stone (f; DEP; PHR; PH2); Stress (1; APA); Swelling (1; CAN; FNF; MBB); Toothache (f; KAB); Tumor (1; APA; CRC; JLH); Uterosis (f; JFM); UTI (1; CAN; FNF); Water Retention (2; APA; CAN; FNF; KAB); Wen (f; JLH); Whitlow (f; CRC; JLH).

INDICATIONS AND USAGE
CELERY FRUIT. HERB AND ROOT
Unproven Uses: Folk medicine use of celery and preparations of celery are used as a diuretic, for regulating the bowels, for glandular stimulation, rheumatic complaints, gout, gall and kidney stones. Other traditional uses include as a prophylactic for nervous agitation, for loss of appetite and exhaustion. Celery is also used as a cough treatment and as a helminthic.s
Homeopathic Uses: Celery preparations are used in homeopathy for ailments of the ovaries and rheumatism.

PRODUCT AVAILABILITY
Capsules: 450, 505 mg; seeds; tincture
Plant Parts Used: Seeds, whole plant

DOSAGES
DOSAGES
·         Adult PO: 1⁄2-1 tsp seeds in 1 cup hot water tid (Moore, 1996)
·         Adult PO: 1-2 ml 2-5 times/day (Smith, 1999)

DOSAGES
·         Fluid extract (1:2): 4.5–8.5 mL/day in divided doses.
·         Decoction of dried fruit: 0.5–2 g three times daily.

DOSAGES
Dosages for oral administration (adults) for traditional uses recommended in older standard herbal reference texts are given below.
·         Dried fruits   0.5–2.0 g as a decoction 1 : 5 three times daily.(G7)
·         Liquid extract   0.3–1.2 mL (1 : 1 in 60% alcohol) three times daily.(G7)
·         Liquid Extract of Celery (BPC 1934)   0.3–1.2 mL.

DOSAGES
·         200 g root boiled in 500 g water taking 1 cup every 3 hours as antigalactic (JFM); 1–2 leaves for colic (DEP);
·         1–4 g powdered seed (KAP; PNC); 1–2 tsp seed/cup water (APA); 1–2 g dry seed (PED);
·         2 g dry seed:10 ml alcohol/10 ml water (PED); 1 g mashed seed/cup hot water (PH2);
·         1.75 tsp crushed seed/cup water (APA); 0.05–0.1 ml (PNC); 0.5–1 tsp tincture to 3 ×/day (APA; WIC);
·         0.3–1.5 ml liquid extract (PNC); 0.3–1.2 ml liquid extract (1:1 in 60% alcohol) 3 ×/day (CAN);
·         0.5–2 g or by decoction 1:5, 3 ×/day (CAN); 2 (500 mg) capsules (450 mg celery extract StX to contain at least 9.9 mg volatile oil in 50 mg synergistic base of whole celery seed powder) 2 ×/day, before meals (NH). Often standardized to 2.2% volatile oil.

DOSAGES
CELERY SEED (FRUIT)
Mode of Administration: Whole and powdered drug, liquid extract, and as a component in a variety of tea mixtures. |
How Supplied:
·         Capsules    450 and 505 mg
·         Fluid Extract    1:1
Preparation: To prepare a liquid extract, percolate 1 kg of seed in a specula process to 1 liter of fluid extract. The essential oil is removed after filtration with paper soaked in alcohol. For an infusion, pour boiling water on 1 g of the squeezed drug and strain after 5 to 10 minutes. Decoctions are prepared in a 1:5 ratio.
Daily Dosage: The daily dosage of the seeds is 1.2 to 4 g and as an infusion, 1 g drug.
Homeopathic Dosage: 5 to 10 drops, 1 tablet or 5 to 10 globules 1 to 3 times daily or 1 ml injection solution twice weekly sc (HAB34).
Storage: Celery seed should be kept tightly sealed, away from light and moisture.

CELERY HERB
Mode of Administration: Whole and cut drug as well as a variety of tea mixtures.
Preparation: Celery is contained in a variety of tea mixtures (kidney and bladder teas).
Daily Dosage: Pressed juice of the fresh plant: 23 g (15 ml) 3 times daily.
Homeopathic Dosage: 5 to 10 drops, 1 tablet or 5 to 10 globules 1 to 3 times daily or 1 ml injection solution twice weekly sc (HAB34).
Storage: The herb should be kept sealed, away from light and moisture.

CELERY ROOT
Mode of Administration: The drug is available in a few combination preparations for internal use.
Preparation: A cough mixture is prepared by boiling the root juice with sugar.
Dosage: Pressed juice of the fresh plant: 23 g (15 ml) 3. times daily.
Homeopathic Dosage: 5 to 10 drops, 1 tablet or 5 to 10 globules 1 to 3 times daily or 1 ml injection solution twice weekly sc (HAB1).
Storage: Celery root should be kept sealed, away from light and moisture.


PRECAUTIONS AND ADVERSE REACTIONS

CELERY FRUIT, HERB AND ROOT
No health hazards or side effects are known in conjunction with the proper administration of designated therapeutic dosages. Nevertheless, because of the kidney-irritating effect of the volatile oil, the drug should not be administered in the presence of kidney infections. Latent yeast infections of the plant could cause the furanocoumarin content of the fresh root to rise to 200 times its original level under storage conditions. For this reason, the relatively large amounts of furanocoumarins frequently to be found in stored celeriac bulbs, or in incorrectly dehydrated drug samples, could lead to phototoxicoses.


CONTRAINDICATIONS, INTERACTIONS, AND SIDE EFFECTS
CLASS 2B[5], 2D. Individuals with renal disorders should use with caution. Commission E reports potential allergenicity, including anaphylactic shock. Photosensitizing. Contains phototoxic furanocoumarins (AHP). CAN cautions that the furanocoumarins may cause phototoxicity and dermatosis. Still, they summarize that no side effects or toxicity are documented for celery seed. Photosensitivity reactions have been reported as a result of external contact with celery stems. Even anaphylactic reactions are reported following oral ingestion of the stems. Archives of Dermatology (1990) reported severe phototoxicity in a woman consuming celeriac and then going to a tanning parlor. The new Herbal PDR (Gruenwald et al., 1998) notes that levels of phototoxic furanocoumarins can rise 200-fold under storage conditions, especially if the root is fungally or yeast infected (PHR). No side effects, toxicity documented for celery fruit (CAN). Persons with kidney problems should be cautious. The drug is contraindicated in inflammation of the kidneys, since apiaceous EOs may increase the inflammation as a result of epithelial irritation. Contraindicated during pregnancy (uterotonic activity demonstrated for the EO (CAN)). Celeryseed oil abortifacient (JFM). Oil, though stated to be nonirritant, nonphototoxic, and nonsensitizing in humans, is also reported to have uterotonic activity; the seeds are said to affect the menstrual cycle and even to be abortifacient (CAN). There’s a rare allergy, Birch-Celery Syndrome; people sensitive to birch or mugwort (watch out moxibustionists) pollen may have an immediate reaction just eating celery or taking celery seed products. “Hazards and/or side effects not known for proper therapeutic dosages” (PH2) (But, regrettably, it doesn’t give those therapeutic dosage levels.) So far, in my 5.5 years on celery seed extract, I have not knowingly suffered any side effects from the 2–4 capsules or tablets I take a day, every day, without fail, for the prevention of the gout crisis. Celery herb, seed, and root unapproved for therapeutic application, as far as Germany’s Commission E is concerned.

CONTRA-INDICATIONS, WARNINGS
Celery fruit contains phototoxic compounds, furanocoumarins, which may cause photosensitive reactions. Celery fruit may precipitate allergic reactions, particularly in individuals with existing plant, pollen or food allergies. Diseased celery stems (indicated by a browning of the stem) should not be ingested.
Drug interactions None documented. However, the potential for preparations of celery to interact with other medicines administered concurrently, particularly those with similar or opposing effects, should be considered.
Pregnancy and lactation Celery fruit is reputed to affect the menstrual cycle and to be abortifacient.(G30) Uterine stimulant activity has been documented for the oil,(G22,G30) and the use of celery fruits is contra-indicated during pregnancy.(G49) This does not refer to celery stems that are commonly ingested as a food, although excessive consumption should be avoided. It is not known whether constituents of celery fruit appear in breast milk.

CONTRAINDICATIONS
CELERY SEED (FRUIT)
The drug should not be used during pregnancy. Also, because of the kidney-irritating effect of the volatile oil, the drug should not be administered to individuals with kidney infections.  

CONTRAINDICATIONS
Pregnancy category is 3; Breastfeeding category is 3A. Celery seeds should not be given to children except as a food source. Persons with allergies to birch or mugwort and those with kidney infl ammation should never use celery products.

SIDE EFFECTS/ADVERSE REACTIONS
CNS: Central nervous system depression
GU: Uterine stimulation
INTEG: Dermatitis, phototoxic bullous lesions (birch-celery syndrome)
SYST: Hypersensitivity reactions, anaphylaxis, angioedema

INTERACTIONS
Drug
Anticoagulants, antiplatelets: When given with celery, there is an increased risk of bleeding (theoretical) (Jellin et al, 2008).
Antihypertensives, diuretics: Celery may increase the effect of these products.
CNS depressants: When used with celery, effects may be increased (theoretical) (Jellin et al, 2008).
Thyroid replacement: Celery may decrease the effect of thyroid hormone replacement (Jellin et al, 2008).
Herb
Anticoagulant/antiplatelet herbs (angelica, anise, arnica, bogbean, boldo, capsicum, chamomile, clove, fenugreek, feverfew, garlic, ginger, ginkgo, ginseng [Panax], horse chestnut, horseradish, licorice, meadowsweet, prickly ash, onion, passionfl ower, poplar, red clover, turmeric, willow): When used with celery there is an increased risk of bleeding (Jellin et al, 2008).

SIDE-EFFECTS, TOXICITY
None documented. However, there is a lack of clinical safety and toxicity data for celery fruit and further investigation of these aspects is required. Photosensitivity reactions have been reported as a result of external contact with celery stems.(20, 21, G51) These reactions have been attributed to the furanocoumarin constituents which are known to possess photosensitising properties.(11, 22) The concentrations of these compounds are reported to increase considerably in diseased celery stems.(11, 22) It is thought that psoralen, the most potent phototoxic furanocoumarin, acts as a transient precursor for other furanocoumarins and does not accumulate in celery.(5, 11)
Instances of allergic and anaphylactic reactions to celery have also been documented(23) following oral ingestion of the stems.(24) Celery allergy is reported to be mediated by IgE antibodies and an association between pollen and celery allergy has been postulated, although the common antigen has not been determined.(25) Crosssensitivities to celery have been documented in patients with existing allergies to dandelion and wild carrot.(G51)
Acute LD50 values (rats, by mouth; rabbits, dermal) have been reported as greater than 5 g/kg body weight.(26) Celery seed oil is stated to be non-irritant, non-phototoxic and non-sensitising in humans.(26, G58)

EFFECTS: CELERY ROOT
In animal tests, a sedative and anticonvulsive effect was demonstrated; a diuretic effect could not be proven. The essential oil contained in the drug had a mildly inhibiting effect on bacteria and fungi.


CLIENT CONSIDERATIONS
ASSESS
·         Assess the reason the client is using celery medicinally.
·         Assess for hypersensitivity reactions, including birch-celery syndrome and anaphylaxis.
·         Assess the client’s level of consciousness; central nervous system depression can occur.
ADMINISTER
·         Instruct the client that celery seeds and juice are used to treat different conditions.
TEACH CLIENT/FAMILY
·         Inform the client that pregnancy category is 3 and breastfeeding category is 3A.
·         Caution the client not to use celery products in children except as a food source.
·         Inform clients with allergies to birch or mugwort, and those with kidney infl ammation, never to use celery products.
·         Advise the client to stay out of the sun or to wear protective clothing when using celery products. Psoralen, one of the chemical components of celery, may cause a phototoxic rash.

PREPARATIONS

PROPRIETARY MULTI-INGREDIENT PREPARATIONS
Australia: Arthritic Pain Herbal Formula 1; Boswellia Complex; Devils Claw Plus; Fluid Loss; Guaiacum Complex; Lifesystem Herbal Formula 1 Arthritic Aid. Canada: Herbal Diuretic. India: Flexi-muv. Malaysia: Celery Plus. UK: Mixed Vegetable Tablets; Modern Herbals Rheumatic Pain; Napiers Backache Tea; Rheumatic Pain; Rheumatic Pain Tablets; Sciatica Tablets; Vegetex.


EXTRACTS
Extracts antiedemic, antiinflammatory, hypoglycemic, and hypotensive. LD50 >5000 mg/kg orl rat (CAN). Juice choleretic. Chamomile is a better source of the COX-2 inhibitor apigenin (to 0.8% ZMB), but celery stalks may contain to 0.2%, making it the best food farmacy source (COX). Celery seed oil bacteriostatic against Bacillus pumilus, Bacillus subtilis, Corynebacterium diptheriae, Pseudomonas solanacearum, Salmonella typhi, Shigella dysenteriae, Staphylococcus albus, Staphylococcus aureus, Streptococcus faecalis, Streptococcus pyogenes, and Vibrio cholerae. The seed oil shows a chemotactic effect and cercaricidal activity of the cercaria of Schistosoma mansoni (SPI).


REFERENCE


Barnes, J., Anderson, L. A., and Phillipson, J. D. 2007. Herbal Medicines Third Edition. Pharmaceutical Press. Auckland and London.

Duke, J. A. with Mary Jo Bogenschutz-Godwin, Judi duCellier, Peggy-Ann K. Duke. 2002. Handbook of Medicinal Herbs 2nd Ed. CRC Press LLC. USA.

Gruenwald, J., Brendler, T., Jaenicke, Ch. 2000.  PDR for Herbal Medicines.  Medical Economics Company, Inc. at Montvale, NJ 07645-1742. USA

Linda S-Roth. 2010. Mosby’s Handbook Of Herbs & Natural Supplements, Fourth Edition. Mosby Elsevier. USA












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