title: Peganum harmala intoxication, a case report.
abstract: OBJECTIVE
  Peganum harmala (P. harmala), "Espand" in Persian, has small seeds and has been used in traditional medicine as emmenagogue and an abortifacient. It has various pharmacological effects such as antifungal, antibacterial, hypothermic, anticancer, antinociceptive, and reversible monoamine oxidase inhibition.
  
  
  METHODS
  This case was a 45 years old woman who ingested about 50 grams seed of P. harmala for hypermenorrhae. She suffered nausea, vomiting, dizziness, tremor, ataxia, and confusion. On physical examination, she had hypotension (BP=90/60 mmHg) with normal heart rate (60 beat/min) and impaired knee to heel test. Her consciousness was reduced without any hallucination. Her laboratory test was normal. She was discharged at good condition 18 hours later.
  
  
  CONCLUSIONS
  In conclusion, physicians working in Iran and other regions that P. harmala is prescribed or used illegally, should know signs and symptoms of its toxicity in order to be able to deal with the emergencies, however, prognosis of these toxicity is not bad.
authors: Department of Pharmacodynamy and Toxicology, School of Pharmacy, Mashhad University of Medical Science, Mashhad, I. R. Iran.
authors: Mohammad
authors: M
authors: Moshiri
authors: Department of Pharmacodynamy and Toxicology, School of Pharmacy, Mashhad University of Medical Science, Mashhad, I. R. Iran.
authors: Leila
authors: L
authors: Etemad
authors: Department of Pharmacodynamy and Toxicology, School of Pharmacy, Mashhad University of Medical Science, Mashhad, I. R. Iran.
authors: Soheila
authors: S
authors: Javidi
authors: Pediatrician-Toxicology Fellowship of Toxicology ward of Imam Reza Hospital of Mashhad, Mashhad University of Medical Science, Mashhad, I. R. Iran.
authors: Anahita
authors: A
authors: Alizadeh
keywords: Case report; Espand; Harmalin; Iran; Peganum harmala