Cochrane Database of Systematic Reviews 2009
DOI: 10.1002/14651858.cd007655.pub2
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Blood pressure lowering efficacy of reserpine for primary hypertension

Abstract: Reserpine is effective in reducing SBP roughly to the same degree as other first-line antihypertensive drugs. However, we could not make definite conclusions regarding the dose-response pattern because of the small number of included trials. More RCTs are needed to assess the effects of reserpine on blood pressure and to determine the dose-related safety profile before the role of this drug in the treatment of primary hypertension can be established.

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Cited by 15 publications
(6 citation statements)
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“…Reserpine is a natural alkaloid isolated from Rauwolfia serpentine (Shamon and Perez 2009; Huffman and Stern 2007), which depletes monoamines by irreversibly blocking their vesicular monoamine transporter (VMAT) (Erickson et al 1992). In humans, this agent generally induces antipsychotic, calming (tranquilizing) and pro-depressant effects (Quetsch et al 1959; Freis 1954; Baumeister et al 2003; Estes 1995; Bigelow 2006; Yaniv and Bachrach 2005).…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…Reserpine is a natural alkaloid isolated from Rauwolfia serpentine (Shamon and Perez 2009; Huffman and Stern 2007), which depletes monoamines by irreversibly blocking their vesicular monoamine transporter (VMAT) (Erickson et al 1992). In humans, this agent generally induces antipsychotic, calming (tranquilizing) and pro-depressant effects (Quetsch et al 1959; Freis 1954; Baumeister et al 2003; Estes 1995; Bigelow 2006; Yaniv and Bachrach 2005).…”
Section: Introductionmentioning
confidence: 99%
“…In rodents, reserpine causes hypoactivity (Williams and Pirch 1974), motor stereotypies (Neisewander et al 1991), akinesia (Dolphin et al 1976), lethargy (Sigg et al 1965) and anhedonia (Skalisz et al 2002), relevant to depression (Borison et al 1978; Lee et al 2012) and Parkinson’s disease (PD) (Duty and Jenner 2011). The drug also exerts conflicting action on clinical (Shamon and Perez 2009; Sarwer-Foner and Ogle 1956; Starkweather 1959) and animal anxiety, including no effects (Angrini et al 1998; Heslop and Curzon 1999), increased (Angrini et al 1998; Heslop and Curzon 1999; Haggendal and Lindqvist 1963; Ahlenius and Salmi 1994; LaBuda and Fuchs 2002) or reduced anxiety (Xu et al 1992) (also see tranquilizing effects is some fish species (Turner and Carl 1955; Cano 1959)).…”
Section: Introductionmentioning
confidence: 99%
“…Rauwolfia contains an alkaloid reserpine, which reduces blood pressure,[1314] depresses activity of the CNS[15] by depleting catecholamines and serotonin, and acts as a hypnotic. [1617] Although the utility of Rauwolfia in cardiovascular disorders has been premiered by Vakil, its utility in mental illnesses can be said to have been popularized by Dr. R. A. Hakim from Ahmedabad, Gujarat, who studied the effects of ‘ Siledin ’, a mixture of medicinal plants, including Rauwolfia , and found it effective in schizophrenic and manic-depressive disorders.…”
Section: Role Of Rauwolfiamentioning
confidence: 99%
“…2 Reserpine (RSP), an alpha-2 agonist, inhibits the uptake of norepinephrine into storage vesicles, resulting in depletion of catecholamines and serotonin from central and peripheral axon terminals. 3 Valsartan (VST), an angiotensin II receptor antagonist, lowers blood pressure by antagonizing the renin-angiotensin-aldosterone system and competes with angiotensin II for binding to the type-1 angiotensin II receptor subtype and prevents the blood pressure increasing effects of angiotensin II. 4 Taking these antihypertensive chemicals without doctor's guidance would result in serious consequences, such as reduction of the total blood volume, leading to the risk of hypotension, even collapse and the increase of blood viscosity with the risk of thrombosis.…”
Section: Introductionmentioning
confidence: 99%