The whole plant is toxic in moderate doses as it contains a range of
isoquinoline alkaloids; use in herbal medicine requires the correct dose. The main alkaloid present in the
herb and
root is
coptisine. Other alkaloids present include methyl 2'-(7,8-dihydrosanguinarine-8-yl)acetate,
allocryptopine,
stylopine,
protopine, cryptopine, hemochelidonine, homochelidonine,
norchelidonine,
berberine,
chelidonine,
sanguinarine,
chelerythrine and
8-hydroxydihydrosanguinarine. Sanguinarine is particularly toxic with an of 18 mg per kg body weight (IP in rats).
Caffeic acid derivatives, such as
caffeoylmalic acid, are also present. The characteristic latex also contains
proteolytic enzymes and the phyto
cystatin chelidostatin, a
cysteine protease inhibitor. It is a traditional folk remedy against
warts in France, German-speaking countries, Hungary, and the UK. It is used in the preparation of a range of off-the-shelf treatments for warts and skin conditions.
Chelidonium is used to make
Ukrain, a drug that has been promoted for the treatment of cancer and viral infections but is not known to be effective. The fresh herb is no longer used officially. No dose-finding studies exist and the reported clinical studies are characterised by a considerable heterogeneity. Except for homeopathic medicines, the drug is no longer used in most English-speaking countries. In Germany, Austria and Switzerland, extracts of Chelidoni herba are a controversial component of the gastric remedy Iberogast. The OTC-preparation is a top-selling product for the company
Bayer, which is now under investigation for not warning consumers of possible hepatotoxic side-effects when taking the drug. Elevated liver-enzymes and toxic hepatitis with a documented fatality have been reported. The plant is poisonous to chickens. ==Herbalism==