Plants and fungi that contain indole alkaloids have a long history of use in
traditional medicine.
Rauvolfia serpentina, which contains reserpine as the active substance, was used for over 3000 years in
India to treat snake bites and
insanity. In medieval Europe, extracts of
ergot were used in
medical abortion. Later, the plants were joined by pure preparations of indole alkaloids. Reserpine was the second (after
chlorpromazine)
antipsychotic drug; however, it showed relatively weak action and strong side effects, and is not used for this purpose any longer. Instead, it is prescribed as an
antihypertensive drug, often in combination with other substances. Other drugs that affect the
cardiovascular system include
ajmaline, which is a Class I antiarrhythmic agents, and ajmalicine, which is used in Europe as an antihypertensive drug. Ergot alkaloids
ergometrine (ergobazin, ergonovine),
ergotamine and their synthetic derivatives (
methylergometrine) are applied against uterine bleeding, and bisindole alkaloids vinblastine and vincristine are antitumor agents. Animal studies have shown that
ibogaine has a potential in treating
heroin,
cocaine, and
alcohol addictions, which is associated with the ibogaine antagonism to
NMDA-receptors. Medical use of ibogaine is hindered by its legal status, as it is banned in many countries as a powerful psychedelic drug with dangerous implications of overdose. However, illegal network in
Europe and
United States provide ibogaine for treating drug addiction. Since ancient times, plants containing indole alkaloids have been used as
psychedelic drugs. The
Aztecs used and the
Mazatec people continue to use
psilocybin mushrooms and the psychoactive seeds of
morning glory species like
Ipomoea tricolor. Amazonian tribes use the psychedelic infusion,
ayahuasca, made from
Psychotria viridis and
Banisteriopsis caapi.
Psychotria viridis contains the psychedelic drug
DMT, while
Banisteriopsis caapi contains
harmala alkaloids, which act as
monoamine oxidase inhibitors. It is believed that the main function of the harmala alkaloids in ayahuasca is to prevent the
metabolization of DMT in the
digestive tract and
liver, so it can cross the
blood–brain barrier, whereas the direct effect of harmala alkaloids on the central nervous system is minimal. The venom of the
Colorado River toad,
Bufo alvarius, may have used as a psychedelic drug, its active constituents being
5-MeO-DMT and
bufotenin. One of the most common
recreational psychedelic drugs,
LSD, is a semi-synthetic
ergoline (which contains the indole moiety). ==References==