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Helenalin, or (-)-4-Hydroxy-4a,8-dimethyl-3,3a,4a,7a,8,9,9a-octahydroazuleno[6,5-b]furan-2,5-dione, is a toxic sesquiterpene lactone which can be found in several plants such as Arnica montana and Arnica chamissonis Helenalin is responsible for the toxicity of the Arnica spp.
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Potentiates CNS sedatives, [3] chronic use might cause a reversible dry skin condition. [18] Khat: qat Catha edulis: Chronic liver dysfunction [3] [19] Kratom: Mitragyna speciosa: Hepatotoxicity [20] [19] Liquorice root Glycyrrhiza glabra: Hypokalemia, hypertension, arrhythmias, edema [5] Lobelia: asthma weed, pukeweed, vomit wort Lobelia inflata
Arnica montana has been used as a herbal medicine. [18] When used as a topical medication in a gel at 50% concentration, A. montana was found to have the same effectiveness (albeit with possibly worse side effects) as a 5% ibuprofen gel for treating the symptoms of hand osteoarthritis. [19]
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Side effects may include sun sensitivity, skin redness, thickening, or itching. [6] Low concentrations may be used in cosmetics. [6] Kojic acid has been found to be an effective lightener in some studies and is also allowed to be used in cosmetics. [6] Side effects include redness and eczema. [6]
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