Amazon A-P Supplements: Amargo (Quassia amara)

Scientific Name(s): Quassia is a collective name for 2 plants: Picrasma excelsa and Quassia amara L. Family: Simaroubaceae.
Common Name(s): Bitter wood, Amara species, Amargo, Surinam wood, and ruda .
Uses of Quassia
Quassia amara or Amargo employs variety of uses, and that includes as treatment for measles, diarrhea, fever, and lice. Amargo has antibacterial, antifungal, antifertility, anti-tumour, anti-leukaemic properties and insecticidal actions as well. However, efficacy in clinical trials has not been proven.
History of use
Amargo has been used for malaria in the Amazon region. The herb has been used topically for measles and orally or rectally for intestinal parasites, diarrhoea, and fever. The herbs have been used as anthelmintics and insecticides. In Central America people have been known to build boxes out of quassia wood, which acts as a natural insect repellent, to store their clothing and protected from insects.
Both quassia species (Picrasma excelsa and Quassia amara) have similar constituents. These include alkaloids (0.25%), such as canthin-6-one, 5-methoxycanthin-6-one, and carboline alkaloids. Terpenoids in 1 or both plants include isoquassin and mixtures of bitter principles (said to be 50 times more bitter than quinine), including quassin, neo-quassin, and 18-hydroxyquassin. Dihydronorneoquassin and simalikalactone D are also present. Other constituents include coumarins (Quassia amara), thiamine (Picrasma excelsa), beta-sitosterol, and beta-sitostenone. From Q. amara, the quassinoid quassimarin has been reported and amarid 18-oxyquaxine has been isolated. The molecular phylogenetics of Quassia amara have been studied using the chloroplast gene rbcL.
Pharmacology
Basically, Amargo has been used as an insecticide by natives in the tropical region of the rainforest of the Amazon and in traditional medicine its uses includes remedies for infestations of lice or worms, anorexia, and dyspepsia. Certain tribes have used the plants to treat measles and fever, and as a mouthwash. 
Amargo as an herb has also demonstrated antilarval properties and was effective at concentrations of 6 ppm.  A mechanism of this larvicidal activity may be due to its inhibiting capabilities on the cuticle development.  As a tincture, has been used successfully to treat head lice in 454 patients. Canthin-6-one possesses antibacterial and antifungal activity.
While another compound, Quassimarin has been reported to possess antileukaemic properties when tested in animals. Its anti-tumour activity in mice has been demonstrated, as well as in vitro activity of quassin against human nasopharynx carcinoma. 
Furthermore, Quassin also displays antifertility effects, inhibiting testosterone secretion in rat Leydig cells. Other changes include reduction in testis, epididymis, and seminal vesicle weight; reductions in sperm count, and; decreased luteinizing hormone and follicle stimulating hormone levels.  Another constituent that Amargo contains is the beta-carboline alkaloids which exhibit positive inotropic activity in animals.
The extracts of Amargo and its purified mixtures of bitter principles (“quassin”) have been used to give a bitter taste to various food products, especially alcoholic (eg, bitters, liqueurs) and non-alcoholic beverages, such as pastries, candy, baked goods, and puddings.
Contraindications
Proper care should be taken when large amounts are given orally since the herb Amargo have been known to irritate the mucus membrane of the stomach and may lead to vomiting and nausea.
And excessive use may also interfere with existing cardiac and anticoagulant medications. Because of the plant's cytotoxic and emetic properties, its use during pregnancy should be avoided. 

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