Monday, 9 March 2026

Epsom Toxicity

 

Epsom salt is the common name for Magnesium sulfate (MgSO₄·7H₂O), a naturally occurring mineral compound composed of magnesium, sulfur, and oxygen

 

 
 
Magnesium Toxicity
 
 Early clinical use in obstetrics was reported by J. P. Lazard in 1925, who administered magnesium sulfate to control eclamptic convulsions. 
 
  

By the 1940s–1950s, obstetric studies established classic toxicity signs:

  • Loss of deep tendon reflexes

  • Respiratory depression

  • Cardiac conduction abnormalities

     



     
                                                                          

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Epsom

 

Epsom is a historic town in Surrey, England, famous for its mineral springs and for giving the world Epsom salts.

Epsom salt is the common name for Magnesium sulfate (MgSO₄·7H₂O), a naturally occurring mineral compound composed of magnesium, sulfur, and oxygen

 It was first identified from mineral spring waters in Epsom, which is how it got its name.  In 1618, a farmer named Henry Wicker discovered it

                                                                      Epsom, Surrey 


 
 
Magnesium Sulphate: Anticonvulsant  
 

The anticonvulsant property of magnesium sulfate was discovered in the early 1900s.

  • In 1906, Samuel J. Meltzer and John Auer at the Rockefeller Institute for Medical Research conducted animal experiments.

  • They demonstrated that magnesium salts could suppress neuromuscular transmission and prevent convulsions in experimental animals.

                                                   

                                                     Rockefeller University - Wikipedia

     

 Early clinical use in obstetrics was reported by J. P. Lazard in 1925, who administered magnesium sulfate to control eclamptic convulsions.
 
J. P. Lazard an American obstetrician in Los Angeles, California, known for pioneering the use of Magnesium sulfate to treat seizures in Eclampsia
 
Lazard worked at Los Angeles General Hospital in California. 
 
Lazard demonstrated that magnesium sulfate could safely control eclamptic convulsions and reduce maternal mortality.  His studies included hundreds of patients between 1924–1932, showing a significant drop in death rates compared with earlier treatments.
 
 
 
 
J. P. Lazard To Jack Pritchard  
 
Jack A. Pritchard (1915–2003) was an American obstetrician–gynecologist known for developing the Pritchard regimen for treating seizures in Eclampsia using Magnesium sulfate
 

 
 
 
Pritchard Regimen 
 
 
The MAGPIE Trial (2002) showed magnesium sulfate significantly reduces the risk of seizures and maternal death in Pre‑eclampsia
 

 
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Sunday, 8 March 2026

Calcitonin Gene Related Peptide

 

 Calcitonin Gene-Related Peptide (CGRP) is a 37–amino-acid neuropeptide widely distributed in the central and peripheral nervous systems

It is one of the most potent vasodilators in the human body and plays a major role in pain transmission and migraine pathophysiology



Calcitonin Gene Related Peptide 

 
 
Discovery  
 

CGRP was discovered in 1982 when researchers showed that the calcitonin gene could produce two different peptides through alternative RNA splicing.

Key scientists involved:

  • Susan G. Amara

  • Michael G. Rosenfeld

  • Ronald M. Evans

Their work demonstrated that the calcitonin gene in thyroid C-cells produces calcitonin, while neurons produce CGRP from the same gene.

 

 
 
 
Susan Amara
 

Susan G. Amara is a prominent neuroscientist known for important work on neurotransmitter transporters and neuropeptides, including research related to Calcitonin Gene-Related Peptide (CGRP) and its role in the nervous system. 

 

CGRP plays a crucial role in Migraine.

During a migraine attack:

  • CGRP is released from trigeminal nerve endings
  • Causes vasodilation and inflammation of meningeal vessels
  • Leads to headache pain            
     
     
     
    Physiology To Pharmacology 
     
    CGRP-Targeted Drugs (Modern Migraine Therapy) 
     
     
    Aimovig (erenumab) for the Treatment of Episodic Migraine
     
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