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Although coumarin has no anticoagulant activity, it is transformed to the natural anticoagulant dicoumarol by a number of species of fungi. This proceeds through production of 4-hydroxycoumarin, then further (in the presence of naturally occurring formaldehyde) into the actual anticoagulant dicoumarol, a fermentation product and mycotoxin.
Coumarin is used in the pharmaceutical industry as a precursor molecule in the synthesis of a number of synthetic anticoagulant pharmaceuticals similar to dicoumarol, notably warfarin (which has a common and confusing brand name Coumadin) and some even more potent rodenticides that work by the same anticoagulant mechanism. See 4-hydroxycoumarin for a discussion and listing of this class of drugs.
Coumarin has clinical medical value by itself, as an edema modifier. Coumarin and other benzopyrones, such as 5,6 benzopyrone, 1,2 benzopyrone, diosmin and others are known to stimulate macrophages to degrade extracellular albumen, allowing faster resorption of edematous fluids.
Coumarin is also used as a gain medium in some dye lasers.The Pechmann condensation provides another synthesis of coumarin and its derivatives.
Some naturally occurring coumarin derivatives include umbelliferone (7-hydroxycoumarin), aesculetin (6,7-dihydroxycoumarin), herniarin (7-methoxycoumarin), psoralen and imperatorin.
4-phenylcoumarin is the backbone of the neoflavones, a type of neoflavonoids.
European health agencies have warned against consuming high amounts of cassia bark, one of the four species of cinnamon, because of its coumarin content. According to the German Federal Institute for Risk Assessment, 1 kg of (cassia) cinnamon powder contains approximately 2100 to 4400 mg of coumarin. Powdered Cassia Cinnamon weighs 0.56 g/cc; therefore, 1 kg of Cassia Cinnamon powder is equal to 362.29 teaspoons (1000 g divided by 0.56 g/cc multiplied by 0.20288 tsp/cc). This means 1 teaspoon of cinnamon powder contains 5.8 to 12.1 mg of coumarin, which may be above the Tolerable Daily Intake for smaller individuals. Coumarin was banned as an adulterant in cigarettes by tobacco companies in 1997, but due to the lack of reporting requirements to the US Department of Health and Human Services it was still being used as a flavoring additive in pipe tobacco. Coumarin is currently listed by the United States Food and Drug Administration (FDA) among "Substances Generally Prohibited From Direct Addition or Use as Human Food", according to 21 CFR 189.130, but some natural additives containing coumarin (such as Sweet Woodruff) are allowed "in alcoholic beverages only" (21 CFR 172.510). In Europe, such beverages are very popular, for example Maiwein (white wine with woodruff) and Żubrówka (vodka flavoured with bison grass).
Coumarin should be avoided by people with perfume allergy.
Many of the above compounds (specifically the 4-hydroxycoumarins) are used as anticoagulant drugs and/or as rodenticides which work by the anticoagulant mechanism.
Vitamin K is a true antidote for poisoning by coumadins such as bromadiolone. Treatment usually comprises a large dose of vitamin K given intravenously immediately, followed by doses in pill form for a period of at least two weeks, though usually three to four, afterwards. If caught early, prognosis is good, even when large amounts are ingested. Transfusion with fresh frozen plasma to provide clotting factors also provides time for vitamin K to reverse enzyme poisoning in the liver and allow new clotting factors to be synthesized there.
Category:Types of phenylpropanoids Category:Fluorescent dyes Category:Fuel dyes Category:Laser gain media Category:Coumarins
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