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Bitter orange

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For the fruit known as "Chinese Bitter Orange," see Trifoliate orange.

Citrus aurantium
Scientific classification
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C. × aurantium
Binomial name
Citrus × aurantium
L., 1753[1]

The name "bitter orange", also known as Seville orange, sour orange, bigarade orange, and marmalade orange, refers to a citrus tree (Citrus × aurantium) and its fruit. Many varieties of bitter orange are utilized for their essential oil, which is used in perfume and as a flavoring. Bitter orange is also employed in herbal medicine as a stimulant and appetite suppressant. Slivers of the rind are used to give marmalade its characteristic bitter taste.[citation needed] They are also more resiliant than the regular orange and have been known to survive hurricanes, where as regular oranges do not.

After the U.S. Food and Drug Administration banned the herbal stimulant ephedra, manufacturers substituted bitter orange in many herbal weight-loss products,[2] despite similar concerns about potential serious side effects and lack of effectiveness.[3][4] In a recent article by the publication Consumer Reports, it was furthermore reported that use of bitter orange may be associated with "fainting, heart-rhythm disorders, heart attack, stroke, [and] death".[5]

Varieties

Uses

In cooking

The unripe fruit, called narthangai, is commonly used in Southern Indian cuisine, especially in Tamil cuisine. It is pickled by cutting it into spirals and stuffing it with salt. The pickle is usually consumed with thayir sadam. The fresh fruit is also used frequently in pachadis.

The juice from the ripe fruit is also used as a marinade for meat in Nicaraguan, Cuban, Dominican and Haitian cooking.

The peel can be used in the production of bitters.

The Belgian Witbier (white beer) is a beer made from wheat spiced with the peel of the bitter orange.

The Finnish and Swedish use bitter orange peel in gingerbread (pepparkakor) and in mämmi. It is also used in the Nordic mulled wine glögg.

In Greece and Cyprus the nerántzi or kitrómilon respectively, is one of the most prized fruits used for spoon sweets, and the C. aurantium tree (nerantziá or kitromiliá) a popular ornamental tree.

In Iran the juice is used as fish marinade. The blossom is also used to flavor tea and jam.

In medicine

The extract of bitter orange (and bitter orange peel) has been used in dietary supplements as an aid to fat loss and as an appetite suppressant, although in traditional Chinese medicine it is always prescribed in concert with other support herbs, not alone. Bitter orange contains the tyramine metabolites N-methyltyramine, octopamine and synephrine,[9] substances similar to epinephrine, which acts on the α1 adrenergic receptor to constrict blood vessels and increase blood pressure and heart rate.[10][11]

The American Botanical Council has issed a press release on their review of Bitter Orange refuting these claims and stating that "No credible adverse events have been directly attributed to bitter orange, or its primary protoalkaloid, p-synephrine, in association with oral ingestion.”[12]

Following bans on the herbal stimulant ephedra in the U.S., Canada, and elsewhere, bitter orange has been substituted into "ephedra-free" herbal weight-loss products by dietary supplement manufacturers.[2] While bitter orange has not undergone formal safety testing, it can cause the same spectrum of adverse events as ephedra.[13] Case reports have linked bitter orange supplements to strokes,[14][15] angina,[9] and ischemic colitis.[16]


The National Center for Complementary and Alternative Medicine found that "there is currently little evidence that bitter orange is safer to use than ephedra."[4] There is no evidence that bitter orange is effective in promoting weight loss.[3]

Following the presentation of a healthy young man with a myocardial infarction (heart attack), a case study and subsequent literature review found that the makers of "nutritional supplements" who replaced ephedrine with its analogs p-synephrine and/or p-octopamine from "bitter orange" had in effect simply found a loophole in the FDA's April 2004 regulation banning ephedra in those supplements by substituting a similar substance the regulation did not address, while permitting them to label the products as "ephedra-free".[17]

Drug interactions

Bitter oranges may seriously interact with drugs such as statins in a similar way to grapefruit.[18]

Other uses

This orange is used as a rootstock in groves of sweet orange.[8]

The fruit and leaves make lather and can be used as soap.[8]

The hard white or light yellow wood is used in woodworking and made into baseball bats in Cuba.[8]

See also

References

  1. ^ "Citrus × aurantium L." Germplasm Resources Information Network. United States Department of Agriculture. 1999-12-17. Retrieved 2010-01-05.
  2. ^ a b Duenwald, Mary (2005-10-11). "Bitter Orange Under Scrutiny as New Ephedra". New York Times. Retrieved 2008-11-03. {{cite news}}: Italic or bold markup not allowed in: |publisher= (help)
  3. ^ a b Sharpe PA, Granner ML, Conway JM, Ainsworth BE, Dobre M (2006). "Availability of weight-loss supplements: Results of an audit of retail outlets in a southeastern city". Journal of the American Dietetic Association. 106 (12): 2045–51. doi:10.1016/j.jada.2006.09.014. PMID 17126636. {{cite journal}}: Unknown parameter |month= ignored (help)CS1 maint: multiple names: authors list (link)
  4. ^ a b "Bitter Orange". National Center for Complementary and Alternative Medicine. April 2008. Retrieved 2008-11-03.
  5. ^ "Dangerous Supplements: Twelve Supplements You Should Avoid" Consumer Reports Magazine, September 2010 http://www.consumerreports.org/cro/magazine-archive/2010/september/health/dangerous-supplements/supplements-to-avoid/index.htm
  6. ^ Campaña de recogida de la naranja amarga. sevilla.org.
  7. ^ Apenas se aprovechará la naranja que se recoja en la capital este año. 20minutos.es.
  8. ^ a b c d e C. aurantium. Purdue Horticulture.
  9. ^ a b Gange CA, Madias C, Felix-Getzik EM, Weintraub AR, Estes NA (2006). "Variant angina associated with bitter orange in a dietary supplement". Mayo Clinic Proceedings. 81 (4): 545–8. doi:10.4065/81.4.545. PMID 16610576. {{cite journal}}: Unknown parameter |month= ignored (help)CS1 maint: multiple names: authors list (link)
  10. ^ Bui LT, Nguyen DT, Ambrose PJ (2006). "Blood pressure and heart rate effects following a single dose of bitter orange". The Annals of Pharmacotherapy. 40 (1): 53–7. doi:10.1345/aph.1G488. PMID 16317106. {{cite journal}}: Unknown parameter |month= ignored (help)CS1 maint: multiple names: authors list (link)
  11. ^ Hess AM, Sullivan DL (2005). "Potential for toxicity with use of bitter orange extract and guarana for weight loss". The Annals of pharmacotherapy. 39 (3): 574–5. doi:10.1345/aph.1E249. PMID 15657116. {{cite journal}}: Unknown parameter |month= ignored (help)
  12. ^ http://cms.herbalgram.org/press/2011/BitterOrangeSafety.html?t=1300206712
  13. ^ Jordan S, Murty M, Pilon K (2004). "Products containing bitter orange or synephrine: suspected cardiovascular adverse reactions". Canadian Medical Association Journal. 171 (8): 993–4. PMID 15497209. {{cite journal}}: Unknown parameter |month= ignored (help)CS1 maint: multiple names: authors list (link) [dead link]
  14. ^ Bouchard NC, Howland MA, Greller HA, Hoffman RS, Nelson LS (2005). "Ischemic stroke associated with use of an ephedra-free dietary supplement containing synephrine". Mayo Clinic Proceedings. 80 (4): 541–5. doi:10.4065/80.4.541. PMID 15819293. {{cite journal}}: Unknown parameter |month= ignored (help)CS1 maint: multiple names: authors list (link)
  15. ^ Holmes RO, Tavee J (2008). "Vasospasm and stroke attributable to ephedra-free xenadrine: case report". Military Medicine. 173 (7): 708–10. PMID 18700609. {{cite journal}}: Unknown parameter |month= ignored (help)
  16. ^ Sultan S, Spector J, Mitchell RM (2006). "Ischemic colitis associated with use of a bitter orange-containing dietary weight-loss supplement". Mayo Clinic Proceedings. 81 (12): 1630–1. doi:10.4065/81.12.1630. PMID 17165643. {{cite journal}}: Unknown parameter |month= ignored (help)CS1 maint: multiple names: authors list (link)
  17. ^ Thomas JE, Munir JA, McIntyre PZ, Ferguson MA (2009). "STEMI in a 24-year-old man after use of a synephrine-containing dietary supplement : a case report and review of the literature". Tex Heart Inst J. 36 (6): 586–90. PMC 2801940. PMID 20069086.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  18. ^ Mayo clinic: article on interference between grapefruit and medication