“…The precise mechanism of action of this common laxative remains elusive, partly because of its multiple effects on the gut. It inhibits intestinal Na,K-ATPase activity (Phillips et al, 1965;Gaginella & Bass, 1978;Nell & Rummel, 1984), interferes with oxidative metabolism (Nakao, 1963;Gaginella et al, 1975) and has effects on adenylate cyclase or mucosal adenosine 3': 5'-cyclic monophosphate (cyclic AMP) content Racusen & Binder, 1979;Simon & Kather, 1980). Castor oil is cytotoxic to intestinal epithelial cells (Valette & Salvanet, 1936;Gaginella et al, 1977a;Bretagne et al, 1981), and causes histological abnormalities with enhanced mucosal permeability (Cline et al, 1976;Gaginella et al, 1977b;Saunders et al, 1977;.…”