Objective: To review the chemistry and composition of the venoactive d
rug Venoruton (O-(beta-hydroxyethyl)-rutosides). Data sources: Biologi
cal and biomedical literature from 1930 to date. Study selection: Lite
rature relevant to the isolation, chemistry and pharmacology of the na
tural and semisynthetic rutosides has been selected. Data extraction:
Not applicable. Data synthesis: The review shows that the naturally oc
curring compound rutin is one of a range of bioactive flavonoid compou
nds. Hydroxyethylation of the hydroxyl groups of rutin gives the venop
rotective drug Venoruton, O-(beta-hydroxyethyl)-rutosides. Venoruton i
s now known to be composed of a standard mixture of mono-, di-, tri- a
nd tetra-hydroxyethylated rutosides and their aglycones, of which five
have been chosen as 'representative constituents'. High performance l
iquid chromatography (HPLC) can be used to assay the constituents of t
his standard mixture. Conclusions: This review describes qualitatively
and quantitatively the 'representative constiuents' of O-(beta-hydrox
yethyl)-rutosides. The methods of separation and quantification of the
se constituents using HPLC is described.