Alternative Medication and Nutritional Supplement Use in the Otolaryngology Patient

Abstract

Objectives: The use of nutritional supplements and herbal medications in the United States is becoming increasingly popular. Otolaryngology patients may not report nutritional supplement or alternative therapy use when asked during the medical history. However, its use may have adverse effects, such as interfering with prescribed medications or causing coagulation abnormalities. The objectives of this study are to make otolaryngologists aware of the potential effects of alternative therapies and nutritional supplements commonly used by patients. Methods: Surveys were completed by otolaryngology patients in the clinic and private offices. This study was conducted at the University Hospital and its affiliates. Additional case examples were included and a literature review was performed. Results: Numerous nutritional, herbal, and alternative therapies were used. The treatments were usually not considered a “medication” by the patient. The products used were both for health maintenance and treatment of disease. Salicylate derivatives were one of the most common ingredients in nutritional supplement mixtures. Conclusion: Nutritional supplements and alternative therapies may not be elicited in the medical history or reported as medication by the patient. The otolaryngologist needs to be more aware of the use of alternative and complementary medicines to prevent adverse effects of treatment.