Clinical Evidence of Herb-Drug Interactions: A Systematic Review by the Natural Standard Research Collaboration

Ulbricht, Catherine; Chao, Wendy; Costa, Dawn; Rusie-Seamon, Erica; Weissner, Wendy; Woods, Jen

doi:10.2174/138920008786927785

Cited by 170 publications

(96 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Наибольшее влияние на метаболизм антикоагулянтов и антиагрегантов ока-зывают зверобой, чеснок, имбирь, гинкго, грейпфрут, женьшень. Эксперты считают, что прием этих трав должен быть прекращен за 2 недели перед оператив-ным лечением [8,9]. При одновременном приеме ЛП гинкго, чеснока с варфарином или с аспирином/кло-пидогрелем возможно избыточное повышение кон-центраций ЛП в крови и возникновение кровотече-ний.…”

Section: The Influence Of Lifestyle On the Efficacy And Safety Of Medunclassified

The Influence of Lifestyle on the Efficacy and Safety of Medications in Cardiological Practice: What Shall Physician Be Aware Of?

2016

View full text Add to dashboard Cite

Section: The Influence Of Lifestyle On the Efficacy And Safety Of Medunclassified

The Influence of Lifestyle on the Efficacy and Safety of Medications in Cardiological Practice: What Shall Physician Be Aware Of?

2016

View full text Add to dashboard Cite

“…For instance, the pharmacokinetic interactions between St. John's wort and certain prescribed drugs (16) or between cat's claw and specific blood medication (17) are well-documented. Several research papers review the interaction between herbs, homeopathic and allopathic drugs (18)(19)(20)(21). The interactions between traditional Chinese medicines and western therapeutics have been reviewed recently (22).…”

Section: Implications For Policy Makersmentioning

confidence: 99%

Substitutes or complements? Diagnosis and treatment with non-conventional and conventional medicine

Tavares

2015

Int J Health Policy Manag

View full text Add to dashboard Cite

Background: Portugal has a strong tradition of conventional western healthcare. So it provides a natural case study for the relationship between Complementary/Alternative Medicine (CAM) and Western Medicine (WM). This work aims to test the relationship between CAM and WM users in the diagnosis and treatment stages and to estimate the determinants of CAM choice. Methods: The forth Portuguese National Health Survey is employed to estimate two single probit models and obtain the correlation between the consumption of CAM and WM medicines in the diagnosis and treatment stages. Results: Firstly, both in the diagnosis and the treatment stage, CAM and WM are seen to be complementary choices for individuals. Secondly, self-medication also shows complementarity with the choice of CAM treatment. Thirdly, education has a non-linear relationship with the choice of CAM. Finally, working status, age, smoking and chronic disease are determinant factors in the decision to use CAM. Conclusion:The results of this work are relevant to health policy-makers and for insurance companies. Patients need freedom of choice and, for the sake of safety and efficacy of treatment, WM and CAM healthcare ought to be provided in a joint and integrated health system.

show abstract

“…Ulbricht et al 58 identified more than 80 herbs or herbal products (including plants, fungi, algae, and common constituents) showing clinical interactions with prescription and OTC drugs. Drugs with anticoagulant/antiplatelet activity (e.g.…”

Section: Toxicitymentioning

confidence: 99%

Self-medication with nutritional supplements and herbal over-thecounter products

Eichhorn

Greten

Efferth

2011

Nat. Prod. Bioprospect.

View full text Add to dashboard Cite

Abstract:In recent years, the popularity increased for nutritional supplements and herbal products. Prescription drugs, but not herbal therapies are paid by health insurances. They are sold over-the-counter (OTC) on the patients' own expense. However, there are potential risks of self-medication, e.g. incorrect self-diagnosis, severe adverse reactions, dangerous drug interactions, risk of addiction etc. They are often used by patients at their own discretion without knowledge of and control by their physicians. Certain users are at risk of intoxication. Multiple medications taken by older patients increase the risk for adverse drug reactions, drug-drug interactions, and compliance problems for this age group (polypharmacy). Herbals should be discontinued prior to operations to avoid interactions with anesthetics or anticoagulants. Herbal preparations may also be carcinogenic or interfere with cancer treatments. Pregnant women use various OTC preparations. However, in many cases, it is unclear whether their use is safe for mother or baby. Self-medication with herbals is also largely distributed among anxious and depressive patients, and patients with other conditions and symptoms. The popularity of herbal products has also brought concerns on quality, efficacy and safety. Cases of botanical misidentification, contaminations with heavy metals, pesticides, radioactivity, organic solvents, microbials as well as adulteration with chemical drugs necessitate the establishment of international quality control standards. Hepatotoxic effects have been reported for more than 300 plant species, and some commonly used herbs have been demonstrated to interact with Western medication. Health care professionals have a critical responsibility assessing the self-care ability of their patients. Databases are available for pharmacists with information on action, side effects and toxicities as well as herb-drug interactions. There is a need for established guidelines regarding the correct use of nutritional supplements and herbal OTC preparations (phytovigilance). Physicians, pharmacists, and other health care professionals have to counsel patients and the general public on the benefits and risks associated with herbal drugs. Information centers for consumers and general practitioners are needed, and convincing evidence on safety and efficacy of herbal products has to be demonstrated in placebo-controlled, double blind and randomized clinical trials.

show abstract

Clinical Evidence of Herb-Drug Interactions: A Systematic Review by the Natural Standard Research Collaboration

Abstract: As herbal products (and dietary supplements in general) continue to grow in popularity, patients and health care providers should be vigilant of potential herb-drug interactions.

Cited by 170 publications

References 0 publications

The Influence of Lifestyle on the Efficacy and Safety of Medications in Cardiological Practice: What Shall Physician Be Aware Of?

The Influence of Lifestyle on the Efficacy and Safety of Medications in Cardiological Practice: What Shall Physician Be Aware Of?

Substitutes or complements? Diagnosis and treatment with non-conventional and conventional medicine

Self-medication with nutritional supplements and herbal over-thecounter products

Contact Info

Product

Resources

About