Herbal creams used for atopic eczema in Birmingham, UK illegally contain potent corticosteroids

Ramsay, Helen M.; Goddard, W; Gill, Steve; Moss, Celia

doi:10.1136/adc.88.12.1056

Cited by 44 publications

(22 citation statements)

References 13 publications

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“…Remember that, occasionally, it is an excipient that causes the adverse drug reaction, not the active drug;57 and that “herbal” remedies sometimes contain undeclared potent drugs 58…”

Section: How Is An Adverse Drug Reaction Diagnosed?mentioning

confidence: 99%

Adverse drug reactions

Ferner

McGettigan

2018

BMJ

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“…Remember that, occasionally, it is an excipient that causes the adverse drug reaction, not the active drug;57 and that “herbal” remedies sometimes contain undeclared potent drugs 58…”

Section: How Is An Adverse Drug Reaction Diagnosed?mentioning

confidence: 99%

Adverse drug reactions

Ferner

McGettigan

2018

BMJ

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“…Adulteration of traditional Asian medicines is well documented [110] and Chinese herbal creams for dermatological conditions have been found to be adulterated with potent topical corticosteroids [111,112], as have topical Dead Sea extracts [113] and oral herbal dermatological preparations [114]. The potential for drug interactions of CAM therapies with allopathic therapies is also problematic -they are documented poorly and little appreciated by consumers.…”

Section: Adverse Effects Of Cam Therapies In Dermatologymentioning

confidence: 97%

Complementary and alternative medicines: use in skin diseases

Magin¹,

Adams²

2007

Expert Review of Dermatology

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There is a plethora of complementary and alternative medicines (CAM) used by sufferers of skin diseases. For the most part, the use of these therapies is based on anecdotal evidence or on traditional patterns of use. Relatively little empirical evidence exists for the use of CAM therapies in skin diseases. Those studies that have examined CAM skin disease therapies have often been flawed methodologically. A small number of CAM therapies have been accepted or are on the cusp of acceptance in dermatological practice. Even here, the evidence for CAM use is often limited or equivocal. Equally, issues of poorly documented adverse effect profiles, quality control of preparations and product adulteration and contamination hamper the integration of CAM therapies into orthodox dermatology practice. Thus, it may be more appropriate to consider 'pluralism' rather than 'integration' in the relationship of CAM and conventional medicine.

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“…Some 'herbal' creams actually contain illegal amounts of steroids, sometimes super-potent steroids that should not be used in young children. Patients and especially parents of small children need to be educated about the safety and efficacy of topical corticosteroids and their use 18 . In the study by Charman et al, 24% of patients refused the use of topical steroids 11 , and in another study by Aubert-Wastiaux et al, 11 years later, 36% of patients refused topical steroid application 19 .…”

Section: Discussionmentioning

confidence: 99%

Importance of Educational Intervention and Parental Knowledge on Atopic Dermatitis in Children

Kotrulja¹

2016

ACC

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SUMMARY -Atopic dermatitis (AD) is a chronic relapsing, inflammatory skin disease. Failure to treat AD successfully can often be directly linked to poor treatment adherence as a result of the lack of information about the disease and basic principles of treatment. Several studies have found that making patients active participants in their care through information and education is a successful treatment strategy in AD. The aim of this study was to evaluate parental knowledge on AD and to stress the importance of therapeutic educational program in long term management and control of the disease. We carried out a short questionnaire-based study among 238 parents of children with AD regarding their knowledge on the etiology and treatment of AD. Our results showed that 21% of the participants reported corticophobia and were concerned about systemic absorption affecting the child's growth and development even after short application. In children with AD who have food hypersensitivity, 14% of parents thought that a small amount of food allergen could be beneficial in achieving tolerability. The role of interdisciplinary educational program is to explain the epidemiology and pathogenesis of AD, as well as concomitant atopy related diseases and to teach parents about the importance of appropriate skin care.

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Herbal creams used for atopic eczema in Birmingham, UK illegally contain potent corticosteroids

Cited by 44 publications

References 13 publications

Adverse drug reactions

Adverse drug reactions

Complementary and alternative medicines: use in skin diseases

Importance of Educational Intervention and Parental Knowledge on Atopic Dermatitis in Children

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