scholarly journals Dietary supplements and herbal medicine toxicities—when to anticipate them and how to manage them

2009 ◽  
Vol 2 (2) ◽  
pp. 69-76 ◽  
Author(s):  
D. H. Phua ◽  
A. Zosel ◽  
K. Heard
Toxics ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 57
Author(s):  
Peter S. Spencer ◽  
Valerie S. Palmer

Plants and mushrooms bioconcentrate metals/metalloids from soil and water such that high levels of potentially neurotoxic elements can occur in cultivated and wild species used for food. While the health effects of excessive exposure to metals/metalloids with neurotoxic potential are well established, overt neurological disease from prolonged ingestion of contaminated botanicals has not been recognized. However, the presence of metal elements may affect levels of botanical neurotoxins in certain plants and mushrooms that are established causes of acute and chronic neurological disease.


2017 ◽  
Vol 7 (5) ◽  
pp. 646-652
Author(s):  
Sung A Cho ◽  
Hye Rim Kong ◽  
Jae Bum Jo ◽  
Joon Suk Oh ◽  
Hye Mi Lee ◽  
...  

2006 ◽  
Vol 54 (11) ◽  
pp. 1725-1735 ◽  
Author(s):  
Richard L. Nahin ◽  
Annette L. Fitzpatrick ◽  
Jeff D. Williamson ◽  
Gregory L. Burke ◽  
Steven T. DeKosky ◽  
...  

Planta Medica ◽  
2016 ◽  
Vol 82 (14) ◽  
pp. 1225-1235 ◽  
Author(s):  
Iffat Parveen ◽  
Stefan Gafner ◽  
Natascha Techen ◽  
Susan Murch ◽  
Ikhlas Khan

2020 ◽  
pp. 1-22
Author(s):  
Hulya Kamarli Altun ◽  
Merve Seyda Karacil Ermumcu ◽  
Nilgun Seremet Kurklu

Abstract Objective: This study was conducted to evaluate the dietary habits of the dietitians who had a leading role in this regard during the pandemic and their use of dietary supplements, functional food, and herbal medicines. Design: A cross-sectional study. An online questionnaire was used as a data collection tool to identify the participants’ socio-demographic characteristics, health statuses and dietary habits, and their use of dietary supplements, functional foods, and herbal medicines. Setting: Turkey Participants The study population was 550 dietitians. Results: In this study, the participants’ average age was 30.6 ± 9.1 years, and most of them (88.2%) were women. More than half of the participants (88.9%) thought that adequate and balanced nutrition would positively affect the course of COVID-19. To avoid COVID-19, 94.5% of the dietitians used dietary supplements, 46.1% herbal medicines, and 34.9% functional foods during the pandemic. The most commonly used dietary supplement was fish oil (81.9%), functional food was vegetables and fruits (80.5%), and the herbal medicine was cinnamon (63.5%). Women’s consumption of functional foods was approximately twice higher compared to men (95% Cl: 1.048–4.165; p<0.05). The findings showed that the longer the dietitians were in their careers, the more functional foods and herbal medicines they used. Conclusion: During the pandemic, dietitians’ use of foods with protective effects against diseases increased depending on their academic knowledge and experience in nutrition. The findings obtained in this study suggest that an expert’s opinion should be obtained before using dietary supplements and herbal medicines.


Author(s):  
Suphamat Wanitsriphinyo ◽  
Mayuree Tangkiatkumjai

AbstractBackgroundThere is very little evidence relating to the association of herbal medicine with diarrhea and the development of acute kidney injury (AKI). This study reports a case of diarrhea-induced AKI, possibly related to an individual ingesting copious amounts of homemade mixed fruit and herb puree.Case presentationA 45-year-old Thai man with diabetes had diarrhea for 2 days, as a result of taking high amounts of a puree made up of eight mixed fruits and herbs over a 3-day period. He developed dehydration and stage 2 AKI, with a doubling of his serum creatinine. He had been receiving enalapril, as a prescribed medication, over one year. After he stopped taking both the puree and enalapril, and received fluid replacement therapy, within a week his serum creatinine had gradually decreased. The combination of puree, enalapril and AKI may also have induced hyperkalemia in this patient. Furthermore, the patient developed hyperphosphatemia due to his worsening kidney function, exacerbated by regularly taking some dietary supplements containing high levels of phosphate. His serum levels of potassium and phosphate returned to normal within a week, once the patient stopped both the puree and all dietary supplements, and had begun receiving treatment for hyperkalemia.ResultsThe mixed fruit and herb puree taken by this man may have led to his diarrhea due to its effect; particularly if the patient was taking a high concentration of such a drink. Both the puree and enalapril are likely to attenuate the progression of kidney function. The causal relationship between the puree and AKI was probable (5 scores) assessed by the modified Naranjo algorithm. This is the first case report, as far as the authors are aware, relating the drinking of a mixed fruit and herbal puree to diarrhea and AKI in a patient with diabetes.ConclusionsThis case can alert health care providers to the possibility that herbal medicine could induce diarrhea and develop acute kidney injury.


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