Trend and Pattern of Herb and Supplement Use in the United States: Results from the 2002, 2007, and 2012 National Health Interview Surveys

Wu, Chung Hsuen; Wang, Chi‐Chuan; Tsai, Meng Ting; Huang, Wan Ting; Kennedy, Jae

doi:10.1155/2014/872320

Cited by 66 publications

(56 citation statements)

References 18 publications

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“…Non-vitamin, non-mineral natural product (NVNM) dietary supplements (DS), the most popular complementary medicine modality in the USA, are used by almost 20% of US adults 1. Of these, turmeric ( Curcuma longa L) is one of the top selling DS, with exponentially increasing sales reaching US$69 million in 2016 2.…”

Section: Introductionmentioning

confidence: 99%

Drug-induced autoimmune hepatitis associated with turmeric dietary supplement use

et al. 2018

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Turmeric dietary supplement sales, which accounted for US$69 million in spending in 2016, have been increasing exponentially in the USA, making this one of the most popular botanical supplements sold in the USA. Herbal supplement use, which is generally regarded as safe by consumers, is not usually reported to healthcare providers. We reported here on a case of autoimmune hepatitis, occurring in a 71-year-old woman taking turmeric dietary supplements for the maintenance of cardiovascular health, which resolved rapidly following discontinuation of the turmeric supplements. Of particular note, turmeric use was not documented in the patient's medical records and the potential causative role of the turmeric supplementation was ultimately identified by the patient rather than the healthcare providers. To our knowledge, this is the first documented report of turmeric supplement-induced autoimmune hepatitis.

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Section: Introductionmentioning

confidence: 99%

Drug-induced autoimmune hepatitis associated with turmeric dietary supplement use

et al. 2018

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“…Oral administration of herbals in females may be most common in the population. Such observation is often made in CAM/herbal use prevalence studies [1][2][3]. It is therefore expected that this population is also overrepresented in all included reports.…”

Section: Suspect Herbalsmentioning

confidence: 94%

“…There is an increased prevalence in use of herbal medicines among the adult population in many western countries [1][2][3]. The most recent 2012 US National Health Interview Survey showed that 18% of adults used natural products including herbal medicine during the past 12 months [3].…”

Section: Introductionmentioning

confidence: 99%

“…The most recent 2012 US National Health Interview Survey showed that 18% of adults used natural products including herbal medicine during the past 12 months [3]. The public often considers herbal products as safe since they are natural and is unaware that Complementary and Alternative Medicines (CAM) are not tested by regulatory agencies for their safety and efficacy [4].…”

Section: Introductionmentioning

confidence: 99%

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Allergy-Like Immediate Reactions with Herbal Medicines: A Retrospective Study Using Data from VigiBase®

et al. 2016

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INTRODUCTION Herbal medicines are used worldwide and with an increasing popularity in Western countries. Although often perceived as 'naturally safe', herbals may cause severe adverse drug reactions (ADRs), with immediate allergic reactions being particularly life threatening. OBJECTIVES The aim of this study was to analyse immediate allergy-like ADRs to herbals documented in VigiBase(®), the WHO international pharmacovigilance database. METHODS The documentation of all suspected ADRs in association with herbal exposure reported to VigiBase(®) from 1969 to August 2014 was retrieved. Among all reports in which WHO-ART reaction terms were indicative of acute allergic reactions, those classified as 'suspect' with a documented causality assessment and latency time of 1 day were selected. For the most frequent specific herbal-ADR combinations, the information component (IC) as a measure of disproportionality based on Bayesian statistics was calculated. RESULTS We identified 757 reports out of 1039 ADRs. Products with mixed herbals (36.0 %) as well as those administered orally (63.2 %) were predominant. The most frequent reactions were urticaria and rash (49.2 %). Anaphylactic reactions accounted for 9.5 %. Disproportionally frequent reporting of mouth edema (IC = 1.81) and anaphylactic reactions (IC = 1.24) to Phleum pretense were noted. CONCLUSION Our findings indicate that herbal medicines for oral use carry a risk of causing immediate allergy-like ADRs. Studies using the Vigibase(®) database can identify specific combinations of particular herbs and adverse reactions. Healthcare professionals and patients should be aware of these risks and report any serious adverse experiences. Results:We identified 757 reports with 1,039 ADR. Products with mixed herbals (36.0%) and oral administration (63.2%) were predominant. The most frequent reactions were urticaria and rash (49.2%).Anaphylactic reactions accounted for 9.5%. We found disproportionally frequent reporting of mouth oedema (IC=1.81) and anaphylactic reactions (IC=1.24) with Phleum pratense. Conclusion:Our findings indicate that herbal medicines for oral use carry a risk for allergy-like immediate ADR.Studies using the Vigibase ® database can identify specific combinations of particular herbs and adverse reactions. Health care professionals and patients should be aware of these risks and report any serious adverse experiences.

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“…In 2012, the NHIS reported that 53.6 million Americans utilized herbal remedies and dietary supplements. 1 The sale of botanical dietary supplements was estimated at $11.5 billion in 2012. 2 A population-based survey of 2,982 respondents conducted by Emory University in 2004 indicated that while 20% of the population used medicinal herbs, over 33% admitted to daily use.…”

Section: Introductionmentioning

confidence: 99%

Design and Implementation of an Elective on the Ethnopharmacology of Appalachia for the PharmD Curriculum

Linger

2017

American Journal of Pharmaceutical Education

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Objective. To create and implement a class in ethnopharmacology that would educate student pharmacists on folk medicine, including home remedies and native plants that are used as alternative medicinal sources; active components of medicinal plants including toxicity issues and the mechanism of action of beneficial compounds, such as catechins and other flavonoids; and nutraceuticals and poisonous plants. Methods. In this three-credit hour class, herbal remedies are investigated from the standpoints of medical efficacy, potential toxicities and drug interactions with prescribed medications. Class discussions are conducted on the usefulness of remedies, the attitudes of practitioners toward traditional remedy use and the risks of relying on herbal preparations. Each student prepares a 15-minute presentation on a disease state, which covers modern pharmaceuticals and herbal or folk remedy alternatives used in that disease. Special emphasis is given to drug-herb interactions. Results. The class has gained popularity among students and consistently fills within the first hour of computerized registration. Students agree that being educated in the benefits and potential toxicities of herbal products will better prepare them to counsel their patients who use these remedies. The elective has been offered 10 times since 2007. Anecdotal comments from our alumni indicate that they have found the information to be very useful in their practice environments. Conclusion. Providing our students with a greater understanding of herbal remedies is essential to prepare them for practice. By including both the uses and potential toxicities, the student pharmacist is able to counsel her patients from a standpoint of expertise on these self-administered remedies.

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Trend and Pattern of Herb and Supplement Use in the United States: Results from the 2002, 2007, and 2012 National Health Interview Surveys

Cited by 66 publications

References 18 publications

Drug-induced autoimmune hepatitis associated with turmeric dietary supplement use

Drug-induced autoimmune hepatitis associated with turmeric dietary supplement use

Allergy-Like Immediate Reactions with Herbal Medicines: A Retrospective Study Using Data from VigiBase®

Design and Implementation of an Elective on the Ethnopharmacology of Appalachia for the PharmD Curriculum

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