Yogi Detox Tea: A Potential Cause of Acute Liver Failure

Kesavarapu, Keerthana; Kang, Mitchell; Shin, Jaewook James; Rothstein, Kenneth D.

doi:10.1155/2017/3540756

Cited by 7 publications

(4 citation statements)

References 24 publications

(10 reference statements)

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“…With 11,609 the largest HILI case number was published in 2019 ( Figure 3 ) as a consequence of the ongoing worldwide use of RUCAM for assessing causality in suspected HILI cases ( Table 4 ). In particular, contributing countries were in alphabetical order Australia [ 29 ], Brazil [ 183 ], China [ 48 , 196 , 197 , 198 , 199 , 200 , 201 ], Germany [ 213 , 214 , 215 ], India [ 217 ], Italy [ 222 ], Korea [ 103 ], Spain [ 115 , 117 , 240 , 241 , 242 ], Switzerland [ 244 ], and the US [ 245 , 246 , 247 , 248 , 249 , 250 , 251 , 252 , 253 , 254 ]. Most of the 11,619 HILI cases published in 2019 were from China [ 48 , 196 ] and Korea [ 103 ], with 6971 cases published by Shen et al [ 48 ], 2019 cases reported by Byeon et al [ 103 ], and 1552 cases provided by Chow et al [ 196 ].…”

Section: Worldwide Publications Of Hili Cases Assessed For Causalimentioning

confidence: 99%

Worldwide Use of RUCAM for Causality Assessment in 81,856 Idiosyncratic DILI and 14,029 HILI Cases Published 1993–Mid 2020: A Comprehensive Analysis

Teschke

Danan²

2020

Medicines

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Background: A large number of idiosyncratic drug induced liver injury (iDILI) and herb induced liver injury(HILI) cases of variable quality has been published but some are a matter of concern if the cases were not evaluated for causality using a robust causality assessment method (CAM) such as RUCAM (Roussel Uclaf Causality Assessment Method) as diagnostiinjuryc algorithm. The purpose of this analysis was to evaluate the worldwide use of RUCAM in iDILI and HILI cases. Methods: The PubMed database (1993–30 June 2020) was searched for articles by using the following key terms: Roussel Uclaf Causality Assessment Method; RUCAM; Idiosyncratic drug induced liver injury; iDILI; Herb induced liver injury; HILI. Results: Considering reports published worldwide since 1993, our analysis showed the use of RUCAM for causality assessment in 95,885 cases of liver injury including 81,856 cases of idiosyncratic DILI and 14,029 cases of HILI. Among the top countries providing RUCAM based DILI cases were, in decreasing order, China, the US, Germany, Korea, and Italy, with China, Korea, Germany, India, and the US as the top countries for HILI. Conclusion: Since 1993 RUCAM is certainly the most widely used method to assess causality in IDILI and HILI. This should encourage practitioner, experts, and regulatory agencies to use it in order to reinforce their diagnosis and to take sound decisions.

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Section: Worldwide Publications Of Hili Cases Assessed For Causalimentioning

confidence: 99%

Worldwide Use of RUCAM for Causality Assessment in 81,856 Idiosyncratic DILI and 14,029 HILI Cases Published 1993–Mid 2020: A Comprehensive Analysis

Teschke

Danan²

2020

Medicines

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“…The administration of the three different concoctions neither caused any observable changes in the histology of the liver, kidney and intestine nor in the biochemical parameters of the liver and kidney functions of the treated animals. Analysis of diagnostic serum parameters for liver functions (ALT and AST) and kidney functions (Creatinine) showed that the values were within normal range even at high doses, and whereas toxicities of substances are manifested as liver and kidney irregularities due to the involvement of these organs with metabolism [17,18,19]. In this study, no significant difference was observed in the levels of serum biochemical parameters in the treated animals and likewise no changes were seen on histological examination.…”

Section: Discussionmentioning

confidence: 40%

Acute toxicity test of some concoctions used for the management of malaria in Ado-Ekiti, Nigeria

Omojola Felix Olorunniyi,

Felix Olayemi Fagbomedo,

Esther Dunsin Ajayi

et al. 2023

Int. J. Sci. Res. Arch.

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Practice of complementary and alternative medicines continue to gain popularity in the recent times. These medicines are products of plants prepared by local herb sellers. Many herb sellers can be sighted on the street of many towns in Ekiti State, Nigeria selling their products to community people. The medicines are either prepared as powder or concoctions. Concoctions that are used to manage malaria were randomly purchased from three herb sellers in Ado-Ekiti metropolis, Ekiti State. These were subjected to acute toxicity test in Wister strain albino rats of either sex in order to determine their biosafety. Water was administered to the test animals in lieu of concoction for the control group. No mortality was recorded 24 hours post-administration of the concoctions to the test animals. The biochemical parameters examined in the test animals were alanine amino transferase, aspartate amino transferase and creatinine, all these parameters showed no significant difference (P>0.05) from the control group. The photomicrographs of the cellular structures of the visceral organs of the test animals also showed no morphological alterations. The acute intake of the concoctions did not cause any noticeable adverse effects on the biochemical and histological composition of the test animals. The concoctions appeared not to cause any potential harm to the animals and could be considered safe pharmacologically.

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“…Finally, laboratory testing indicated liver injury, which represents another potential cause of hyponatremia. Although this mechanism is unlikely in this case, it is a worthy consideration given that complementary and alternative medicine products have previously been associated with acute liver failure [5,6].…”

Section: Discussionmentioning

confidence: 88%

“…Consequently, their effectiveness and adverse effects are understudied, despite plausibly having the potential to detrimentally affect health outcomes. Previous reports suggest that complementary and alternative medicine products may cause acute liver failure [5,6].…”

Section: Introductionmentioning

confidence: 99%

Acute Severe Hyponatremia Following Use of “Detox Tea”

Gillett¹,

Shivakumar²,

James³

et al. 2021

Cureus

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A previously healthy 51-year-old woman presented to the ED with a one-week history of malaise, myalgia, unsteadiness, and an intermittent mild headache. Physical examination revealed neurological signs including a broad-based gait and bilateral low amplitude tremor. Laboratory testing of electrolytes revealed acute severe hyponatremia (115 mmol/L). Further, history-taking revealed increased urinary frequency following regular consumption of an over-the-counter detoxification tea product. The patient made a good recovery following admission to the intensive care unit. We identify similar cases in the literature and explore potential causal mechanisms. This case highlights the importance of enquiring about the use of supplementary health products when taking a history, and specifically identifies a growing number of reports of acute severe hyponatremia following the use of "detox teas".

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Yogi Detox Tea: A Potential Cause of Acute Liver Failure

Cited by 7 publications

References 24 publications

Worldwide Use of RUCAM for Causality Assessment in 81,856 Idiosyncratic DILI and 14,029 HILI Cases Published 1993–Mid 2020: A Comprehensive Analysis

Worldwide Use of RUCAM for Causality Assessment in 81,856 Idiosyncratic DILI and 14,029 HILI Cases Published 1993–Mid 2020: A Comprehensive Analysis

Acute toxicity test of some concoctions used for the management of malaria in Ado-Ekiti, Nigeria

Acute Severe Hyponatremia Following Use of “Detox Tea”

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