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Herbal and alternative medicine.

L Nelson1, J Perrone

  • 1Medical Toxicology Fellowship, New York City Poison Control Center, USA. nycpcc@hotmail.com

Emergency Medicine Clinics of North America
|January 11, 2000
PubMed
Summary

Many patients use herbal and dietary supplements for common issues, but emergency physicians must be aware of potential toxicities. Vigilance is crucial due to minimal quality control and lack of FDA regulation for these supplements.

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Area of Science:

  • Pharmacology
  • Toxicology
  • Integrative Medicine

Background:

  • Herbal and dietary supplements are widely available and frequently used by patients presenting to emergency departments.
  • Common complaints often lead patients to self-treat with these products, necessitating awareness among healthcare providers.

Purpose of the Study:

  • To inform emergency physicians about commonly used herbal and dietary supplements.
  • To highlight the potential for toxic syndromes and adverse effects associated with these products.
  • To emphasize the importance of vigilance regarding supplement safety due to regulatory gaps.

Main Methods:

  • Review of commonly used herbal and dietary supplements.
  • Analysis of potential toxicities and syndromes associated with these products.
  • Discussion of regulatory status and quality control issues.

Main Results:

  • A significant number of emergency department patients utilize herbal and dietary supplements.
  • Specific products are frequently used for prevalent health complaints.
  • Potential for adverse events and toxic syndromes exists due to product variability and lack of oversight.

Conclusions:

  • Emergency physicians need to be knowledgeable about popular supplements used by patients.
  • Healthcare providers should maintain a high index of suspicion for supplement-induced toxicity.
  • The minimal quality control and absence of FDA regulation underscore the need for caution with all supplements.

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