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Field Identification of Matricaria chamomilla using a Portable qPCR System

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Published on: October 10, 2020

Herbal medicines--a cautionary tale.

Sophie Gray¹, Lance M West

¹School of Dentistry, The University of Otago, Dunedin. sophieg@xtra.co.nz

The New Zealand Dental Journal

|July 14, 2012

Summary

This summary is machine-generated.

A patient experienced significant intra-operative bleeding during orthognathic surgery, potentially linked to taking the herbal medicine arnica. This highlights the importance of inquiring about herbal remedies during patient history to prevent surgical complications.

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Area of Science:

Oral and Maxillofacial Surgery
Pharmacology
Herbal Medicine Interactions

Background:

Orthognathic surgery is a complex procedure often requiring careful management of potential complications.
Patient history taking is crucial for identifying risk factors, including medication and supplement use.
Herbal medicines are increasingly used by patients, but their peri-operative effects are not always well-understood.

Observation:

A patient undergoing orthognathic surgery experienced substantial intra-operative hemorrhage (approximately 3.5 liters).
Preoperative laboratory tests were unremarkable, and the patient reported no prescription medication use.
The patient had taken the herbal medicine arnica the day prior to the surgical procedure.

Findings:

Arnica, a commonly used herbal supplement, may be associated with an increased risk of bleeding during surgical procedures.
The literature review indicates that herbal medicines can contribute to unexplained surgical bleeding when other causes are absent.
Clinicians should be aware of potential hemostatic challenges posed by herbal remedies.

Implications:

Inquiring about herbal remedy use should be a standard part of the pre-surgical patient assessment, particularly for dental and maxillofacial procedures.
Enhanced awareness and documentation of herbal medicine consumption can aid in preventing and managing peri-operative bleeding events.
Further research into the specific mechanisms and clinical significance of herbal medicine interactions with surgical hemostasis is warranted.