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Drug Toxicity: Risk factors01:24

Drug Toxicity: Risk factors

Adverse Drug Reactions (ADRs) are potential complications that arise during pharmacotherapy, influenced by multiple risk factors. Age plays a significant role; both neonates and the elderly are at heightened risk due to their respective immature and diminished metabolic and elimination processes. Gender also impacts ADRs, with females experiencing a 1.5 to 1.7-fold greater risk than males, which may be linked to pharmacokinetic, pharmacodynamic, and hormonal differences. Notably, neonates, the...
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In cases of acute poisoning, the primary objective is to prevent further absorption of the toxic substance into the body. Immediate interventions using various decontamination techniques targeting the gastrointestinal (GI) tract can achieve this. Decontamination is crucial to prevent poison from entering the systemic circulation, which involves washing affected areas with water and mild soap and removing contaminated clothing. Once external decontamination is done, attention must be turned to...
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Pharmaceutical poisoning can occur through various channels, impacting an estimated 2 million hospitalized patients in the U.S. annually with serious adverse drug responses. These scenarios encompass both therapeutic uses, such as drug toxicity, where even standard dosages can lead to severe central nervous system depression, and non-therapeutic exposures, including accidental ingestion by children, and environmental and occupational exposures.Unintentional poisonings often involve exploratory...
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A Novel Procedure for Evaluating the Reinforcing Properties of Tastants in Laboratory Rats: Operant Intraoral Self-administration
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Licorice abuse: time to send a warning message.

Hesham R Omar1, Irina Komarova, Mohamed El-Ghonemi

  • 1Internal Medicine Department, Mercy Hospital and Medical Center, 2525 South Michigan Avenue, Chicago, IL 60616, USA.

Therapeutic Advances in Endocrinology and Metabolism
|November 28, 2012
PubMed
Summary

Excessive licorice intake can lead to serious health issues due to its active compound, glycyrrhetic acid. This review warns that licorice

Keywords:
Licoriceglycyrrhizinhyperaldosteronismhypokalemic myopathypseudo-hyperaldosteronism

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Area of Science:

  • Pharmacology and Toxicology
  • Herbal Medicine Research
  • Nutritional Science

Background:

  • Licorice extract is widely used as a sweetener and thirst quencher.
  • Its nutritive value is often overestimated, leading to potential health complications.
  • Glycyrrhetic acid, the active metabolite, has significant physiological effects.

Purpose of the Study:

  • To provide a comprehensive review of licorice.
  • To detail the complications associated with excessive licorice intake.
  • To emphasize the need for regulation and public awareness regarding licorice consumption.

Main Methods:

  • Literature review of scientific evidence on licorice.
  • Analysis of the mechanism of action of glycyrrhetic acid.
  • Examination of reported adverse effects and clinical scenarios.

Main Results:

  • Glycyrrhetic acid inhibits 11-ß-hydroxysteroid dehydrogenase type 2, causing mineralocorticoid effects.
  • Excessive intake can lead to sodium retention and potassium reduction, mimicking aldosterone.
  • Reported complications arise from chronic overconsumption, outweighing minor benefits.

Conclusions:

  • Daily consumption of licorice is not justified due to adverse outcomes.
  • There is a need to investigate herbal remedies used habitually versus scientifically.
  • Increased public awareness and FDA regulation are crucial to prevent licorice toxicity.