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Herbal Supplements: Can They Cause Hypomania?
Sana Elham Kazi1, Rusina Karia1, Luba Leontieva1
1Psychiatry, State University of New York Upstate Medical University, Syracuse, USA.
Patients using multiple herbal supplements may experience adverse psychiatric effects like hypomania. Physicians should inquire about all supplement use, including herbal products, to ensure patient safety and well-being.
Area of Science:
- Psychiatry
- Pharmacology
- Herbal Medicine
Background:
- Herbal medication use is widespread and increasing.
- Physicians often overlook complementary and alternative medicine, including herbal supplements.
- Patients commonly perceive herbal products as universally safe without side effects.
Observation:
- A case report details a 49-year-old man with acute hypomania symptoms.
- Symptoms emerged after two months of daily use of over 25 herbal supplements and cannabis.
- Hypomania was temporally linked to the consumption of multiple herbal supplements, including ginseng.
Findings:
- Herbal medications can possess complex pharmacodynamics and trigger psychiatric symptoms.
- The general population and healthcare providers may underestimate the risks associated with herbal supplements.
- This case highlights a potential link between extensive herbal supplement use and hypomania.
Implications:
- Clinicians should conduct thorough medication histories, including all herbal and alternative products.
- Collateral information from family and herbalists is crucial for psychiatric evaluations.
- Further research is essential to understand the pharmacodynamics, risks, and interactions of herbal supplements.
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