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Herbal Remedies: Cause or Cure of Ailments?
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Herb Usual Dose Proposed Benefits Precautions/Side Effects
Comfrey (4,8) No dose is safe. Should not be taken internally. Universal healing properties Liver damage
Echinacea (1,4) 500-1000 mg taken three times daily in capsule form Prevention of cold and flu symptoms Immunosuppression with continuous use (6 to 8 weeks)
Feverfew (8) 50 to 250 mg. dried feverfew leaves daily Prevention of migraine headaches Changes in heartbeat; constipation; diarrhea; dizziness; heartburn; heavier menstrual flow; inflammation of the lips, mouth and tongue; lightheadedness, mouth ulceration; nausea; skin rash, stomach bloating or gas; upset stomach; weight gain
Ginger (8) 1000 mg taken 30 to 60 minutes prior to travel or before surgery Prevention and treatment of nausea and vomiting caused by motion sickness and surgery Minor heartburn; may increase chance of bleeding if taken with anticoagulants.
Ginkgo (1,4) 40 mg Ginkgo biloba extract taken three times daily in capsule form Promotes vasodilation and improved blood flow both in the arteries and capillaries Selective antagonist of platelet aggregation; minor gastrointestinal disturbances; very large doses may cause restlessness, diarrhea, nausea, vomiting.
Saw Palmetto (1,4) 500-1000 mg taken three times daily in capsule form Treatment for benign prostatic hyperplasia (BPH) May have a synergistic effect with hormonal therapy used in BPH
St. John's Wort (Hypericum) (8) 300 mg taken three times daily for 4-6 weeks Treatment of mild to moderate depression May cause skin to be more sensitive to sunlight. Should not be used with MAO inhibitors or SSRIs
Valerian (8) 400-450 mg taken 30 minutes before bedtime Treatment of insomnia May potentiate the effects of alcohol or central nervous system depressants


References:

  1. Vann A. The herbal medicine boom: Understanding what patients are taking. Cleveland Clinic Journal of Medicine. 1998;65:129-134.
  2. Love A. Are herbal remedies safe for kids? www.sesamestreet.com
  3. Federal Register. April 29, 1998;63(82):23628.
  4. Tyler VE. The Honest Herbal, Third Edition. New York: Pharmaceutical Products Press; 1993.
  5. Jones TK, Lawson BM. Profound neonatal congestive heart failure caused by maternal consumption of blue cohosh herbal medication. J Pediatr. 1998;132:550-552.
  6. Mabina MH, Pitsoe SB, Moodley J. The effect of traditional herbal medicines on pregnancy outcome. S Afr Med J. 1997;87:1008-1010.
  7. American Academy of Pediatrics, Committee on Nutrition. Pediatric Nutrition Handbook. Fourth Edition. Elk Grove Village:American Academy of Pediatrics; 1998.
  8. U.S. Pharmacopeia. www.usp.org
  9. Bakerink JA, Gospe SM, Dimand RJ, Eldridge MW. Multiple organ failure after ingestion of pennyroyal oil from herbal tea in two infants. Pediatrics 1996;98:944-947.
  10. Thompson CA. USP moves forward in providing information on botanical products. Am J Health-Syst Pharm. 1998;55:527,530.
  11. Camire ME. Blurring the distinction between dietary supplements and food. Food Technology. 1996;50:160.
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