Guest guest Posted December 8, 2004 Report Share Posted December 8, 2004 They are categorizing herbs as " likely hazardous " and " very likely hazardous " , what exactly does " likely " mean in the face of the fact that our current medical system is the third leading cause of DEATH when taken correctly?? And it is interesting to note, this article written by a Naturopath, from a very allopathic way of thinking school, is still making a case for herbs to be regulated... Buyer be warned- self vested interests are going to show their head on both sides of this issue... Other comments? Misty L. Trepke http://www..com The Truth about " Dangerous " Vitamins and Herbs 6/24/04 - A Healthnotes Newswire Opinion Ignoring the long history of successful traditional supplement use and the numerous health problems consumers risk every day from over- the-counter (OTC) drugs, Consumer Reports recently published an article criticizing the lack of nutritional and herbal supplement regulation (2004;69:12–7). Making several false or misleading claims, the authors single out 12 " dangerous " supplements, referring to them as the " dirty dozen, " and calling for the US Food and Drug Administration (FDA) to ban them; however, their recommendations are based on theoretical dangers or on reported reactions given without contextual details that would clarify whether the supplement alone was to blame. Weighing the relatively rare occurrences of toxicity against potential benefits, banning these herbs is an inappropriate conclusion. While it is important to educate and warn consumers about possible hazards of supplement use, it is equally important to recognize their unique medicinal qualities and their relative safety in comparison with the medications that they might replace. The bigger picture In order to put the authors' concerns into perspective, it is important to note the widespread adverse reactions to OTC medicines. Aspirin, one of the most widely used OTC medications in the world, can cause serious damage to the stomach lining even when taken in recommended amounts. Aspirin use is responsible for thousands of serious gastrointestinal emergencies and hundreds of deaths each year. Acetaminophen (the active ingredient in Tylenol® and some other OTC medications) is another popular pain reliever. Its use is linked to hundreds of reports of toxic effects on the liver and kidneys each year. Drugs called H2 blockers, used to treat heartburn and gastroesophageal reflux, have recently become available without a prescription and are among the most widely used medications in the United States. H2 blockers have well-known risks including kidney and liver damage. The risk of toxic effects from these and many other OTC medications is higher in people who have chronic diseases, in people using certain other medications, and in the elderly and children. With all of this in mind, the FDA deems these and many other medicines with potential hazards to be generally safe for people to obtain without supervision. The Consumer Reports article also criticizes what they call " the `natural' mystique " of supplements, in which consumers assume that a substance derived from natural sources is always healthful and safe. However, such mistaken assumptions would be better addressed by educating the public rather than restricting their access to potentially helpful herbs and supplements. As those familiar with supplements are well aware, the active components in herbs and nutritional supplements can have good or bad effects, depending on the substance and the way it is used. Fortunately, many resources are already available to help consumers get informed. Tools such as Healthnotes Safetychecker (appearing in some products as " Using Medicines with Vitamins consumers can check before they mix medicines, supplements, and even foods. It should also be remembered that most of the medicines used in Western clinical practice have their origins in herbal medicine. For nearly a century, components of medicinal herbs have been isolated and concentrated, or used as models for chemicals made in labs to make pharmacological agents that are more powerful and faster acting than the whole herbs from which they came. These chemicals also have higher toxicity than their herbs of origin. Nonetheless, some medicinal herbs can be toxic, especially when taken in excess, or, as with chemical medicines, in people with a disease, people taking medications, and the very old or very young. What about the benefits? Aristolochic acid, one of the substances mentioned by Consumer Reports, is a component of a family of herbs used in traditional Chinese medicine. Each of these herbs has been used historically in the treatment of specific conditions. Some of the more commonly used herbs containing aristolochic acid have indications such as inflamed joints, rashes, bladder infections, and respiratory ailments. Problems with this compound came to light when weight-loss clinics in Belgium, mistakenly employing extraordinarily high amounts of an herb rich in aristolochic acid in conjunction with other potentially hazardous medications, reported multiple cases of kidney failure and death. Consumers should note that other reports of problems with these herbs are extremely rare and have never come from the United States. Despite this, as Consumer Reports states, the FDA issued a warning about using herbs containing aristolochic acid in 2001. The rest of the supplements in the " Twelve supplements you should avoid " section of the Consumer Reports article, were categorized as " very likely hazardous " or " likely hazardous " based on " adverse event–reports or theoretical risks. " Sources and the extent of the adverse events were not included in the article, so it is impossible to weigh the potential benefits against the risks. The following lists the benefits of using some of these supplements: Comfrey (Symphytum officinalis), chaparral (Larrea tridentata), and kava kava (Piper methysticum) are other examples of herbs that have been reported to cause toxic effects in individuals who have either liver or kidney disease, are taking other medications with potential toxicity, or are taking excessive amounts. Comfrey is usually used externally to promote wound healing and relieve skin irritations. It is especially useful internally to treat gastric ulcers. Chaparral is also used externally for wounds and inflammation. Its other traditional uses include the treatment of parasites, arthritis, bronchitis, and fever. Kava kava has a relaxing effect and is used for anxiety, insomnia, and muscle cramps. Although Consumer Reports classifies these herbs as " very likely hazardous, " the real likelihood of danger from using these herbs properly is very small. The vast majority of people using these herbs do not experience any negative side effects, particularly those who are not suffering from preexisting health conditions or mixing them with medications, as described above. The essential oils of bitter orange (Citrus aurantium) and pennyroyal (Hedeoma pulegioides or Mentha pulegium) have more widely toxic effects. Extracts from these whole plants are generally safe in small amounts for short periods of time, although ideally they should be taken with the guidance of a healthcare professional trained in the use of medicinal herbs. A small amount of an extract of bitter orange has a numbing effect and is sometimes added to herbal sore-throat formulas. Pennyroyal has been used to treat digestive problems and to bring on menstrual flow. These two herbs should not be used by pregnant or nursing women, and their pure oils should only be used topically. Lobelia (Lobelia inflata) and yohimbine (Pausinystalia johimbe) are herbs that have recognized efficacy and relatively good safety records. Their possible side effects are also well known. A component of lobelia is used in a medication used to help people quit smoking, and yohimbine is the active ingredient in a number of medications used to treat male impotence. Rare cases of liver failure have been reported in people using scullcap (Scutellaria laterifola), an herb often used in herbal formulas for insomnia. All of these incidents have been linked to contamination of the product with germander (Teucrium chamaedrys), an herb known to cause liver damage. There is no evidence that scullcap is likely to be dangerous, as is claimed by Consumer Reports. What's needed is an attitude adjustment—and better information As the Consumer Reports article shows, supplement manufacturers are legally prevented from making claims—positive or negative—about their products. Growing interest in natural medicine and increasing recognition of alternative and integrative therapies has already prompted the FDA to take a closer look at labeling laws. This will doubtless address safety issues, and one can only hope it may also allow manufacturers to more easily share information about the vast amount of well-studied, scientifically demonstrated benefits of many herbs and nutritional supplements with consumers. Easy access and unsupervised use of virtually all OTC medicines— herbal, nutritional, and chemical—has inherent dangers, but also richly benefits society. Consumer Reports has both overstated the issues and overreacted by concluding that the only response to potential supplement dangers should be to make them unavailable for responsible use. Rather than banning these herbs, it would be more prudent to call for the formation of a regulatory body to ensure that OTC herbal supplements come with instructions for safe use and warnings regarding known and potential dangers. —Maureen Williams, N.D. Maureen Williams, N.D., received her bachelor's degree from the University of Pennsylvania and her Doctorate of Naturopathic Medicine from Bastyr University in Seattle, WA. She has a private practice in Quechee, VT, and does extensive work with traditional herbal medicine in Guatemala and Honduras. Dr. Williams is a regular contributor to Healthnotes Newswire. Lilian " Humankind has not woven the web of life. We are but one thread within it. Whatever we do to the web we do to ourselves. All things are bound together. All things connect. " -Chief Seattle Quote Link to comment Share on other sites More sharing options...
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