Herbal Medicinals: Selected Clinical Considerations Focusing on Known or Potential Drug-Herb Interactions
Abstract
Herbal medicinals are being used by an increasing number of patients who typically do not advise their clinicians of concomitant use. Known or potential drug-herb interactions exist and should be screened for. If used beyond 8 weeks, Echinacea could cause hepatotoxicity and therefore should not be used with other known hepatoxic drugs, such as anabolic steroids, amiodarone, methotrexate, and ketoconazole. However, Echinacea lacks the 1,2 saturated necrine ring associated with hepatoxicity of pyrrolizidine alkaloids. Nonsteroidal anti-inflammatory drugs may negate the usefulness of feverfew in the treatment of migraine headaches. Feverfew, garlic, Ginkgo, ginger, and ginseng may alter bleeding time and should not be used concomitantly with warfarin sodium. Additionally, ginseng may cause headache, tremulousness, and manic episodes in patients treated with phenelzine sulfate. Ginseng should also not be used with estrogens or corticosteroids because of possible additive effects. Since the mechanism of action of St John wort is uncertain, concomitant use with monoamine oxidase inhibitors and selective serotonin reuptake inhibitors is ill advised. Valerian should not be used concomitantly with barbiturates because excessive sedation may occur. Kyushin, licorice, plantain, uzara root, hawthorn, and ginseng may interfere with either digoxin pharmacodynamically or with digoxin monitoring. Evening primrose oil and borage should not be used with anticonvulsants because they may lower the seizure threshold. Shankapulshpi, an Ayurvedic preparation, may decrease phenytoin levels as well as diminish drug efficacy. Kava when used with alprazolam has resulted in coma. Immunostimulants (eg, Echinacea and zinc) should not be given with immunosuppressants (eg, corticosteroids and cyclosporine). Tannic acids present in some herbs (eg, St John wort and saw palmetto) may inhibit the absorption of iron. Kelp as a source of iodine may interfere with thyroid replacement therapies. Licorice can offset the pharmacological effect of spironolactone. Numerous herbs (eg, karela and ginseng) may affect blood glucose levels and should not be used in patients with diabetes mellitus.
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Ginkgo was declared safe for use in Alzheimer's disease patients.
“Hence, Gingko was declared safe for use in AD patients [104 , 105] .”
From Phytotherapy: A promising approach for the treatment of Alzheimer's disease (2022) · cites this paper as [105]
Cites
Unconventional medicine in the United States-Prevalence, costs, and patterns of use
Eisenberg, D. M., Kessler, R. C., Foster, C., Norlock, F. E., Calkins, D. R., & Delbanco, T. L. (1993) · New England Journal of Medicine · doi:10.1056/nejm199301283280406 · Cited by 4,177 · see citing works
Martindale. The Extra Pharmacopoeia.
(1983) · Annals of Internal Medicine · doi:10.7326/0003-4819-98-5-687_2 · Cited by 1,113 · see citing works
St John's wort for depression—an overview and meta-analysis of randomised clinical trials
Linde, K., Ramı́rez, G., Mulrow, C. D., Pauls, A., Weidenhammer, W., & Melchart, D. (1996) · BMJ · doi:10.1136/bmj.313.7052.253 · Cited by 989 · see citing works
A Placebo-Controlled, Double-blind, Randomized Trial of an Extract of Ginkgo Biloba for Dementia
Le Bars, P. L. (1997) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.1997.03550160047037 · Cited by 966 · see citing works
Stewart, P., Valentino, R., Wallace, A. M., Burt, D., Shackleton, C., & Edwards, C. R. W. (1987) · The Lancet · doi:10.1016/s0140-6736(87)91014-2 · Cited by 798 · see citing works
Sotaniemi, E. A., Haapakoski, E., & Rautio, A. (1995) · Diabetes Care · doi:10.2337/diacare.18.10.1373 · Cited by 372 · see citing works
Are reactive oxygen species involved in Alzheimer's disease?
Benzi, G. (1995) · Neurobiology of Aging · doi:10.1016/0197-4580(95)00066-n · Cited by 365 · see citing works
Ginger treatment of hyperemesis gravidarum
Fischer-Rasmussen, W., Kjær, S. K., Dahl, C., & Asping, U. (1991) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/0028-2243(91)90202-v · Cited by 358 · see citing works
Spontaneous bilateral subdural hematomas associated with chronic Ginkgo biloba ingestion
Rowin, J., & Lewis, S. L. (1996) · Neurology · doi:10.1212/wnl.46.6.1775 · Cited by 349 · see citing works
Spontaneous Hyphema Associated with Ingestion of<i>Ginkgo biloba</i>Extract
Rosenblatt, M., & Mindel, J. (1997) · New England Journal of Medicine · doi:10.1056/nejm199704103361518 · Cited by 341 · see citing works
A meta-analysis of the effect of garlic on blood pressure
Silagy, C., & Neil, H. A. W. (1994) · Journal of Hypertension · doi:10.1097/00004872-199404000-00017 · Cited by 340 · see citing works
Probable interaction between warfarin and ginseng
Janetzky, K., & Morreale, A. P. (1997) · American Journal of Health-System Pharmacy · doi:10.1093/ajhp/54.6.692 · Cited by 329 · see citing works
Licorice-Induced Hypermineralocorticoidism
Farese, R. V., Biglieri, E. G., Shackleton, C. H. L., Irony, I., & Gomez-Fontes, R. (1991) · New England Journal of Medicine · doi:10.1056/nejm199110243251706 · Cited by 293 · see citing works
Efficacy of feverfew as prophylactic treatment of migraine.
Johnson, E. S., Kadam, N., Hylands, D. M., et al. (1985) · BMJ · doi:10.1136/bmj.291.6495.569 · Cited by 273 · see citing works
Ginseng abuse syndrome. Problems with the panacea
Siegel, R. (1979) · JAMA · doi:10.1001/jama.241.15.1614 · Cited by 269 · see citing works
Coma from the Health Food Store: Interaction between Kava and Alprazolam
Almeida, J. C., & Grimsley, E. W. (1996) · Annals of Internal Medicine · doi:10.7326/0003-4819-125-11-199612010-00023 · Cited by 262 · see citing works
See, D. M., Broumand, N., Sahl, L., et al. (1997) · Immunopharmacology · doi:10.1016/s0162-3109(96)00125-7 · Cited by 259 · see citing works
Subarachnoid haemorrhage associated with Ginkgo biloba
Vale, S. (1998) · The Lancet · doi:10.1016/s0140-6736(05)79516-7 · Cited by 239 · see citing works
Rose, K. D., Croissant, P. D., Parliament, C. F., & Levin, M. B. (1990) · Neurosurgery · doi:10.1097/00006123-199005000-00026 · Cited by 236 · see citing works
Aqueous extract of valerian root (Valeriana officinalis L.) improves sleep quality in man
Leathwood, P. D., Chauffard, F., Heck, E., & Munoz-Box, R. (1982) · Pharmacology Biochemistry and Behavior · doi:10.1016/0091-3057(82)90264-7 · Cited by 229 · see citing works
Improvement in glucose tolerance due to Momordica charantia (karela).
Leatherdale, B. A., Panesar, R. K., Singh, G., Atkins, T. W., Bailey, C. J., & Bignell, A. H. C. (1981) · BMJ · doi:10.1136/bmj.282.6279.1823 · Cited by 225 · see citing works
Stimpel, M., Proksch, A., Wagner, H., & Lohmann-Matthes, M. L. (1984) · Infection and Immunity · doi:10.1128/iai.46.3.845-849.1984 · Cited by 223 · see citing works
Zinc Gluconate Lozenges for Treating the Common Cold
Mossad, S. B., Macknin, M. L., Mendendorp, S. V., & Mason, P. (1996) · Annals of Internal Medicine · doi:10.7326/0003-4819-125-2-199607150-00001 · Cited by 223 · see citing works
MOTION SICKNESS, GINGER, AND PSYCHOPHYSICS
(1982) · doi:10.1016/s0140-6736(82)92205-x · Cited by 214 · see citing works
Sastre, J., Millan, A., de la Asunción, J. G., Plá, R. C. I., Juan, G., Pallardó, F. V., O’Connor, E., Martín, J. A., Droy‐Lefaix, M., & Viña, J. (1998) · Free Radical Biology and Medicine · doi:10.1016/s0891-5849(97)00228-1 · Cited by 206 · see citing works
Bone, M., Wilkinson, D., Young, J. R., McNeil, J., & Charlton, S. (1990) · Anaesthesia · doi:10.1111/j.1365-2044.1990.tb14395.x · Cited by 193 · see citing works
Utsunomiya, T., Kobayashi, M., Pollard, R. B., et al. (1997) · Antimicrobial Agents and Chemotherapy · doi:10.1128/aac.41.3.551 · Cited by 190 · see citing works
Effect of garlic on human platelet aggregation in vitro arun bordia
Bordia, A. (1978) · Atherosclerosis · doi:10.1016/0021-9150(78)90129-6 · Cited by 184 · see citing works
Ginger Root Against Seasickness: A Conctrolled Trial on the Open Sea
Grøntved, A., Brask, T., Kambskard, J., et al. (1988) · Acta Oto-Laryngologica · doi:10.3109/00016488809119444 · Cited by 174 · see citing works
Kleijnen, J., Knipschild, P. G., & ter Riet, G. (1989) · British Journal of Clinical Pharmacology · doi:10.1111/j.1365-2125.1989.tb03539.x · Cited by 168 · see citing works
Effect of valerian on human sleep
Balderer, G., & Borb�ly, A. A. (1985) · Psychopharmacology · doi:10.1007/bf00432503 · Cited by 163 · see citing works
Immunologically active polysaccharides of Echinacea purpurea cell cultures
Wagner, H., Stuppner, H., Schäfer, W., et al. (1988) · Phytochemistry · doi:10.1016/0031-9422(88)80601-0 · Cited by 161 · see citing works
JUSSOFIE, A., Schmiz, A., & Hiemke, C. (1994) · Psychopharmacology · doi:10.1007/bf02247480 · Cited by 157 · see citing works
Elevated serum digoxin levels in a patient taking digoxin and Siberian ginseng.
McRae, S. J. (1996) · PubMed · Cited by 153 · see citing works
Licorice-Induced Hypertension and Syndromes of Apparent Mineralocorticoid Excess
Walker, B. R., & Edwards, C. R. W. (1994) · Endocrinology and Metabolism Clinics of North America · doi:10.1016/s0889-8529(18)30102-6 · Cited by 153 · see citing works
Sultan, C., Terraza, A., Devillier, C., et al. (1984) · Journal of Steroid Biochemistry · doi:10.1016/0022-4731(84)90264-4 · Cited by 143 · see citing works
Beneficial Effect of Chromium Supplementation on Serum Triglyceride Levels in NIDDM
Lee, N. A., & Reasner, C. A. (1994) · Diabetes Care · doi:10.2337/diacare.17.12.1449 · Cited by 141 · see citing works
Aqueous Extract of Valerian Reduces Latency to Fall Asleep in Man
Leathwood, P. D., & Chauffard, F. (1985) · Planta Medica · doi:10.1055/s-2007-969430 · Cited by 140 · see citing works
Yokozawa, T., Kobayashi, T., Oura, H., et al. (1985) · Chemical and Pharmaceutical Bulletin · doi:10.1248/cpb.33.869 · Cited by 129 · see citing works
A double‐blind trial of an extract of the plant Serenoa repens in benign prostatic hyperplasia.
Champault, G., Patel, J., & Am, B. (1984) · British Journal of Clinical Pharmacology · doi:10.1111/j.1365-2125.1984.tb02491.x · Cited by 129 · see citing works
Immunomodulatory effects of Panax Ginseng C.A. Meyer in the mouse
Jie, Y. H., Cammisuli, S., & Baggiolini, M. (1984) · Inflammation Research · doi:10.1007/bf01972376 · Cited by 126 · see citing works
Antiplatelet Components inPanex ginseng
Kuo, S., Teng, C., Lee, J., et al. (1990) · Planta Medica · doi:10.1055/s-2006-960916 · Cited by 126 · see citing works
The chemistry, pharmacology, and commercial formulations of chamomile
Mann, C., & Staba, E. J. (1986) · Cited by 120 · see citing works
Ginseng face cream and unexplained vaginal bleeding
Hopkins, M. P., Androff, L., & Benninghoff, A. S. (1988) · American Journal of Obstetrics and Gynecology · doi:10.1016/0002-9378(88)90426-7 · Cited by 111 · see citing works
St John's wort as an antidepressant
Smet, P. A. G. M. D., & Nolen, W. A. (1996) · BMJ · doi:10.1136/bmj.313.7052.241 · Cited by 111 · see citing works
Inhibition of MAO by Fractions and Constituents of Hypericum Extract
Bladt, S., & Wagner, H. (1994) · Journal of Geriatric Psychiatry and Neurology · doi:10.1177/089198879400700115 · Cited by 111 · see citing works
Kava Pyrones and Resin: Studies on GABAA, GABAB and Benzodiazepine Binding Sites in Rodent Brain
Davies, L. P., Drew, C. A., Duffield, P., Johnston, G. A. R., & Jamieson, D. (1992) · Pharmacology & Toxicology · doi:10.1111/j.1600-0773.1992.tb00530.x · Cited by 110 · see citing works
Immunomodulatory Activity ofPanax ginsengExtract
Singh, V. K., Agarwal, S., & Gupta, B. (1984) · Planta Medica · doi:10.1055/s-2007-969773 · Cited by 109 · see citing works
INTERACTION BETWEEN CURRY INGREDIENT (KARELA) AND DRUG (CHLORPROPAMIDE)
Aslam, M., & Stockley, I. H. (1979) · The Lancet · doi:10.1016/s0140-6736(79)91028-6 · Cited by 105 · see citing works
Heptinstall, S., Awang, D. V. C., Dawson, B. A., et al. (1992) · Journal of Pharmacy and Pharmacology · doi:10.1111/j.2042-7158.1992.tb03631.x · Cited by 104 · see citing works
Backon, J. (1986) · Medical Hypotheses · doi:10.1016/0306-9877(86)90043-5 · Cited by 104 · see citing works
Extracts of feverfew may inhibit platelet behaviour via neutralization of sulphydryl groups
Heptinstall, S., Groenewegen, W. A., Spangenberg, P., et al. (1987) · Journal of Pharmacy and Pharmacology · doi:10.1111/j.2042-7158.1987.tb03420.x · Cited by 104 · see citing works
Groenewegen, W. A., & Heptinstall, S. (1990) · Journal of Pharmacy and Pharmacology · doi:10.1111/j.2042-7158.1990.tb07057.x · Cited by 104 · see citing works
Inhibition by zinc of rhinovirus protein cleavage: interaction of zinc with capsid polypeptides
Korant, B. D., & Butterworth, B. E. (1976) · Journal of Virology · doi:10.1128/jvi.18.1.298-306.1976 · Cited by 102 · see citing works
Evaluation of Commercial Ginseng Products
Liberti, L. E., & Marderosian, A. D. (1978) · Journal of Pharmaceutical Sciences · doi:10.1002/jps.2600671050 · Cited by 100 · see citing works
McGuffin, M., Hobbs, C., Upton, R., et al. (1997) · Cited by 100 · see citing works
Tobacco Chewer's Hypokalemia: Licorice Revisited
Blachley, J. D., & Knöchel, J. P. (1980) · New England Journal of Medicine · doi:10.1056/nejm198004033021405 · Cited by 97 · see citing works
Greenspan, E. M. (1983) · JAMA · doi:10.1001/jama.1983.03330390026012 · Cited by 94 · see citing works
Isolation and hypoglycemic activity of Panaxans Q, R, S, T AND U, glycans of Panax ginseng roots
Konno, C., Miki, M., Oshima, Y., et al. (1985) · Journal of Ethnopharmacology · doi:10.1016/0378-8741(85)90030-3 · Cited by 93 · see citing works
Arenz, A., Klein, M., Fiehe, K., et al. (1996) · Planta Medica · doi:10.1055/s-2006-957967 · Cited by 92 · see citing works
Inhibition of 5-lipoxygenase and cyclo-oxygenase in leukocytes by feverfew
Sumner, H., Salan, Ü., KNIGHT, D. W., & Hoult, J. R. S. (1992) · Biochemical Pharmacology · doi:10.1016/0006-2952(92)90308-6 · Cited by 89 · see citing works
Garlic as a natural agent for the treatment of hypertension: a preliminary report.
FOUSHEE, D. B., Ruffin, J., & Banerjee, U. C. (1982) · PubMed · Cited by 89 · see citing works
Palmer, B. V., Montgomery, A. C., & Monteiro, J. C. (1978) · BMJ · doi:10.1136/bmj.1.6122.1284 · Cited by 84 · see citing works
Pharmaceutical Quality of Hypericum Extracts
Wagner, H., & Bladt, S. (1994) · Journal of Geriatric Psychiatry and Neurology · doi:10.1177/089198879400700118 · Cited by 81 · see citing works
Central hypertensinogenic effects of glycyrrhizic acid and carbenoxolone
Gómez-Sánchez, E. P., & Gómez-Sánchez, C. E. (2006) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.2006.263.6.e1125 · Cited by 80 · see citing works
Adverse reactions and interactions with herbal medicines. Part 1. Adverse reactions.
D’Arcy, P. F. (1991) · PubMed · Cited by 80 · see citing works
Dandekar, U. P., Chandra, R. S., Dalvi, S. S., Joshi, M. V., Gokhale, P. C., Sharma, A., Shah, P. U., & Kshirsagar, N. A. (1992) · Journal of Ethnopharmacology · doi:10.1016/0378-8741(92)90026-n · Cited by 76 · see citing works
In vitro activity of zinc salts against human rhinoviruses
Geist, F. C., Bateman, J. A., & Hayden, F. G. (1987) · Antimicrobial Agents and Chemotherapy · doi:10.1128/aac.31.4.622 · Cited by 74 · see citing works
Vertigo-Reducing Effect of Ginger Root
Grøntved, A., & Hentzer, E. (2010) · ORL · doi:10.1159/000275883 · Cited by 73 · see citing works
POSITIVE INTERACTION OF ETHANOL AND KAVA RESIN IN MICE
Jamieson, D., & Duffield, P. H. (1990) · Clinical and Experimental Pharmacology and Physiology · doi:10.1111/j.1440-1681.1990.tb01350.x · Cited by 73 · see citing works
Licorice-induced pseudoaldosteronism
Wash, L. K., & Bernard, J. (1975) · American Journal of Health-System Pharmacy · doi:10.1093/ajhp/32.1.73 · Cited by 71 · see citing works
Parnham, M. J. (1996) · Phytomedicine · doi:10.1016/s0944-7113(96)80020-1 · Cited by 71 · see citing works
Anaphylactic reaction to chamomile tea
Benner, M. H., & Lee, H. J. (1973) · Journal of Allergy and Clinical Immunology · doi:10.1016/0091-6749(73)90050-x · Cited by 71 · see citing works
Anti-inflammatory activity of a polysaccharidic fraction of Echinacea angustifolia
Tubaro, A., Tragni, E., Negro, P. D., et al. (1987) · Journal of Pharmacy and Pharmacology · doi:10.1111/j.2042-7158.1987.tb03182.x · Cited by 70 · see citing works
Lo, A. C. T., Chan, K., Yeung, J. H. K., et al. (1992) · European Journal of Drug Metabolism and Pharmacokinetics · doi:10.1007/bf03190157 · Cited by 70 · see citing works
Chromium, glucose tolerance, and diabetes
Anderson, R. A. (1992) · Biological Trace Element Research · doi:10.1007/bf02784583 · Cited by 70 · see citing works
Kava-induced dermopathy: a niacin deficiency?
Ruze, P. (1990) · The Lancet · doi:10.1016/0140-6736(90)91458-m · Cited by 70 · see citing works
Ginseng as a cause for Stevens-Johnson syndrome?
Dega, H., Laporte, J.-L., Francès, C., Herson, S., & Chosidow, O. (1996) · The Lancet · doi:10.1016/s0140-6736(96)91001-6 · Cited by 68 · see citing works
The Ginsenosides of Various Ginseng Plants and Selected Products
Lui, J. H. C., & Staba, E. J. (1980) · Journal of Natural Products · doi:10.1021/np50009a004 · Cited by 67 · see citing works
Induction of interferon-γ in human leukocyte cultures stimulated by Zn2+
Salas, M., & Kirchner, H. (1987) · Clinical Immunology and Immunopathology · doi:10.1016/0090-1229(87)90120-6 · Cited by 66 · see citing works
Gossypol in female fertility control: Ovum implantation and early pregnancy inhibited in rats
Lin, Y. C., Fukaya, T., Rikihisa, Y., et al. (1985) · Life Sciences · doi:10.1016/0024-3205(85)90623-x · Cited by 66 · see citing works
EXTRACT OF FEVERFEW INHIBITS PROSTAGLANDIN BIOSYNTHESIS
COLLIER, H. O. J., BUTT, N. M., McDonald-Gibson, W. J., et al. (1980) · The Lancet · doi:10.1016/s0140-6736(80)92084-x · Cited by 64 · see citing works
Mutagen and anti-mutagen in ginger, Zingiber officinale
Nakamura, H., & Yamamoto, T. (1982) · Mutation Research Letters · doi:10.1016/0165-7992(82)90016-1 · Cited by 62 · see citing works
Partial Structure of Panaxan A, A Hypoglycaemic Glycan ofPanax ginsengRoots1
TOMODA, M., Shimada, K., Konno, C., et al. (1984) · Planta Medica · doi:10.1055/s-2007-969758 · Cited by 61 · see citing works
Effects of chronic administration of garlic (Allium sativum Linn) on testicular function.
Dixit, V. P., & Joshi, S. (1982) · PubMed · Cited by 58 · see citing works
ALLERGIC CONTACT DERMATITIS TO GARLIC
Bleumink, E., Doeglas, H. M. G., Klokke, A. H., et al. (1972) · British Journal of Dermatology · doi:10.1111/j.1365-2133.1972.tb05089.x · Cited by 58 · see citing works
Iodine-induced hyperthyroidism in a patient with a normal thyroid gland
Shilo, S., & Hirsch, H. J. (1986) · Postgraduate Medical Journal · doi:10.1136/pgmj.62.729.661 · Cited by 55 · see citing works
Antiviral Activity of Aloe Extracts against Cytomegalovirus
Saoo, K., Miki, H., Ohmori, M., & Winters, W. D. (1996) · Phytotherapy Research · doi:10.1002/(sici)1099-1573(199606)10:4 · Cited by 53 · see citing works
Body-sodium and Blood Volume in a Patient with Licorice-induced Hypertension
Beretta-Piccoli, C., Salvad, G., Pl, C., & Weidmann, P. U. (1985) · Journal of Hypertension · doi:10.1097/00004872-198502000-00004 · Cited by 51 · see citing works
Inhibition of the “Mineralocorticoid” Activity of Licorice by Spironolactone
Salassa, R. M., Mattox, V. R., & Rosevear, J. W. (1962) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem-22-11-1156 · Cited by 48 · see citing works
NCDEU update. Natural product formulations available in europe for psychotropic indications.
Cott, J. M. (1995) · PubMed · Cited by 47 · see citing works
Zinc Gluconate Lozenges for Treating the Common Cold
Macknin, M. L., Mossad, S. B., & Medendorp, S. V. (1997) · Annals of Internal Medicine · doi:10.7326/0003-4819-126-9-199705010-00016 · Cited by 46 · see citing works
An evaluation of the side effects of garlic as an antihypertensive agent.
Ruffin, J., & Hunter, S. A. (1983) · PubMed · Cited by 44 · see citing works
Unsaturated Pyrrolizidines from Borage (Borago officinalis), a Common Garden Herb
Larson, K. M., Roby, M. R., & Stermitz, F. R. (1984) · Journal of Natural Products · doi:10.1021/np50034a045 · Cited by 42 · see citing works
Dietary fatty acid supplementation alters stress reactivity and performance in man.
Mills, D. E., Prkachin, K. M., Harvey, K. A., et al. (1989) · PubMed · Cited by 38 · see citing works
Ng, T. B., Li, W. W., & Yeung, H. W. (1987) · Journal of Ethnopharmacology · doi:10.1016/0378-8741(87)90090-0 · Cited by 37 · see citing works
Hypotensive effect of freeze-dried garlic (Allium Sativum) sap in dog.
Malik, Z. A., & Siddiqui, S. (1981) · PubMed · Cited by 34 · see citing works
Casterline, C. L. (1980) · JAMA · doi:10.1001/jama.1980.03310040014006 · Cited by 31 · see citing works
DEVELOPMENT OF TOLERANCE TO KAVA IN MICE
Duffield, P. H., & Jamieson, D. (1991) · Clinical and Experimental Pharmacology and Physiology · doi:10.1111/j.1440-1681.1991.tb01493.x · Cited by 28 · see citing works
Bauer, R., Khan, I. A., Lotter, H. L., et al. (1985) · Helvetica Chimica Acta · doi:10.1002/hlca.19850680831 · Cited by 26 · see citing works
Ginkgo biloba extract a long term study of chronic cerebral insufficiency in geriatric patients
Vorberg, G. (1985) · Clinical Trials · Cited by 26 · see citing works
Alfalfa, vitamin E, and autommune disorders
Herbert, V. D., & Kasdan, T. (1994) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/60.4.639 · Cited by 21 · see citing works
[Factors which modify the nutritional state of iron: tannin content of herbal teas].
Pizarro, F., Olivares, M., Hertrampf, E., et al. (1994) · PubMed · Cited by 19 · see citing works
Isolation and Hypoglycemic Activity of Panaxans M, N, O and P, Glycans ofPanax ginsengRoots
Konno, C., & Hikino, H. (1987) · International Journal of Crude Drug Research · doi:10.3109/13880208709060912 · Cited by 18 · see citing works
Lack of Androgenicity of Siberian Ginseng
Waller, D. P. (1992) · JAMA · doi:10.1001/jama.1992.03480170055024 · Cited by 17 · see citing works
Effects of K salt or a potassium blocker on gossypol-related hypokalemia
Liu, G.-Z., Ch'iu-Hinton, K., Cao, J., et al. (1988) · Contraception · doi:10.1016/0010-7824(88)90121-7 · Cited by 17 · see citing works
Isolation and Hypoglycemic Activity of Panaxans F, G and H, Glycans of Panax ginseng Roots
Hikino, H., Oshima, Y., Suzuki, Y., et al. (1985) · Shoyakugaku Zasshi · Cited by 17 · see citing works
Effect of Momordica chirantia Linn (karela) on glucose tolerance in albino rats
Ss, G., & Cb, S. (1962) · PubMed · Cited by 16 · see citing works
Endocrine causes of hypertension.
Gómez-Sánchez, C. E., Gómez-Sánchez, E. P., & Yamakita, N. (1995) · PubMed · Cited by 15 · see citing works
Gossypol: pharmacology and current status as a male contraceptive
Waller, D. P., Zaneveld, L. J. D., & Farnsworth, N. R. (1985) · Cited by 14 · see citing works
Phytopharmaceutical and synthetic agents in the treatment of benign prostatic hyperplasia (BPH)
Bach, D., Schmitt, M., & EBELING, L. (1997) · Phytomedicine · doi:10.1016/s0944-7113(97)80001-3 · Cited by 12 · see citing works
Maternal Use of Ginseng and Neonatal Androgenization-Reply
Koren, G. (1991) · JAMA · doi:10.1001/jama.1991.03460140056024 · Cited by 11 · see citing works
Dinnen, R., & Ebisuzaki, K. (1997) · PubMed · Cited by 11 · see citing works
Commentary--novel psychotherapeutic drugs: a role for ethnobotany.
Ja, D. (1995) · PubMed · Cited by 10 · see citing works
Acute hypokalemic myopathy due to chronic licorice ingestion: report of a case
Corsi, F. M., Galgani, S., Gasparini, C., et al. (1983) · Neurological Sciences · doi:10.1007/bf02125633 · Cited by 8 · see citing works
Phytoestrogens for a Healthier Menopause
Holt, S. G. (1997) · Alternative and Complementary Therapies · doi:10.1089/act.1997.3.187 · Cited by 8 · see citing works
Callebaut, M. (1968) · Cellular and Molecular Life Sciences · doi:10.1007/bf02144897 · Cited by 3 · see citing works
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Interactions Between Herbal Medicines and Prescribed Drugs: An Updated Systematic Review
Izzo, A. A., & Ernst, E. (2009) · Drugs · doi:10.2165/11317010-000000000-00000 · Cited by 801 · see citing works
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Davydov, M., & Krikorian, A. D. (2000) · Journal of Ethnopharmacology · doi:10.1016/s0378-8741(00)00181-1 · Cited by 256 · see citing works
Arora, R., Chawla, R., Marwah, R., Arora, P., Sharma, R. K., Kaushik, V., Goel, R., Kaur, A., Silambarasan, M., Tripathi, R. P., et al. (2011) · Evidence-Based Complementary and Alternative Medicine · doi:10.1155/2011/586506 · Cited by 117 · see citing works
Phytotherapy: A promising approach for the treatment of Alzheimer's disease
John, O. O., Amarachi, I. S., Chinazom, A. P., Adaeze, E., Kale, M. B., Umare, M. D., & Upaganlawar, A. B. (2022) · Pharmacological Research - Modern Chinese Medicine · doi:10.1016/j.prmcm.2021.100030 · Cited by 69 · see citing works
More, D. R., Napoli, D. C., & Hagan, L. L. (2003) · Allergy · doi:10.1034/j.1398-9995.2003.00140.x · Cited by 3 · see citing works
- Authors
- Miller, L. G.
- Affiliations
- Texas Tech University Health Sciences Center (US)
- Corresponding author
- Miller, Lucinda G.
- Venue
- Archives of Internal Medicine
- Publisher
- American Medical Association (AMA)
- Published
- 1998-11-09
- Volume
- 158
- Issue
- 20
- Pages
- 2200
- ISSN
- 0003-9926 (ISSN-L)
- OpenAlex
- W2060313926
- Cited by
- 809
- References
- 117
- Citations by year
- 2026: 1 · 2025: 7 · 2024: 11 · 2023: 9 · 2022: 8 · 2021: 12 · 2020: 14 · 2019: 10 · 2018: 12 · 2017: 14 · 2016: 12 · 2015: 25 · 2014: 28 · 2013: 28 · 2012: 26
- FWCI
- 104.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Internal Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Complementary and alternative medicine › Complementary and Alternative Medicine Studies
- Life Sciences › Agricultural and Biological Sciences › Plant Science › Phytochemistry Medicinal Plant Applications
- Life Sciences › Agricultural and Biological Sciences › Plant Science › Medicinal Plant Research
- Keywords
- herbal medicine, herb-drug interactions, Echinacea, hepatotoxicity, pyrrolizidine alkaloids, feverfew, nonsteroidal anti-inflammatory drugs, migraine, warfarin, bleeding time, ginseng, phenelzine, monoamine oxidase inhibitors, selective serotonin reuptake inhibitors, Valeriana officinalis, digoxin, antiepileptic drugs, seizure threshold, kava, immunostimulants, immunosuppressants, licorice, iron absorption, thyroid hormone replacement, blood glucose, diabetes mellitus, Ayurvedic formulation, tannic acid
- MeSH terms
- Drug Interactions, Humans, Phytotherapy, Plant Extracts, Plants, Medicinal, Herb-Drug Interactions
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