OrangerV1, Main, Exploration, bibRecord, 000C15

Adverse effects of plant food supplements and botanical preparations: a systematic review with critical evaluation of causality

Identifieur interne : 000C15 ( Main/Exploration ); précédent : 000C14; suivant : 000C16

Adverse effects of plant food supplements and botanical preparations: a systematic review with critical evaluation of causality

Auteurs : Chiara Di Lorenzo [Italie] ; Alessandro Ceschi [Suisse] ; Hugo Kupferschmidt [Suisse] ; Saskia Lüde [Suisse] ; Elizabeth De Souza Nascimento [Brésil] ; Ariana Dos Santos [Italie] ; Francesca Colombo [Italie] ; Gianfranco Frigerio [Italie] ; Karin N Rby [Danemark] ; Jenny Plumb [Royaume-Uni] ; Paul Finglas [Royaume-Uni] ; Patrizia Restani [Italie]

Source :

British Journal of Clinical Pharmacology [ 0306-5251 ] ; 2014.

RBID : PMC:4386943

Abstract

AIMS

The objective of this review was to collect available data on the following: (i) adverse effects observed in humans from the intake of plant food supplements or botanical preparations; (ii) the misidentification of poisonous plants; and (iii) interactions between plant food supplements/botanicals and conventional drugs or nutrients.

METHODS

PubMed/MEDLINE and Embase were searched from database inception to June 2014, using the terms ‘adverse effect/s’, ‘poisoning/s’, ‘plant food supplement/s’, ‘misidentification/s’ and ‘interaction/s’ in combination with the relevant plant name. All papers were critically evaluated according to the World Health Organization Guidelines for causality assessment.

RESULTS

Data were obtained for 66 plants that are common ingredients of plant food supplements; of the 492 papers selected, 402 (81.7%) dealt with adverse effects directly associated with the botanical and 89 (18.1%) concerned interactions with conventional drugs. Only one case was associated with misidentification. Adverse effects were reported for 39 of the 66 botanical substances searched. Of the total references, 86.6% were associated with 14 plants, including Glycine max/soybean (19.3%), Glycyrrhiza glabra/liquorice (12.2%), Camellia sinensis/green tea ( 8.7%) and Ginkgo biloba/gingko (8.5%).

CONCLUSIONS

Considering the length of time examined and the number of plants included in the review, it is remarkable that: (i) the adverse effects due to botanical ingredients were relatively infrequent, if assessed for causality; and (ii) the number of severe clinical reactions was very limited, but some fatal cases have been described. Data presented in this review were assessed for quality in order to make the results maximally useful for clinicians in identifying or excluding deleterious effects of botanicals.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4386943

DOI: 10.1111/bcp.12519
PubMed: 25251944
PubMed Central: 4386943

Affiliations:

Brésil, Danemark, Italie, Royaume-Uni, Suisse

Le document en format XML

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<country xml:lang="fr">Suisse</country>
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<author><name sortKey="De Souza Nascimento, Elizabeth" sort="De Souza Nascimento, Elizabeth" uniqKey="De Souza Nascimento E" first="Elizabeth" last="De Souza Nascimento">Elizabeth De Souza Nascimento</name>
<affiliation wicri:level="1"><nlm:aff id="au4"><institution>Universidad de São Paulo</institution>
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<author><name sortKey="Dos Santos, Ariana" sort="Dos Santos, Ariana" uniqKey="Dos Santos A" first="Ariana" last="Dos Santos">Ariana Dos Santos</name>
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<author><name sortKey="Colombo, Francesca" sort="Colombo, Francesca" uniqKey="Colombo F" first="Francesca" last="Colombo">Francesca Colombo</name>
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<author><name sortKey="Frigerio, Gianfranco" sort="Frigerio, Gianfranco" uniqKey="Frigerio G" first="Gianfranco" last="Frigerio">Gianfranco Frigerio</name>
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</nlm:aff>
<country xml:lang="fr">Danemark</country>
<wicri:regionArea>Søborg</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Plumb, Jenny" sort="Plumb, Jenny" uniqKey="Plumb J" first="Jenny" last="Plumb">Jenny Plumb</name>
<affiliation wicri:level="1"><nlm:aff id="au6"><institution>Institute of Food Research</institution>
<addr-line>Norwich, UK</addr-line>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Norwich</wicri:regionArea>
</affiliation>
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<author><name sortKey="Finglas, Paul" sort="Finglas, Paul" uniqKey="Finglas P" first="Paul" last="Finglas">Paul Finglas</name>
<affiliation wicri:level="1"><nlm:aff id="au6"><institution>Institute of Food Research</institution>
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<author><name sortKey="Restani, Patrizia" sort="Restani, Patrizia" uniqKey="Restani P" first="Patrizia" last="Restani">Patrizia Restani</name>
<affiliation wicri:level="1"><nlm:aff id="au1"><institution>Dipartimento di Scienze Farmacologiche e Biomolecolari, Università degli Studi di Milano</institution>
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<series><title level="j">British Journal of Clinical Pharmacology</title>
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<front><div type="abstract" xml:lang="en"><sec><title>AIMS</title>
<p>The objective of this review was to collect available data on the following: (i) adverse effects observed in humans from the intake of plant food supplements or botanical preparations; (ii) the misidentification of poisonous plants; and (iii) interactions between plant food supplements/botanicals and conventional drugs or nutrients.</p>
</sec>
<sec><title>METHODS</title>
<p>PubMed/MEDLINE and Embase were searched from database inception to June 2014, using the terms ‘adverse effect/s’, ‘poisoning/s’, ‘plant food supplement/s’, ‘misidentification/s’ and ‘interaction/s’ in combination with the relevant plant name. All papers were critically evaluated according to the World Health Organization Guidelines for causality assessment.</p>
</sec>
<sec><title>RESULTS</title>
<p>Data were obtained for 66 plants that are common ingredients of plant food supplements; of the 492 papers selected, 402 (81.7%) dealt with adverse effects directly associated with the botanical and 89 (18.1%) concerned interactions with conventional drugs. Only one case was associated with misidentification. Adverse effects were reported for 39 of the 66 botanical substances searched. Of the total references, 86.6% were associated with 14 plants, including <italic>Glycine max</italic>
/soybean (19.3%), <italic>Glycyrrhiza glabra</italic>
/liquorice (12.2%), <italic>Camellia sinensis</italic>
/green tea ( 8.7%) and <italic>Ginkgo biloba</italic>
/gingko (8.5%).</p>
</sec>
<sec><title>CONCLUSIONS</title>
<p>Considering the length of time examined and the number of plants included in the review, it is remarkable that: (i) the adverse effects due to botanical ingredients were relatively infrequent, if assessed for causality; and (ii) the number of severe clinical reactions was very limited, but some fatal cases have been described. Data presented in this review were assessed for quality in order to make the results maximally useful for clinicians in identifying or excluding deleterious effects of botanicals.</p>
</sec>
</div>
</front>
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Adverse effects of plant food supplements and botanical preparations: a systematic review with critical evaluation of causality

Adverse effects of plant food supplements and botanical preparations: a systematic review with critical evaluation of causality

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