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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Adverse effects of plant food supplements and botanical preparations: a systematic review with critical evaluation of causality</title><author><name sortKey="Di Lorenzo, Chiara" sort="Di Lorenzo, Chiara" uniqKey="Di Lorenzo C" first="Chiara" last="Di Lorenzo">Chiara Di Lorenzo</name><affiliation><nlm:aff id="au1"><institution>Dipartimento di Scienze Farmacologiche e Biomolecolari, Università degli Studi di Milano</institution><addr-line>via Balzaretti 9, 20133, Milano, Italy</addr-line></nlm:aff></affiliation></author><author><name sortKey="Ceschi, Alessandro" sort="Ceschi, Alessandro" uniqKey="Ceschi A" first="Alessandro" last="Ceschi">Alessandro Ceschi</name><affiliation><nlm:aff id="au2"><institution>Swiss Toxicological Information Centre (STIC), Associated Institute of the University of Zurich</institution><addr-line>Zurich, Switzerland</addr-line></nlm:aff></affiliation><affiliation><nlm:aff id="au3"><institution>Department of Clinical Pharmacology and Toxicology, University Hospital Zurich</institution><addr-line>Zurich, Switzerland</addr-line></nlm:aff></affiliation></author><author><name sortKey="Kupferschmidt, Hugo" sort="Kupferschmidt, Hugo" uniqKey="Kupferschmidt H" first="Hugo" last="Kupferschmidt">Hugo Kupferschmidt</name><affiliation><nlm:aff id="au2"><institution>Swiss Toxicological Information Centre (STIC), Associated Institute of the University of Zurich</institution><addr-line>Zurich, Switzerland</addr-line></nlm:aff></affiliation></author><author><name sortKey="Lude, Saskia" sort="Lude, Saskia" uniqKey="Lude S" first="Saskia" last="Lüde">Saskia Lüde</name><affiliation><nlm:aff id="au2"><institution>Swiss Toxicological Information Centre (STIC), Associated Institute of the University of Zurich</institution><addr-line>Zurich, Switzerland</addr-line></nlm:aff></affiliation></author><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><nlm:aff id="au4"><institution>Universidad de São Paulo</institution><addr-line>São Paulo, Brasil</addr-line></nlm:aff></affiliation></author><author><name sortKey="Dos Santos, Ariana" sort="Dos Santos, Ariana" uniqKey="Dos Santos A" first="Ariana" last="Dos Santos">Ariana Dos Santos</name><affiliation><nlm:aff id="au1"><institution>Dipartimento di Scienze Farmacologiche e Biomolecolari, Università degli Studi di Milano</institution><addr-line>via Balzaretti 9, 20133, Milano, Italy</addr-line></nlm:aff></affiliation></author><author><name sortKey="Colombo, Francesca" sort="Colombo, Francesca" uniqKey="Colombo F" first="Francesca" last="Colombo">Francesca Colombo</name><affiliation><nlm:aff id="au1"><institution>Dipartimento di Scienze Farmacologiche e Biomolecolari, Università degli Studi di Milano</institution><addr-line>via Balzaretti 9, 20133, Milano, Italy</addr-line></nlm:aff></affiliation></author><author><name sortKey="Frigerio, Gianfranco" sort="Frigerio, Gianfranco" uniqKey="Frigerio G" first="Gianfranco" last="Frigerio">Gianfranco Frigerio</name><affiliation><nlm:aff id="au1"><institution>Dipartimento di Scienze Farmacologiche e Biomolecolari, Università degli Studi di Milano</institution><addr-line>via Balzaretti 9, 20133, Milano, Italy</addr-line></nlm:aff></affiliation></author><author><name sortKey="N Rby, Karin" sort="N Rby, Karin" uniqKey="N Rby K" first="Karin" last="N Rby">Karin N Rby</name><affiliation><nlm:aff id="au5"><institution>National Food Institute, Technical University of Denmark</institution><addr-line>Søborg, Denmark</addr-line></nlm:aff></affiliation></author><author><name sortKey="Plumb, Jenny" sort="Plumb, Jenny" uniqKey="Plumb J" first="Jenny" last="Plumb">Jenny Plumb</name><affiliation><nlm:aff id="au6"><institution>Institute of Food Research</institution><addr-line>Norwich, UK</addr-line></nlm:aff></affiliation></author><author><name sortKey="Finglas, Paul" sort="Finglas, Paul" uniqKey="Finglas P" first="Paul" last="Finglas">Paul Finglas</name><affiliation><nlm:aff id="au6"><institution>Institute of Food Research</institution><addr-line>Norwich, UK</addr-line></nlm:aff></affiliation></author><author><name sortKey="Restani, Patrizia" sort="Restani, Patrizia" uniqKey="Restani P" first="Patrizia" last="Restani">Patrizia Restani</name><affiliation><nlm:aff id="au1"><institution>Dipartimento di Scienze Farmacologiche e Biomolecolari, Università degli Studi di Milano</institution><addr-line>via Balzaretti 9, 20133, Milano, Italy</addr-line></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25251944</idno><idno type="pmc">4386943</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4386943</idno><idno type="RBID">PMC:4386943</idno><idno type="doi">10.1111/bcp.12519</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">001334</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Adverse effects of plant food supplements and botanical preparations: a systematic review with critical evaluation of causality</title><author><name sortKey="Di Lorenzo, Chiara" sort="Di Lorenzo, Chiara" uniqKey="Di Lorenzo C" first="Chiara" last="Di Lorenzo">Chiara Di Lorenzo</name><affiliation><nlm:aff id="au1"><institution>Dipartimento di Scienze Farmacologiche e Biomolecolari, Università degli Studi di Milano</institution><addr-line>via Balzaretti 9, 20133, Milano, Italy</addr-line></nlm:aff></affiliation></author><author><name sortKey="Ceschi, Alessandro" sort="Ceschi, Alessandro" uniqKey="Ceschi A" first="Alessandro" last="Ceschi">Alessandro Ceschi</name><affiliation><nlm:aff id="au2"><institution>Swiss Toxicological Information Centre (STIC), Associated Institute of the University of Zurich</institution><addr-line>Zurich, Switzerland</addr-line></nlm:aff></affiliation><affiliation><nlm:aff id="au3"><institution>Department of Clinical Pharmacology and Toxicology, University Hospital Zurich</institution><addr-line>Zurich, Switzerland</addr-line></nlm:aff></affiliation></author><author><name sortKey="Kupferschmidt, Hugo" sort="Kupferschmidt, Hugo" uniqKey="Kupferschmidt H" first="Hugo" last="Kupferschmidt">Hugo Kupferschmidt</name><affiliation><nlm:aff id="au2"><institution>Swiss Toxicological Information Centre (STIC), Associated Institute of the University of Zurich</institution><addr-line>Zurich, Switzerland</addr-line></nlm:aff></affiliation></author><author><name sortKey="Lude, Saskia" sort="Lude, Saskia" uniqKey="Lude S" first="Saskia" last="Lüde">Saskia Lüde</name><affiliation><nlm:aff id="au2"><institution>Swiss Toxicological Information Centre (STIC), Associated Institute of the University of Zurich</institution><addr-line>Zurich, Switzerland</addr-line></nlm:aff></affiliation></author><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><nlm:aff id="au4"><institution>Universidad de São Paulo</institution><addr-line>São Paulo, Brasil</addr-line></nlm:aff></affiliation></author><author><name sortKey="Dos Santos, Ariana" sort="Dos Santos, Ariana" uniqKey="Dos Santos A" first="Ariana" last="Dos Santos">Ariana Dos Santos</name><affiliation><nlm:aff id="au1"><institution>Dipartimento di Scienze Farmacologiche e Biomolecolari, Università degli Studi di Milano</institution><addr-line>via Balzaretti 9, 20133, Milano, Italy</addr-line></nlm:aff></affiliation></author><author><name sortKey="Colombo, Francesca" sort="Colombo, Francesca" uniqKey="Colombo F" first="Francesca" last="Colombo">Francesca Colombo</name><affiliation><nlm:aff id="au1"><institution>Dipartimento di Scienze Farmacologiche e Biomolecolari, Università degli Studi di Milano</institution><addr-line>via Balzaretti 9, 20133, Milano, Italy</addr-line></nlm:aff></affiliation></author><author><name sortKey="Frigerio, Gianfranco" sort="Frigerio, Gianfranco" uniqKey="Frigerio G" first="Gianfranco" last="Frigerio">Gianfranco Frigerio</name><affiliation><nlm:aff id="au1"><institution>Dipartimento di Scienze Farmacologiche e Biomolecolari, Università degli Studi di Milano</institution><addr-line>via Balzaretti 9, 20133, Milano, Italy</addr-line></nlm:aff></affiliation></author><author><name sortKey="N Rby, Karin" sort="N Rby, Karin" uniqKey="N Rby K" first="Karin" last="N Rby">Karin N Rby</name><affiliation><nlm:aff id="au5"><institution>National Food Institute, Technical University of Denmark</institution><addr-line>Søborg, Denmark</addr-line></nlm:aff></affiliation></author><author><name sortKey="Plumb, Jenny" sort="Plumb, Jenny" uniqKey="Plumb J" first="Jenny" last="Plumb">Jenny Plumb</name><affiliation><nlm:aff id="au6"><institution>Institute of Food Research</institution><addr-line>Norwich, UK</addr-line></nlm:aff></affiliation></author><author><name sortKey="Finglas, Paul" sort="Finglas, Paul" uniqKey="Finglas P" first="Paul" last="Finglas">Paul Finglas</name><affiliation><nlm:aff id="au6"><institution>Institute of Food Research</institution><addr-line>Norwich, UK</addr-line></nlm:aff></affiliation></author><author><name sortKey="Restani, Patrizia" sort="Restani, Patrizia" uniqKey="Restani P" first="Patrizia" last="Restani">Patrizia Restani</name><affiliation><nlm:aff id="au1"><institution>Dipartimento di Scienze Farmacologiche e Biomolecolari, Università degli Studi di Milano</institution><addr-line>via Balzaretti 9, 20133, Milano, Italy</addr-line></nlm:aff></affiliation></author></analytic><series><title level="j">British Journal of Clinical Pharmacology</title><idno type="ISSN">0306-5251</idno><idno type="eISSN">1365-2125</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><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></TEI><pmc article-type="review-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Br J Clin Pharmacol</journal-id><journal-id journal-id-type="iso-abbrev">Br J Clin Pharmacol</journal-id><journal-id journal-id-type="publisher-id">bcp</journal-id><journal-title-group><journal-title>British Journal of Clinical Pharmacology</journal-title></journal-title-group><issn pub-type="ppub">0306-5251</issn><issn pub-type="epub">1365-2125</issn><publisher><publisher-name>Blackwell Science Inc</publisher-name><publisher-loc>Oxford, UK</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25251944</article-id><article-id pub-id-type="pmc">4386943</article-id><article-id pub-id-type="doi">10.1111/bcp.12519</article-id><article-categories><subj-group subj-group-type="heading"><subject>Systematic Reviews</subject></subj-group></article-categories><title-group><article-title>Adverse effects of plant food supplements and botanical preparations: a systematic review with critical evaluation of causality</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Di Lorenzo</surname><given-names>Chiara</given-names></name><xref ref-type="aff" rid="au1">1</xref></contrib><contrib contrib-type="author"><name><surname>Ceschi</surname><given-names>Alessandro</given-names></name><xref ref-type="aff" rid="au2">2</xref><xref ref-type="aff" rid="au3">3</xref></contrib><contrib contrib-type="author"><name><surname>Kupferschmidt</surname><given-names>Hugo</given-names></name><xref ref-type="aff" rid="au2">2</xref></contrib><contrib contrib-type="author"><name><surname>Lüde</surname><given-names>Saskia</given-names></name><xref ref-type="aff" rid="au2">2</xref></contrib><contrib contrib-type="author"><name><surname>De Souza Nascimento</surname><given-names>Elizabeth</given-names></name><xref ref-type="aff" rid="au4">4</xref></contrib><contrib contrib-type="author"><name><surname>Dos Santos</surname><given-names>Ariana</given-names></name><xref ref-type="aff" rid="au1">1</xref></contrib><contrib contrib-type="author"><name><surname>Colombo</surname><given-names>Francesca</given-names></name><xref ref-type="aff" rid="au1">1</xref></contrib><contrib contrib-type="author"><name><surname>Frigerio</surname><given-names>Gianfranco</given-names></name><xref ref-type="aff" rid="au1">1</xref></contrib><contrib contrib-type="author"><name><surname>Nørby</surname><given-names>Karin</given-names></name><xref ref-type="aff" rid="au5">5</xref></contrib><contrib contrib-type="author"><name><surname>Plumb</surname><given-names>Jenny</given-names></name><xref ref-type="aff" rid="au6">6</xref></contrib><contrib contrib-type="author"><name><surname>Finglas</surname><given-names>Paul</given-names></name><xref ref-type="aff" rid="au6">6</xref></contrib><contrib contrib-type="author"><name><surname>Restani</surname><given-names>Patrizia</given-names></name><xref ref-type="aff" rid="au1">1</xref></contrib><aff id="au1"><label>1</label><institution>Dipartimento di Scienze Farmacologiche e Biomolecolari, Università degli Studi di Milano</institution><addr-line>via Balzaretti 9, 20133, Milano, Italy</addr-line></aff><aff id="au2"><label>2</label><institution>Swiss Toxicological Information Centre (STIC), Associated Institute of the University of Zurich</institution><addr-line>Zurich, Switzerland</addr-line></aff><aff id="au3"><label>3</label><institution>Department of Clinical Pharmacology and Toxicology, University Hospital Zurich</institution><addr-line>Zurich, Switzerland</addr-line></aff><aff id="au4"><label>4</label><institution>Universidad de São Paulo</institution><addr-line>São Paulo, Brasil</addr-line></aff><aff id="au5"><label>5</label><institution>National Food Institute, Technical University of Denmark</institution><addr-line>Søborg, Denmark</addr-line></aff><aff id="au6"><label>6</label><institution>Institute of Food Research</institution><addr-line>Norwich, UK</addr-line></aff></contrib-group><author-notes><corresp id="cor1">Professor Patrizia Restani PhD, Dipartimento di Scienze Farmacologiche e Biomolecolari, Università degli Studi di Milano, via Balzaretti 9, 20133 Milano, Italy. Tel.: +39 2 5031 8371 Fax: +39 2 5031 8284 E-mail: <email>patrizia.restani@unimi.it</email></corresp></author-notes><pub-date pub-type="ppub"><month>4</month><year>2015</year></pub-date><pub-date pub-type="epub"><day>24</day><month>9</month><year>2014</year></pub-date><volume>79</volume><issue>4</issue><fpage>578</fpage><lpage>592</lpage><history><date date-type="received"><day>30</day><month>7</month><year>2014</year></date><date date-type="accepted"><day>17</day><month>9</month><year>2014</year></date></history><permissions><copyright-statement>© 2014 The British Pharmacological Society</copyright-statement><copyright-year>2014</copyright-year></permissions><abstract><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></abstract><kwd-group><kwd>adverse effects</kwd><kwd>biomarkers</kwd><kwd>botanicals</kwd><kwd>interactions</kwd><kwd>misidentification</kwd><kwd>poison centres</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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