What You Should Know About Drugs vs. Herbs

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This lack of information can have serious implications. For example, the popular memory booster ginkgo taken with aspirin may cause bleeding, and St. John’s wort, a popular treatment for depression, can negate the effectiveness of oral contraceptives as well as protease inhibitors used to treat HIV (see “Possible Herb and Drug Interactions”).

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Those with existing medical conditions, and pregnant women or those planning to conceive, need to be especially aware of drug/herb interactions, and speak with their physicians before making supplements a part of their health programs, just as they would before taking a prescription drug.

Supplement Standards

Another good reason for doing research before using a new herb is that several recent product review studies have shown that what you get in a supplement bottle may not always be what it says it is. A recent survey of valerian, a popular herb used to promote sleep, conducted by independent testing service ConsumerLab.com, found that many of the brands they tested were low potency or contaminated. Of the eight products they tested, one was contaminated with lead, and two others with cadmium, a heavy metal toxic to the kidneys.

FDA regulations have been introduced that would address these problems. The standards, called the Good Manufacturing Practice Regulations, were allowed for under the DSHEA more than a decade ago; however, the final rules have been delayed in the Office of Management and Budget since October 2005, with no firm release date in sight.

The Natural Products Association has also developed a Good Manufacturing Processes (GMP) designation for its members, who may display the GMP symbol on their supplement labels to promote their adherence to quality manufacturing practices. Additionally, both NSF International and the United States Pharmacopeia offer label quality designations for supplement manufacturers. See “Drug and Dietary Supplement Resources” to find out which brands have been tested.

What can you do to protect yourself in the meantime? Do your homework to find out all you can before making any herb or drug a regular part of your health routine. Also be sure to speak with your doctor before taking supplements. So many people are taking alternative medicines these days that some conventional medical practitioners are becoming better informed and more accepting of these treatments. Your doctor should be able to help you avoid complications between the herb and any other medications you might be taking.


Possible Herb and Drug Interactions

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