St. John’s Wort: A Systematic Review of Adverse Effects and Drug Interactions for the Consultation Psychiatrist

2003 ◽  
Vol 44 (4) ◽  
pp. 271-282 ◽  
Author(s):  
Paul Hammerness ◽  
Ethan Basch ◽  
Catherine Ulbricht ◽  
E.-P. Barrette ◽  
Ivo Foppa ◽  
...  
2005 ◽  
Vol 16 (3) ◽  
pp. 181-186 ◽  
Author(s):  
Edward Mills ◽  
Victor Montori ◽  
Dan Perri ◽  
Elizabeth Phillips ◽  
Gideon Koren

The use of natural health products (NHPs) within the HIV community is high. Several NHPs have demonstrated interactions with HIV medications that could contribute to drug failure. We aimed to conduct a systematic review of clinical trials examining NHP–HIV drug interactions and their methodological characteristics. We searched electronic databases and unpublished resources independently, in duplicate. Nine studies were identified, eight clinical pharmacokinetics trials and one population-pharmacokinetics trial. Investigators studied four different herbal medicines (St John's wort, garlic, goldenseal and milk thistle) and one vitamin (vitamin C). Significant interactions were observed with St John's wort, garlic and vitamin C. However, methodological challenges exist to making the results directly generalizable to patients. This review finds that important drug level changes exist when NHPs are combined with HIV medications. Considering patient values and the implications of these studies, further research is urgently required to determine the extent of interactions with other commonly used NHPs.


2004 ◽  
Vol 65 (11) ◽  
pp. 1470-1479 ◽  
Author(s):  
Lars Knüppel ◽  
Klaus Linde

2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Eric A. Apaydin ◽  
Alicia R. Maher ◽  
Roberta Shanman ◽  
Marika S. Booth ◽  
Jeremy N. V. Miles ◽  
...  

BMJ ◽  
2004 ◽  
Vol 329 (7456) ◽  
pp. 27-30 ◽  
Author(s):  
Edward Mills ◽  
Victor M Montori ◽  
Ping Wu ◽  
Keith Gallicano ◽  
Mike Clarke ◽  
...  

2020 ◽  
Vol 177 (6) ◽  
pp. 1212-1226 ◽  
Author(s):  
Simon Nicolussi ◽  
Jürgen Drewe ◽  
Veronika Butterweck ◽  
Henriette E. Meyer zu Schwabedissen

Homeopathy ◽  
2012 ◽  
Vol 101 (4) ◽  
pp. 204-210 ◽  
Author(s):  
Christa Raak ◽  
Arndt Büssing ◽  
Georg Gassmann ◽  
Katja Boehm ◽  
Thomas Ostermann

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