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•  Herbs & Supplements
•  Risky Herbs & Supplements
Chris Woolston
CONSUMER HEALTH INTERACTIVE

Below:
 • What's the difference between herbs and supplements and the drugs that you buy over the counter?
 • How can I find reliable information about which ones are safe and effective?
 • What resources can I keep or access in my home for basic information?


What's the difference between herbs and supplements and the drugs that you buy over the counter?

Shopping for dietary supplements can be like stepping into a wild frontier with few rules and fewer enforcers. Since the federal government doesn't regulate herbs and supplements as it does prescription and over-the-counter drugs, herbal remedies don't have to go through rigorous testing or display labels with consumer warnings.

That said, not every supplement lives up to its promises, and various types can contain vastly different amounts of the same ingredients. While some herbs and supplements are time-tested and useful, others are of no value and a few pose serious threats. Part of the multi-billion herb and supplements industry is built on hucksterism and unsubstantiated claims, and you can't always trust labels, Internet sites that sell supplements, or even well-meaning clerks at health food stores to set you straight.

How can I find reliable information about which ones are safe and effective?

There are some experts who are looking out for you and some reliable sources that can help you stay healthy and safe.

One valuable resource for anyone interested in dietary supplements is Medwatch, a government site that lists dangers and warnings on a wide variety of supplements, prescription drugs, and medical devices. Medwatch is designed for doctors, but you don't need to have MD after your name to use the site. Just click on "Safety Information" and you'll find up-to-date, easy-to-understand information on some of the biggest dangers posed by supplements.

For example, Medwatch tells you that "club drugs" and purported muscle-building and sex-enhancing products that contain GBL (gamma butyrolactone) can cause coma, seizures, and death, and "herbal fen-phen" weight-loss products can cause insomnia, nervousness, high blood pressure, even heart attack and stroke. While you're at it, check any over-the-counter products marketed as having similar effects.

Medwatch is also a great place to get the real scoop on Internet rumors. Perhaps you've heard that some tampons contain asbestos and dioxin and that rayon fibers cause toxic-shock syndrome. Medwatch has reassuring news: These statements are completely without foundation.

What resources can I keep or access in my home for basic information?

For more information on dietary supplements, consider the following sources:

Natural Pharmacist: Your Complete Guide to Vitamins and Supplements, Angelo De Palma, Prima Lifestyles, 1999
Rational Phytotherapy: A Physician's Guide to Herbal Medicine (4th edition), Haworth Press, 2001.
The Pharmacist's Letter Natural Medicines Comprehensive Database. This encyclopedic resource, available in print and on the Web, contains reliable data on over 1,000 herbs and non-herbal products. The database describes common uses, effectiveness, safety, and interactions with drugs, food, and other supplements. http://www.naturaldatabase.com.
The National Center for Complementary and Alternative Medicine. http://nccam.nih.gov/

-- Chris Woolston, M.S., is a health and medical writer with a master's degree in biology. He is a contributing editor at Consumer Health Interactive, and was the staff writer at Hippocrates, a magazine for physicians. He has also covered science issues for Time Inc. Health, WebMD, and the Chronicle of Higher Education. His reporting on occupational health earned him an award from the northern California Society of Professional Journalists.



References


FDA Talk Paper. FDA Warns About Products Containing Gamma Butyrolactone or GBL and Asks Companies To Issue A Recall. January 21, 1999. http://vm.cfsan.fda.gov/~lrd/tpgbl.html



Reviewed by D. Tina Madej, R.Ph., a contributing writer for the Natural Medicines Comprehensive Database, published by Pharmacist's Letter.


Our reviewers are members of Consumer Health Interactive's medical advisory board.
To learn more about our writers and editors, click here.

First published January 26, 2000
Last updated October 13, 2008
Copyright © 2000 Consumer Health Interactive


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