The words herbal and natural aren't synonymous with safe. Discover how some herbal products can be dangerous to your health.

Heavy Metals

Excessive amounts of arsenic, lead and mercury have been found in some herbal products. Among 251 Asian medicines collected from herbal stores in California, 24 contained lead, 36 contained arsenic and 35 contained mercury. Da Huo Lo Dan (Herbal Pill), a commercial product containing 17 herbs, was found to contain excessive amounts of heavy metals. Some, but not all, herbal product manufacturers have their raw herbs assayed for heavy metal content.

Prescription Drugs

Prescription drugs such as phenobarbital, ephedrine, chlorpheniramine, NSAIDs, benzodiazepines, corticosteroids and methyltestosterone have been found in some herbal products, most often those containing multiple herbs that were manufactured overseas. Among 243 Asian medicines collected in California herbal stores, 17 contained undeclared pharmaceuticals. Five Chinese herbal products for control of blood sugar sold by two California companies were removed from the market in the U.S. after they were found to contain glyburide and phenformin. Cases of liver damage associated with the use of jin bu h uan (also known as jin bu huan anodyne), may have been due to adulteration with a Chinese pharmaceutical not listed on the label.

Misidentification of Herbs

The fact that some herbs can cause serious toxicity is well documented. The identification of raw herbs is traditionally made on the basis of appearance, taste, smell and feel. This may not be sufficient when the desired herb closely resembles a toxic botanical. In these instances, chemical analysis is required.

In some cases, misidentified herbs have caused serious adverse effects. The addition of a misidentified, toxic herb to a herbal product for weight loss marketed in Belgium resulted in severe kidney damage in about 100 women. Another herbal product containing the same toxic herb species, Aristochlia, caused kidney failure in two English women.

Summary

Herbal medicines can be manufactured and marketed without strict quality control or standardization, and consumers should consider the risks before using any herbal product.

The information on this web page is from the Rx Consultant newsletter and is included here, by permission, from the original article:

Rx Consultant

Traditional Chinese Medicine

The Western Use of Chinese Herbs

Paul C. Wong, PharmD, CGP and Ron Finley, RPh

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