Hepatotoxic slimming aids and other herbal hepatotoxins
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Chitturi, Shivakumar; Farrell, Geoffrey
Description
Perceptions of safety and/or cultural mores prompt individuals to seek herbal slimming aids in preference to conventional dietary, physical activity and medication-based protocols. In recent years, terpenoid-containing dietary supplements have been implicated in causing severe and sometimes fatal hepatotoxicity. Teucrium polium (germander) was the first of these herbal products to be clearly linked to cases of acute liver failure. Subsequently, similar hepatotoxicity has been observed with...[Show more]
dc.contributor.author | Chitturi, Shivakumar | |
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dc.contributor.author | Farrell, Geoffrey | |
dc.date.accessioned | 2015-12-08T22:27:04Z | |
dc.identifier.issn | 0815-9319 | |
dc.identifier.uri | http://hdl.handle.net/1885/33912 | |
dc.description.abstract | Perceptions of safety and/or cultural mores prompt individuals to seek herbal slimming aids in preference to conventional dietary, physical activity and medication-based protocols. In recent years, terpenoid-containing dietary supplements have been implicated in causing severe and sometimes fatal hepatotoxicity. Teucrium polium (germander) was the first of these herbal products to be clearly linked to cases of acute liver failure. Subsequently, similar hepatotoxicity has been observed with other members of the Teucrium genus. While diterpenoid-derived reactive metabolites are central to germander hepatotoxicity, it may also be that the hepatic effects of compounds such as Sho-saiko-to, Centella asiatica and Black cohosh are linked to their triterpenoid content. Other non-terpenoid-containing herbal remedies marketed for weight reduction have been causally associated with significant liver injury. Important among these are preparations containing N-nitrosofenfluramine, usnic acid and ephedra alkaloids. Finally, we review recent data on known and emerging hepatotoxins such as Boh-Gol-Zhee, Kava, pyrrolizidine alkaloids and Shou-Wu-Pian. Better public and physician awareness through health education, early recognition and management of herbal toxicity and tighter regulation of complementary/alternative medicine systems are required to minimize the dangers of herbal product use. | |
dc.publisher | Blackwell Publishing Ltd | |
dc.source | Journal of Gastroenterology and Hepatology | |
dc.subject | Keywords: boh gol zhee; camphor; Centella asiatica extract; Cimicifuga racemosa extract; comfrey extract; cytochrome P450 2C19; diterpenoid; Ephedra extract; fenfluramine; fu fang qing dai wan; green tea extract; herbaceous agent; herbalife; hydroxycut; jin bu huan Complementary and alternative medicine; Drug-induced liver injury; Herbal remedies; Phytotherapy; Terpenoids and health; Traditional Chinese medicine; Weight reduction | |
dc.title | Hepatotoxic slimming aids and other herbal hepatotoxins | |
dc.type | Journal article | |
local.description.notes | Imported from ARIES | |
local.identifier.citationvolume | 23 | |
dc.date.issued | 2008 | |
local.identifier.absfor | 110307 - Gastroenterology and Hepatology | |
local.identifier.ariespublication | u4241283xPUB107 | |
local.type.status | Published Version | |
local.contributor.affiliation | Chitturi, Shivakumar, College of Medicine, Biology and Environment, ANU | |
local.contributor.affiliation | Farrell, Geoffrey, College of Medicine, Biology and Environment, ANU | |
local.description.embargo | 2037-12-31 | |
local.bibliographicCitation.issue | 3 | |
local.bibliographicCitation.startpage | 366 | |
local.bibliographicCitation.lastpage | 373 | |
local.identifier.doi | 10.1111/j.1440-1746.2008.05310.x | |
dc.date.updated | 2015-12-08T09:16:53Z | |
local.identifier.scopusID | 2-s2.0-40349087544 | |
local.identifier.thomsonID | 000253759800006 | |
Collections | ANU Research Publications |
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