More on Blue Cohosh and Perinatal Stroke

To the Editor: In their report on blue cohosh and perinatal stroke, Finkel and Zarlengo (July 15 issue) 1 cite a case that is well known to medical herbalists in the United Kingdom and the United States, since it was originally reported to the Food and Drug Administration (FDA) 10 years ago. Further...

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Veröffentlicht in:The New England journal of medicine 2004-11, Vol.351 (21), p.2239-2241
1. Verfasser: Potterton, David
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description To the Editor: In their report on blue cohosh and perinatal stroke, Finkel and Zarlengo (July 15 issue) 1 cite a case that is well known to medical herbalists in the United Kingdom and the United States, since it was originally reported to the Food and Drug Administration (FDA) 10 years ago. Furthermore, the suggestion that blue cohosh ( Caulophyllum thalictroides ) might produce cocaine metabolites is not plausible, given what is known about the plant's chemistry. If the United States followed the current U.K. recommendations regarding the regulation of herbal medicine, 2 it would be illegal for physicians or other practitioners . . .
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source MEDLINE; EZB-FREE-00999 freely available EZB journals; ProQuest Central UK/Ireland; New England Journal of Medicine
subjects Caulophyllum - metabolism
Cocaine - metabolism
Herbal Medicine - education
Herbal Medicine - standards
Humans
Phytotherapy
Plant Preparations
Stroke - chemically induced
United Kingdom
title More on Blue Cohosh and Perinatal Stroke
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