Systematic Review of Adverse Effects from Herbal Drugs Reported in Randomized Controlled Trials

Herbal drugs have become a popular form of healthcare, raising concerns about their safety. This study aimed to characterize the adverse effects of herbal drugs through a systematic review of results reported in randomized controlled trials (RCTs). Using eight electronic databases including PubMed,...

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Veröffentlicht in:Phytotherapy research 2016-09, Vol.30 (9), p.1412-1419
Hauptverfasser: Lee, Ji Young, Jun, Seung Ah, Hong, Sung Shin, Ahn, Yo Chan, Lee, Dong Soo, Son, Chang Gue
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container_end_page 1419
container_issue 9
container_start_page 1412
container_title Phytotherapy research
container_volume 30
creator Lee, Ji Young
Jun, Seung Ah
Hong, Sung Shin
Ahn, Yo Chan
Lee, Dong Soo
Son, Chang Gue
description Herbal drugs have become a popular form of healthcare, raising concerns about their safety. This study aimed to characterize the adverse effects of herbal drugs through a systematic review of results reported in randomized controlled trials (RCTs). Using eight electronic databases including PubMed, the Cochrane library and six Korean medical databases, the frequency of reported toxicity was recorded based on drug composition and indication. Among 4957 potentially relevant articles, 242 papers comprised of 244 studies met our inclusion criteria; these included 111 studies of a single herb and 133 of multiple herbs. These studies accounted for a total 15 441 participants (male = 5590; female = 9851; 7383 for single and 8058 for multiple herb studies). There were 480 cases (3.1%) of adverse events (344 for single, 136 for multiple herb studies; p 
doi_str_mv 10.1002/ptr.5647
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The most frequently reported adverse event was digestive symptoms (44.3%), followed by nervous system symptoms (17.3%) and behaviors such as loss of appetite (16.3%). This is the first systematic review of adverse effects of herbal drugs among clinical studies, and the results indicate that herbal drugs are relatively safe. 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A total of 259 cases reported blood test abnormalities, including five cases of abnormality in hepatic functional enzymes. The most frequently reported adverse event was digestive symptoms (44.3%), followed by nervous system symptoms (17.3%) and behaviors such as loss of appetite (16.3%). This is the first systematic review of adverse effects of herbal drugs among clinical studies, and the results indicate that herbal drugs are relatively safe. 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subjects Adult
adverse drug reaction
adverse effect
Drug-Related Side Effects and Adverse Reactions
Drugs, Chinese Herbal - adverse effects
Drugs, Chinese Herbal - therapeutic use
Female
herbal drug
herbal medicine
Humans
Male
Randomized Controlled Trials as Topic
title Systematic Review of Adverse Effects from Herbal Drugs Reported in Randomized Controlled Trials
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