Including food and dietary supplements, herbals available on e-shops on the Internet, plants (e.g. aconite-napel). Browsing the literature indicates nonpulmonary (neurotoxic, hepatic, cardiac, metabolic, genitourinary) adverse effects as well as possible pharmacokinetic/metabolic interactions with therapeutic drugs. Death can occur following exposure. See PMID 9528737, 21896525, 21972388, 22045882. Caution needed about herbals used to treat asthma or obesity, as these may contain steroids or amphetamines respectively (PMID 2323261; http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm238491.htm). Patients should be prudent with herbal 'sexual enhancers', as these may contain undeclared active drugs (PMID 22365331, 25459948). Assessment and attribution of causality is extremely wide-ranging...

Last update : 15/04/2018