Herb–Drug Interaction in Inflammatory Diseases: Review of Phytomedicine and Herbal Supplements

Many people worldwide use plant preparations for medicinal purposes. Even in industrialized regions, such as Europe, where conventional therapies are accessible for the majority of patients, there is a growing interest in and usage of phytomedicine. Plant preparations are not only used as alternativ...

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Main Authors: Annemarie Lippert, Bertold Renner
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/11/6/1567
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author Annemarie Lippert
Bertold Renner
author_facet Annemarie Lippert
Bertold Renner
author_sort Annemarie Lippert
collection DOAJ
description Many people worldwide use plant preparations for medicinal purposes. Even in industrialized regions, such as Europe, where conventional therapies are accessible for the majority of patients, there is a growing interest in and usage of phytomedicine. Plant preparations are not only used as alternative treatment, but also combined with conventional drugs. These combinations deserve careful contemplation, as the complex mixtures of bioactive substances in plants show a potential for interactions. Induction of CYP enzymes and pGP by St John’s wort may be the most famous example, but there is much more to consider. In this review, we shed light on what is known about the interactions between botanicals and drugs, in order to make practitioners aware of potential drug-related problems. The main focus of the article is the treatment of inflammatory diseases, accompanied by plant preparations used in Europe. Several of the drugs we discuss here, as basal medication in chronic inflammatory diseases (e.g., methotrexate, janus kinase inhibitors), are also used as oral tumor therapeutics.
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spelling doaj.art-13676eda4223412a97d4a0740dbe0f8e2023-11-24T01:48:27ZengMDPI AGJournal of Clinical Medicine2077-03832022-03-01116156710.3390/jcm11061567Herb–Drug Interaction in Inflammatory Diseases: Review of Phytomedicine and Herbal SupplementsAnnemarie Lippert0Bertold Renner1Institute of Clinical Pharmacology, Medical Faculty Carl Gustav Carus, Technische Universität Dresden, 01069 Dresden, GermanyInstitute of Clinical Pharmacology, Medical Faculty Carl Gustav Carus, Technische Universität Dresden, 01069 Dresden, GermanyMany people worldwide use plant preparations for medicinal purposes. Even in industrialized regions, such as Europe, where conventional therapies are accessible for the majority of patients, there is a growing interest in and usage of phytomedicine. Plant preparations are not only used as alternative treatment, but also combined with conventional drugs. These combinations deserve careful contemplation, as the complex mixtures of bioactive substances in plants show a potential for interactions. Induction of CYP enzymes and pGP by St John’s wort may be the most famous example, but there is much more to consider. In this review, we shed light on what is known about the interactions between botanicals and drugs, in order to make practitioners aware of potential drug-related problems. The main focus of the article is the treatment of inflammatory diseases, accompanied by plant preparations used in Europe. Several of the drugs we discuss here, as basal medication in chronic inflammatory diseases (e.g., methotrexate, janus kinase inhibitors), are also used as oral tumor therapeutics.https://www.mdpi.com/2077-0383/11/6/1567rheumatoid arthritisinflammatory bowel diseaseherbal medical productscomplementary medicinegreen teaginseng
spellingShingle Annemarie Lippert
Bertold Renner
Herb–Drug Interaction in Inflammatory Diseases: Review of Phytomedicine and Herbal Supplements
Journal of Clinical Medicine
rheumatoid arthritis
inflammatory bowel disease
herbal medical products
complementary medicine
green tea
ginseng
title Herb–Drug Interaction in Inflammatory Diseases: Review of Phytomedicine and Herbal Supplements
title_full Herb–Drug Interaction in Inflammatory Diseases: Review of Phytomedicine and Herbal Supplements
title_fullStr Herb–Drug Interaction in Inflammatory Diseases: Review of Phytomedicine and Herbal Supplements
title_full_unstemmed Herb–Drug Interaction in Inflammatory Diseases: Review of Phytomedicine and Herbal Supplements
title_short Herb–Drug Interaction in Inflammatory Diseases: Review of Phytomedicine and Herbal Supplements
title_sort herb drug interaction in inflammatory diseases review of phytomedicine and herbal supplements
topic rheumatoid arthritis
inflammatory bowel disease
herbal medical products
complementary medicine
green tea
ginseng
url https://www.mdpi.com/2077-0383/11/6/1567
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