Essentials of Herb-Drug Interactions in the Elderly With Cardiovascular Disease

As the number of individuals, particularly the elderly, using herbal products with prescription drugs continues to grow, the risk for adverse interactions increases but remains poorly recognized. The true incidence and nature of adverse herb reactions or herb-drug interactions remains unknown since...

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Main Authors: Sulaiman Sultan, Maria Viqar, Rabaiya Ali, A. Jamil Tajik, Arshad Jahangir
Format: Article
Language:English
Published: Advocate Aurora Health 2015-11-01
Series:Journal of Patient-Centered Research and Reviews
Subjects:
Online Access:http://digitalrepository.aurorahealthcare.org/cgi/viewcontent.cgi?article=1212&context=jpcrr
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author Sulaiman Sultan
Maria Viqar
Rabaiya Ali
A. Jamil Tajik
Arshad Jahangir
author_facet Sulaiman Sultan
Maria Viqar
Rabaiya Ali
A. Jamil Tajik
Arshad Jahangir
author_sort Sulaiman Sultan
collection DOAJ
description As the number of individuals, particularly the elderly, using herbal products with prescription drugs continues to grow, the risk for adverse interactions increases but remains poorly recognized. The true incidence and nature of adverse herb reactions or herb-drug interactions remains unknown since no postmarketing surveillance mechanism exists. Adverse events are greatly underreported, and information regarding safety mainly comes from case reports and suboptimally conducted studies in a limited number of healthy young volunteers or patients with limited comorbidities. Therefore, convincing evidence for the safety of herbal products in the elderly is lacking, and the true magnitude of problems that herb-drug interactions pose to public health, particularly in elderly patients with cardiovascular diseases, is not known. Since cardiovascular diseases themselves are life threatening, necessitate use of multiple medications and occur in a population with extensive comorbidities, the risk of herb-drug and herb-disease interactions is not minor and cannot be ignored. This review addresses these concerns in an effort to raise awareness about the use of herbal medicine by the elderly and its potential adverse impact on the efficacy of prescription medications that can increase predisposition to catastrophic events such as major bleeding, inadequate anticoagulation leading to undesired clotting, transplant organ rejection and life-threatening cardiac arrhythmias.
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spelling doaj.art-4e5b12b8d93943ad8ae3c352a8eef5dc2023-02-02T21:55:06ZengAdvocate Aurora HealthJournal of Patient-Centered Research and Reviews2330-06982330-06982015-11-012417419110.17294/2330-0698.1212Essentials of Herb-Drug Interactions in the Elderly With Cardiovascular DiseaseSulaiman Sultan0Maria Viqar1Rabaiya Ali2A. Jamil Tajik3Arshad Jahangir4Aurora Health CareDallas Medical Physician GroupAurora Health CareAurora Cardiovascular Services, Aurora Health CareSheikh Khalifa bin Hamad Al Thani Center for Integrative Research on Cardiovascular Aging, Aurora Research Institute, Aurora Health CareAs the number of individuals, particularly the elderly, using herbal products with prescription drugs continues to grow, the risk for adverse interactions increases but remains poorly recognized. The true incidence and nature of adverse herb reactions or herb-drug interactions remains unknown since no postmarketing surveillance mechanism exists. Adverse events are greatly underreported, and information regarding safety mainly comes from case reports and suboptimally conducted studies in a limited number of healthy young volunteers or patients with limited comorbidities. Therefore, convincing evidence for the safety of herbal products in the elderly is lacking, and the true magnitude of problems that herb-drug interactions pose to public health, particularly in elderly patients with cardiovascular diseases, is not known. Since cardiovascular diseases themselves are life threatening, necessitate use of multiple medications and occur in a population with extensive comorbidities, the risk of herb-drug and herb-disease interactions is not minor and cannot be ignored. This review addresses these concerns in an effort to raise awareness about the use of herbal medicine by the elderly and its potential adverse impact on the efficacy of prescription medications that can increase predisposition to catastrophic events such as major bleeding, inadequate anticoagulation leading to undesired clotting, transplant organ rejection and life-threatening cardiac arrhythmias.http://digitalrepository.aurorahealthcare.org/cgi/viewcontent.cgi?article=1212&context=jpcrrcomplementary therapyherbsintegrative medicinecardiovascular agentselderlyherb-drug interaction
spellingShingle Sulaiman Sultan
Maria Viqar
Rabaiya Ali
A. Jamil Tajik
Arshad Jahangir
Essentials of Herb-Drug Interactions in the Elderly With Cardiovascular Disease
Journal of Patient-Centered Research and Reviews
complementary therapy
herbs
integrative medicine
cardiovascular agents
elderly
herb-drug interaction
title Essentials of Herb-Drug Interactions in the Elderly With Cardiovascular Disease
title_full Essentials of Herb-Drug Interactions in the Elderly With Cardiovascular Disease
title_fullStr Essentials of Herb-Drug Interactions in the Elderly With Cardiovascular Disease
title_full_unstemmed Essentials of Herb-Drug Interactions in the Elderly With Cardiovascular Disease
title_short Essentials of Herb-Drug Interactions in the Elderly With Cardiovascular Disease
title_sort essentials of herb drug interactions in the elderly with cardiovascular disease
topic complementary therapy
herbs
integrative medicine
cardiovascular agents
elderly
herb-drug interaction
url http://digitalrepository.aurorahealthcare.org/cgi/viewcontent.cgi?article=1212&context=jpcrr
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AT rabaiyaali essentialsofherbdruginteractionsintheelderlywithcardiovasculardisease
AT ajamiltajik essentialsofherbdruginteractionsintheelderlywithcardiovasculardisease
AT arshadjahangir essentialsofherbdruginteractionsintheelderlywithcardiovasculardisease