A review of herb-induced liver injury in mainland china

Traditional medicines have greatly contributed to people’s health worldwide. However, in recent years, the frequent occurrence of herb-induced liver injury (HILI) has raised public concerns regarding the safety of herbs. HILI not only severely impacts public health, thus increasing its medical burde...

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Main Authors: Yan Yang, Fei-Lin Ge, Jin-Fa Tang, Shuang-Lin Qin, Rui Zeng, Meng-Lin Yao, Xiao-He Xiao, Zhao-Fang Bai, Cheng-Lin Tang
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-10-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2022.813073/full
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author Yan Yang
Fei-Lin Ge
Jin-Fa Tang
Shuang-Lin Qin
Rui Zeng
Meng-Lin Yao
Xiao-He Xiao
Zhao-Fang Bai
Cheng-Lin Tang
author_facet Yan Yang
Fei-Lin Ge
Jin-Fa Tang
Shuang-Lin Qin
Rui Zeng
Meng-Lin Yao
Xiao-He Xiao
Zhao-Fang Bai
Cheng-Lin Tang
author_sort Yan Yang
collection DOAJ
description Traditional medicines have greatly contributed to people’s health worldwide. However, in recent years, the frequent occurrence of herb-induced liver injury (HILI) has raised public concerns regarding the safety of herbs. HILI not only severely impacts public health, thus increasing its medical burden, but also consumes medical resources. However, the pharmacoepidemiology and risk factors of HILI are still unclear due to the complexity of herbs (medication theory, drug composition, dual properties of drugs and food, etc.). China is the country with the most extensive use of herbs and cases of HILI worldwide. The safety profile of herbs (especially with respect to HILI) has also affected the use of herbs internationally. Therefore, this review focuses on the epidemic situation of HILI in mainland China to compile its characteristics, while focusing on the three main aspects of patients, drugs, and unreasonable prescriptions to explore the potential risk factors. Our objective was to provide a reference for HILI pharmacovigilance and risk prevention and control and contribute to Chinese knowledge of the realisation of the “Medication without Harm” global safe medication strategic goal of the World Health Organization.
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spelling doaj.art-7ba93a47a62242e3a7ae32527e9ede3c2022-12-22T03:30:44ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122022-10-011310.3389/fphar.2022.813073813073A review of herb-induced liver injury in mainland chinaYan Yang0Fei-Lin Ge1Jin-Fa Tang2Shuang-Lin Qin3Rui Zeng4Meng-Lin Yao5Xiao-He Xiao6Zhao-Fang Bai7Cheng-Lin Tang8College of Traditional Chinese Medicine, Chongqing Medical University, Chongqing, ChinaDepartment of Chinese Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaDepartment of Pharmacy, The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, ChinaSchool of Pharmacy, Xianning Medical College, Hubei University of Science and Technology, Xianning, ChinaSchool of Integrated Traditional Chinese and Western Medicine, Southwest Medical University, Luzhou, ChinaSchool of Integrated Traditional Chinese and Western Medicine, Southwest Medical University, Luzhou, ChinaSenior Department of Hepatology, The Fifth Medical Center of PLA General Hospital, Beijing, ChinaSenior Department of Hepatology, The Fifth Medical Center of PLA General Hospital, Beijing, ChinaCollege of Traditional Chinese Medicine, Chongqing Medical University, Chongqing, ChinaTraditional medicines have greatly contributed to people’s health worldwide. However, in recent years, the frequent occurrence of herb-induced liver injury (HILI) has raised public concerns regarding the safety of herbs. HILI not only severely impacts public health, thus increasing its medical burden, but also consumes medical resources. However, the pharmacoepidemiology and risk factors of HILI are still unclear due to the complexity of herbs (medication theory, drug composition, dual properties of drugs and food, etc.). China is the country with the most extensive use of herbs and cases of HILI worldwide. The safety profile of herbs (especially with respect to HILI) has also affected the use of herbs internationally. Therefore, this review focuses on the epidemic situation of HILI in mainland China to compile its characteristics, while focusing on the three main aspects of patients, drugs, and unreasonable prescriptions to explore the potential risk factors. Our objective was to provide a reference for HILI pharmacovigilance and risk prevention and control and contribute to Chinese knowledge of the realisation of the “Medication without Harm” global safe medication strategic goal of the World Health Organization.https://www.frontiersin.org/articles/10.3389/fphar.2022.813073/fullpharmacoepidemiologyrisk factorsrisk prevention and controlherbpharmacovigilance
spellingShingle Yan Yang
Fei-Lin Ge
Jin-Fa Tang
Shuang-Lin Qin
Rui Zeng
Meng-Lin Yao
Xiao-He Xiao
Zhao-Fang Bai
Cheng-Lin Tang
A review of herb-induced liver injury in mainland china
Frontiers in Pharmacology
pharmacoepidemiology
risk factors
risk prevention and control
herb
pharmacovigilance
title A review of herb-induced liver injury in mainland china
title_full A review of herb-induced liver injury in mainland china
title_fullStr A review of herb-induced liver injury in mainland china
title_full_unstemmed A review of herb-induced liver injury in mainland china
title_short A review of herb-induced liver injury in mainland china
title_sort review of herb induced liver injury in mainland china
topic pharmacoepidemiology
risk factors
risk prevention and control
herb
pharmacovigilance
url https://www.frontiersin.org/articles/10.3389/fphar.2022.813073/full
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