Department of Internal Medicine, Carver College of Medicine, University of Iowa and Department of Epidemiology, University of Iowa College of Public Health, Iowa City, IA, USA.
Evid Based Complement Alternat Med. 2010 Mar;7(1):107-13. doi: 10.1093/ecam/nem150. Epub 2007 Dec 5.
Excessive and inappropriate use of medications, or 'polypharmacy', has been recognized as a public health problem. In addition, there is growing use of dietary supplements in the United States; however, little is known about the patterns of supplement use. Recent reports in the literature of cases of excessive or inappropriate use of herbal dietary supplements leading to the term 'polyherbacy'. The clinical vignettes described in this article highlight the need for further research on the nature and extent of multiple and inappropriate dietary supplement use or 'dietary supplement polypharmacy'. Clinical interviewing and population surveys both address this issue in complementary ways, and provide a further understanding of dietary supplement use patterns.
药物的过度和不恰当使用，即“多药治疗”，已被公认为一个公共卫生问题。此外，在美国，膳食补充剂的使用也在不断增加；然而，对于补充剂使用的模式知之甚少。最近文献中有报道称，过度或不恰当地使用草药膳食补充剂会导致“多草药治疗”的情况。本文描述的临床案例强调了需要进一步研究多种和不恰当的膳食补充剂使用或“膳食补充剂多药治疗”的性质和程度。临床访谈和人群调查都以互补的方式解决了这个问题，进一步了解了膳食补充剂使用模式。
