膳食补充剂和草药毒性——何时需留意以及如何应对。
Dietary supplements and herbal medicine toxicities-when to anticipate them and how to manage them.
作者信息
Phua D H, Zosel A, Heard K
机构信息
Emergency Department, Tan Tock Seng Hospital, Singapore.
出版信息
Int J Emerg Med. 2009 Jun 10;2(2):69-76. doi: 10.1007/s12245-009-0105-z.
Abstract
BACKGROUND
Dietary supplements and herbal medicines are gaining popularity in many developed countries.
AIMS
Although most can be used without any problem, serious toxicities do occur.
METHODS
Problems can be anticipated when they are used for non-traditional indications, at excessive dose, for prolonged duration, or by patients who are also on multiple modern pharmaceuticals. Problems should also be anticipated when these products claim to be able to relieve symptoms rapidly or when herbs with pronounced pharmacological effects or toxic components are used.
RESULTS
Resuscitation, symptomatic and supportive care are the most important aspects of management of toxicities from these products.
CONCLUSION
This article reviews when problems with these products can be anticipated and outlines a practical approach to management.
摘要
背景
膳食补充剂和草药在许多发达国家越来越受欢迎。
目的
虽然大多数可以毫无问题地使用，但严重的毒性确实会发生。
方法
当它们用于非传统适应症、过量使用、长期使用或同时服用多种现代药物的患者时，问题是可以预见的。当这些产品声称能够迅速缓解症状，或者使用具有明显药理作用或有毒成分的草药时，问题也应该被预见。
结果
复苏、对症和支持治疗是这些产品毒性管理的最重要方面。
结论
本文回顾了何时可以预见这些产品的问题，并概述了一种实际的管理方法。
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