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评估治疗更年期症状的草药产品的安全性:国际视角。

Assessing safety of herbal products for menopausal complaints: an international perspective.

机构信息

Arizona Center for Integrative Medicine, University of Arizona, Tucson, AZ 85719, USA.

出版信息

Maturitas. 2010 Aug;66(4):355-62. doi: 10.1016/j.maturitas.2010.03.008. Epub 2010 May 6.

DOI:10.1016/j.maturitas.2010.03.008
PMID:20451336
Abstract

Future research of herbal products for menopausal women should include long-term safety assessments because women may use these products for prolonged periods of time. Growing numbers of women take prescription medications and concurrently use herbal products for alleviation of menopausal symptoms. Because of possible herb-drug interactions, both drug and supplement manufacturers should provide basic pharmacokinetic data to reduce the risk of adverse interactions. In addition, herbal products produced to high quality standards are essential for ensuring consumer safety. Regulatory frameworks must be in place to ensure that herbal ingredients' identities have been verified, that they have been properly quantified per unit dose, that the product is within tolerance limits for contaminants, that the product's safety and effectiveness under the recommended conditions of use have been assessed before sale to the public, and that a system is in place to detect and deal with adverse reactions when they arise. This article explores these and related concerns.

摘要

未来针对更年期女性的草药产品研究应包括长期安全性评估,因为女性可能会长期使用这些产品。越来越多的女性服用处方药,并同时使用草药产品来缓解更年期症状。由于可能存在草药-药物相互作用,药物和补充剂制造商都应提供基本的药代动力学数据,以降低不良相互作用的风险。此外,必须采用高质量标准生产草药产品,以确保消费者安全。监管框架必须到位,以确保已验证草药成分的身份,已按单位剂量进行适当定量,产品在污染物的公差范围内,在向公众销售之前已评估产品在推荐使用条件下的安全性和有效性,并且建立了一个系统,以便在出现不良反应时进行检测和处理。本文探讨了这些问题和相关问题。

相似文献

1
Assessing safety of herbal products for menopausal complaints: an international perspective.评估治疗更年期症状的草药产品的安全性:国际视角。
Maturitas. 2010 Aug;66(4):355-62. doi: 10.1016/j.maturitas.2010.03.008. Epub 2010 May 6.
2
Safety issues associated with herbal ingredients.与草药成分相关的安全问题。
Adv Food Nutr Res. 2005;50:219-313. doi: 10.1016/S1043-4526(05)50007-X.
3
Adverse interactions between herbal and dietary substances and prescription medications: a clinical survey.草药、膳食补充剂与处方药之间的不良相互作用:一项临床调查。
Altern Ther Health Med. 2007 Mar-Apr;13(2):30-5.
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Herbal remedies for menopausal symptoms: are we cautious enough?治疗更年期症状的草药疗法:我们是否足够谨慎?
Eur J Contracept Reprod Health Care. 2008 Jun;13(2):133-7. doi: 10.1080/13625180801920131.
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Herbal therapies for perimenopausal and menopausal complaints.
Pharmacotherapy. 1997 Sep-Oct;17(5):970-84.
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Herb-drug interactions: interactions between kava and prescription medications.草药-药物相互作用:卡瓦与处方药之间的相互作用。
Geriatrics. 2005 Sep;60(9):24-5.
7
Drug-herb interactions with herbal medicines for menopause.用于更年期的草药的药物-草药相互作用。
J Br Menopause Soc. 2004 Dec;10(4):162-5. doi: 10.1258/1362180042721067.
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Herbal product use by older adults.老年人草药产品的使用情况。
Maturitas. 2011 Jan;68(1):52-5. doi: 10.1016/j.maturitas.2010.09.006.
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Long-term efficacy and safety of the special extract ERr 731 of Rheum rhaponticum in perimenopausal women with menopausal symptoms.大黄根茎特殊提取物ERR 731治疗有绝经症状的围绝经期妇女的长期疗效及安全性
Menopause. 2009 Jan-Feb;16(1):117-31. doi: 10.1097/GME.0b013e3181806446.
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The use of botanicals during pregnancy and lactation.孕期及哺乳期植物药的使用。
Altern Ther Health Med. 2009 Jan-Feb;15(1):54-8.

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A survey of the availability in Canadian pharmacy chains of over-the-counter natural health products for menopause symptoms.加拿大连锁药店中用于缓解更年期症状的非处方天然健康产品供应情况调查。
BMC Complement Altern Med. 2015 Mar 27;15:86. doi: 10.1186/s12906-015-0608-5.
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Concomitant use of prescription medications and dietary supplements in menopausal women: an approach to provider preparedness.绝经期女性中处方药与膳食补充剂的同时使用:为提供者做好准备的方法。
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