DiPietro Michael A, Mondie Christopher
Department of Emergency Medicine Newark Beth Israel Medical Center Newark New Jersey USA.
J Am Coll Emerg Physicians Open. 2021 Mar 31;2(2):e12411. doi: 10.1002/emp2.12411. eCollection 2021 Apr.
In the absence of a definitive cure, herbal medications are gaining increasing popularity in the general public for treatment of coronavirus disease 2019 (COVID-19). Although many herbal preparations are safe and can be used without complication, serious toxicities do occur. This article focuses on the major characteristics and toxicities of herbal preparations that have been proposed as treatments for COVID-19.
A review was performed focusing on herbal preparations that have gained popularity as potential treatments for COVID-19. Some of these preparations have been directly recommended by government agencies, whereas others have gained popularity through various other news sources.
The herbal preparations covered in this paper include the cardiac glycoside oleandrin, plants of the genus, and herbs commonly used in traditional Chinese Medicine including plants of the genus, bitter apricot seeds, ephedra, and licorice root.
Although herbal preparations have been reported to aid in the treatment of COVID-19 with success, few clinical trials have been performed to evaluate their efficacy and instead rely mainly on studies and anecdotal reports. Furthermore, many of the herbal preparations suggested carry significant toxicities, and frontline healthcare workers should be aware of the common symptoms and toxidromes that result from these poisonings.
在缺乏根治方法的情况下,草药制剂在普通民众中越来越受欢迎,用于治疗2019冠状病毒病(COVID-19)。虽然许多草药制剂是安全的,可以无并发症地使用,但严重的毒性确实会发生。本文重点关注已被提议用于治疗COVID-19的草药制剂的主要特性和毒性。
进行了一项综述,重点关注已成为COVID-19潜在治疗方法且广受欢迎的草药制剂。其中一些制剂已被政府机构直接推荐,而其他一些则通过各种其他新闻来源受到关注。
本文涵盖的草药制剂包括强心苷夹竹桃苷、该属植物,以及常用的中药草药,包括该属植物、苦杏仁、麻黄和甘草。
虽然有报道称草药制剂有助于成功治疗COVID-19,但很少有临床试验来评估其疗效,主要依赖于研究和轶事报道。此外,许多建议使用的草药制剂具有显著毒性,一线医护人员应了解这些中毒导致的常见症状和中毒综合征。