Erickson Tribune

Fox Run

UPDATED: Wednesday, March 22, 2006

It May Be Natural . . . But Is It Safe?

Posted on Saturday, April 01, 2006
 

By Vrinda Suneja,
M.D.Medical Director, Fox Run

“This has to be safe. It’s made from herbs and flowers,” is something pharmacists everywhere have been hearing, espec ially with the recent growth in the acceptance of “natural” therapies. In fact, there are many wondrous medicines that come from nature. Digoxin is a heart medicine that comes from plants. Among natural remedies, some physicians recommend palmetto for prostate problems while others recommend valerian root to help people sleep. But they prescribe these supplements only after careful examination, in reliable tests, by the medical community. In the end, “natural” doesn’t always mean “safe.”

Poor Regulation Can Mean Fraud

Natural supplements are still unregulated in the United States. For instance, a wide range of potencies and purities exist among supplements because there are no guidelines for them established by the Food & Drug Administration (FDA). So even though a bottle of St. John’s Wort, ginseng, or something else is marked “150 mg,” you might not be getting that amount of the actual herb. In one test, ten different bottles of gingko, all marked with the same dosage, were analyzed. All of them contained a different dosage. So, even when a natural product might be good for you, you really cannot be sure of the amount you are taking.

Another problem that exists is some natural products have been found to contain dangerous ingredients. For example, hazardous levels of lead have been found in some coral calcium products. For that reason, consumers are urged to avoid coral calcium and buy calcium supplements only from well-known manufacturers.


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Some people who buy natural products may think they are less expensive but that may not be true. For example, you could pay $60 for a bottle of glucosamine, which is still being tested for its anti-inflammatory benefits, for about the same price as you would for some prescription antiinflammatory drugs. Even cheaper, of course, would be a bottle of aspirin or other over-the-counter drug in this category as long as your doctor says it will work safely with your other medications.

Supplements and Interaction

You should be concerned about possible interactions with your current medication before you begin taking a new “natural” product. For instance, St. John’s Wort is said to fight depression but it can interact with a number of medicines, including other antidepressants and the blood-thinner, Coumadin. Thus, it is vitally important that you discuss its addition to your medical regimen with your physician.

At Fox Run, our Centricity electronic medical records system enables us to check all medications and many natural supplements that a resident and his or her doctor may consider. It is a major advantage since no physician can remember the myriad of potential interactions that may exist. Many pharmacies have computer systems that match drugs with herbal remedies and alert for dangers. I urge you to ask them for advice before you buy something.

Finding Safety

Unfortunately, the lack of regulation in the manufacture and sale of natural products make it very difficult to find those that deliver what they promise safely. Here are a few suggestions that I strongly urge you to consider:

  1. Don’t buy a natural substance just because you have seen an interesting article or infomercial.
  2. Find out if the product has been tested thoroughly by an objective outside source like a major medical center, instead of just the manufacturer’s lab.
  3. Buy supplements only from well-known manufacturers. This is not a guarantee, but it will improve your chance for quality.
  4. Look for the “USP” label from U.S. Pharmacopeia, an independent testing organization. It is difficult to find but a few products have it. Check USP’s web site, www.uspverified. org, for information or call them at 1-800-277-8772.

Above all, remember that neither your doctor nor pharmacist can advise you if they don’t know all the drug therapies you are taking—prescriptions, over-the-counter, and natural substances. Any that you may add to that list could set off a serious interaction.

People living at Fox Run truly benefit from our advanced diagnostic and treatment programs. We are very well equipped to determine the efficacy of over-the-counter supplements, particularly as they relate to medications that our people may already be taking. At Fox Run, being concerned about our residents’ use of natural supplements is just one more way the Erickson HealthSM team watches over them.



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