Erickson Tribune

Health Secrets

UPDATED: Tuesday, January 17, 2006

‘Natural’ Does NOT Mean ‘Safe’

Posted on Friday, July 01, 2005
 

By Wendy J. Meyeroff
THE ERICKSON TRIBUNE

Kathy Justice, R.Ph., has been a pharmacist for over two decades. More and more in recent years she’s heard the following statement from people who frequent the pharmacy she manages at the Charlestown community built and managed by Erickson:

“But this has to be safe. It’s made from herbs and flowers.”

There are indeed many wondrous medicines that come from nature. “Digoxin, a heart medicine, is made from a plant,” Justice points out. And more and more “natural” therapies are being accepted by mainstream medicine.

“Some Erickson HealthSM physicians recommend saw palmetto for prostate problems and others recommend valerian root to help people sleep, so we keep both here for residents,” she adds.

But Justice emphasizes that such recommendations only come after careful examination, in reliable tests, by the medical community. She always reminds customers that “natural” and “safe” are not synonyms.

“Many deadly poisons, including rattlesnake venom and belladonna, are also ‘all natural,’” she says.

Poor Regulation Can Mean Fraud

Natural supplements are still unregulated in the United States. “There’s a wide range of potencies and purities among these supplements because they aren’t under the stringent guidelines of the Food & Drug Administration (FDA),” says Matt Narrett, M.D., medical director at Charlestown. “It’s very difficult, for example, to compare one brand of ginseng to another.”

So even though a bottle is marked “150 mg” of St. John’s Wort, or ginseng, or something else, you might not be getting that amount. Justice adds, “In one study, the experts bought ten different bottles of gingko off the shelf and despite all being marked the same dosage they all had different dosages of gingko in them.” Thus, even when a natural product might be good for you, you can’t be sure you’re getting what you’re paying for.


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Many natural products are made with unsafe procedures. One of the biggest controversies recently has been about coral calcium products, many of which have dangerous lead levels. Experts urge consumers only to buy calcium supplements from well-known manufacturers.

Expense is another factor, “The natural product isn’t always inexpensive. A bottle of glucos-amine can cost $60,” says Justice. That means you could pay as much for this natural therapy—which is still being tested for its potential antiinflammatory benefits—as you do for an approved prescription anti-inflammatory like Celebrex.

Even cheaper would be a bottle of aspirin or other OTC drug in this category, as long as your doctor says it will work safely with other medicines you’re taking.

Supplements and Interactions

Interactions with current medicines should be a major concern before you add a “natural” product into your drug arsenal. “St. John’s Wort has shown some efficacy in fighting depression,” says Narrett, “but it interacts with a number of medicines, including other antidepressants and the blood thinner Coumadin. This is why it is important to discuss any addition to your medical regime with your physician.

“Our Centricity electronic medical records system allows us to check all medicines with any supplement a resident might consider. This is one of the major advantages of a computerized record system, since it’s impossible for a physician to remember the hundreds of drug-herb and drug-supplement interactions,” he says.

Other physicians can check reference books that list the side effects and interactions of natural substances. Justice and many other pharmacists have computer systems that match drugs against herbals and alerts for dangers; ask them to use it before you buy something.

Finding Safety

Unfortunately the lack of regulation among natural products makes it very difficult to find those that deliver what they promise and do so safely. Among the advice experts offer:

  1. Don’t buy a natural substance just because you’ve seen an interesting article or infomercial.
  2. Find out if it’s been tested thoroughly by an objective outside source, like a major medical center, instead of the manufacturer’s lab.
  3. Buy supplements only from well-known manufacturers. It’s not an absolute guarantee, but it betters your chances for quality.
  4. Look for the “USP” label from U.S. Pharmacopeia, an independent qualitytesting organization. It’s very hard to find, but a few products have it. Check their website, www.uspverified.org, for information or call them at 1-800-227-8772.

Finally, remember that neither your doctor nor pharmacist can advise you if you don’t tell them you’ve added a natural supplement to your medicine chest. Always tell them all the drug therapies you’re taking —prescriptions, over-thecounter, and natural substances—because any may set off dangerous interactions.



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