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Alternative Medical Treatments May Put Elderly Patients at Risk

by Richard A. Sherer

A 57-year-old woman reported that she had been experiencing nausea, abdominal pain, watery diarrhea, sweating and weakness intermittently for about two months. The attacks, she said, lasted about 24 hours but left no residual effects. Her physical findings were unremarkable. Clinicians were puzzled by the unaccountable symptoms. Questioning revealed that the attacks had begun after she started taking capsules containing milk thistle (Silybum marianum) that were supposed to promote liver cleansing and cure headaches. Not surprisingly, the attacks ceased when she was persuaded to discontinue using the herbal preparation.

The story itself is hardly a milestone in the annals of medicine, but it does serve to illustrate the difficulty facing many clinicians today as the use of herbal dietary supplements, Chinese medicinals and various types of alternative or integrative treatments proliferates. In many cases, the effects of such treatments are far more serious than occasional bouts of gastric distress.

Self-prescribed herbal treatments carry their own sets of side effects, but they can be even more serious-and sometimes deadly-when innocently combined with prescription medications. Physicians now need to be more aware than ever of the possibility of an over-the-counter preparation interfering with a patient's recovery.

"Two years ago, we realized there were virtually no prospective studies looking at how herbal dietary supplements interact with conventional prescription medicines," Bill Gurley, Ph.D., an associate professor of pharmaceutical sciences at the University of Arkansas Medical Sciences College of Pharmacy, told Geriatric Times. "These preparations are becoming ubiquitous. In 1998, JAMA (280[18]:1569-1575) reported that 15 million people take herbal dietary supplements with conventional drugs, including at least 3 million who are elderly."

"The elderly are the greatest concern," Gurley added, "because of the potential to experiment with these alternative medical applications. A number of these supplements contain a whole variety of chemical ingredients that interact with enzymes, other drugs and a whole variety of mechanisms. We were surprised at how few studies had been done, and we were looking at some of the top-selling herbal dietary supplements."

Gurley and his associates were alerted to the need for comprehensive data about the interactions between herbals and prescription medicines when a patient with a kidney and pancreas transplant suddenly began to show symptoms of rejection, even though she was receiving the immunosuppressive agent cyclosporine. The patient had begun using St. John's wort (Hypericum perforatum), a popular herbal with antidepressive properties. On investigation, the Arkansas researchers found that St. John's wort appeared to induce cytochrome P-450 3A4 (CYP3A4) enzyme activity and p-glycoprotein (P-gp) expression, both of which served to inhibit absorption of the cyclosporine.

"Four weeks after stopping the St. John's wort, her cyclosporine levels went back up above the acceptable range," Gurley said, "but the patient now appears to have chronic rejection. She may end up losing the kidney."

A later case involving another transplant patient served to reinforce the team's findings.

The Arkansas researchers are not the only investigators who have turned up evidence of a conflict involving St. John's wort. In February, the U.S. Food and Drug Administration issued a warning about the use of St. John's wort and indinavir (Crixivan), a protease inhibitor used to treat HIV infection. This came after a report in The Lancet (2000;355[9203]) that the herbal "substantially decreased indinavir plasma concentrations, potentially due to induction of the cytochrome P450 metabolic pathway."

The FDA notice also warned, "It is expected that St John's wort may significantly decrease blood concentrations of all of the currently marketed HIV protease inhibitors (PIs) and possibly other drugs (to varying degrees) that are similarly metabolized, including the nonnucleoside reverse transcriptase inhibitors (NNRTIs)."

In a presentation at the 1998 Annual Scientific Assembly of the American Academy of Family Physicians, researchers Victoria Rand, M.D., and Ellen Hughes, M.D., from the University of California at San Francisco, warned that St. John's wort appears to involve the serotonergic pathway. They advised their listeners that it should not be used with any selective serotonin reuptake inhibitor (SSRI) such as fluoxetine (Prozac).

Other researchers around the world have reported problems with a range of herbals. Last year, three clinicians at the U.S. Naval Medical Center in San Diego reported two cases of hepatitis involving patients who were taking preparations containing bee pollen or a combination of bee pollen and chapparal in addition to prescription medications. When the herbals were discontinued, both patients returned to normal, even though none of the prescription drugs had been discontinued. The physicians reported in Southern Medicine (1999;92[11]): "A review of the English-language literature revealed several reports [4-6] of acute hepatitis after the ingestion of herbal preparations such as chaparral (Larrea tridentata), germander (Teucrium chamaedrys), Chinese herbs (Jin bu huan, ma-huang), skullcap (Scutellaria galericulata), mistletoe (Vissum sp), senna (Cassia angustifolia), and valerian root (Valeriana officinalis)."

Gurley told GT that two other popular herbals, Ginkgo biloba and ginseng, are known to cause interaction with prescription medications, especially if they are taken in combination.

"Ginkgo can potentiate warfarin and ginseng attenuates warfarin," he said. "We have a number of case reports. We're now looking at the actual mechanisms behind the interactions to see if the effect is on the metabolism or the absorption."

Other studies have reported adverse effects from a variety of Chinese medicines, including one containing a supplement called Ephedra, also known as ma-huang. At least one case of stroke has been associated with the use of ma-huang.

Despite the risks, sales of herbals, dietary supplements and alternative compounds reportedly are growing by 15% to 25% a year. The public appetite for unorthodox treatments has grown to the level that, last March, President Clinton established a special White House Commission on Complementary and Alternative Medicine Policy. Part of the commission's charge is to maximize "the benefits to Americans of complementary and alternative medicine"-a statement that presumes the unquestioned value of such preparations.

"There's lots of lobbying going on," Gurley noted. "This is a $15 billion a year industry. I don't mind people making money, but I don't want there to be fraudulent products on the market or to have products out there that are going to be dangerous."

For the most part, herbal compounds sold over the counter are given a regulatory pass by Congress. This exempts them from the pre-marketing studies and reports required of more mainstream drugs. Manufacturers of alternative treatments avoid regulation almost entirely if their labels do not mention a disease or promise a cure. A spokesperson for the FDA summed up the legal policy: "We can only regulate what is on the label. A product is not allowed to make reference to a disease on the label. Once a product makes a disease claim on the label, we have the authority to take action."

Only if there are significant problems reported to the FDA for a particular product is the agency allowed to require the manufacturer to provide proof of its safety. "The FDA doesn't have nearly the degree of freedom to investigate these things as it does with conventional medications," Gurley said. "A number of the chemical compounds that are in these herbal dietary supplements are known to affect biological systems. Many of them could be defined as drugs."

In addition, because of the lax regulation, there are often problems with quality control. One recent study reported:

Batch-to-batch variability, however, is a significant problem with herbal preparations. Companies that produce these preparations generally do not employ rigid quality controls, do not have adequate personnel or standards, and do not evaluate their products for purity and reliability. Contradictory pharmacologic effects have also been reported as a result of herbal preparations containing different subspecies of plants or having alterations in the chemical composition of active ingredients. Because herbal preparations are usually not evaluated for purity and consistency of active compounds, they often contain accidental contaminants, such as allergens, pollen, mold, and mold spores. In addition, some herbs are edible when immature but poisonous at maturity.

In a recent report on ma-huang, Gurley and his colleagues wrote, "Ephedrine alkaloid content varied considerably between products. Half of the products exhibited discrepancies in label claim and actual alkaloid content in excess of ±20%. One product was completely devoid of ephedrine alkaloids."

Clinicians, especially those treating an elderly population, are likely to encounter numerous patients who are self-medicating with one or more dietary supplements. In many instances, these patients may withhold the information, fearing ridicule or censure by their physician.

"If a patient presents with what appears to be a classic drug interaction, but none of the medications she's on would seem to be the cause, the clinician should immediately think of herbal supplements," Gurley told GT. "Most people who take herbal supplements don't relay that information to their primary care physician, and most primary care physicians don't relate to that. It's important to take a complete drug history and include herbal medications or dietary supplements."