Review: Use of OTC and Herbal Products in Patients with Cardiovascular Disease
Pharand C, Ackman ML, Jackevicius CA, Paradiso; Use of OTC and Herbal Products in Patients with Cardiovascular Disease.; Ann Pharmacother. 2003 Jun;37(6):899-904 (Canada)
A common phenomenon in North America is the use of nonprescription and herbal products by the public. Many have discussed the potential for increased adverse reactions or drug interactions in all settings and in all patients. This article reviews interviews with 306 patients, most with coronary artery disease and other pulmonary and cardiac illnesses. The most common OTC products consumed by these patients was pain relievers (51%), single-entity vitamin/mineral (38%), multivitamin/mineral (23%), antacids (21%), laxatives (17%), and herbals (17%). The most common vitamin/mineral products was vitamin E (24%), vitamin C (16%), calcium (9%), and B vitamins (8%). The most common herbal products used were garlic (13%), cayenne pepper (2%), and ginseng (2%). The authors conclude that allied health professionals need to be aware of the widespread use of these products and their potential for adverse reactions and drug interactions.
Nehrenz GM. Review: Use of OTC and Herbal Products in Patients with Cardiovascular Disease. The Internet Journal of Allied Health Sciences and Practice. 2004 Jan 01;1(2), Article 14.