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Perioperative Considerations of Herbal Medications.

Authors :
Chadha RM
Egan BJ
Source :
Current clinical pharmacology [Curr Clin Pharmacol] 2017; Vol. 12 (3), pp. 194-200.
Publication Year :
2017

Abstract

Background: A considerable portion of the US population uses herbal supplements on a daily basis for their various proposed beneficial effects. However, the over-the-counter nature of these medications and lack of knowledge of adverse effect profiles can have unexpected serious impact on the perioperative course. The growing list of supplements presents a pharmacologic conundrum to the anesthesiologist.<br />Objective: The study aimed to compile a comprehensive list of vitamins, herbals, and supplements used commonly by patients, describe the risks associated with them, and identify recommendations for perioperative management.<br />Method: The current literature on PubMed and Medline was reviewed for the years 2000 through 2016. The reference lists of each selected article were also reviewed for additional sources of information.<br />Results: The review identified 23 herbals and supplements that are commonly used and their perioperative considerations.<br />Conclusion: The management of herbals and supplements is an issue for the anesthesiologist. Although it would be prudent to stop the use of most substances a week or more preoperatively, the perioperative physician must be wary of the potential for withdrawal.<br /> (Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.)

Details

Language :
English
ISSN :
2212-3938
Volume :
12
Issue :
3
Database :
MEDLINE
Journal :
Current clinical pharmacology
Publication Type :
Academic Journal
Accession number :
28914190
Full Text :
https://doi.org/10.2174/1574884712666170913160205