potential adverse and allergic reactions from complementary and alternative medicine and dietary supplements潜在的不良和过敏反应的补充和替代医学和饮食补充剂.pdfVIP

Original Article Potential Adverse and Allergic Reactions from Complementary and Alternative Medicine and Dietary Supplements H.C. George Wong, MD, FRCPC, FACP, FAAAAI, FCCP Abstract Complementary and alternative medicine and dietary supplements are often used by patients. A detailed examination of each preparation used by four patients was carried out. Seven such preparations with the potential to cause bleeding, cardiovascular and central nervous system side effects, and allergic food reactions are described. They were taken by both Asian and Caucasian patients, were purchased locally, and were used for allergic and nonallergic disorders. Inquiry into their use is important to pre- vent potential adverse and allergic reactions. There should be a higher standard of regulation for such products. Complementary and alternative medicine (CAM) Case Histories preparations and dietary supplement (DS) prod- ucts are frequently used by patients without the A 59-year-old Vietnamese woman with chronic knowledge of their physicians. Such preparations urticaria reported the use of two CAM prepara- can be purchased from local health food stores, tions: Kwan Loong Oil (containing methyl sali- Chinese herbal shops, pharmacies, and Internet cylate) and Zhui Feng So Hop Wan (pills with sites,1 or they can be brought in from elsewhere.2 unknown content). This article describes seven preparations used by A 68-year-old Chinese woman with allergic four patients for allergic and nonallergic disorders rhinitis was taking a Chinese patent medicine, and identified during inquiry into the use of CAM Dan Shen Pill (containing radix Salvia miltior- and DS products as part of obtaining histories. rhiza), for her coronary artery disease. A 34-year-old Caucasian man with allergic