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2008, Number 1

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Rev Med Hosp Gen Mex 2008; 71 (1)

Herbal medicine use in presurgical patients in the Hospital General de México

López-Herranz GP, Arroyo-Valerio AG

Language: Spanish
References: 23
Page: 6-10
PDF size: 122.91 Kb.


ABSTRACT

Medicinal herbs have pharmacokinetic, pharmacodynamic effects and potential interactions with other drugs. It is indispensable to consider the use of this type of traditional medicine in the perioperatorive period, since, adverse effects can be produced. Objective: To know the number of presurgical patients who consume herbal medicines themselves, to identify the frequency in the use and the disease and / or symptom associated. Material and method: In programmed patients for an elective anesthetic-surgical procedure, a questionnaire was applied. Results: During three months, 210 questionnaires were applied. Forty seven patients (22.3 %) consumed herbal medicines, forty one women (87.2%) and six men (12.7%), with a mean age of 42 ± 15 and 54 ± 9 years respectively. A total of 98 types of herbal medicines were used. The most commonly used include aloe, arnica, chamomile and nopal. With an overdose, the arnica, chamomile and absinthe, are toxic herbs. Valerian and «St. John’s» may have interactions during anesthesia. In the 50% there were relation between herbal medicine and symptom. Conclusions: The use of herbal medicines is common in the presurgical population. Due to the possible interactions with anesthetic agents, it is important to know its use, and suspend two weeks before surgery. The patients use or herbal medicines for an elective anesthetic-surgical procedure is more than 20%.


REFERENCES

  1. Hodges PJ, Kam PC. The peri-operative implications of herbal medicines. Anaesthesia 2002; 57: 889-899.

  2. Lee A, Chui PT, Aun CST, Lau ASC, Gin T. Incidence and risk of adverse perioperative events among surgical patients taking traditional Chinese herbal medicines. Anesthesiology 2006; 105: 454-461.

  3. Luna ALM, Roja Alba M. Medicina tradicional de México y sus plantas medicinales. URL: http: //www.tlahui.com/medic/medic18/planlun2.htm. Consultado octubre 2007.

  4. Anzures y Bolaños MC. La medicina tradicional en la ciudad. En: Anzures y Bolaños MC (ed). La medicina tradicional en México. México: UNAM, 1983: 139-151.

  5. Abebe W. Herbal medication: Potential for adverse interactions with analgesic drugs. J Clin Pharm Ther 2002; 27: 391-401.

  6. Ang-Lee MK, Moss J, Yuan CS. Herbal medicines and perioperative care. JAMA 2001; 286: 208-216.

  7. Hu Z, Yang X, Ho PC, Chan SY, Heng PW, Chan E et al. Herb-drug interactions: A literature review. Drugs 2005; 65: 1239-1282.

  8. Estes JD, Stolpman D, Olyaei A, Corless CL, Ham JM, Schwartz JM, et al. High prevalence of potentially hepatotoxic herbal supplement use in patients with fulminant hepatic failure. Arch Surg 2003; 138: 852-858.

  9. Critchley LAH, Chen DQ, Lee A, Thomas GN, Tomlinson B. A survey of Chinese herbal medicine intake amongst preoperative patients in Hong Kong. Anaesth Intensive Care 2005; 33: 506-513.

  10. Tsen LC, Segal S, Pothier M, Bader AM. Alternative medicine use in presurgical patients. Anesthesiology 2000; 93: 148-151.

  11. Kaye AD, Clarke RC, Sabar R, Vig S, Dhawan KP, Hofbauer R et al. Herbal medications: Current trends in anaesthesiology practice-a hospital survey. J Clin Anesth 2000; 12: 468-471.

  12. Norred CL. A follow-up survey of the use of complementary and alternative medicines by surgical patients. AANA J 2002; 70: 119-125.

  13. Grauer RP, Thomas RD, Tronson MD, Heard GC, Diacon M. Preoperative use of herbal medicines and vitamin supplements. Anaesth Intensive Care 2004; 32: 173-177.

  14. Baillard C, Bianchi A, Gehan G, Sitbon P, Denantes C, Benhamov D, et al. Anaesthetic preoperative assessment of chronic medications and herbal medicine use: A multicenter survey. Ann Fr Anesth Reanim 2007; 26: 132-135.

  15. Skinner CM, Rangasami J. Preoperative use of herbal medicines: A patient survey. Br J Anaesth 2002; 89: 792-795.

  16. Ernst E. The risk-benefit profile of commonly used herbal therapies: Ginkgo, St. John´s Wort, Ginseng, Echinacea, Saw Palmetto, and Kava. Ann Intern Med 2002; 136: 42-53.

  17. Gutiérrez DMA, Betancourt AY, Betancourt AI. Mercados verdes herbolarios. URL: http: //www.geocities.com/redmexicana/mercados-herbolarios.htm. Consultado octubre 2007.

  18. URL: http: //www.portalfarma.com. Consultado enero 2008.

  19. URL: http: //www.botanical-online.com. Consultado enero 2008.

  20. Allu CJ. Fitoterapia. Vademécum de prescripción. URL: http: //www.books.google.com.

  21. URL: http: //www.diagnosticomedico.es/principio_activo/Clopidogrel—50618.html. Consultado enero 2008.

  22. Dolz MC. Interacciones plantas-medicamentos. URL: http: //www.cofsegovia.portalfarma.com. Consultado enero 2008.

  23. Fugh-Berman A. Herb-drug interactions. Lancet 2000; 355: 134-138.




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