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Alternative Medicine
Herbal Remedies Should Be Tested
Suspect Supplements
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Asian herbal remedies
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Use
Various illnesses |
Possible downsides
May contain lead, other heavy metals, may not be properly labled |
RenewTrient
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Use
Said to stimulate growth of muscles
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Possible downsides
Causes intense drowsiness and dangerously deep sleep
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Plantain
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Use
Body "cleansing" |
Possible downsides
Some batches have been contanimated, causing nausea, vomiting and heartbeat irregularities |
PC-SPES
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Use
Estrogen alternative said to boost the immune systems of men with prostate cancer |
Possible downside
Stimulates estrogen production, causing swollen breasts and decreased libido
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By Daniel Q. Haney
The Associated Press
B O S T O N, Sept. 16
Citing the hazards of poorly tested herbal remedies, one of the nations most distinguished medical journals says alternative medicines should be subjected to the same rigorous standards as mainstream treatments.
In an editorial, Drs. Marcia Angell and Jerome P. Kassirer of the New England Journal of Medicine argued that testimonials and speculation are no substitute for precise medical evidence that treatments are safe and effective.
There cannot be two kinds of medicine conventional and alternative, they wrote in Thursdays issue. There is only medicine that has been adequately tested and medicine that has not, medicine that works and medicine that may or may not work.
Herbal remedies sold as dietary supplements have proliferated since 1994, when Congress exempted them from regulation by the Food and Drug Administration.
More Reports
The same issue of the journal carried these reports on alternative medicine:
Doctors from Alberta Childrens Hospital in Canada reported two cases in which parents opted to treat their childrens cancer with shark cartilage or the herb astragalus instead of standard medicines. In both cases, the cancers progressed, and one child died.
The California Department of Health Services tested 260 traditional Chinese medicines and found one-third were contaminated with heavy metals, such as lead and arsenic, or pharmaceuticals not listed on the labels.
Doctors from Robert Wood Johnson Medical School in New Jersey tested a mixture of eight herbs, sold as PC-SPES, on men with prostate cancer. They found it worked like estrogen, decreasing testosterone and cutting sex drive. While not proving whether it relieves cancer, the study shows the herb blend has potent hormonal effects.
The FDA described an episode, publicized last year, in which the herb plantain was contaminated with a naturally occurring form of digitalis, a heart stimulant that can cause cardiac arrest.
A group of doctors from Arizona reported the case of a man found driving erratically after taking a supplement promoted as a way to increase growth hormone. A letter from the manufacturer, RenewTrient Research of Cocoa Beach, Fla., said the man ignored a label warning to take the substance only before sleeping.
Scientific Testing Needed
Alternative treatments should be subjected to scientific testing no less rigorous than that required for conventional treatments, the journal editorial said.
At the American Council on Science and Health, associate director Jeff Stier said, Its good to see that mainstream medicine is coming on board to defend itself against unproven treatments.
Copyright 1998 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.
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