2017, Vol. 5, Issue 3, Part B

author(s)
Antonia Kotsiou, and Tesseromatis Christine

abstract
Plant remedies, despite their innocuity reputation, are implicated in adverse events. The present review focuses on 30 popular herbs which are associated with severe and sometimes fatal hepatotoxicity: Actaea racemosa, Aloe barbadensis, Atractylis gummifera, Callilepsislaureola, Camellia sinensis, Centella asiatica, Chelidonium majus, Ephedra sinica, Garcinia cambogia, Hypericum perforatum, Larrea tridentata, Lycopodium serratum, Manihot esculenta, Mentha pulegium, Mitragyna speciosa, Morinda citrifolia, Piper methysticum, Polygala chinensis, Polygonum multiflorum, Psoralea corylifolia, Scutellaria biacalensis, Scutellaria lateriflora, Senna (Cassia acutifolia & Cassia angustifolia), Symphytum officinale, Teucrium chamaedrys, Teucrium polium, Usnea species, Valeriana officinalis, Xanthium strumarium and some chinese herbal mixtures such as Sho-saiko-to. Pharmacovigilance and tighter regulation are needed to prevent such cases.