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Potential effects of herbal medicines and nutritional supplements on coagulation in ENT practice

Published online by Cambridge University Press:  19 July 2007

F Javed ,
A Golagani  and
H Sharp
F Javed*
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, William Harvey Hospital, Ashford
A Golagani
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, William Harvey Hospital, Ashford
H Sharp
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Kent and Canterbury Hospital, Canterbury, Kent, UK
*
Address for correspondence: Mr Faisal Javed, 43 Kings Prospect, Ashford, Kent TN240 GX, UK. Fax: +44 1233 616770 E-mail: [email protected]
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Abstract

Background:

Herbal remedies and other natural supplements have become popular alternative medical therapy. Patients using these products may present to ENT surgeons with epistaxis or with unexpected, excessive peri-operative bleeding.

Objective:

The purpose of this review was to consolidate the available data regarding herb–drug interactions and the direct effects of herbal medicines and nutritional supplements in isolation, regarding disturbance in haemostasis, so as to emphasise their individual importance.

Method:

A literature review was performed using the Medline (PubMed) and UKMi databases.

Results:

Searches of these databases revealed 24 herbal products with documented interactions with anticoagulants and 98 herbal products with theoretical interactions with the coagulation system. Herbal products with effects on coagulation when given alone were also documented.

Conclusion:

When encountering patients presenting with epistaxis, or in the elective surgical setting, a thorough enquiry about the use of herbal medicines is of great importance.

Keywords

Herbal MedicinesHaemostasisEpistaxisCoagulation
Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 122 , Issue 2 , February 2008 , pp. 116 - 119
Copyright
Copyright © JLO (1984) Limited 2007

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