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American Journal of Clinical Nutrition, Vol. 87, No. 2, 509S-513S, February 2008
© 2008 American Society for Nutrition


The Science of Botanical Supplements for Human Health: A View from the NIH Botanical Research Centers

Ensuring the safety of botanical dietary supplements1,2,3,4

Richard B van Breemen, Harry HS Fong and Norman R Farnsworth

1 From the University of Illinois at Chicago/National Institutes of Health Center for Botanical Dietary Supplements Research, Department of Medicinal Chemistry and Pharmacognosy, College of Pharmacy, University of Illinois at Chicago, Chicago, IL

ABSTRACT

Botanical dietary supplements with a history of safe human use may not require the same level of toxicity testing as synthetic pharmaceutical drugs. Most of the documented examples of acute toxicity caused by botanical dietary supplements have been caused by the substitution of toxic plants for the desired species, probably through misidentification or production errors, or by contamination with pharmaceutical agents, either as a result of poor manufacturing practices or adulteration. Although more difficult to document, chronic toxicities attributed to botanical dietary supplements may be caused by contamination by heavy metals, pesticides, or microbes or by inherent properties of constituents of the botanicals themselves. Like drug-drug interactions, botanical-drug interactions can also be a source of toxicity. Most of these toxicity problems may be prevented by implementing good agricultural practices and good manufacturing practices and applying existing toxicity testing similar to those used in drug development or new toxicity assays under development based on proteomics, genomics, or metabolomics.

Key Words: Safety • toxicity • botanical dietary supplements • complementary and alternative medicine • hepatoxicity • metabolic activation







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