About Herbal Medicines

As the elderly population in the United States grows, the number of prescriptions being filled in the U.S. is increasing dramatically. Because of media hype and disappointment with current conventional medications, more patients are turning to alternative treatments such as herbal products.

In the year 2000, the U.S. spent more than $5 billion on herbal medications. Additionally, 1 out of every 3 people in the U.S. will use at least one form of alternative medication. It is important to note that the U.S. Food and Drug Administration (FDA) has no established definition for an herbal supplement. Although traditionally used as drugs, herbal products are generally unable to pass the stringent requirements imposed by the FDA for new molecular entities, such as new medications.

The Dietary Supplement Health and Education Act (DSHEA) of 1994 prohibits the FDA from the regulation of dietary supplements as food additives. Thus, it is extremely important that patients talk to their health care providers before purchasing and taking any over-the-counter or herbal medication. This is especially true if the patient is on multiple prescription medications.

It is very important to tell your health care professional about your past medical history and medication history. An estimated 70 percent of patients do not inform their doctors about the use of alternative therapies, causing 15 million Americans to be at risk for potential drug-dietary supplement interactions.

The information you tell your doctor should include: a list of all your allergies, an updated list of all your medications (prescription, over-the-counter and herbals), if you are having problems taking your medications, or if you are or plan to become pregnant.

Patients should not be afraid to ask their doctors or pharmacists any questions they may have about their medications, such as side effects, food interactions, drug interactions, and how and when to take their medications. The open communication will decrease the likelihood of a potential drug interaction and, hopefully, encourage medication compliance, which can lead to overall improved patient care and satisfaction.