Herbals / nutraceuticals
- Nonprescription plant/supplement products
- Composition and evidence quality vary widely
- “Natural” does not mean pharmacologically weak
- CYP/transporter effects can cause DDIs
- Contamination/adulteration is possible
- Ask explicitly—patients may not call them drugs
Class at a glance
- Nonprescription plant/supplement products
Pharmacology
- CYP/transporter effects can cause DDIs
Members / distinctions
- Composition and evidence quality vary widely
- “Natural” does not mean pharmacologically weak
Practical pearls
- Contamination/adulteration is possible
- Ask explicitly—patients may not call them drugs
Self-check
- Does “natural” imply pharmacologically weak?
No. - Why should clinicians ask explicitly about supplements?
Patients may not call them drugs.
Drugs in this class (11)
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