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Previous Volume 347:2073-2076 December 19, 2002 Number 25 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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In 2001, $17.8 billion was spent in the United States on dietary supplements, $4.2 billion of it for herbs and other botanical remedies.¹ The popularity of these products has increased over the past decade, probably stimulated by sharp increases in prices of prescription drugs, restricted access to physicians imposed by managed care, media reports of adverse effects of prescription drugs, and, most important, the enactment in 1994 of the Dietary Supplement and Health Education Act (DSHEA). By broadly defining herbs and other botanicals as "dietary supplements," the DSHEA substantially altered the definitions, standards, and mechanisms under which claims about the . . . [Full Text of this Article]

Lack of Standardization

Adulteration of Botanical Preparations

Interactions between Herbs and Drugs

Lack of Reporting of Adverse Events

Current Regulation of Botanical Medicines

The Need for New Regulations

Conclusions

Related Letters:

Herbal Medicine
Lipman M. M., McGuffin M., Wollschlaeger B. A., Goadsby P. J., Marcus D. M., Grollman A. P., De Smet P. A.G.M.
Extract | Full Text | PDF  
N Engl J Med 2003; 348:1498-1501, Apr 10, 2003. Correspondence

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