Dietary Supplement Polypharmacy: An Unrecognized Public Health Problem?

Nicole L Nisly; Brian M Gryzlak; M. Bridget Zimmerman; Robert B Wallace

doi:10.1093/ecam/nem150

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Dietary Supplement Polypharmacy: An Unrecognized Public Health Problem?

Journal article

Open access

Peer reviewed

Dietary Supplement Polypharmacy: An Unrecognized Public Health Problem?

Nicole L Nisly, Brian M Gryzlak, M. Bridget Zimmerman and Robert B Wallace

Evidence-based complementary and alternative medicine, Vol.7(1), pp.107-113

03/2010

DOI: 10.1093/ecam/nem150

PMCID: PMC2816386

PMID: 18955288

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Abstract

Excessive and inappropriate use of medications, or ‘polypharmacy’, has been recognized as a public health problem. In addition, there is growing use of dietary supplements in the United States; however, little is known about the patterns of supplement use. Recent reports in the literature of cases of excessive or inappropriate use of herbal dietary supplements leading to the term ‘polyherbacy’. The clinical vignettes described in this article highlight the need for further research on the nature and extent of multiple and inappropriate dietary supplement use or ‘dietary supplement polypharmacy’. Clinical interviewing and population surveys both address this issue in complementary ways, and provide a further understanding of dietary supplement use patterns.

dietary supplements

drug interactions

complementary and alternative medicine

herbals

polypharmacy

Original - Clinical Analyses

Details

Title: Subtitle: Dietary Supplement Polypharmacy: An Unrecognized Public Health Problem?
Creators: Nicole L Nisly - Department of Epidemiology, University of Iowa College of Public Health, Iowa City, IA, USA
Brian M Gryzlak - Department of Epidemiology, University of Iowa College of Public Health, Iowa City, IA, USA
M. Bridget Zimmerman - Department of Epidemiology, University of Iowa College of Public Health, Iowa City, IA, USA
Robert B Wallace - Department of Epidemiology, University of Iowa College of Public Health, Iowa City, IA, USA
Resource Type: Journal article
Publication Details: Evidence-based complementary and alternative medicine, Vol.7(1), pp.107-113
DOI: 10.1093/ecam/nem150
PMID: 18955288
PMCID: PMC2816386
NLM abbreviation: Evid Based Complement Alternat Med
ISSN: 1741-427X
eISSN: 1741-4288
Publisher: Oxford University Press
Grant note: DOI: 10.13039/100000066, name: National Institute of Environmental Health Sciences
Language: English
Date published: 03/2010
Academic Unit: Epidemiology; Biostatistics; Gender, Women's and Sexuality Studies; Injury Prevention Research Center; Internal Medicine
Record Identifier: 9983997485802771

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