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Chaparral and Liver Toxicity-Reply

Chaparral and Liver Toxicity-Reply In Reply. —We appreciate the comments generated by our report of a patient with chaparral-induced hepatotoxicity who required treatment with liver and kidney transplantation. All of the respondents called for increased precision in the use of terms referring to medications prepared from plants. We agree. Dr Stashower and Mr Torres correctly point out that plants generally referred to as chaparral are not true herbs. It would have been more correct if we had referred to the tablets our patient ingested as coming from botanical or plant sources. Although physicians often refer to medications and other treatments derived from plants as herbal preparations, more careful attention to plant taxonomy is appropriate because of the growing use of alternative remedies. We used the term chaparral to refer to the medication our patient ingested, and we suspect that most preparations are composed mainly of L tridentata species. As Dr Ippen notes, NDGA, one http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Chaparral and Liver Toxicity-Reply

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Publisher
American Medical Association
Copyright
Copyright © 1995 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1995.03530110033023
Publisher site
See Article on Publisher Site

Abstract

In Reply. —We appreciate the comments generated by our report of a patient with chaparral-induced hepatotoxicity who required treatment with liver and kidney transplantation. All of the respondents called for increased precision in the use of terms referring to medications prepared from plants. We agree. Dr Stashower and Mr Torres correctly point out that plants generally referred to as chaparral are not true herbs. It would have been more correct if we had referred to the tablets our patient ingested as coming from botanical or plant sources. Although physicians often refer to medications and other treatments derived from plants as herbal preparations, more careful attention to plant taxonomy is appropriate because of the growing use of alternative remedies. We used the term chaparral to refer to the medication our patient ingested, and we suspect that most preparations are composed mainly of L tridentata species. As Dr Ippen notes, NDGA, one

Journal

JAMAAmerican Medical Association

Published: Sep 20, 1995

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