Polypharmacy, multiple natural health products and hepatotoxicity

Cvijovic, Kosta; Boon, Heather; Jaeger, Walter; Vohra, Sunita
October 2011
CMAJ: Canadian Medical Association Journal;10/4/2011, Vol. 183 Issue 14, pE1085
Academic Journal
Case Study
The article presents a case study of a 53-year-old woman with a history of asthma, depression, and moderate-to-heavy consumption of alcohol who was taken to the emergency room for a three month history of jaundice and increasing fatigue. She was diagnosed for hepatic necrosis causing encephalopathy due to drug toxicity. The article discusses the adverse effects caused by natural health products, hepatotoxicity, and polypharmacy.


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