Evidence map›Paper›PMID 25251944›Full record

SynthesisBritish journal of clinical pharmacology2015

Adverse effects of plant food supplements and botanical preparations: a systematic review with critical evaluation of causality.

Chiara Di Lorenzo, Alessandro Ceschi, Hugo Kupferschmidt, Saskia Lüde, Elizabeth De Souza Nascimento, Ariana Dos Santos, Francesca Colombo, Gianfranco Frigerio, Karin Nørby, Jenny Plumb and 2 more

Registry-linked trialOpen access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in British journal of clinical pharmacology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03711682 (Hypoglycemic Effect of Cinnamomum Verum in Type 2 Diabetic Patients in the Municipality of Comasagua), which is not on this map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
32.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03711682 phase2 / phase3completednot on this mapstarted 2018, after this paper: background citation

Hypoglycemic Effect of Cinnamomum Verum in Type 2 Diabetic Patients in the Municipality of Comasagua

TypeinterventionalSponsorUniversidad Dr. José Matías DelgadoRan2018 to 2018Enrolled30ConditionsType 2 Diabetes MellitusArmsCinnamon, Wheat Flour
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 137 citations in OpenAlex.

  1. Trial
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  3. Oral curcumin in elective abdominal aortic aneurysm repair: a multicentre randomized controlled trial.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2018
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  14. Evidence-based complementary and alternative medicine : eCAM · 2022
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 4 countries.

Chiara Di LorenzoDipartimento di Scienze Farmacologiche e Biomolecolari, Università degli Studi di Milano, via Balzaretti 9, 20133, Milano, Italy.
Alessandro Ceschi
Hugo Kupferschmidt
Saskia Lüde
Elizabeth De Souza Nascimento
Ariana Dos Santos
Francesca Colombo
Gianfranco Frigerio
Karin Nørby
Jenny Plumb
Paul Finglas
Patrizia Restani
University of Milan · ITUniversity of Zurich · CHQuadram Institute · GBTechnical University of Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe objective of this review was to collect available data on the following: (i) adverse effects observed in humans from the intake of plant food supplements or botanical preparations; (ii) the misidentification of poisonous plants; and (iii) interactions between plant food supplements/botanicals and conventional drugs or nutrients.

methodsPubMed/MEDLINE and Embase were searched from database inception to June 2014, using the terms 'adverse effect/s', 'poisoning/s', 'plant food supplement/s', 'misidentification/s' and 'interaction/s' in combination with the relevant plant name. All papers were critically evaluated according to the World Health Organization Guidelines for causality assessment.

resultsData were obtained for 66 plants that are common ingredients of plant food supplements; of the 492 papers selected, 402 (81.7%) dealt with adverse effects directly associated with the botanical and 89 (18.1%) concerned interactions with conventional drugs. Only one case was associated with misidentification. Adverse effects were reported for 39 of the 66 botanical substances searched. Of the total references, 86.6% were associated with 14 plants, including Glycine max/soybean (19.3%), Glycyrrhiza glabra/liquorice (12.2%), Camellia sinensis/green tea ( 8.7%) and Ginkgo biloba/gingko (8.5%).

conclusionsConsidering the length of time examined and the number of plants included in the review, it is remarkable that: (i) the adverse effects due to botanical ingredients were relatively infrequent, if assessed for causality; and (ii) the number of severe clinical reactions was very limited, but some fatal cases have been described. Data presented in this review were assessed for quality in order to make the results maximally useful for clinicians in identifying or excluding deleterious effects of botanicals.

Indexed as

Drug-Related Side Effects and Adverse ReactionsPlants, MedicinalDietary SupplementsFood-Drug InteractionsHumansPlant PreparationsPlant Preparationsadverse effectsbiomarkersbotanicalsinteractionsmisidentificationpoison centres

Identifiers

PMID25251944
PMCPMC4386943
OpenAlexW1588405690

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.