Evidence map›Paper›PMID 32197968›Full record

ReviewRegulatory toxicology and pharmacology : RTP2020

"Natural" is not synonymous with "Safe": Toxicity of natural products alone and in combination with pharmaceutical agents.

Tyler E Gaston, Donna L Mendrick, Mary F Paine, Amy L Roe, Catherine K Yeung

Open access · greenAbstract readReview
In one paragraph

Review in Regulatory toxicology and pharmacology : RTP, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
8.2field-weighted citation impact, top 2% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 91 citations in OpenAlex.

  1. Predicting the Toxicity In Silico of the Aqueous Extract ofPharmaceuticals (Basel, Switzerland) · 2026
    Article
  2. Natural photoprotection under scrutiny: an in vitro evaluation.Photochemical & photobiological sciences : Official journal of the European Photochemistry Association and the European Society for Photobiology · 2026
    Article
  3. Article
  4. Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. Vascular and Glycemic Modulation byPharmaceuticals (Basel, Switzerland) · 2025
    Article
  10. Review
  11. Review
  12. Article
  13. Review
  14. Review
  15. Review
  16. Review
  17. Review
  18. Toxicology of pharmaceutical and nutritional longevity compounds.Expert reviews in molecular medicine · 2023
    Review
  19. Metabolites · 2023
    Article
  20. Article
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

5 authors at 5 institutions in 1 country.

Tyler E GastonDepartment of Neurology, University of Alabama at Birmingham, United States.
Donna L MendrickNational Center for Toxicological Research, United States Food and Drug Administration, United States.
Mary F PaineDepartment of Pharmaceutical Sciences, Washington State University, United States.
Amy L RoeThe Procter & Gamble Company, United States.
Catherine K YeungDepartment of Pharmacy, University of Washington, United States. Electronic address: cathyy@uw.edu.
Procter & Gamble (United States) · USUnited States Food and Drug Administration · USUniversity of Alabama at Birmingham · USUniversity of Washington · USWashington State University · US

Funding

Pharmacology CoreU54AT008909 · NCCIH · WASHINGTON STATE UNIVERSITY · PI PAINE, MARY F · 2015 to 2024
$22.4M
Modulation of drug transport at the renal proximal tubule by uremic solutes – implications in chronic kidney diseaseR01GM121354 · NIGMS · UNIVERSITY OF WASHINGTON · PI YEUNG, CATHERINE K. · 2017 to 2021
$1.5M
NCCIH NIH HHS U54 AT008909NIGMS NIH HHS R01 GM121354
6 · The paper itself

Abstract

During the 25 years since the US Congress passed the Dietary Supplement Health and Education Act (DSHEA), the law that transformed the US Food and Drug Administration's (FDA's) authority to regulate dietary supplements, the dietary supplement market has grown exponentially. Retail sales of herbal products, a subcategory of dietary supplements, have increased 83% from 2008 to 2018 ($4.8 to $8.8 billion USD). Although consumers often equate "natural" with "safe", it is well recognized by scientists that constituents in these natural products (NPs) can result in toxicity. Additionally, when NPs are co-consumed with pharmaceutical agents, the precipitant NP can alter drug disposition and drug delivery, thereby enhancing or reducing the therapeutic effect of the object drug(s). With the widespread use of NPs, these effects can be underappreciated. We present a summary of a symposium presented at the Annual Meeting of the Society of Toxicology 2019 (12 March 2019) that discussed potential toxicities of NPs alone and in combination with drugs.

Indexed as

Legislation, FoodPharmaceutical PreparationsBiological ProductsDietary SupplementsHumansMarketingUnited StatesUnited States Food and Drug AdministrationBiological ProductsPharmaceutical PreparationsCannabisDrug interactionsMedication safetyNatural productsRegulatory guidance

Identifiers

PMID32197968
PMCPMC7211136
OpenAlexW3010982078

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.