[Toxic hepatitis following consumption of the herbal medicinal product Cascara Sagrada].
Herbal medicinal products can cause toxic hepatitis. This case report presents a patient who developed severe toxic hepatitis with beginning liver failure following four weeks of consumption of the herbal medicinal product Cascara Sagrada. A similar case was reported from the United States. Cascara Sagrada is found in 30-40 herbal medicinal products in Denmark. We recommend that herbal medicinal products containing Cascara Sagrada be withdrawn from the market.
Jacobsen
Claire
C
Koge Sygehus, Medicinsk Afdeling, Denmark. claire.jacobsen@dadlnet.dk
Semb
Synne
S
Kromann-Andersen
Hans
H
D002400:Cathartics / Q000009:adverse effects*; D056486:Chemical and Drug Induced Liver Injury / Q000209:etiology*; D019587:Dietary Supplements / Q000009:adverse effects; D005260:Female; D006801:Humans; D008099:Liver / Q000187:drug effects / Q000473:pathology; D008875:Middle Aged; D008517:Phytotherapy / Q000009:adverse effects*; D031955:Rhamnus / Q000009:adverse effects*
D002400:Cathartics