Coagulopathy induced by saw palmetto: a case report.
Saw palmetto is the most popular herbal supplement used to treat symptoms of benign prostatic hyperplasia (BPH). The safety and efficacy of saw palmetto has been established in the literature. While the majority of studies document the efficacy and safety of saw palmetto, some studies document the adverse side effects, including increased risk of bleeding. There are no reports in the literature about increased prothombin time (PT), partial thromboplastin time (PTT) or international normalized ratio (INR) while using saw palmetto. We present a case of hematuria and coagulopathy in a patient who was using saw palmetto.
Villanueva
Salvador
S
Emergency Medicine Department, UPR School of Medicine, Puerto Rico Health Science Center, San Juan, Puerto Rico. Salvyem@gmail.com
González
Jenniffer
J
D000368:Aged; D001241:Aspirin / Q000008:administration & dosage / Q000009:adverse effects; D001780:Blood Coagulation Tests; D000077144:Clopidogrel; D015897:Comorbidity; D004357:Drug Synergism; D006417:Hematuria / Q000139:chemically induced*; D006474:Hemorrhagic Disorders / Q000139:chemically induced*; D006801:Humans; D008297:Male; D008517:Phytotherapy / Q000009:adverse effects*; D010936:Plant Extracts / Q000008:administration & dosage / Q000009:adverse effects*; D019338:Polypharmacy; D011470:Prostatic Hyperplasia / Q000188:drug therapy; D028024:Serenoa; D013988:Ticlopidine / Q000008:administration & dosage / Q000009:adverse effects / Q000031:analogs & derivatives
D010936:Plant Extracts; D000077144:Clopidogrel; C040972:saw palmetto extract; D013988:Ticlopidine; D001241:Aspirin