title: Adrenal suppression following herbal remedy for rheumatoid arthritis.
abstract: A patient suffering from rheumatoid arthritis who had extreme adrenal suppression as a result of chronic use of herbal medicines presented with complications of adrenal suppression such as muscle weakness. He also had psychiatric disturbances such as confusion and suicidal tendency. Steroids in the herbal medication were found and hence there exists a need for investigation into their safety and efficacy.
authors.affiliation: Department of Pharmacology, PSG College of Pharmacy, Coimbatore, Tamil Nadu, India.
authors.forename: Balasekar
authors.initials: B
authors.lastname: Premkumar
authors.affiliation: Department of Pharmaceutical Chemistry, Vignan Institute of Pharmaceutical Sciences, Andhra Pradesh, India.
authors.forename: Muppavarapu Srinivasa
authors.initials: MS
authors.lastname: Murthy
authors.affiliation: Department of Pharmacology, Zydus Cadila healthcare, Ahmedabad, Gujarat, India.
authors.forename: Karuppasamy
authors.initials: K
authors.lastname: Rajagopal
authors.affiliation: Department of Rheumatology, PSG Hospitals, Coimbatore, Tamil Nadu, India.
authors.forename: Vadivelmurugan Nagasubramani
authors.initials: VN
authors.lastname: Nagaprabu
authors.affiliation: Department of Pharmacy Practice, PSG College of Pharmacy, Coimbatore, Tamil Nadu, India.
authors.forename: Sree Madhuri
authors.initials: SM
authors.lastname: Ponugupati
keywords: Adrenal suppression; complementary alternative medicine; rheumatoid arthritis