Executive Summary

  • Ask about supplemental and herbal use when obtaining a medication history.
  • Try to obtain as much information as possible about the specific product, such as name and key ingredients.
  • Inquire about the reason for use, such as to treat symptoms or prevent disease.
  • Be attuned to herbal medications with potential for serious toxicity: butterbur, chaparral, comfrey, ephedra, hawthorn, jimsonweed, lobelia, pennyroyal, red yeast rice, sabah, wormwood, and yohimbe.