Cardiotoxicity Effects of Herbal Medicine, A Review Article

Shahin Gavanji

Abstract


With the development of human's modern society more and more people tend to use complementary and alternative medicine (CAM). Toxicological studies indicated that many herbal medicines have direct toxic effects on the circulatory system or cardiovascular system and cause harmful effects on the body. Cardiotoxicity or heart damage is a serious issue defined as heart electrophysiology dysfunction, affecting the cardiac structure, and muscle damage that arises from the drug or chemical poisoning agents, that may lead to heart failure. The aim of this review article is to provide various information about the potential adverse effects of herbal medicine on the cardiovascular system and introduce herbs that induced cardiac toxicity. To provide this review, all reported cases of cardiac toxicity induced by herbal medicines and natural products were collected through research articles and documents, and the most relevant articles, and books in various authentic search engines including Scopus, PubMed, SID (scientific information database), Science Direct and Google Scholar, from 1984 to April 2022 were searched, and selected herbs with therapeutic properties which induce toxic effects on the cardiovascular system are introduced. In this review, scientific data regarding cardiotoxicity showed that 16 herbs from 11 families may increase cardiac toxicity. Therefore, it's important to use herbal medicines and natural products under the guidance of medical professionals.


Keywords


Cardiotoxicity; heart damage; herbal medicine; toxicity; adverse effects

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References


Achour, S., Abourazzak, S., Mokhtari, A., Soulaymani, A., Soulaymani, R., & Hida, M. (2011). Juniper tar (cade oil) poisoning in new born after a cutaneous application. BMJ case reports, 2011, bcr0720114427.

https://doi.org/10.1136/bcr.07.2011.4427

Akhtar, T., Sheikh, N., & Abbasi, M. H. (2014). Clinical and pathological features of Nerium oleander extract toxicosis in wistar rats. BMC research notes, 7, 947. https://doi.org/10.1186/1756-0500-7-947

Alonso-Castro, A. J., Ruiz-Padilla, A. J., Ortiz-Cortes, M., Carranza, E., Ramírez-Morales, M. A., Escutia-Gutiérrez, R., Ruiz-Noa, Y., & Zapata-Morales, J. R. (2021). Self-treatment and adverse reactions with herbal products for treating symptoms associated with anxiety and depression in adults from the central-western region of Mexico during the Covid-19 pandemic. Journal of ethnopharmacology, 272, 113952. https://doi.org/10.1016/j.jep.2021.113952

Alghadir, A. H., Iqbal, A., & Iqbal, Z. A. (2022). Attitude, Beliefs, and Use of Herbal Remedies by Patients in the Riyadh Region of Saudi Arabia. Healthcare (Basel, Switzerland), 10(5), 907. https://doi.org/10.3390/healthcare10050907

Al-Maharik, N., Jaradat, N., Bassalat, N., Hawash, M., & Zaid, H. (2022). Isolation, Identification and Pharmacological Effects of Mandragora autumnalis Fruit Flavonoids Fraction. Molecules (Basel, Switzerland), 27(3), 1046. https://doi.org/10.3390/molecules27031046

Abebe W. (2002). Herbal medication: potential for adverse interactions with analgesic drugs. Journal of clinical pharmacy and therapeutics, 27(6), 391–401. https://doi.org/10.1046/j.1365-2710.2002.00444.x

Amini, M., Khosrojerdi, H., & Afshari, R. (2012). Acute Datura Stramonium poisoning in East of Iran - a case series. Avicenna journal of phytomedicine, 2(2), 86–89.

Andraws, R., Chawla, P., & Brown, D. L. (2005). Cardiovascular effects of ephedra alkaloids: a comprehensive review. Progress in cardiovascular diseases, 47(4), 217–225. https://doi.org/10.1016/j.pcad.2004.07.006

Ardalan, M. R., & Rafieian-Kopaei, M. (2013). Is the safety of herbal medicines for kidneys under question? Journal of nephropharmacology, 2(2), 11–12.

Arefi, A., Barzegari, N., Asgari, M, Soltani, S., Farhidnia, N., Fallah F. (2016). Datura poisoning, clinical and laboratory findings. Report of five cases. Romanian journal of legal medicine, 24 (4), 308–311. https://doi.org/10.4323/rjlm.2016.308

Aswal, S., Kumar, A., Semwal, R. B., Chauhan, A., Kumar, A., Lehmann, J., & Semwal, D. K. (2019). Drimia indica: A Plant Used in Traditional Medicine and Its Potential for Clinical Uses. Medicina (Kaunas, Lithuania), 55(6), 255. https://doi.org/10.3390/medicina55060255

Brantley, S. J., Argikar, A. A., Lin, Y. S., Nagar, S., & Paine, M. F. (2014). Herb-drug interactions: challenges and opportunities for improved predictions. Drug metabolism and disposition: the biological fate of chemicals, 42(3), 301–317. https://doi.org/10.1124/dmd.113.055236

Bent S. (2008). Herbal medicine in the United States: review of efficacy, safety, and regulation: grand rounds at University of California, San Francisco Medical Center. Journal of general internal medicine, 23(6), 854–859. https://doi.org/10.1007/s11606-008-0632-y

Bent, S., Goldberg, H., Padula, A., & Avins, A. L. (2005). Spontaneous bleeding associated with ginkgo biloba: a case report and systematic review of the literature: a case report and systematic review of the literature. Journal of general internal medicine, 20(7), 657–661. https://doi.org/10.1111/j.1525-1497.2005.0121.x

Böcker, D., & Breithardt, G. (1991). Arrhythmieauslösung durch Lakritzabusus [Induction of arrhythmia by licorice abuse]. Zeitschrift fur Kardiologie, 80(6), 389–391.

Bonanno, G., Ippolito, M., Moscarelli, A., Misseri, G., Caradonna, R., Accurso, G., Cortegiani, A., & Giarratano, A. (2020). Accidental poisoning with Aconitum: Case report and review of the literature. Clinical case reports, 8(4), 696–698. https://doi.org/10.1002/ccr3.2699

Boon, H. S., & Wong, A. H. (2003). Kava: a test case for Canada's new approach to natural health products. CMAJ: Canadian Medical Association journal = journal de l'Association medicale canadienne, 169(11), 1163–1164.

Brondino, N., De Silvestri, A., Re, S., Lanati, N., Thiemann, P., Verna, A., Emanuele, E., & Politi, P. (2013). A Systematic Review and Meta-Analysis of Ginkgo biloba in Neuropsychiatric Disorders: From Ancient Tradition to Modern-Day Medicine. Evidence-based complementary and alternative medicine: eCAM, 2013, 915691. https://doi.org/10.1155/2013/915691

Benouadah, Z., Mahdeb, N., & Bouzidi, A. (2016) Evaluation of Acute and Sub-Acute Toxicity of Alkaloids from Datura stramonium Sp. in Mice. International Journal of Pharmacognosy and Phytochemical Research, 8(11), 1759-1766

Chaachouay, N., Azeroual, A., Bencharki, B., & Zidane, L. (2022). Herbal medicine used in the treatment of cardiovascular diseases in the Rif, North of Morocco. Frontiers in pharmacology, 13, 921918. https://doi.org/10.3389/fphar.2022.921918

Chadwick, A., Ash, A., Day, J., & Borthwick, M. (2015). Accidental overdose in the deep shade of night: a warning on the assumed safety of 'natural substances'. BMJ case reports, 2015, bcr2015209333. https://doi.org/10.1136/bcr-2015-209333

Christenhusz, M. J. M., & Byng, J. W. (2016). The number of known plants species in the world and its annual increase. Phytotaxa, 261(3), 201–217. http://dx.doi.org/10.11646/phytotaxa.261.3.1

Chaniad, P., Tewtrakul, S., Sudsai, T., Langyanai, S., & Kaewdana, K. (2020). Anti-inflammatory, wound healing and antioxidant potential of compounds from Dioscorea bulbifera L. bulbils. PloS one, 15(12), e0243632. https://doi.org/10.1371/journal.pone.0243632

Chung, R., Ghosh, A. K., & Banerjee, A. (2018). Cardiotoxicity: precision medicine with imprecise definitions. Open heart, 5(2), e000774. https://doi.org/10.1136/openhrt-2018-000774

Consolini, A. E., & Ragone, M. I. (2010). Patterns of self-medication with medicinal plants and related adverse events--a South American survey. Current drug safety, 5(4), 333–341. https://doi.org/10.2174/157488610792246019

Cohen, P. A., & Ernst, E. (2010). Safety of herbal supplements: a guide for cardiologists. Cardiovascular therapeutics, 28(4), 246–253. https://doi.org/10.1111/j.1755-5922.2010.00193.x

Cupp M. J. (1999). Herbal remedies: adverse effects and drug interactions. American family physician, 59(5), 1239–1245.

De Smet P. A. (2007). Clinical risk management of herb-drug interactions. British journal of clinical pharmacology, 63(3), 258–267. https://doi.org/10.1111/j.1365-2125.2006.02797.x

Demirhan, A., Tekelio?lu, Ü. Y., Y?ld?z, ?., Korkmaz, T., Bilgi, M., Akkaya, A., & Koço?lu, H. (2013). Anticholinergic Toxic Syndrome Caused by Atropa Belladonna Fruit (Deadly Nightshade): A Case Report. Turkish journal of anaesthesiology and reanimation, 41(6), 226–228. https://doi.org/10.5152/TJAR.2013.43

Disel, N. R., Yilmaz, M., Kekec, Z., & Karanlik, M. (2016). Poisoned after Dinner: Dolma with Datura Stramonium. Turkish journal of emergency medicine, 15(1), 51–55. https://doi.org/10.5505/1304.7361.2015.70894

Dunnick, J. K., Kissling, G., Gerken, D. K., Vallant, M. A., & Nyska, A. (2007). Cardiotoxicity of Ma Huang/caffeine or ephedrine/caffeine in a rodent model system. Toxicologic pathology, 35(5), 657–664. https://doi.org/10.1080/01926230701459978

Deutch, M. R., Grimm, D., Wehland, M., Infanger, M., & Krüger, M. (2019). Bioactive Candy: Effects of Licorice on the Cardiovascular System. Foods (Basel, Switzerland), 8(10), 495. https://doi.org/10.3390/foods8100495

Engelsen, J., Nielsen, J. D., & Hansen, K. F. (2003). Effekten af Coenzym Q10 og Ginkgo biloba på warfarindosis hos patienter i laengerevarende warfarinbehandling. Et randomiseret, dobbeltblindt, placebokontrolleret overkrydsningsforsøg [Effect of Coenzyme Q10 and Ginkgo biloba on warfarin dosage in patients on long-term warfarin treatment. A randomized, double-blind, placebo-controlled cross-over trial]. Ugeskrift for laeger, 165(18), 1868–1871.

Ernst E. (2000). Adverse effects of herbal drugs in dermatology. The British journal of dermatology, 143(5), 923–929. https://doi.org/10.1046/j.1365-2133.2000.03822.x

Ernst E. (2007). A re-evaluation of kava (Piper methysticum). British journal of clinical pharmacology, 64(4), 415–417. https://doi.org/10.1111/j.1365-2125.2007.02932.x

Ernst E. (2003). Cardiovascular adverse effects of herbal medicines: a systematic review of the recent literature. The Canadian journal of cardiology, 19(7), 818–827.

Ernst E. (1999). Second thoughts about safety of St John's wort. Lancet (London, England), 354(9195), 2014–2016.https://doi.org/10.1016/S0140-6736(99)00418-3

Eichhorn, T., Greten, H. J., & Efferth, T. (2011). Self-medication with nutritional supplements and herbal over-thecounter products. Natural Products and Bioprospecting, 1(2), 62–70. https://doi.org/10.1007/s13659-011-0029-1

Engelsen, J., Nielsen, J. D., & Winther, K. (2002). Effect of coenzyme Q10 and Ginkgo biloba on warfarin dosage in stable, long-term warfarin treated outpatients. A randomised, double blind, placebo-crossover trial. Thrombosis and haemostasis, 87(6), 1075–1076.

Fatima, N., & Nayeem, N. (2016). Toxic Effects as a Result of Herbal Medicine Intake. In S. Soloneski, & M. L. Larramendy (Eds.), Toxicology - New Aspects to This Scientific Conundrum. IntechOpen. https://doi.org/10.5772/64468

Fasinu, P. S., Bouic, P. J., & Rosenkranz, B. (2012). An overview of the evidence and mechanisms of herb-drug interactions. Frontiers in pharmacology, 3, 69. https://doi.org/10.3389/fphar.2012.00069

Ekor M. (2014). The growing use of herbal medicines: issues relating to adverse reactions and challenges in monitoring safety. Frontiers in pharmacology, 4, 177. https://doi.org/10.3389/fphar.2013.00177

Gavanji, S. (2022). The Antiviral Potential of Iranian Herbal Pharmacopoeia (IHP) on Herpes Simplex Viruses (HSV): A Review Article. Biology, Medicine, & Natural Product Chemistry, 11(2), 89-109. https://doi.org/10.14421/biomedich.2022.112.89-109

Guru, S., Behera, A., Barik, S., Hansdah, U., Mohanty, C. R., & Sahoo, S. (2021). Severe Oleander Poisoning Presenting with Hyperkalaemia and Unusual Electrocardiographic Changes. European journal of case reports in internal medicine, 8(12), 003044. https://doi.org/10.12890/2021_003044

Gavanji, S., & Larki, B. (2017). Comparative effect of propolis of honey bee and some herbal extracts on Candida albicans. Chinese journal of integrative medicine, 23(3), 201–207. https://doi.org/10.1007/s11655-015-2074-9

González-Juárez, D. E., Escobedo-Moratilla, A., Flores, J., Hidalgo-Figueroa, S., Martínez-Tagüeña, N., Morales-Jiménez, J., Muñiz-Ramírez, A., Pastor-Palacios, G., Pérez-Miranda, S., Ramírez-Hernández, A., Trujillo, J., & Bautista, E. (2020). A Review of the Ephedra genus: Distribution, Ecology, Ethnobotany, Phytochemistry and Pharmacological Properties. Molecules (Basel, Switzerland), 25(14), 3283. https://doi.org/10.3390/molecules25143283

Ghavam, M., & Soleimaninejad, Z. (2020). An Overview of the Various Uses of Ephedra distachya L. from the Past to the Present. Avicenna Journal of Pharmaceutical Research, 1(2):82-86. https://doi.org/10.34172/ajpr.2020.15

Gerakaris, A., Mulita, F., Koniari, I., Artopoulou, E., Mplani, V., Tsigkas, G., Abo-Elseoud, M., Kounis, N., & Velissaris, D. (2022). Digoxin Impact on Heart Failure Patients with Atrial Fibrillation. Medical archives (Sarajevo, Bosnia and Herzegovina), 76(1), 23–28. https://doi.org/10.5455/medarh.2022.76.23-28

Hao, D. C., He, C. N., Shen, J., & Xiao, P. G. (2017). Anticancer Chemodiversity of Ranunculaceae Medicinal Plants: Molecular Mechanisms and Functions. Current genomics, 18(1), 39–59. https://doi.org/10.2174/1389202917666160803151752

Hanus, L. O., Rezanka, T., Spízek, J., & Dembitsky, V. M. (2005). Substances isolated from Mandragora species. Phytochemistry, 66(20), 2408–2417. https://doi.org/10.1016/j.phytochem.2005.07.016

Howden, R., Hanlon, P. R., Petranka, J. G., Kleeberger, S., Bucher, J., Dunnick, J., Nyska, A., & Murphy, E. (2005). Ephedrine plus caffeine causes age-dependent cardiovascular responses in Fischer 344 rats. American journal of physiology. Heart and circulatory physiology, 288(5), H2219–H2224. https://doi.org/10.1152/ajpheart.01164.2004

Jung, F., Mrowietz, C., Kiesewetter, H., & Wenzel, E. (1990). Effect of Ginkgo biloba on fluidity of blood and peripheral microcirculation in volunteers. Arzneimittel-Forschung, 40(5), 589–593.

Khoshnam-Rad, N., Heydari, M., Mohammadi, K., Mashayekhi, M., Sahraei, Z., & Gholami, K. (2022). Datura poisoning in a family: Case series and literature review. Clinical case reports, 10(7), e6091. https://doi.org/10.1002/ccr3.6091

Konik, E., Kurtz, E.G., Sam, F., & Sawyer, D. (2012). Coronary artery spasm, hypertension, hypokalemia and licorice. Journal of Clinical Case Reports, 2(8), 1-3 https://doi.org/10.4172/2165-7920.1000143

Klemow, K. M., Bartlow, A., Crawford, J., Kocher, N., Shah, J., & Ritsick, M. (2011). Medical Attributes of St. John’s Wort (Hypericum perforatum). In I. Benzie (Eds.) et. al., Herbal Medicine: Biomolecular and Clinical Aspects. (2nd ed.). CRC Press/Taylor & Francis. http://www.ncbi.nlm.nih.gov/books/nbk92750/

Karaman, I., Sahin, F., Güllüce, M., Ogütçü, H., Sengül, M., & Adigüzel, A. (2003). Antimicrobial activity of aqueous and methanol extracts of Juniperus oxycedrus L. Journal of ethnopharmacology, 85(2-3), 231–235. https://doi.org/10.1016/s0378-8741(03)00006-0

Koruk, S. T., Ozyilkan, E., Kaya, P., Colak, D., Donderici, O., & Cesaretli, Y. (2005). Juniper tar poisoning. Clinical toxicology (Philadelphia, Pa.), 43(1), 47–49. https://doi.org/10.1081/clt-45072

Lei, X., Jiang, H., Liu, C., Ferrier, A., & Mugavin, J. (2018). Self-Medication Practice and Associated Factors among Residents in Wuhan, China. International journal of environmental research and public health, 15(1), 68. https://doi.org/10.3390/ijerph15010068

Liu, Y. X., Zhou, Y. H., Jiang, C. H., Liu, J., & Chen, D. Q. (2022). Prevention, treatment and potential mechanism of herbal medicine for Corona viruses: A review. Bioengineered, 13(3), 5480–5508. https://doi.org/10.1080/21655979.2022.2036521

Liu, F., Han, X., Li, N., Liu, K., & Kang, W. (2019). Aconitum alkaloids induce cardiotoxicity and apoptosis in embryonic zebrafish by influencing the expression of cardiovascular relative genes. Toxicology letters, 305, 10–18. https://doi.org/10.1016/j.toxlet.2019.01.002

Lin, N. H., Yang, H. W., Su, Y. J., & Chang, C. W. (2019). Herb induced liver injury after using herbal medicine: A systemic review and case-control study. Medicine, 98(13), e14992. https://doi.org/10.1097/MD.0000000000014992

Lin, C. C., Phua, D. H., Deng, J. F., & Yang, C. C. (2011). Aconitine intoxication mimicking acute myocardial infarction. Human & experimental toxicology, 30(7), 782–785. https://doi.org/10.1177/0960327110385960

Leite, P. M., Martins, M., & Castilho, R. O. (2016). Review on mechanisms and interactions in concomitant use of herbs and warfarin therapy. Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie, 83, 14–21. https://doi.org/10.1016/j.biopha.2016.06.012

Ma, S., Dai, G., Bi, X., Gong, M., Miao, C., Chen, H., Gao, L., Zhao, W., Liu, T., & Zhang, N. (2018). The Herb-Drug Interaction of Clopidogrel and Xuesaitong Dispersible Tablet by Modulation of the Pharmacodynamics and Liver Carboxylesterase 1A Metabolism. Evidence-based complementary and alternative medicine: eCAM, 2018, 5651989. https://doi.org/10.1155/2018/5651989

Mei, J., Zhou, Y., Yang, X., Zhang, F., Liu, X., & Yu, B. (2021). Active components in Ephedra sinica stapf disrupt the interaction between ACE2 and SARS-CoV-2 RBD: Potent COVID-19 therapeutic agents. Journal of ethnopharmacology, 278, 114303. https://doi.org/10.1016/j.jep.2021.114303

Monadi, T., Azadbakht, M., Ahmadi, A., & Chabra, A. (2021). A Comprehensive Review on the Ethnopharmacology, Phytochemistry, Pharmacology, and Toxicology of the Mandragora Genus; from Folk Medicine to Modern Medicine. Current pharmaceutical design, 27(34), 3609–3637. https://doi.org/10.2174/1381612827666210203143445

Nguyen, T., & Alzahrani, T. (2022). Ginkgo Biloba. In StatPearls. StatPearls Publishing.

Nyska, A., Murphy, E., Foley, J. F., Collins, B. J., Petranka, J., Howden, R., Hanlon, P., & Dunnick, J. K. (2005). Acute hemorrhagic myocardial necrosis and sudden death of rats exposed to a combination of ephedrine and caffeine. Toxicological sciences: an official journal of the Society of Toxicology, 83(2), 388–396. https://doi.org/10.1093/toxsci/kfi034

Qu, X., Zhai, J., Hu, T., Gao, H., Tao, L., Zhang, Y., Song, Y., & Zhang, S. (2019). Dioscorea bulbifera L. delays the excretion of doxorubicin and aggravates doxorubicin-induced cardiotoxicity and nephrotoxicity by inhibiting the expression of P-glycoprotein in mice liver and kidney. Xenobiotica; the fate of foreign compounds in biological systems, 49(9), 1116–1125. https://doi.org/10.1080/00498254.2018.1498560

Rubini, S., Rossi, S. S., Mestria, S., Odoardi, S., Chendi, S., Poli, A., Merialdi, G., Andreoli, G., Frisoni, P., Gaudio, R. M., Baldisserotto, A., Buso, P., Manfredini, S., Govoni, G., Barbieri, S., Centelleghe, C., Corazzola, G., Mazzariol, S., & Locatelli, C. A. (2019). A Probable Fatal Case of Oleander (Nerium oleander) Poisoning on a Cattle Farm: A New Method of Detection and Quantification of the Oleandrin Toxin in Rumen. Toxins, 11(8), 442. https://doi.org/10.3390/toxins11080442

Schlesinger, D., Davidovich Rikanati, R., Volis, S., Faigenboim, A., Vendramin, V., Cattonaro, F., Hooper, M., Oren, E., Taylor, M., Sitrit, Y., Inbar, M., & Lewinsohn, E. (2019). Alkaloid chemodiversity in Mandragora spp. is associated with loss-of-functionality of MoH6H, a hyoscyamine 6?-hydroxylase gene. Plant science: an international journal of experimental plant biology, 283, 301–310. https://doi.org/10.1016/j.plantsci.2019.03.013

Sheth, S., Tan, E. C., Tan, H. H., & Tay, L. (2015). Herb-induced cardiotoxicity from accidental aconitine overdose. Singapore medical journal, 56(7), e116–e119. https://doi.org/10.11622/smedj.2015114

Sishi, B. J., Loos, B., van Rooyen, J., & Engelbrecht, A. M. (2013). Autophagy upregulation promotes survival and attenuates doxorubicin-induced cardiotoxicity. Biochemical pharmacology, 85(1), 124–134. https://doi.org/10.1016/j.bcp.2012.10.005

Sun, L. R., Guo, Q. S., Zhou, W., & Li, M. (2021). Extract from Dioscorea bulbifera L. rhizomes aggravate pirarubicin-induced cardiotoxicity by inhibiting the expression of P-glycoprotein and multidrug resistance-associated protein 2 in the mouse liver. Scientific reports, 11(1), 19720. https://doi.org/10.1038/s41598-021-99264-2

Su, X., Gao, X., Shang, L., Li, Z., Zhao, W., Chi, B., Wang, S., Zhang, H., Sun, D., Sun, J. (2021) Cytotoxicity of Mongolian Medicine Aconitum kusnezoffii. Chinese Medicine, 12(1), 10-18. https://doi.org/10.4236/cm.2021.121002

Shoaib, A., Siddiqui, H. H., Dixit, R. K., Siddiqui, S., Deen, B., Khan, A., Alrokayan, S. H., Khan, H. A., & Ahmad, P. (2020). Neuroprotective Effects of Dried Tubers of Aconitum napellus. Plants (Basel, Switzerland), 9(3), 356. https://doi.org/10.3390/plants9030356

Sharma, M., Dhaliwal, I., Rana, K., Delta, A. K., & Kaushik, P. (2021). Phytochemistry, Pharmacology, and Toxicology of Datura Species-A Review. Antioxidants (Basel, Switzerland), 10(8), 1291. https://doi.org/10.3390/antiox10081291

Shah, S., Akram, M., Riaz, M., Munir, N., & Rasool, G. (2019). Cardioprotective Potential of Plant-Derived Molecules: A Scientific and Medicinal Approach. Dose-response: a publication of International Hormesis Society, 17(2), 1559325819852243. https://doi.org/10.1177/1559325819852243

Smith, T. W., Antman, E. M., Friedman, P. L., Blatt, C. M., & Marsh, J. D. (1984). Digitalis glycosides: mechanisms and manifestations of toxicity. Part III. Progress in cardiovascular diseases, 27(1), 21–56. https://doi.org/10.1016/0033-0620(84)90018-5

Stoddard, G. J., Archer, M., Shane-McWhorter, L., Bray, B. E., Redd, D. F., Proulx, J., & Zeng-Treitler, Q. (2015). Ginkgo and Warfarin Interaction in a Large Veterans Administration Population. AMIA ... Annual Symposium proceedings. AMIA Symposium, 2015, 1174–1183.

Tsiligianni, I. G., Vasilopoulos, T. K., Papadokostakis, P. K., Arseni, G. K., Eleni, A., & Lionis, C. D. (2009). A two cases clinical report of mandragora poisoning in primary care in Crete, Greece: two case report. Cases journal, 2, 9331. https://doi.org/10.1186/1757-1626-2-9331

Tavares, W. R., & Seca, A. (2018). The Current Status of the Pharmaceutical Potential of Juniperus L. Metabolites. Medicines (Basel, Switzerland), 5(3), 81. https://doi.org/10.3390/medicines5030081

Toohey, T. P., Lu, B. Y., & Wada, C. (2013). Toxic effects of psychotropics related to possible p450 enzyme inhibition by kava: report of 2 cases. The primary care companion for CNS disorders, 15(5), PCC.13br01539. https://doi.org/10.4088/PCC.13br01539

Köhler, S., Funk, P., & Kieser, M. (2004). Influence of a 7-day treatment with Ginkgo biloba special extract EGb 761 on bleeding time and coagulation: a randomized, placebo-controlled, double-blind study in healthy volunteers. Blood coagulation & fibrinolysis: an international journal in haemostasis and thrombosis, 15(4), 303–309. https://doi.org/10.1097/00001721-200406000-00003

Tai, Y. T., But, P. P., Young, K., & Lau, C. P. (1992). Cardiotoxicity after accidental herb-induced aconite poisoning. Lancet (London, England), 340(8830), 1254–1256. https://doi.org/10.1016/0140-6736(92)92951-b

Valli, G., & Giardina, E. G. (2002). Benefits, adverse effects and drug interactions of herbal therapies with cardiovascular effects. Journal of the American College of Cardiology, 39(7), 1083–1095. https://doi.org/10.1016/s0735-1097(02)01749-7

Zhang, J., Onakpoya, I. J., Posadzki, P., & Eddouks, M. (2015). The safety of herbal medicine: from prejudice to evidence. Evidence-based complementary and alternative medicine: eCAM, 2015, 316706. https://doi.org/10.1155/2015/316706

Zong, X., Yan, X., Wu, J. L., Liu, Z., Zhou, H., Li, N., & Liu, L. (2019). Potentially Cardiotoxic Diterpenoid Alkaloids from the Roots of Aconitum carmichaelii. Journal of natural products, 82(4), 980–989. https://doi.org/10.1021/acs.jnatprod.8b01039

Wattanathorn, J., Uabundit, N., Itarat, W., Mucimapura, S., Laopatarakasem, P., & Sripanidkulchai, B. (2006). Neurotoxicity of Coscinium fenestratum stem, a medicinal plant used in traditional medicine. Food and chemical toxicology: an international journal published for the British Industrial Biological Research Association, 44(8), 1327–1333. https://doi.org/10.1016/j.fct.2006.02.012

Wahab, S., Annadurai, S., Abullais, S. S., Das, G., Ahmad, W., Ahmad, M. F., Kandasamy, G., Vasudevan, R., Ali, M. S., & Amir, M. (2021). Glycyrrhiza glabra (Licorice): A Comprehensive Review on Its Phytochemistry, Biological Activities, Clinical Evidence and Toxicology. Plants (Basel, Switzerland), 10(12), 2751. https://doi.org/10.3390/plants10122751

Xia, X., Wang, F., Zheng, X., Liu, Y., Zhang, J., Zhang, Y., Cheng, Z., Han, X., Ma, Y., Cui, J., Shi, B., Li, H., & Liu, R. (2019). Effects of extracts from Chuanwu (Aconitum Carmichaelii) and Banxia (Rhizoma Pinelliae) on excisional wound healing in a rat's model. Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan, 39(1), 65–73.

Yang, B., Xie, Y., Guo, M., Rosner, M. H., Yang, H., & Ronco, C. (2018). Nephrotoxicity and Chinese Herbal Medicine. Clinical journal of the American Society of Nephrology: CJASN, 13(10), 1605–1611. https://doi.org/10.2215/CJN.11571017




DOI: https://doi.org/10.14421/biomedich.2023.121.89-96

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Biology, Medicine, & Natural Product Chemistry
ISSN 2089-6514 (paper) - ISSN 2540-9328 (online)
Published by Sunan Kalijaga State Islamic University & Society for Indonesian Biodiversity.

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