|Titre :||Herbal Use During Breastfeeding: LactMed ® Update (2017)|
|Auteurs :||Philip O. Anderson, Auteur|
|Type de document :||Article : texte imprimé|
|Dans :||Breastfeeding Medicine (Vol 12, n°9, Novembre 2017)|
|Article en page(s) :||pp. 507-509|
|Note de contenu :||
"Herbal Use During Breastfeeding
Herbal medicine use by nursing mothers raises many issues. The definition of herbal medicines alone can be somewhat problematic. The Dietary Supplement Health and Education Act of 1994 (DSHEA) set up a new regulatory framework for supplements, which are considered as foods by the U.S. Food and Drug Administration (FDA). In addition to herbals, dietary supplements include ingredients such as vitamins, minerals, amino acids, and enzymes. Unlike conventional drugs, FDA is not authorized to review dietary supplement products for safety and effectiveness before they are marketed. FDA is responsible for taking action against any adulterated or misbranded dietary supplement product only after it reaches the market.
Some homeopathic drugs are made from plant material and can be mistaken for herbal drugs, but they are not considered dietary supplements. Homeopathic preparations are very dilute. In fact, some have been diluted beyond Avogadro's number and may contain no molecules from the plant.1 Homeopathic drugs can usually be identified by their dilution that is designated by a Roman numeral, usually X (10-fold dilutions) or C (100-fold dilutions). Although the efficacy of homeopathic products beyond a placebo effect is doubtful, there is usually no concern with their use in nursing mothers because of their lack of pharmacologic activity. So, if a woman is taking a homeopathic product labeled as nux vomica 10x, it will not harm her breastfed infant, even though nux vomica comes from the plant source of strychnine, Strychnos nux-vomica."
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