PDR for Herbal Medicines, 4th ed. (Physician's Desk Reference (Pdr) for Herbal Medicines)

Features

• Cover Type: Hard Cover with 1300 pages
• Published by: Thomson Healthcare
• Edition: 4th Edition September 15, 2007
• Written in: English
• ISBN 10 Number: 1563636786
• ISBN 13 Number: 978-1563636783
• Book Dimensions: 11 x 8.6 x 2.1 inches
• Weighs: 5.2 pounds

Product Review
Interest in and usage of herbal preparations as alternatives to pharmaceuticals has exploded in recent years. Having a complete herbal reference on hand is now absolutely necessary for doctors and other healers when a patient wants to add herbs--let's say St. John's wort--to his drug regimen. Should the patient stop taking the Paxil he's been on for depression, and if so, how long must he wait before he can start taking the St. Johns wort, and what's the recommended dosage?

The PDR for Herbal Medicines will go a long way towards answering such questions. The physician in this case would learn, after consulting the PDR, that "St. John's wort taken concomitantly with an SSRI may lead to an increased effect and possible toxicity 'serotonin syndrome', e.g., sweating, tremor, flushing, confusion and agitation." The same physician will also learn that the German Federal Health Authority's Commission E, which has studied the effects of hundreds of herbs, approved St. John's wort for depressive moods, among other conditions.

For more information, the physician can read about the trade names, descriptions of all the medicinal parts of the plant, actions and pharmacology (including the compounds and their effects, with citations), the results of clinical trials, contraindications, precautions and adverse reactions (photosensitization is a biggie for St. John's wort), dosage information, and a complete list of literature citations.

The second edition of this mammoth guide includes over 100 entries more than the first, bringing the total to more than 700. Additions include a selection of Asian herbs, such as Buplerum Chinese (also known as Chinese thoroughwax), which is used in Chinese medicine as an anti-inflammatory, and homeopathic preparations; a directory of manufacturers (with Internet addresses when available), a safety guide (don't use kava kava while nursing), and more. There's even a section that lists unproven uses for each herb. But make no mistake: this is a mainstream reference that relies on scientific proof above all. Therefore, this is not a guide for everyone, but for scientific and medical reference, it's a helpful and comprehensive resource, and even those who push the herbal envelope will find much valuable information here. --Stefanie Durbin --This text refers to the Hardcover edition.

From Publishers Weekly
Known for their reference manuals (Physicians' Desk Reference; PDR Medical Dictionary; PDR for Nonprescription Drugs and Dietary Supplements) that have been indispensable to the medical world, PDR has compiled a list of extensive explanations of more than 600 herbal medications available. Addressing the influx of natural supplements into mainstream supermarkets, PDR intends to educate consumers and assist them in choosing the best herbs to treat an ailment or simply to help maintain a healthy life. Arranged by the herb's Latin name (cross-referenced by common name), each herbal entry contains pertinent information: description, physical properties, intended usage and expected effects, precautions and adverse reactions, recommended dosage and references for additional reading. To assist in identifying these supplements, the editors have included color photographs of many of these herbs as they exist naturally. The indexes are also helpful; one lists both the scientific and common name of each herb and the other lists ailments such as acne, cardiovascular disease, migraines and rhinitis, and the herbs recommended for treatment. This manual could well become a standard guide for those on the road to self-medication.
Copyright 1998 Reed Business Information, Inc. --This text refers to an out of print or unavailable edition of this title.

Reader Reviews
This review is from: PDR for Herbal Medicines (Hardcover) This new edition of the PDR for Herbal Medicines goes beyond the first edition, published in December of 1998. While the first edition was somewhat limited by dated, unreferenced information, this one is much more up-to-date and includes recent references to the literature, such as the St. John's wort interactions with indinavir and cyclosporin that were just published this year. Each entry gives a botanical overview, describes actions and pharmacology, and discusses indications and usage in various medical traditions. There is information on clinical trials, and more material on herb/drug interaction, precautions, contraindications, adverse reactions, and dosage. Having a complete herbal reference is a necessity for physicians and other health-care providers in today's world - whether they want to include some herbals in their armamentarium or merely wish to head off possible herb-drug interactions among the patients who are treating themselves. A careful reading of the hypericum section, however, revealed that several newer clinical trials were not included, while an old (1994) study remained. In this reference, the physician would learn St. John's wort taken concomitantly with sertraline may lead to "serotonin syndrome," e.g., sweating, tremor, flushing, confusion and agitation. The likelihood of seeing this effect would be difficult to judge, however, since these anecdotal reports from the literature are taken a face value with little critical appraisal. If we don't know how many patients have taken this particular combination, we have no denominator. The inclusion of all material related to toxicologic effects is good for the sake of a comprehensive overview, but the drawback is to lose the feel for what may really be important. An example is the inclusion of a reference regarding hypericum toxicity when directly incubated with sperm or oocytes. Without pointing out that this very unusual study is not the way reproductive or teratogenic is determined during drug development, the reader may be left with the belief that hypericum showed reproductive toxicity. The reference to an interaction with theophylline might have mentioned that the patient was on a plethora of other drugs and relied on her recollection of events. It might also have mentioned that direct human studies of the 1A2 and 2D6 enzymes found no effect from hypericum. Rather, it stated that hypericum "...may significantly affect plasma concentrations of any drug that is metabolized by the cytochrome P-450 system." This is not supported by data. Also unsupported is the incorrect statement taken from Schultz et al's Rational Phytotherapy that phototoxicity may occur at hypericin plasma concentrations of 50 mcg/mL. This should have read 50 mcg/L (or 50 ng/mL) as the original paper reported. Also not useful is the daily dosage recommendation of 200 - 1000 mcg hypericin for depression; one might conclude that there is evidence for this. While this book is sold as a mainstream reference it may be somewhat daunting for the layman. It's well-organized style and the provision of recent scientific and medical references will make it a useful starting place for more in depth research for health-care professionals. Perhaps the publication of an erratum could be recommended. Comment | | (Report this)