What
herbs Can & Cannot do
Dieters Switch to Herbal- Why?
Components of Herbal Phen-Fen
Testimonials and Doctors Advice on Herbal Supplements
Commercialization and Media Influence on Herbal Supplements
Alternatives to Herbal Phen-Fen
Drugs and Procedures used to treat excess weight:
What Are Drugs and Procedures Used to Treat Excess Weight?
Drugs used for weight loss are
generally called anorexiants. Most lose their effectiveness over time, thus
requiring increased dosage, and they
can be addictive and dangerous. None of these drugs deals with the underlying problems
that may be causing obesity. Unless specifically instructed by a physician, people
should use non-drug methods for losing weight. Except under rare circumstances, pregnant
or nursing women should never take diet medications of any sort, including herbal and
over-the-counter remedies.
Over-The-Counter Diet and Herbal Remedies
People must be cautious when using
any weight-loss medications, including over-the counter diet pills and herbal or so-called
natural remedies. Over-the-counter diet pills that contain phenylpropanolamine
(Acutrim, Dexatrim) have been known to cause severe high blood pressure and stroke if
taken in doses of 75 mg or higher in the immediate-release form. The so-called "herbal fen-phen"
remedies (Herbal Phen-Fen, PhenTrim, Phen-Cal) contain ephedrine, derived from the ephedra
(also known as Ma Huang) herb. Studies have reported severe effects (rapid heart beat,
high blood pressure, psychosis, and seizures) from over-the-counter remedies that contain
even small amounts of ephedrine. Eighteen deaths have occurred with its use since 1994,
mostly from heart attack and stroke. Dietary supplements, teas, and laxatives that
list the ingredient plantain may contain digitalis, a powerful chemical that effects the
heart. (This should not be confused with the harmless banana-like plant also called
plantain.) Many dietary herbal teas contain laxatives, which can cause gastrointestinal
distress, and, if overused, may lead to chronic pain, constipation, and dependency. In
rare cases, dehydration and death have occurred. Some laxative substances found in teas
include senna, aloe, buckthorn, rhubarb root, cascara, and castor oil. Some fiber
supplements containing guar gum have also caused obstruction of the gastrointestinal
tract.
Serotonin-Releasing Anorexiants
Some diet pills work by increasing
the availability of serotonin, a chemical in the brain that prevents depression and
reduces calorie consumption. Unfortunately, the most popular of these drugs have very
serious side effects, including development of abnormalities in the valves of the heart
and, uncommonly, a potentially life-threatening condition called pulmonary hypertension.
As a result, dexfenfluramine (Redux), fenfluramine (Pondimin), and the combination drug
commonly called fen-phenfenfluramine (Pondimin) combined with another anti-obesity drug
called phentermine -- have been pulled from the market. Phentermine (Ionamin, Adipex,
Fastin) is still available. Studies are underway to determine whether these valvular
abnormalities will eventually reverse after withdrawal from the drug. Recent ones have
reported that the increased risks for valvular problems range from between 2% and 24% in
people who took these drugs. The
risks are highest in people taking the drugs for long periods or in high doses. Taking the
drugs for a short period (two to three months) appears to do no harm. Some experts
urge that all patients who were treated with Redux, Pondimin, or phen-fen for more than
three months have a thorough cardiovascular exam, including an echocardiogram. Many women
who have valvular abnormalities had been taking multiples of the recommended dosages.
Others were also on Prozac, an antidepressant that also increases serotonin and
intensifies the effects of the diet drugs. It should be noted that taking phentermine
(which is still available) along with Prozac or similar drugs known as serotonin reuptake
inhibitors or the antidepressants known as monoamine oxidase inhibitors can have similar
dangerous effects.
(courtesy of http://webmd.lycos.com/content/dmk/dmk_article_40062)
Dieters switching to Herbal Fen-Phen-- But some say it needs further study
Over-the-counter weight-loss products
2 popular diet drugs pulled from market
Natural Medicine for Weight Loss
Herbal therapy for management of obesity
Gale Encyclopedia of Alternative Medicine- Ephedra
Wellness Letter: Guide to Dietary Supplements
Scientists red flag popular supplement ephedra
Boosting the Quality and Potency of St. John's Wort
St. John's-Wort by Dr.Weil.com
St. Johns Wort from Tenzing Momo
\
Gale Encyclopedia of Alternative Medicine- Saw Palmetto
Diane Gordon, former Redux user, now takes Phen-Cal
Kenneth Blum of University of North Texas on Phen-Cal study
Dr. George Blackburn of Harvard University
Jackie Thompson comments on
taking Herbal Phen-Fen
Dr. Steven Heymsfield of St.
Lukes-Roosevelt Medical Center
Dr. Xavier Pi-Sunyer, head of
obesity research at St. Lukes-Roosevelt Medical Center
*Consumer Reports-September, 1997
*Are claims made true or refuted by others in the Healthcare profession?
*Health Canada recall
*Government cracks down on diet supplement
*FDA evidence too weak to restrict
ephedra, report says
*FDA
Warning of Herbal Fen-Phen Creates Confusion Among Consumers
Last revised: 16 February 2002 by Amanda R. Hearne