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Perspective | Less Is More

Approach to Overuse of Herbal and Dietary Supplements A Teachable Moment

Anna Strewler, RN1; Rebecca Conroy, RN1; Helen Kao, MD1
[+] Author Affiliations
1University of California, San Francisco
JAMA Intern Med. 2014;174(7):1033-1034. doi:10.1001/jamainternmed.2014.1879.
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Herbal and dietary supplement use is prevalent. Medication reconciliation should include a careful review of herbal and dietary supplements, including medical and nonmedical harms and benefits. The use of shared decision-making is recommended to integrate these findings into a patient-centered treatment plan.

Article InformationCorresponding Author: Helen Kao, MD, Geriatrics Clinical Programs, University of California, San Francisco, 3333 California St, Ste 380, San Francisco, CA 94118 (helen.kao@ucsf.edu).

Published Online: May 26, 2014. doi:10.1001/jamainternmed.2014.1879.

Conflict of Interest Disclosures: None reported.

Additional Contributions: Timothy Cutler, PharmD, GCP, Candy Tsourounis, PharmD, and Cathi Dennehy, PharmD, University of California, San Francisco, consulted on the patient case, made recommendations on which herbal and prescription medications to taper or stop, performed a comprehensive literature review on polysupplement use and overuse, and participated in revisions of the manuscript. They were not compensated for their contributions.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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