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 (firstname.lastname@example.org).
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.