Evaluation of herbal dietary supplements marketed on the internet for recreational use

被引:60
作者
Dennehy, CE [1 ]
Tsourounis, C [1 ]
Miller, AE [1 ]
机构
[1] Univ Calif San Francisco, Dept Clin Pharm, Sch Pharm, San Francisco, CA 94143 USA
关键词
internet; recreational dietary supplement; recreational herb;
D O I
10.1345/aph.1G185
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
BACKGROUND: The Internet is a popular tool for marketing and purchasing herbal dietary supplements (DS). Various Web sites sell these products purely for recreational use. OBJECTIVE: To describe the content of Web sites that advertise and market herbal DS for recreational use (ie, for the purpose of altering mood/behavior/or perception, "getting high," or as a substitute for a drug of abuse). METHODS: Four major search engines and the search terms "buy herbal high" and "buy legal high" were used to identify Web sites selling herbal DS for recreational use. Web sites were evaluated for their country of origin and for compliance with the Dietary Supplement Health and Education Act (DSHEA). Products were evaluated for their ingredient lists, effect claims, comparisons with illicit drugs, adverse effects, drug interactions, and contraindications. RESULTS: Twenty-eight unique Web sites with 119 products were evaluated. Most sites were in the US (54%) and were in compliance with DSHEA. Forty-seven percent of the products were likened to illicit drugs, typically marijuana (48%) or 3-,4-methylene dioxyamphetamine (Ecstasy; 23%). The most common product ingredients were ephedra. alkaloids (27%), Salvia divinorum (17%), kava (10%), guarana (10%), Acorus calamus (10%), and damiana (10%). Effect claims frequently involved the products' use as a hallucinogen (51%) or stimulant (39%). Sixty-four percent of the sites mentioned adverse effects, and 54% mentioned drug interactions. CONCLUSIONS: This study demonstrates that herbal DS are being marketed for use as legal alternatives to illicit drugs of abuse. Healthcare professionals need to be aware of this trend and the products that are involved.
引用
收藏
页码:1634 / 1639
页数:6
相关论文
共 8 条
[1]   The seeds of the Hawaiian baby woodrose are a powerful hallucinogen [J].
Al-Assmar, SE .
ARCHIVES OF INTERNAL MEDICINE, 1999, 159 (17) :2090-2090
[2]  
CHUANG JH, AGREEMENT CATEGORICA
[3]  
*SUBST AB MENT HLT, 2003, RES 2003 NAT HOUS SU, V1
[4]  
SULLIVAN D, 2003, NET RATINGS SEARCH E
[5]  
SULLIVAN D, 2003, COMSCORE MEDIA METRI
[6]  
Yates KM, 2000, NEW ZEAL MED J, V113, P315
[7]   Cardiovascular toxicity after ingestion of "herbal ecstacy" [J].
Zahn, KA ;
Li, RL ;
Purssell, RA .
JOURNAL OF EMERGENCY MEDICINE, 1999, 17 (02) :289-291
[8]  
2003, MMWR MORB MORTAL WKL, V52, P788