Abstract
Herbal drugs have achieved popularity by playing a significant role in traditional medicines and socioeconomic development, supported by their versatility, therapeutic safety, and affordability. In legitimacy, a variety of active compounds that plausibly have drug allying clamor in human body are frequently occurred in these drugs. Herbal medicines are complex therapeutic preparations obtained from any unpurified or processed part of plant (stem, root, leaves, flowers, seeds). Bringing into action, medicinal plants are frequently more affordable than acquiring expensive modern pharmaceuticals to treat various illnesses. A considerable number of plants have substantiated their effectiveness in managing numerous diseases. Herbs are recognized as dietary supplements under the current law, and hence manufacturers can sell and market their herbal medicines without demonstrating safety and efficacy as is mandatory for over-the-counter drugs. Hence, research into herbal plants that are basically available and cost-effective and do not require exacting pharmaceutical manufacturing processes, evident to have enchanted global attention as alternative approach to therapeutic agents. Although herbal medicines are “nature-derived” and so often perceived as safe, a number of severe reactions have been documented owing to adulteration, contamination, or interactions with drugs. Taking into account their raised market demand, it is indispensable to make sure the therapeutic safety and efficacy prior to consumption. To promise safety, therapeutic potency, efficacy, and reproducible attribute of herbal medicines, proper identification, authentication, and quality control are crucial. The use of standardized herbal plant extracts possibly a secure therapeutic for different ailments based on their longer history of use in the treatment of various ailments established on millennia of expertise. Wherever side effects of traditional remedies have been addressed, it’s generally because the herbal plants were misidentified, contaminated, or improperly prepared and administered by people who weren’t properly trained. So, it is still challenging to track down and establish new therapeutics to promote health and well-being.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Dar RA, Shahnawaz M, Qazi PH (2017) General overview of medicinal plants: a review. J Phytopharm 6(6):349–351
Joharchi MR, Amiri MS (2012) Taxonomic evaluation of misidentification of crude herbal drugs marketed in Iran. Avicenna J Phytomed 2(2):105
Swerdlow J (2000) Modern science embraces medicinal plants. In: Nature’s medicine: plants that heal. National Geographic Society, Washington, DC, pp 110–157
World Health Organization (2019) WHO global report on traditional and complementary medicine 2019. World Health Organization
World Health Organization (2013) WHO traditional medicine strategy: 2014–2023. World Health Organization
Bent S (2008) Herbal medicine in the United States: review of efficacy, safety, and regulation. J Gen Intern Med 23(6):854–859
World Health Organization. W.H.O. Traditional Medicine 2010, July 21. Available from: http://www.who.int/topics/traditional_medicine/en/
World Health Organization (2005) National policy on traditional medicine and regulation of herbal medicines: report of a WHO global survey. World Health Organization
Conboy L et al (2007) The relationship between social factors and attitudes toward conventional and CAM practitioners. Complement Ther Clin Pract 13(3):146–157
Rishton GM (2008) Natural products as a robust source of new drugs and drug leads: past successes and present day issues. Am J Cardiol 101(10):S43–S49
Schmidt B et al (2008) A natural history of botanical therapeutics. Metabolism 57:S3–S9
Xutian S, Zhang J, Louise W (2009) New exploration and understanding of traditional Chinese medicine. Am J Chin Med 37(03):411–426
Li W-F, Jiang J-G, Chen J (2008) Chinese medicine and its modernization demands. Arch Med Res 39(2):246–251
World Health Organization (2009) World health statistics 2009. World Health Organization
Canter PH, Ernst E (2004) Herbal supplement use by persons aged over 50 years in Britain. Drugs Aging 21(9):597–605
Qato DM et al (2008) Use of prescription and over-the-counter medications and dietary supplements among older adults in the United States. JAMA 300(24):2867–2878
Loya AM, González-Stuart A, Rivera JO (2009) Prevalence of polypharmacy, polyherbacy, nutritional supplement use and potential product interactions among older adults living on the United States-Mexico border. Drugs Aging 26(5):423–436
Cohen PA, Ernst E (2010) Safety of herbal supplements: a guide for cardiologists. Cardiovasc Ther 28(4):246–253
Zhang J et al (2015) The safety of herbal medicine: from prejudice to evidence. Hindawi
De Smet PA (2005) Herbal medicine in Europe—relaxing regulatory standards. N Engl J Med 352(12):1176–1178
Tilburt JC, Kaptchuk TJ (2008) Herbal medicine research and global health: an ethical analysis. Bull World Health Organ 86:594–599
Farnsworth NR et al (1985) Medicinal plants in therapy. Bull World Health Organ 63(6):965
Rates SMK (2001) Plants as source of drugs. Toxicon 39(5):603–613
Burke FM (2015) Red yeast rice for the treatment of dyslipidemia. Curr Atheroscler Rep 17(4):22
Ali I et al (2010) Natural products: human friendly anti-cancer medications. Egypt Pharm J (NRC) 9(2):133–179
Lu D et al (2016) Discover natural chemical drugs in modern medicines. Metabolomics (Los Angel) 6(181):2153-0769.1000181
Adhikari B (2001) Socio-economic heterogeneity and income distribution: evidence from common property resource management. J Forest Livelihoods 1(1):22–24
Hamilton A (2013) Plant conservation: an ecosystem approach. Routledge
World Health Organization (2012) The regional strategy for traditional medicine in the Western Pacific (2011–2020)
Barnes PM, Bloom B, Nahin RL (2008) Complementary and alternative medicine use among adults and children; United States, 2007
Greg Arnold D. 2010. Study cites cost savings of omega-3 fats and St John’s Wort. http://www.nowfoods.com/BasicArticles/080683.htm
Sher H et al (2014) Economic benefits of high value medicinal plants to Pakistani communities: an analysis of current practice and potential. J Ethnobiol Ethnomed 10(1):1–16
Shneeman B et al (2005) Review of liver-related risks for chaparral. In: Dietary supplements: a framework for evaluating safety
Harkey MR et al (2001) Variability in commercial ginseng products: an analysis of 25 preparations. Am J Clin Nutr 73(6):1101–1106
World Health Organization. W.H.O. Traditional medicine. Available from: http://www.who.int/topics/traditional_medicine/en/
Li JW-H, Vederas JC (2009) Drug discovery and natural products: end of an era or an endless frontier? Science 325(5937):161–165
Sahoo N, Manchikanti P, Dey S (2010) Herbal drugs: standards and regulation. Fitoterapia 81(6):462–471
Barnes PM et al (2004) Complementary and alternative medicine use among adults: United States, 2002. In: Seminars in integrative medicine. Elsevier
Bent S, Ko R (2004) Commonly used herbal medicines in the United States: a review. Am J Med 116(7):478–485
Stevinson C, Pittler MH, Ernst E (2000) Garlic for treating hypercholesterolemia: a meta-analysis of randomized clinical trials. Ann Intern Med 133(6):420–429
Xiong X et al (2015) Garlic for hypertension: a systematic review and meta-analysis of randomized controlled trials. Phytomedicine 22(3):352–361
Alder R et al (2003) A systematic review of the effectiveness of garlic as an anti-hyperlipidemic agent. J Am Acad Nurse Pract 15(3):120–129
Koren MJ (2005) Statin use in a “real-world” clinical setting: aggressive lipid lowering compared with usual care in the aggressive lipid-lowering initiation abates new cardiac events (ALLIANCE) trial. Am J Med 118(12):16–21
Rose KD et al (1990) Spontaneous spinal epidural hematoma with associated platelet dysfunction from excessive garlic ingestion: a case report. Neurosurgery 26(5):880–882
Linde K et al (1998) St John’s wort for depression. Cochrane Database Syst Rev (4)
Oken BS, Storzbach DM, Kaye JA (1998) The efficacy of Ginkgo biloba on cognitive function in Alzheimer disease. Arch Neurol 55(11):1409–1415
Solomon PR et al (2002) Ginkgo for memory enhancement: a randomized controlled trial. JAMA 288(7):835–840
Birks J, Grimley E, Van Dongen M (2002) Ginkgo biloba for cognitive impairment and dementia (Cochrane review). Cochrane Libr 4:1–19
Bent S et al (2005) Spontaneous bleeding associated with Ginkgo biloba. J Gen Intern Med 20(7):657–661
Brevoort P (1998) The blooming US botanical market: a new overview
Carpenter C et al (2008) Hypericum and nurses: a comprehensive literature review on the efficacy of St. John’s wort in the treatment of depression. J Holist Nurs 26(3):200–207
Linde K et al (1996) St John’s wort for depression—an overview and meta-analysis of randomised clinical trials. BMJ 313(7052):253–258
Butterweck V (2003) Mechanism of action of St John’s wort in depression. CNS Drugs 17(8):539–562
Zanoli P (2004) Role of hyperforin in the pharmacological activities of St John’s wort. CNS Drug Rev 10(3):203–218
Shelton RC et al (2001) Effectiveness of St John’s wort in major depression: a randomized controlled trial. JAMA 285(15):1978–1986
Hammerness P et al (2003) St. John’s wort: a systematic review of adverse effects and drug interactions for the consultation psychiatrist. Psychosomatics 44(4):271–282
Lethaby A et al (2007) Phytoestrogens for vasomotor menopausal symptoms. Cochrane Database Syst Rev (4)
Taku K et al (2007) Soy isoflavones lower serum total and LDL cholesterol in humans: a meta-analysis of 11 randomized controlled trials. Am J Clin Nutr 85(4):1148–1156
Pittler MH, Ernst E (2003) Kava extract versus placebo for treating anxiety. Cochrane Database Syst Rev (1)
Control, C.f.D. and Prevention (2002) Hepatic toxicity possibly associated with kava-containing products--United States, Germany, and Switzerland, 1999–2002. MMWR Morb Mortal Wkly Rep 51(47):1065–1067
Rotblatt M, Ziment I (2002) Evidence-based herbal medicine. Hanley & Belfus
Ulbricht CE, Basch EM (2005) Natural standard herb & supplement reference: evidence-based clinical reviews. Mosby
Fugh-Berman A (2003) The 5-minute herb and dietary supplement consult. Lippincott Williams & Wilkins
Ernst E, Schmidt K, Wider B (2005) CAM research in Britain: the last 10 years. Complement Ther Clin Pract 11(1):17–20
Ribnicky DM et al (2008) Evaluation of botanicals for improving human health. Am J Clin Nutr 87(2):472S–475S
Nortier JL et al (2000) Urothelial carcinoma associated with the use of a Chinese herb (Aristolochia fangchi). N Engl J Med 342(23):1686–1692
Stickel F, Patsenker E, Schuppan D (2005) Herbal hepatotoxicity. J Hepatol 43(5):901–910
World Health Organization (2000) General guidelines for methodologies on research and evaluation of traditional medicine. World Health Organization
Kantor M (2009) The role of rigorous scientific evaluation in the use and practice of complementary and alternative medicine. J Am Coll Radiol 6(4):254–262
Applequist W (2003) Herbal medicine. Chaos in the Marketplace. Econ Bot 57(1):150–151
Brower V (2008) Back to nature: extinction of medicinal plants threatens drug discovery. Oxford University Press
Bleichrodt H, Quiggin J (1999) Life-cycle preferences over consumption and health: when is cost-effectiveness analysis equivalent to cost–benefit analysis? J Health Econ 18(6):681–708
Herman PM, Craig BM, Caspi O (2005) Is complementary and alternative medicine (CAM) cost-effective? A systematic review. BMC Complement Altern Med 5(1):1–15
Van Schaik DJ et al (2004) Patients’ preferences in the treatment of depressive disorder in primary care. Gen Hosp Psychiatry 26(3):184–189
Solomon D et al (2011) Potential of St John’s wort for the treatment of depression: the economic perspective. Australian New Zealand J Psychiatry 45(2):123–130
Linde K, Berner MM, Kriston L (2008) St John’s wort for major depression. Cochrane Database Syst Rev (4)
Gastpar M, Singer A, Zeller K (2006) Comparative efficacy and safety of a once-daily dosage of hypericum extract STW3-VI and citalopram in patients with moderate depression: a double-blind, randomised, multicentre, placebo-controlled study. Pharmacopsychiatry 39(02):66–75
Linde K, St. (2009) John’s wort–an overview. Compl Med Res 16(3):146–155
Sullivan PW et al (2004) A comparison of the direct costs and cost effectiveness of serotonin reuptake inhibitors and associated adverse drug reactions. CNS Drugs 18(13):911–932
Whitten D et al (2006) The effect of St John’s wort extracts on CYP3A: a systematic review of prospective clinical trials. Br J Clin Pharmacol 62(5):512–526
Bensoussan A (2010) Cost effectiveness of complementary medicines
Linde K et al (2016) Acupuncture for the prevention of episodic migraine. Cochrane Database Syst Rev (6)
Coeytaux RR, Befus D (2016) Role of acupuncture in the treatment or prevention of migraine, tension-type headache, or chronic headache disorders. Headache J Head Face Pain 56(7):1238–1240
Kim M-R et al (2016) Safety of acupuncture and pharmacopuncture in 80,523 musculoskeletal disorder patients: a retrospective review of internal safety inspection and electronic medical records. Medicine 95(18)
Zhang J et al (2010) Acupuncture-related adverse events: a systematic review of the Chinese literature. Bull World Health Organ 88:915–921
MacPherson H et al (2017) The persistence of the effects of acupuncture after a course of treatment: a meta-analysis of patients with chronic pain. Pain 158(5):784
Kim S-Y et al (2012) A systematic review of cost-effectiveness analyses alongside randomised controlled trials of acupuncture. Acupunct Med 30(4):273–285
Ambrósio E, Bloor K, MacPherson H (2012) Costs and consequences of acupuncture as a treatment for chronic pain: a systematic review of economic evaluations conducted alongside randomised controlled trials. Complementary Therapies in Medicine 20(5):364–374
Deng Z-Q et al (2012) Health economic evaluation of acupuncture along meridians for treating migraine in China: results from a randomized controlled trial. BMC Complement Altern Med 12(1):1–7
Guarneri EM, Horrigan BJ, Pechura CM (2010) The efficacy and cost effectiveness of integrative medicine: a review of the medical and corporate literature. Explore 6(5):308–312
Giordano J, Engebretson J, Garcia MK (2005) Challenges to complementary and alternative medical research: focal issues influencing integration into a cancer care model. Integr Cancer Ther 4(3):210–218
Evans S (2008) Changing the knowledge base in Western herbal medicine. Soc Sci Med 67(12):2098–2106
Lewis JD, Strom BL (2002) Balancing safety of dietary supplements with the free market. Ann Intern Med 136(8):616–618
Marcus DM, Grollman AP (2002) Botanical medicines—the need for new regulations. Mass Medical Soc 347(25):2073–2076
Jacobs BP et al (2005) An internet-based randomized, placebo-controlled trial of kava and valerian for anxiety and insomnia. Medicine 84(4):197–207
Turner RB et al (2005) An evaluation of Echinacea angustifolia in experimental rhinovirus infections. N Engl J Med 353(4):341–348
Benzie IF, Wachtel-Galor S (2011) Herbal medicine: biomolecular and clinical aspects
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Ahmed, S.N. et al. (2023). Herbal Drugs: Safety, Cost-Effectiveness, Regulation, Current Trends, and Future Directions. In: Arunachalam, K., Yang, X., Puthanpura Sasidharan, S. (eds) Bioprospecting of Tropical Medicinal Plants. Springer, Cham. https://doi.org/10.1007/978-3-031-28780-0_62
Download citation
DOI: https://doi.org/10.1007/978-3-031-28780-0_62
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-28779-4
Online ISBN: 978-3-031-28780-0
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)