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JPP · Lens · Adrenal suppression following herbal remedy for rheumatoid arthritis

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Article · Volume 6, Issue 2 · pp. 110–113

Adrenal suppression following herbal remedy for rheumatoid arthritis

Balasekar Premkumar1, Muppavarapu Srinivasa Murthy2, Karuppasamy Rajagopal3, Vadivelmurugan Nagasubramani Nagaprabu4, Sree Madhuri Ponugupati5

  1. 1Department of Pharmacology, College of Pharmacy, India.
  2. 2Department of Pharmaceutical Chemistry, Vignan Institute of Pharmaceutical Sciences, Andhra Pradesh, India.
  3. 3Zydus Cadila healthcare, Ahmedabad, Gujarat, India.
  4. 4Department of Rheumatology, PSG Hospitals, Coimbatore, Tamil Nadu, College of Pharmacy, India.
  5. 5Pharmacy Practice, PSG College of Pharmacy, India.

Abstract

A patient suffering from rheumatoid arthritis who had extreme adrenal suppression as a result of chronic use of herbal medicines presented with complications of adrenal suppression such as muscle weakness. He also had psychiatric disturbances such as confusion and suicidal tendency. Steroids in the herbal medication were found and hence there exists a need for investigation into their safety and efficacy.

Keywords: Adrenal suppression; complementary alternative medicine; rheumatoid arthritis

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