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Echinacea, the popular herbal
remedy that is purported to strengthen the immune system and fight infection,
may cause mild or serious allergic reactions in people who use the herb
to treat their allergy symptoms.
Many equate 'natural' with
safety, but it is naive
to assume that natural products are always safe," study
author Dr. Raymond J. Mullins of the University of Canberra in Australia
told Reuters Health. "If one can be allergic to 'natural products'
like foods, why not to other plants like echinacea?"
Approximately half of Australia's
population uses some type of complementary or alternative medicine, such
as echinacea, during any 12-month period, previous study findings show.
In fact, Australians reportedly consume about 200 million doses of echinacea
per year, or approximately 10 doses per person annually. But the risks
and benefits of the herb are not fully known.
Among the five patients, allergy
symptoms ranging from dizziness and burning throat to severe breathing
difficulties and diarrhea appeared from as few as 5 minutes to as long
as 2 days after their exposure to echinacea, the investigators report.
A 19-year-old female had an acute asthma
attack within 10 minutes of her first-ever exposure to tea with added
echinacea.
Furthermore, in almost all
of the cases described in the 51 adverse drug reports, symptoms appeared
within 24 hours of exposure to an echinacea-containing product, the researchers
report. In over half (62%) of the cases, symptoms appeared within 6 hours.
When the investigators used
a skin prick allergy test on 100 individuals with allergies to substances
other than echinacea, they found that one in five were also allergic to
echinacea, even though only three of them had ever consumed the herb.
"This is unusual, because
you normally have to be exposed to something to become allergic to it,"
Mullins and Heddle write in a statement. They explain that in this case,
the study participants may have been allergic to pollen or some other
substance that contains the same proteins or substances found in echinacea.
Annals of Allergy, Asthma,
& Immunology January 2002;88:7-9, 42-51
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