| Complementary and alternative medicine in epistaxis: a point worth considering during the patient's history. | |
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MedLine Citation:
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PMID: 19451826 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A large number of patients take complementary and alternative medicine (CAM) for a variety of reasons, but most do not inform their physicians. This has implications for safety, as many forms of herbal CAM are thought to have a variety of side-effects and may interact with conventional medicines with potentially adverse consequences. We present the case of an otherwise healthy 25-year-old man with difficult-to-control epistaxis. On further questioning, we learnt that he had recently started self-medicating with a combination of aspirin, garlic tablets and milk thistle. Garlic increases bleeding time and milk thistle alters the function of liver enzymes, both of which may have contributed to the difficulty in his management of epistaxis. This case highlights the importance of asking about CAM use when taking a patient's history, as it may have implications for management. |
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Authors:
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Muhammad Shakeel; Aaron Trinidade; Neil McCluney; Brewis Clive |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: European journal of emergency medicine : official journal of the European Society for Emergency Medicine Volume: 17 ISSN: 1473-5695 ISO Abbreviation: Eur J Emerg Med Publication Date: 2010 Feb |
Date Detail:
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Created Date: 2009-12-23 Completed Date: 2010-03-05 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9442482 Medline TA: Eur J Emerg Med Country: England |
Other Details:
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Languages: eng Pagination: 17-9 Citation Subset: IM |
Affiliation:
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Aberdeen Royal Infirmary, Aberdeen, Scotland, UK. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anti-Inflammatory Agents, Non-Steroidal / adverse effects Aspirin / adverse effects Blood Coagulation / drug effects Complementary Therapies / adverse effects* Emergency Medical Services Epistaxis / etiology* Garlic / adverse effects Humans Male Medical History Taking* Milk Thistle / adverse effects Phytotherapy / adverse effects |
| Chemical | |
Reg. No./Substance:
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0/Anti-Inflammatory Agents, Non-Steroidal; 50-78-2/Aspirin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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