HIV ReSource Review


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Issues 27-30

 
 
Amazonian Medicinals Guggul
Herb-Drug Interactions: Part 1 Herb-Drug Interactions: Part 2

 
Issue 30
This issue is free in PDF
Amazonian Medicinals for Gastrointestinal Health
Mark J.S. Miller, PhD
Mark J.S. Miller, PhD, is the Co-Chair of the Research Council of the American Nutraceutical Association. Currently, Dr. Miller is Professor of Cardiovascular Sciences & Pediatrics at Albany Medical College. He is also President of Rainforest Phytoceuticals, LLC a nutraceutical company specializing in South American medicinal plants. Dr. Miller has held several positions in academic institutions as well as the pharmaceutical industry and is internationally recognized for his contributions to pharmacology and experimental therapeutics. His recent interests have been in elucidating the mechanisms of action of medicinal plants, focusing on the Amazon.
 
Nutrition and gastrointestinal health are major issues associated with the morbidity of HIV infection and AIDS. While protease inhibitors have helped bring cachexia, wasting and diarrhea under better control, opportunities for improvement still exist. Amazonian medicinal plants may offer many individuals a complementary approach to gastrointestinal health. The medicinal plants of choice are Cat’s claw (Uña de gato) and Sangre de grado which have remarkable protective and healing actions, but for quite different reasons. Cat’s claw prevents the activation of genes associated with a dysregulated immune system and inflammation. Of particular note is its ability to inhibit tumor necrosis factor alpha (TNF) formation. Cat’s claw is also cytoprotective to numerous toxic agents (free radicals, oxidants, toxins). Sangre de grado is an inhibitor of epithelial secretion and diarrhea. The mechanism is under debate but the most compelling evidence is for suppression of neurally-mediated diarrheal mechanisms. Sangre de grado has been shown to rapidly heal gastric ulcers and intestinal injury and is used ethnomedically for severe gastrointestinal complications. Reasonable clinical evidence for efficacy is available for both Amazonian medicinal plants and they should be considered as promising complementary approaches to a perplexing and persistent problem.

This article was published in May 2001.

Issue 29
This issue is free in PDF
Potential Herb-Drug Interactions for HIV-positive Patients
Sharon Herr, RD
Sharon Herr, RD, lives in Nassau, New York and is a member of the American Dietetic Association. She belongs to several Dietetic Practice Groups and as the public relations co-chair for the Hudson Valley Dietetic Association, she recently designed its new Web site. Sharon is dedicated to increasing public and professional awareness of herb-drug interactions and has recently published a book entitled the Herb-Drug Interaction Handbook. The Web site offers information on her book along with free online monthly book updates. 
 
Editor's Note: Part I discussed trends in medicine, safety issues of herb use, St. John's Wort interactions and cytochrome P-450 interactions, along with the gastrointestinal effects of HIV disease. Excerpted from the author's book Herb- Drug Interactions, possible effects are listed alphabetically for easy reader access. Find comprehensive information on a number of herbs in previous issues of the HIV ReSource Review.

This article was published in March 2001.

Issue 28
This issue is free in PDF
Potential Herb-Drug Interactions for HIV-positive Patients
Sharon Herr, RD, lives in Nassau, New York and is a member of the American Dietetic Association. She belongs to several Dietetic Practice Groups and as the public relations co-chair for the Hudson Valley Dietetic Association, she recently designed its new Web site. Sharon is dedicated to increasing public and professional awareness of herb-drug interactions and has recently published a book entitled the Herb-Drug Interaction Handbook. The Web site offers information on her book along with free online monthly book updates. 
 
Perhaps more than any other patient population, people who test positive for the human immunodeficiency virus (HIV) use complementary therapies along with or instead of conventional treatments. In the early years, many people in this group tried herbs as a last resort because no effective medications were available to treat their infection. Today, many HIV-positive people use herbs and other complementary treatments either in place of prescription drugs or to try and lessen the effects of prescribed medications. Increased use of prescription medications and dietary supplements has increased the risk of herb-drug interactions. Decreased immune function, multiple drug regimes and achlorhydria further increase risks for HIV/AIDS patients who use herbs. Herbs commonly used by HIV/AIDS patients interact with drugs, including St. John’s Wort, which can induce cytochrome P450 enzymes and reduce bioavailability of the drugs. More research is needed of herb-drug interactions to increase safety for those who choose to use dietary supplements along with conventional drugs.

Editors Note: This article was published in January 2001. The two-part article provides comprehensive information on herb- drug interactions. Since much of this information is taken from the author's Herb Drug Interaction Handbook, readers will find that reference numbers are not listed in this text in consecutive order. All references listed at the article's end are accurate and contain the information cited within the article.

Issue 27
This issue is free in PDF
The Promise Of Guggul
Sharon Ann Meyer, AA, AS, DTR, Certified HIV Counselor is the President of HIV ReSources, Inc. She is Editor-In-Chief of the HIV ReSource Review, co-author of HIV Medications Food Interactions (And So Much More), and Nutrition Editor for NUMEDX journals.
 
Many HIV-positive people on combination therapies are turning to dietary measures and supplements to help them control medication side effects. Learning about complementary treatments can help potential product users decide if certain products may be worthwhile. Interest in guggul as a treatment for high cholesterol and high triglycerides has been increasing since the advent of highly active antiretroviral therapy (HAART). Use of the botanical product is most prominent in HIV-positive people who have high cholesterol and triglyceride levels.

This research article explores the information available on guggul to help readers learn more about the popular supplement. It was published in November 2000.


 
A few words about HIV ReSources Products

The HIV ReSource Review (issues 1-30) and HIV Nutrition Update (issues 30-54) are peer-reviewed publications designed for nutrition professionals and others interested in nutrition and HIV/AIDS.
 

First published on July 1, 1996, the newsletters still provide important, time-saving, HIV-related nutrition information. Feature articles are the result of original research, scientific literature searches, and searches on the World Wide Web. Article information is supplemented by reviewing conference proceedings and expert recommendations.


 
Editorial Board
 
Senior Editors
Nancy Spaulding Albright, RD, LD, CNSD
Wendy Wittenbrook, MA, RD, LD
Donna Tinnerello, MS, RD, CDN

Web Site Affiliation(s)
 Always Your Choice
 Jennifer's Virtual Faculty

 
In Spirit- Chester Myers, PhD
 
Assistant Editors
Kevin Kelly, RD, LD

Web Site Affiliation(s) 
North Dakota State University

Jason Stevenson, BS, Medical Researcher
Denise Li, BS
 
 
 
Editor-In-Chief
Sharon Ann Meyer, AA, AS, DTR, Certified HIV Counselor About Sharon

Web Site Affiliation(s) 
HIV ReSources Homepage
The Woman's Place
Sharon's Homepage
Dean Allen DeLong's Homepage

 
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