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Med J Aust. 2002 Oct 21;177(8):440-3.

Black cohosh and other herbal remedies associated with acute hepatitis.

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Princess Alexandra Hospital, Woolloongabba, QLD, Australia.


Six patients presented with clinical, biochemical and histological evidence of severe hepatitis after taking herbal remedies. One patient required urgent liver transplantation for fulminant hepatic failure after the brief use of black cohosh. Five patients took a combination of herbs and presented with jaundice, fatigue and pruritus. Healthcare providers and members of the public should be aware of the potential adverse effects of these remedies.

[Indexed for MEDLINE]

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