Undeclared exposure to St. John's Wort in hospitalized patients

Aim The herbal medicine St. John's Wort (SJW) causes substantial decreases in the plasma concentrations of a range of co-administered drugs. Therefore, we evaluated the extent of systemic exposure to hyperforin and hypericin, two of the main constituents of SJW, in patients on admission and dur...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Hauptverfasser: Martin-Facklam, Meret (VerfasserIn) , Rieger, Karin (VerfasserIn) , Riedel, Klaus-Dieter (VerfasserIn) , Burhenne, Jürgen (VerfasserIn) , Walter-Sack, Ingeborg (VerfasserIn) , Haefeli, Walter E. (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 27 July 2004
In: British journal of clinical pharmacology
Year: 2004, Jahrgang: 58, Heft: 4, Pages: 437-441
ISSN:1365-2125
DOI:https://doi.org/10.1111/j.1365-2125.2004.02169.x
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/https://doi.org/10.1111/j.1365-2125.2004.02169.x
Verlag, lizenzpflichtig, Volltext: https://bpspubs.onlinelibrary.wiley.com/doi/abs/10.1111/j.1365-2125.2004.02169.x
Volltext
Verfasserangaben:Meret Martin‐Facklam, Karin Rieger, Klaus-Dieter Riedel, Jürgen Burhenne, Ingeborg Walter‐Sack & Walter E. Haefeli

MARC

LEADER 00000caa a2200000 c 4500
001 1758140933
003 DE-627
005 20230427100720.0
007 cr uuu---uuuuu
008 210519s2004 xx |||||o 00| ||eng c
024 7 |a 10.1111/j.1365-2125.2004.02169.x  |2 doi 
035 |a (DE-627)1758140933 
035 |a (DE-599)KXP1758140933 
035 |a (OCoLC)1341413518 
040 |a DE-627  |b ger  |c DE-627  |e rda 
041 |a eng 
084 |a 33  |2 sdnb 
100 1 |a Martin-Facklam, Meret  |e VerfasserIn  |0 (DE-588)1233697382  |0 (DE-627)1758059729  |4 aut 
245 1 0 |a Undeclared exposure to St. John's Wort in hospitalized patients  |c Meret Martin‐Facklam, Karin Rieger, Klaus-Dieter Riedel, Jürgen Burhenne, Ingeborg Walter‐Sack & Walter E. Haefeli 
264 1 |c 27 July 2004 
300 |a 5 
336 |a Text  |b txt  |2 rdacontent 
337 |a Computermedien  |b c  |2 rdamedia 
338 |a Online-Ressource  |b cr  |2 rdacarrier 
500 |a Gesehen am 19.05.2021 
520 |a Aim The herbal medicine St. John's Wort (SJW) causes substantial decreases in the plasma concentrations of a range of co-administered drugs. Therefore, we evaluated the extent of systemic exposure to hyperforin and hypericin, two of the main constituents of SJW, in patients on admission and during hospital stay, and compared the results with known use of SJW as documented in the drug chart and detected in additional interviews. Methods One hundred and fifty patients aged ≥ 18 years and admitted, between August 2000 and February 2002, to an internal medicine ward of a large German university hospital were included. Hyperforin and hypericin was determined in plasma by a sensitive liquid chromotography/mass spectometry (LC/MS/MS) method. To assess undeclared use of SJW the data were compared to information obtained from drug charts and from up to three interviews that had a particular focus on intake of herbal medicines and self-medication during hospitalization. Results Hyperforin was detected in 12 patients (plasma concentration on the first day of hospitalization = 12-100 ng ml−1 in five patients and <3 ng ml−1 in seven), and hypericin in five patients (0.5-4.3 ng ml−1). Nine patients (6%) were taking/had taken SJW without the knowledge of the medical team and the pharmacist, who conducted the additional interviews, and 11 (7.3%) were taking/had taken SJW without the knowledge of the medical team alone. Seven of these patients were treated concurrently with drugs that can interact with SJW. Conclusions Unrecognized use of SJW is frequent and may have an important influence on the effectiveness and safety of drug therapy during hospital stay. 
650 4 |a hospitalisation 
650 4 |a Hypericum 
650 4 |a self-medication 
700 1 |a Rieger, Karin  |d 1974-  |e VerfasserIn  |0 (DE-588)128401435  |0 (DE-627)372642764  |0 (DE-576)297124749  |4 aut 
700 1 |a Riedel, Klaus-Dieter  |e VerfasserIn  |0 (DE-588)1034229605  |0 (DE-627)745128432  |0 (DE-576)381859460  |4 aut 
700 1 |a Burhenne, Jürgen  |d 1963-  |e VerfasserIn  |0 (DE-588)1034228889  |0 (DE-627)745126987  |0 (DE-576)381858197  |4 aut 
700 1 |a Walter-Sack, Ingeborg  |e VerfasserIn  |0 (DE-588)1065347987  |0 (DE-627)815887957  |0 (DE-576)425021408  |4 aut 
700 1 |a Haefeli, Walter E.  |d 1958-  |e VerfasserIn  |0 (DE-588)124572359  |0 (DE-627)656806141  |0 (DE-576)340514221  |4 aut 
773 0 8 |i Enthalten in  |t British journal of clinical pharmacology  |d Oxford : Wiley-Blackwell, 1974  |g 58(2004), 4, Seite 437-441  |h Online-Ressource  |w (DE-627)306585995  |w (DE-600)1498142-7  |w (DE-576)091140056  |x 1365-2125  |7 nnas  |a Undeclared exposure to St. John's Wort in hospitalized patients 
773 1 8 |g volume:58  |g year:2004  |g number:4  |g pages:437-441  |g extent:5  |a Undeclared exposure to St. John's Wort in hospitalized patients 
856 4 0 |u https://doi.org/https://doi.org/10.1111/j.1365-2125.2004.02169.x  |x Verlag  |x Resolving-System  |z lizenzpflichtig  |3 Volltext 
856 4 0 |u https://bpspubs.onlinelibrary.wiley.com/doi/abs/10.1111/j.1365-2125.2004.02169.x  |x Verlag  |z lizenzpflichtig  |3 Volltext 
951 |a AR 
992 |a 20210519 
993 |a Article 
994 |a 2004 
998 |g 124572359  |a Haefeli, Walter E.  |m 124572359:Haefeli, Walter E.  |d 910000  |d 910100  |e 910000PH124572359  |e 910100PH124572359  |k 0/910000/  |k 1/910000/910100/  |p 6  |y j 
998 |g 1065347987  |a Walter-Sack, Ingeborg  |m 1065347987:Walter-Sack, Ingeborg  |d 50000  |e 50000PW1065347987  |k 0/50000/  |p 5 
998 |g 1034228889  |a Burhenne, Jürgen  |m 1034228889:Burhenne, Jürgen  |d 910000  |d 910100  |e 910000PB1034228889  |e 910100PB1034228889  |k 0/910000/  |k 1/910000/910100/  |p 4 
998 |g 1034229605  |a Riedel, Klaus-Dieter  |m 1034229605:Riedel, Klaus-Dieter  |d 910000  |d 910100  |e 910000PR1034229605  |e 910100PR1034229605  |k 0/910000/  |k 1/910000/910100/  |p 3 
999 |a KXP-PPN1758140933  |e 3929576589 
BIB |a Y 
SER |a journal 
JSO |a {"title":[{"title_sort":"Undeclared exposure to St. John's Wort in hospitalized patients","title":"Undeclared exposure to St. John's Wort in hospitalized patients"}],"relHost":[{"id":{"eki":["306585995"],"zdb":["1498142-7"],"doi":["10.1111/(ISSN)1365-2125"],"issn":["1365-2125"]},"titleAlt":[{"title":"BJCP"}],"pubHistory":["1.1974 -"],"type":{"bibl":"periodical","media":"Online-Ressource"},"recId":"306585995","part":{"issue":"4","volume":"58","pages":"437-441","extent":"5","year":"2004","text":"58(2004), 4, Seite 437-441"},"note":["Gesehen am 20.03.2014"],"origin":[{"publisherPlace":"Oxford ; Oxford ; Oxford [u.a.]","dateIssuedKey":"1974","publisher":"Wiley-Blackwell ; Blackwell Science ; Blackwell","dateIssuedDisp":"1974-"}],"physDesc":[{"extent":"Online-Ressource"}],"language":["eng"],"disp":"Undeclared exposure to St. John's Wort in hospitalized patientsBritish journal of clinical pharmacology","title":[{"title_sort":"British journal of clinical pharmacology","title":"British journal of clinical pharmacology","subtitle":"BJCP"}]}],"id":{"eki":["1758140933"],"doi":["10.1111/j.1365-2125.2004.02169.x"]},"name":{"displayForm":["Meret Martin‐Facklam, Karin Rieger, Klaus-Dieter Riedel, Jürgen Burhenne, Ingeborg Walter‐Sack & Walter E. Haefeli"]},"origin":[{"dateIssuedDisp":"27 July 2004","dateIssuedKey":"2004"}],"physDesc":[{"extent":"5 S."}],"language":["eng"],"person":[{"family":"Martin-Facklam","roleDisplay":"VerfasserIn","role":"aut","given":"Meret","display":"Martin-Facklam, Meret"},{"family":"Rieger","display":"Rieger, Karin","role":"aut","roleDisplay":"VerfasserIn","given":"Karin"},{"family":"Riedel","roleDisplay":"VerfasserIn","role":"aut","given":"Klaus-Dieter","display":"Riedel, Klaus-Dieter"},{"family":"Burhenne","display":"Burhenne, Jürgen","given":"Jürgen","roleDisplay":"VerfasserIn","role":"aut"},{"roleDisplay":"VerfasserIn","role":"aut","given":"Ingeborg","display":"Walter-Sack, Ingeborg","family":"Walter-Sack"},{"family":"Haefeli","display":"Haefeli, Walter E.","given":"Walter E.","roleDisplay":"VerfasserIn","role":"aut"}],"recId":"1758140933","note":["Gesehen am 19.05.2021"],"type":{"media":"Online-Ressource","bibl":"article-journal"}} 
SRT |a MARTINFACKUNDECLARED2720