Factors that influence herb-drug interactions

Lack of communication regarding supplement

Lack of documentation of supplement use

Lack of follow-up about supplement use

Anecdotal use of herbal supplements

Use of multiple ingredients

Poor regulation for adulteration, contamination, and content variation

Use of products with biased labeling; claims of disease prevention, treatment, and cure; no seals of approval

Lack of reporting or investigation of herb-drug interactions

Lack of clinician information regarding supplements and herb-drug interactions

Open, nonjudgmental discussion of supplement use

Documentation of supplement use in patient chart

Periodic follow-up about supplement use

Evidence-based use of supplements

Use of single-ingredient products

Stringent screening for adulterants, contaminants, and content variability

Use of products with clear, unbiased labeling, consumer hotline and seals of approval

Reporting and investigation of herb-drug interactions

Clinician educated regarding supplements and herb-drug interactions using evidence-based resources