毒理性
尽管被广泛使用,但印度人参普遍被认为是安全的,没有主要的不良反应。在临床试验中,没有报告在治疗期间出现血清酶升高的情况,也没有提到严重的不良事件或肝毒性。然而,最近有几例报告称,服用标明含有印度人参的商业草药产品的患者出现了临床上明显的肝损伤。肝损伤在开始服用印度人参后2到12周出现,表现为胆汁淤积或混合型损伤、黄疸和瘙痒。免疫过敏和自身免疫特征并不突出。黄疸往往持续时间较长,但最终没有死亡或慢性损伤而得到解决。由于商业草药制剂通常是草药和营养产品的混合物,可能会被错误标记并含有未知的草药和药物,因此并不总是清楚报告的病例是否由印度人参及其成分之一引起,还是由污染物引起。然而,在几份报告中,检测了患者正在服用的商业产品,发现其中含有印度人参而没有其他污染物。因此,可以认为由印度人参引起的临床上明显的肝损伤虽然罕见,但确实存在。
Despite widescale use, ashwagandha is considered generally safe and without major adverse effects. In clinical trials, there have been no reports of serum enzyme elevations occurring during therapy and no mention of serious adverse events or hepatotoxicity. Recently, however, several cases of clinically apparent liver injury have been reported in patients taking commercial herbal products that are labelled as containing ashwagandha. The liver injury presented 2 to 12 weeks after starting ashwagandha with a cholestatic or mixed pattern of injury, jaundice and pruritus. Immunoallergic and autoimmune features were not prominent. Jaundice tended to be protracted but ultimately resolved without fatalities or chronic injury. Because commercial herbal preparations are often mixtures of herbs and nutritional products and can be mislabeled and contain unknown herbs and medications, it is not always clear whether the reported cases were due to ashwagandha and one of its components or to a contaminant. In several reported cases, however, the commercial product being taken was tested and found to have ashwagandha without other contaminants. Thus, clinically apparent liver injury attributable to ashwagandha appears to occur, but is rare.
来源:LiverTox