The global market for herbal medicines and supplements has experienced explosive growth in recent years, but concerns about overuse, misuse, and quality control have arisen. Many people assume that since herbal pills are derived from natural sources, they must be safe to use freely without restrictions on courses and dosages.
However, this assumption is incorrect. Studies have shown that the rise in use of herbal medicines and dietary supplements has led to an increase in liver injury and damage, with some individuals requiring liver transplants or even dying. In the US alone, HDS-related liver failure has increased eight-fold over the past 25 years.
The European Union is the largest consumer of HDS, accounting for 50 percent of global consumption. With their increasing usage, drug-induced liver injury is becoming a growing health concern globally. The lack of regulation in this market makes it challenging to identify the causes of toxicity and evaluate herbal formulations.
Many herbal supplements are adulterated with hazardous chemicals, including phenylbutazone, antibiotics, alcohol, toxic industrial solvents, and high levels of toxic metals such as arsenic, mercury, and lead. Mislabelled or unlabelled products, unclear dosing instructions, and lack of scientific methodology further exacerbate the issues associated with an unregulated market.
To address these concerns, there is a pressing need for legislation to regulate the herbal drug market. Consumers must be provided with scientifically accurate information about dosage, contraindications, and efficacy, similar to over-the-counter medications. Established guidelines and protocols are crucial to test HDS for toxicity, determine therapeutic doses, and evaluate herbal formulations.
Experts warn that even safe herbal supplements can cause harm if used excessively or by individuals with pre-existing health conditions. The Indian Ministry of AYUSH recommends a maximum dose of 2000mg/kg body weight/day for ashwagandha extract to prevent liver damage and toxicity.
As the popularity of HDS continues to grow, it is essential to regulate this market to protect public health. Without proper oversight, consumers may be exposed to hazardous products that can lead to severe health consequences.
Source: https://www.thenewdaily.com.au/life/health/2025/02/21/herbal-pills-supplements-regulate