While many people believe ‘herbal’ is equal to be ‘safe’, Herbal remedies can actually cause adverse damages on the body. It is believed that herbal remedies have no side effect when interacting with other remedies and even with other medications. But are they all true? What are herbal remedies? Herbal remedies are made from plant leaves, berries, bark, flowers and root, which have been used for centuries to cure diseases, illnesses and psychological disorders. Now with the use of technology and internet anyone can order any herbal remedy at any time and the number of people using herbal products has been spontaneously increased for last several years. Since those herbal products are all natural, many people easily tend to believe everything natural must be safe. However, it is unfortunately and not necessarily true. Herbal remedies don’t required going through all the strict processes of testing like drugs and some of herbs might cause negative side effect by interaction with other herbs and also with prescribed drugs. How safe are herbal remedies? There are two major risks of using herbal medicine; 1. Interaction of herbal remedies with other drugs 2. Safety of the remedies Interaction: According to a report from the Medicines and Health Care Products Regulatory Agency (MHRA), people are more liable to self-medicate. Therefore some of them tend not to inform their doctor about taking the herbal remedies, which increases the risk of any possible interaction with any prescription drugs. To interact with other drugs, some herbal remedies are quite dangerous, especially Black Cohosh, which is a shrub-like plant that can be easily found in North America. Black Cohosh is often used for menopausal disorders, uterine spasms, vaginitis, and painful menstruation. Meanwhile, using Black Cohosh with other medications such as atorvastatin and acetaminophen can lead severe liver toxicity. United States Pharmacopeia introduced a case of 44 years old woman who used Black Cohosh to solve her hot flashed as self-treatment while taking prescribed drugs. She abruptly developed subacute liver injury within a month and went to the emergency room. This incident reveals that people sometimes treat herbal products as health supplement boosting the body with extra micronutrient. However, herbal products aren't products just giving extra energy, but is ,with medicinal purposes like other drugs, treating the illness. In fact, some herbal products are known to have possible chances of causing adverse reactions such as high blood pressure, allergies or even organ damages when being used not properly or interacting with other prescription drugs. Therefore, it is really necessary to tell the doctor and pharmacist if taking any herbal products. Safety of the herbal remedies: In 2009, scientists at Boston University who researched about herbal remedies found out that a fifth of the traditional Indian herbal remedies purchased on Internet is contained dangerous levels of mercury, lead, and arsenic, which can cause stomach pains, liver problem and vomiting. In addition April 2009 MHRA(Medicines and HealthCare Products Regulatory Agency) investigation into Jia Ji Jian ,known as ‘Herbal Viagra,’ revealed that it contained up to four times the level of pharmaceutical found in legally prescribed anti-obesity and anti-erectile dysfunction medicinal products, which can cause serious side effects such as heart and blood pressure. Due to the fact that Jia Ji Jian potentially leads heart diseases, it should not contain any kind of pharmaceuticals at all. Dietary Supplement Health and Education Act (DSHEA) did a research in 2013 to check whether the ingredients of the herbal remedies match with how is written on the description label. Researchers purchased herbal products from Canada and the United States and also obtained 50 samples of known products from greenhouses. They were able to study 100 species that are against a barcoded “library” from the products and samples as following below; 1. Authentic: a product contained the barcode for a species that was the main ingredient on the label. 2. Contaminated: contains labeled ingredient and also the DNA barcode for a species Not on the label. 3. Substitution: a product contained the DNA barcode for a species not on the label, and there was no trace of the labeled ingredient. Of 50 samples, only 48% were authentic. 59% contained species that were not listed on the label. Moreover, 20 % of products contained with unlabeled substances including wheat, soy, and rice. Three companies out of 12 companies had products for which no products could be authenticated. Due to the less strict regulation for herbal products, some of the products were of such poor quality that harms could be expected. Therefore, the important determinant of the toxicity of herbal remedies is their quality. Conclusion: Because herbal remedies are not strongly regulated, there is no accurate information and data about their side effects, drug interactions or even about their dosage. There are no good practices in place currently for identifying the species of the various ingredients used in herbal products. The market for herbal products is huge and since they can be easily purchased on the Internet, it is even more challenging and close to impossible to check every single manufacturer and product. As a result, the market place is prone to contamination and possible product substitution. It is more risky to use herbal remedies if: • You are allergic to some herbal species • You are pregnant • They are used for children In comparison to herbal products, drugs are strictly regulated and have to get tested. The tests make it clear what kind of side effect each drug has. Therefore when using the drugs, you can actually check whether the benefits outweigh the risks. Because the drugs have to get tested before they get to the production stage, all the ingredients are known. When the ingredients are known, you know exactly what you are taking and you can predict how you would react to it. We at AdvaCare Pharma manufacture affordable drugs that uphold the highest quality standards with GMP, CE, ISO and USFDA certificates. Furthermore you can find any necessary information about any specific drug on our website.