{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,30]],"date-time":"2025-11-30T14:19:45Z","timestamp":1764512385296,"version":"3.46.0"},"reference-count":36,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,5,7]],"date-time":"2022-05-07T00:00:00Z","timestamp":1651881600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Phytotherapy Research"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Herbal dietary supplements (HDS) used for dyslipidemia represent a category of concern in Italy for suspected adverse reactions (ARs). However, we cannot estimate their safety, as we do not know their commercial profile. Sales data of HDS, and particularly, those used for dyslipidemia, were monitored for 2\u2009years in two pharmacies of Rome. Meanwhile, spontaneous reports of suspected ARs potentially related to dyslipidemia supplements were collected by the Italian Phytovigilance System. The 50% of the total dietary supplements are herbal\u2010derived; the 9% of HDS are recommended for dyslipidemia. From our data, 113 different brands have claims for improving lipids profile and 91% of them are multiingredient preparations. Fifteen spontaneous reports of suspected ARs concerned HDS used, for dyslipidemia. The most frequent ARs were joint, abdominal, and muscles pain; vomiting; erythema and hematological disorders; nausea; and rhabdomyolysis. Our findings point out the limited compliance of commercial dyslipidemia\u2010HDS and scientific research about their intrinsic safety. A wide range of ingredients could not support the risk\/benefit profile of the supplement. The variable compositions of HDS do not assure the safety, as they do not support the reproducibility of their pharmacological activities. This study could contribute to optimize consumer guidance about what they purchase and consume.<\/jats:p>","DOI":"10.1002\/ptr.7473","type":"journal-article","created":{"date-parts":[[2022,5,7]],"date-time":"2022-05-07T07:05:15Z","timestamp":1651907115000},"page":"2583-2604","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["A descriptive study of commercial herbal dietary supplements used for dyslipidemia\u2014Sales data and suspected adverse reactions"],"prefix":"10.1002","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6347-951X","authenticated-orcid":false,"given":"Olta","family":"Allkanjari","sequence":"first","affiliation":[{"name":"Department of Physiology and Pharmacology \u2018Vittorio Erspamer\u2019 Sapienza University of Rome  Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesca","family":"Menniti\u2010Ippolito","sequence":"additional","affiliation":[{"name":"National Centre for Drug Research and Evaluation National Institute of Health  Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilaria","family":"Ippoliti","sequence":"additional","affiliation":[{"name":"National Centre for Drug Research and Evaluation National Institute of Health  Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3049-6644","authenticated-orcid":false,"given":"Silvia","family":"Di Giacomo","sequence":"additional","affiliation":[{"name":"Department of Physiology and Pharmacology \u2018Vittorio Erspamer\u2019 Sapienza University of Rome  Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tito","family":"Piccioni","sequence":"additional","affiliation":[{"name":"Farmacia Piccioni Tito  Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2055-9755","authenticated-orcid":false,"given":"Annabella","family":"Vitalone","sequence":"additional","affiliation":[{"name":"Department of Physiology and Pharmacology \u2018Vittorio Erspamer\u2019 Sapienza University of Rome  Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,5,7]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lfs.2020.117756"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/hpm.3177"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.phrs.2016.10.008"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ptr.6063"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.5114\/aoms.2017.69326"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu12103127"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu13020638"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.2903\/j.efsa.2009.1213"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.2903\/j.efsa.2009.1224"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.2903\/j.efsa.2018.5368"},{"key":"e_1_2_10_12_1","unstructured":"European Commission. (2021).Food safety \u2013 Restrictions on the use of monacolins from red yeast rice in foods. Retrieved fromhttps:\/\/ec.europa.eu\/info\/law\/better\u2010regulation\/have\u2010your\u2010say\/initiatives\/13025\u2010Food\u2010safety\u2010restrictions\u2010on\u2010the\u2010use\u2010of\u2010monacolins\u2010from\u2010red\u2010yeast\u2010rice\u2010in\u2010foods_en"},{"key":"e_1_2_10_13_1","unstructured":"Food and Drug Administration. (2019).Information for consumers on using dietary supplements. Retrieved fromhttps:\/\/www.fda.gov\/food\/dietary\u2010supplements\/information\u2010consumers\u2010using\u2010dietary\u2010supplements"},{"key":"e_1_2_10_14_1","unstructured":"German Federal Institute for Risk Assessment (BfR). (2020).A questionable way to lower cholesterol: Food supplements containing red yeast rice to be taken only on medical advice(BfR Opinion No 003\/2020)."},{"key":"e_1_2_10_15_1","unstructured":"Italian Ministry of Health. (2004). 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