- 作者：Andrew L. Avins ; Stephen Bent ; Suzanne Staccone ; Evelyn Badua ; Amy Padula ; Harley Goldberg ; John Neuhaus ; Esther Hudes ; Katusto Shinohara ; Christopher Kane
- 关键词：Saw palmetto ; Drug toxicity ; Benign prostatic hyperplasia
- 刊名：Complementary Therapies in Medicine
- 出版年：2008
- 出版时间：June 2008
- 年：2008
- 卷：16
- 期：3
- 页码：147-154
- 全文大小：144 K
Summary
BackgroundSaw palmetto is commonly used by men for lower-urinary tract symptoms. Despite its widespread use, very little is known about the potential toxicity of this dietary supplement.Methods
The Saw palmetto for Treatment of Enlarged Prostates (STEP) study was a randomized clinical trial performed among 225 men with moderate-to-severe symptoms of benign prostatic hyperplasia, comparing a standardized extract of the saw palmetto berry (160 mg twice daily) with a placebo over a 1-year period. As part of this study, detailed data were collected on serious and non-serious adverse events, sexual functioning, and laboratory tests of blood and urine. Between-group differences were assessed with mixed-effects regression models.
Results
There were no significant differences observed between the saw palmetto and placebo-allocated participants in the risk of suffering at least one serious adverse event (5.4 % vs. 9.7 % , respectively; p = 0.31) or non-serious symptomatic adverse event (34.8 % vs. 30.1 % , p = 0.48). There were few significant between-group differences in sexual functioning or for most laboratory analyses, with only small differences observed in changes over time in total bilirubin (p = 0.001), potassium (p = 0.03), and the incidence of glycosuria (0 % in the saw palmetto group vs. 3.7 % in the placebo group, p = 0.05).
Conclusions
Despite careful assessment, no evidence for serious toxicity of saw palmetto was observed in this clinical trial. Given the sample size and length of this study, however, these data do not rule out potential rare adverse effects associated with the use of saw palmetto.