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LETTER TO EDITOR
Year : 2018  |  Volume : 39  |  Issue : 2  |  Page : 118  

Letter to editor: Management of hypothyroidism by Triphaladya Guggulu along with Punarnavadi decoction


1 Medical Academic Center, Bangkok, Thailand
2 Department of Community Medicine, Dr. D. Y. Patil University, Pune, Maharashtra, India

Date of Web Publication24-Jan-2019

Correspondence Address:
Dr. Beuy Joob
Medical Academic Center, Bangkok
Thailand
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ayu.AYU_290_18

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How to cite this article:
Joob B, Wiwanitkit V. Letter to editor: Management of hypothyroidism by Triphaladya Guggulu along with Punarnavadi decoction. AYU 2018;39:118

How to cite this URL:
Joob B, Wiwanitkit V. Letter to editor: Management of hypothyroidism by Triphaladya Guggulu along with Punarnavadi decoction. AYU [serial online] 2018 [cited 2019 Feb 20];39:118. Available from: http://www.ayujournal.org/text.asp?2018/39/2/118/250778



Dear Editor,

We read the publication on “A clinical study to evaluate the role of Triphaladya Guggulu along with Punarnavadi Kashaya (decoction) in the management of hypothyroidism” with great interest.[1] Sing and Thakar noted that “Triphaladya Guggulu and Punarnavadi decoction are effective in the management of hypothyroidism.”[1] In fact, the classical alternative medicine is widely reported for its usefulness in the management of thyroid problem. However, there are still important concerns. First, the control of the dosage of the drug is important, and this is an important issue for further research. The excessive contamination of the Chinese herbal product is recently reported for causing thyroid problem.[2] In addition, although it is rare, some herbs are reported for the association with thyroid neoplasm.[3] Finally, the interpretation of the thyroid function test in the clinical study of the herbal extract needs consideration of the possible interference of the herbs on laboratory analysis. The interference on immunoassay, including the assay for thyroid function test, is possible.[4] It is no doubt that further research to evaluate effectiveness and safety of the Triphaladya Guggulu and Punarnavadi decoction for the management of thyroid disorder is necessary.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Singh K, Thakar AB. A clinical study to evaluate the role of Triphaladya Guggulu along with Punarnavadi Kashaya in the management of hypothyroidism. AYU 2018;39:50-5.  Back to cited text no. 1
  [Full text]  
2.
St. Onge M, Vandenberghe H, Thompson M. Thyroid storm caused by a Chinese herb contaminated with thyroid hormones. Am J Case Rep 2015;16:57-9.  Back to cited text no. 2
    
3.
Zhu G, Musumeci F, Byrne P. Induction of thyroid neoplasm following plant medicine marine algae (Sargassum): A rare case and review of the literature. Curr Pharm Biotechnol 2013;14:859-63.  Back to cited text no. 3
    
4.
Liu KT, Lee CW. Clinical judgement perplexed by initially undisclosed use of herbal medicine and unexpected cross-reactivity of immunoassay. Malays J Pathol 2017;39:189-92.  Back to cited text no. 4
    




 

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