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| LETTER TO EDITOR |
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| Year : 2018 | Volume
: 39
| Issue : 2 | Page : 118 |
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Letter to editor: Management of hypothyroidism by Triphaladya Guggulu along with Punarnavadi decoction
Beuy Joob1, Viroj Wiwanitkit2
1 Medical Academic Center, Bangkok, Thailand
2 Department of Community Medicine, Dr. D. Y. Patil University, Pune, Maharashtra, India
| Date of Web Publication | 24-Jan-2019 |
Correspondence Address:
Dr. Beuy Joob
Medical Academic Center, Bangkok
Thailand
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/ayu.AYU_290_18
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 |
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 | |  |
| 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.  [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. |
| 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. |
| 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. |
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