Milk Thistle (silymarin) Interactions?

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Am thinking of taking Milk Thistle to help protect my liver from alcohol - yes, I know it would be better to cut down on the booze, but... ;)
Can't see anything on Al's site refering to it, but did find some references on the web to possible interactions with warfarin.
http://ut.healthinformatics.net/docs/english/ma/milkthis.ma3563.asp
Anybody either know about this or been taking it for a while?
 
Something to be concerned about...

Something to be concerned about...

I saw this on the link you provided:

Milk thistle may have effects similar to estrogen. :eek:

You may want to rethink this... :D

I think you're probably right... cutting down on the booze is a better idea!

Caution is advised for patients taking contraceptives as milk thistle has been shown to decrease the effectiveness of these medications. Patients taking benzodiazepines (Valium, etc.), ketoconizole, statins, and warfarin should be advised that milk thistle may increase the levels of these medications, increasing the possibility of side effects.

I would certainly advise the person monitoring your INR if you decide to take it.
 
Is there any data on how much it protects? Does it make 6 beers act like 5? Or is it 6 beers acts like 1? Since alcohol is metabolized by the liver does it slow the metabolism of alcohol? If so, maybe it protects by making 1 beer act like 6. I'd be interested to know how it does this and how great the effect is. Anything that says that it protects should be based on a study that shows how and by how much.
 
Sorry about that. I copied the URL from the exact page about milk thistle but it didn't quite translate. So...in the yellow "Health Categories" section on the left side of the page, go to "Safetychecker," select "Herbal Remedy" and look for milk thistle under "M."

Geez, Ross, I'm even later!
 
I copied these from the website

Milk thistle extract may protect the cells of the liver by blocking the entrance of harmful toxins and helping remove these toxins from the liver cells. I think that the keyword is "may".

silymarin is a powerful antioxidant.

Antiooxidants look good in test tubes but they have been almost universally disappointing in long-term trials in humans.

Look at the years of the publications
1. Wagner H, Horhammer L, Munster R. The chemistry of silymarin (silybin), the active principle of the fruits of Silybum marianum (L.) Gaertn. Arzneim-Forsch Drug Res 1968;18:688?96.

2. Hikino H, Kiso Y, Wagner H, Fiebig M. Antihepatotoxic actions of flavonolignans from Silybum marianum fruits. Planta Medica 1984;50:248?50.

3. Faulstich H, Jahn W, Wieland T. Silibinin inhibition of amatoxin uptake in the perfused rat liver. Arzneim-Forsch Drug Res 1980;30:452?4.

4. Tuchweber B, Sieck R, Trost W. Prevention by silibinin of phalloidin induced hepatotoxicity. Toxicol Appl Pharmacol 1979;51:265?75.

5. Feher J, Lang I, Deak G, et al. Free radicals in tissue damage in liver diseases and therapeutic approach. Tokai J Exp Clin Med 1986;11:121?34.

6. Sonnenbichler J, Zetl I. Stimulating influence of a flavonolignan derivative on proliferation, RNA synthesis and protein synthesis in liver cells. In Assessment and Management of Hepatobiliary Disease, ed. L Okolicsanyi, G Csomos, G Crepaldi. Berlin: Springer-Verlag, 1987, 265?72.

7. Schuppan D, Strösser W, Burkard G, Walosek G. Legalon® lessens fibrosing activity in patients with chronic liver diseases. Zeits Allgemeinmed 1998;74:577?84.

8. Salmi HA, Sama S. Effect of silymarin on chemical, functional and morphological alterations of the liver. Scand J Gastroenterol 1982;17:517?21.

9. Leng-Peschlow E. Alcohol-related liver diseases-use of Legalon®. Z Klin Med 1994;2:22?7.

10. Ferenci P, Dragosics B, Dittrich H, et al. Randomized controlled trial of silymarin treatment in patients with cirrhosis of the liver. J Hepatol 1989;9:105?13.

11. Velussi M, Cernogoi AM, De Monte A, et al. Long-term (12 months) treatment with an antioxidant drug (silymarin) is effective on hyperinsulinemia, exogenous insulin need and malondialdehyde levels in cirrhotic diabetic patients. J Hepatology 1997;26:871?9.

12. Pares A, Plancs R, Torres M, et al. Effects of silymarin in alcoholic patients with cirrhosis of the liver: results of a controlled, double-blind, randomized and multicenter trial. J Hepatol 1998;28:615?21.

13. Nassuato G, Iemmolo RM, Strazzabosco M, et al. Effect of silibinin on biliary lipid composition. Experimental and clinical study. J Hepatol 1991;12:290?5.

14. Palasciano G, Portinascasa P, Palmieri V, et al. The effect of silymarin on plasma levels of malondialdehyde in patients receiving long-term treatment with psychotropic drugs. Curr Ther Res 1994;S5:S37?45.

15. Allain H, Schück S, Lebreton S, et al. Aminotransferase levels and silymarin in de novo tacrine-treated patients with Alzheimer?s disease. Dementia Geriatr Cogn Disorders 1999;10:181?5.

16. Brown DJ. Herbal Prescriptions for Better Health. Rocklin, CA: Prima Publishing, 1996, 151?8.

17. Reyes H. The spectrum of liver and gastrointestinal disease seen in cholestasis of pregnancy. Gastroert Clin N Am 1992;21:905?21.

They run from 1968 to 1999. If this works,why do they have to quote 38 year old studies. The newest is 6 years ago. Warfarin generates an average of over 1 article per day more than 50 years after it went on the market. Would you feel safe taking warfarin if nobody had published an article on it in the past 6 years.

Nicholas Culpeper, the well-known 17th-century pharmacist, cited its use for opening ?obstructions? of the liver and spleen and recommended it for the treatment of jaundice.

The Pilgrims arrived in the 17th century.

And the bottom line
%0

Double-blind trials indicate that it helps the liver return to a healthy state once a person stops drinking.
 
Al - thanks
I agree the evidence doesn't seem to be there. My normal vitamin company claims "300 scientific studies", but when pressed didn't come up with any. I'll try the obvious option, less of the demon drink.
:soapbox on
There's been a tendency in the UK for larger measures and higher alcohol content in pub and restaurant offerings. In many establishments, the "standard" (what you get if you don't ask for anything else) wine glass is now 250ml - a full third of a bottle! Wines are also stronger as the sunny New World dominates, not unusual to find a white at 13.5%. Likewise beer - I've even seen a strong (6.5%) Belgian beer on draught (tap).
:soapbox off
Of course, with adequate willpower, none of the above should be a problem :rolleyes:
 

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