Ayurvedic herbal medicine and lead poisoning

Table 2 List of reported cases of lead toxicity associated with Ayurvedic mediation¹

Reference	Ayurvedic Medicine	Age	Sex	Indication	Symptoms	Hgb (g/dL)	BLL (μg/dL)	Management
[2]	NR²	31	F	Fertility	Abdominal pain, nausea, spontaneous abortion	NR	112	Oral chelation³
[2]	Jambrulin	50	M	Diabetes	NR	NR	92	Oral chelation³
[2]	Jambrulin	40	F	Diabetes	NR	NR	92	Oral chelation³
[13]	NR	28	M	Weakness	Intestinal obstruction	8	145	Oral D-penicillamine
[14]	NR	23	M	NR	Anorexia, abdominal pain, weight loss	9.4	56	Ca -EDTA infusion
[15]	Vatyog Sahacharadi Gandharvahastadi	28	M	Back pain	Abdominal pain, constipation	NR	70	Oral DMSA
[16]	NR	58	M	Weakness	Paresthesias	14.3	74	Oral D-penicillamine
[17]	Guglu	41	M	Hypertension	Memory loss, anorexia, anhedonia	NR	161	Dimercaprol infusion
[18]	NR	51	F	Dengue fever	Memory loss, nausea, abdominal pain	NR	69	None
[19]	NR	24	M	Erectile dysfunction	Autonomic dysfunction, pseudo obstruction	NR	99	Oral DMSA
[20]	Multiple Ayurvedic medications⁴	39	F	Muscular dystrophy	Weakness, anorexia, constipation, back pain	7.9	88	Na-EDTA infusion and oral DMSA
[21]	Multiple Ayurvedic medicines⁴	35	F	NR	Abdominal pain, constipation, vomiting	8.3	140	Ca-EDTA infusion and oral DMSA
[22]	Multiple Ayurvedic medicines⁴	45	M	Anxiety	Weakness, vomiting and abdominal pain	14.2	122	Oral D-penicillamine
[22]	Gulkand	36	F	Psoriasis	Insomnia, headache, abdominal pain, joint pain	8	115	Ca-EDTA infusion
[22]	Chandraprabhavati EVR	46	M	Hand weakness	Abdominal pain	NR	42	None

¹Cases that did not report BLL were excluded. ²Not reported. ²Oral chelation therapy was reported but specifics were not provided. ⁴Multiple medications were given but names were not provided.

ISSN: 1756-8722