Skip to content

Advertisement

BMC Complementary and Alternative Medicine

What do you think about BMC? Take part in

Open Access

OA12.01. Analysis of FDA mandated dietary supplement adverse event reports (AER) 2008-2009

  • M Hardy1,
  • S Stumpf1,
  • M Zimmerman2 and
  • C Carr1
BMC Complementary and Alternative MedicineThe official journal of the International Society for Complementary Medicine Research (ISCMR)201212(Suppl 1):O45

https://doi.org/10.1186/1472-6882-12-S1-O45

Published: 12 June 2012

Purpose

Safety of dietary supplements has been an area of concern for regulators, the health care community and consumers. The ability of the FDA to assess validity of these concerns has been hampered by small numbers of voluntary AE reports. In 2006 Congress mandated all serious adverse events be reported by dietary supplement manufacturers. We present the first systematic analysis of the initial two years of reports.

Methods

We obtained AER’s for 2008 and 2009 from the FDA (n=2,288). Data were abstracted by a single reviewer, confirmed by at least one other, entered into a standard excel sheet, and analyzed using SPSS. Non-parametric tests of significance were also applied.

Results

In preliminary results, manufacturers accounted for 57.8% of all reports, consumers 29.6% and health care professionals 9.7%. 61.8% of subjects were female. The most commonly reported dietary ingredients were combination products (33.5%), vitamin/mineral (19%), and plant or isolated plant constituent (15.8%). 297 reports included multiple products. Fifty-five percent of reports included the label or label information. The most common adverse outcome was hospitalization (750, 32.8%). Thirty-one deaths were reported (1.4% total reports), 56 episodes of disability (2.4%), 233 life-threatening complications (10.2%), and 943 other serious adverse events (41.2%). A detailed assessment of deaths, hospitalizations and life threatening complications will be presented. No single product type or ingredient was significantly associated with death. Attempts to apply the WHO-UMC causality assessment system yielded limited results and would be improved with the collection of more sufficient data. A cluster of serious adverse events involving a single exercise enhancement product was identified.

Conclusion

Mandated reporting has increased manufacturer reports but missing data limits analysis. Preliminary results do not suggest a wide spread problem with dietary supplement safety. This analysis did identify a cluster of cases representing a potential public health concern. Directions for future research will be discussed.

Authors’ Affiliations

(1)
Simms/Mann-UCLA Center for Integrative Oncology
(2)
American Herbal Products Association

Copyright

© Hardy et al; licensee BioMed Central Ltd. 2012

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Advertisement