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Journal of Oncology Pharmacy Practice
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Quercetin/bromelain use associated with increased liver enzymes

Cheryl Reid, BSc

Department of Pharmacy, London Regional Cancer Program, London Health Sciences Centre, 790 Commissioners Road East, London, ON, Canada N6A 4L6

Kelly Smith, BSc Pharm

Department of Pharmacy, London Regional Cancer Program, London Health Sciences Centre, 790 Commissioners Road East, London, ON, Canada N6A 4L6

Walter Kocha BSc, MD, FRCFC

Division of Medical Oncology, London Regional Cancer Program, London Health Sciences Centre, 790 Commissioners Road East, London, ON, Canada N6A 4L6

Pharmacists and physicians have a vital role to play in the monitoring of patients on alternative/herbal medication. Contrary to popular belief, natural medications do not necessarily mean safe medications. Many alternative/herbal medications have adverse effects that are not well known or well documented. As such, health care professionals should cautiously guide patient use of alternative/herbal medications. This case report describes an adverse reaction associated with the use of quercetin containing bromelain in a patient with non-small cell carcinoma of the lung.

Key Words: adverse drug event • alternative/herbal medication • bromelain • liver enzymes • quercetin

Journal of Oncology Pharmacy Practice, Vol. 10, No. 4, 225-227 (2004)
DOI: 10.1191/1078155204jp135cr
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