Filed under: Supplements
Dietary supplements that claim to be “all natural” aren’t necessarily safe. The Food and Drug Administration (FDA) has issued 2 Consumer Updates warning consumers about “all natural” products for erectile dysfunction and imported dietary supplements.
According to FDA, supplements marketed as “all natural” sexual-enhancement products might be tainted with hidden drug ingredients. Some of these are the same active ingredients found in prescription drugs used to treat erectile dysfunction. Not only could you potentially be consuming multiple drug ingredients, you could be consuming them in amounts even greater than prescription doses. Either way, these types of products can put your health and career in danger. For more information, please read FDA’s Consumer Update on "'All Natural' Alternatives..."
Consumers should also beware of dietary supplements and nonprescription drugs marketed as “all natural” remedies for serious conditions such as cancer, HIV/AIDS, diabetes, or heart disease. “Natural” does not necessarily mean safe, and these products also can contain undisclosed chemicals or drug ingredients that can be harmful. FDA specifically warns consumers about imported products sold online or at flea markets, or swap meets. Please read FDA’s Consumer Update on "Some Imported Dietary Supplements..." to learn more.
Operation Supplement Safety (OPSS) has two new products to help you stay safe when it comes to dietary supplements.
Now you can have the OPSS High-Risk Supplement List at your fingertips as a free app. With the app, you can either search the list for a specific product or use the barcode scanner to see if a product contains any high-risk ingredients such as stimulants, steroids, hormone-like ingredients, controlled substances, or unapproved drugs that could put your health or career at risk. For more information about how to download the app, please visit the Apps tab in Tools for Warfighters.
Want to learn more about supplements and how to choose them wisely? Check out the interactive presentation, “Get the Scoop on Supplements,” where you can watch videos, check your knowledge of dietary supplements, and find other helpful resources to help you reduce your risk of a positive urinalysis drug test and potential health issues. To view the presentation, please go to the Get the Scoop tab in Tools for Warfighters.
Dietary supplements aren’t approved or evaluated by the Food and Drug Administration before they are sold on the market. That means there is no way to know whether a product contains the exact ingredients listed on the label or any undisclosed ingredients unless it’s tested in a laboratory. In fact, some supplements have been found to contain dangerous ingredients and even ingredients not allowable in dietary supplements. So how do you know which supplements are safe to take? Watch this new video from Operation Supplement Safety about Decoding the Dietary Supplement Industry.
Kratom (Mitragyna speciosa korth) is marketed and regulated as a dietary supplement in the United States, yet this psychostimulant has numerous side effects. It’s a tropical tree in Malaysia and has been used as an herbal drug for years. However, in the United States, the Food and Drug Administration says it is not approved for use in dietary supplements.
Operation Supplement Safety (OPSS) has an FAQ on kratom, which includes pertinent information from the Drug Enforcement Administration. Also visit other OPSS FAQs on various dietary supplement ingredients.
It is estimated that more than 20,000 Americans go to an emergency room every year for reasons related to dietary supplements such as allergic reactions and adverse events, according to a government study. Adverse events can result from ingredients in dietary supplements themselves or from drug-supplement interactions and can have serious side effects. Among adults, common complaints include chest pain and increased heart rate and are often associated with weight-loss products, energy products, bodybuilding products, and sexual-enhancement products.
Before taking any dietary supplement, talk to your doctor and be an informed consumer. It can prevent a health scare and even could save your life! For more information, please visit Operation Supplement Safety (OPSS), including the OPSS High-Risk Supplement List. And for more information about this study, read this article from MedlinePlus.
Many people take dietary supplements and medications together as a part of their daily health regimen, but few are aware of the potential for harmful interactions between prescription drugs, over-the-counter drugs, and dietary supplements. To help you learn more about these types of interactions, the National Center for Complementary and Integrative Health (NCCIH) created an interactive web resource that includes information about how supplements can change the effectiveness of your medications and how to work with your healthcare provide to make sure you’re taking them together safely. And for more information, please read HPRC’s Supplements and medications – What’s the problem?
SARMs, or “selective androgen receptor modulators,” are experimental drugs that are illegal for use in dietary supplement products, but they still can be found in stores and on the Internet. SARMs are most often found in products advertised to have effects similar to those of anabolic steroids.
Read the Operation Supplement Safety (OPSS) FAQ about SARMs to learn more, including the ingredient names used for SARMs that may appear on dietary supplement labels. And remember: FDA does not approve dietary supplements prior to marketing. For more information on FDA’s role with regard to dietary supplements, visit FDA Basics.
Cannabidiol (CBD) is a major chemical found in marijuana that may have beneficial effects on certain health conditions, but it’s still being tested as a new drug. However, FDA recently announced that products containing CBD cannot be sold as dietary supplements.
Read the Operation Supplement Safety (OPSS) FAQ for more information, which also includes a link to the OPSS FAQ on hemp. While you’re there, check out our other OPSS FAQs. Still can’t find the answer you’re looking for? Use our “Ask the Expert” button located on the OPSS home page.
DMAA has been illegal as a dietary supplement ingredient for more than 2 years, but products containing this substance continue to be available. Many are still being produced (or produced again), and some are even new. That means it’s very important to read dietary supplement product labels carefully to make sure yours doesn’t contain this potentially dangerous ingredient. Not only could it be dangerous to your health, it could also be dangerous to your military career. DoD follows federal policy with regard to the use and possession of substances and products considered illegal.
Keep in mind, though, that pre-workout, weight loss, and other performance dietary supplements without DMAA also may not be safe for your health. In fact, FDA has already declared two DMAA “replacement” ingredients unsuitable for use in dietary supplements: DMBA and BMPEA. For more information, please visit these Operation Supplement Safety (OPSS) FAQs:
- Is DMBA the same thing as DMAA? Why were these products pulled from stores on military base?
- What is BMPEA and why has FDA issued a warning about it?
- Has DMAA been banned for use by military personnel?
And please visit the newest update of “Dietary Supplement Products Containing DMAA,” which lists DMAA-containing products past and present.
It’s cause for concern: Approximately 30% of teens consume energy drinks on a regular basis. Energy drinks provide no nutritional benefit and can actually pose health risks to adolescents, including increased heart rate, high blood pressure, anxiety, digestive problems, sleep disturbances, dehydration, and even death. Teens who consume energy drinks are also more likely to engage in unhealthy behaviors such as drinking more sugar-sweetened beverages, smoking cigarettes, and using drugs and alcohol.
Many of the negative effects associated with energy drinks are due to the large amounts of stimulants in these beverages. Their caffeine content can range from 50 to more than 500 mg per can or bottle. The American Academy of Pediatrics recommends that children and teens:
- consume no more than 100 mg of caffeine per day (equal to about 2 cans of caffeine-containing soda or one 8 oz. cup of coffee) and
- avoid energy drinks altogether.
However, the amount of caffeine teens consume from energy drinks is trending upwards, in part due to heavy marketing with celebrity athletes. Be sure to talk to your teens about the potential problems associated with energy drinks, and make sure they don’t confuse them with sports drinks.