Severe hepatic injury and adulterated Chinese medicines

doi:10.1136/bmj.332.7536.304-b

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Vincent Lai, MRC research fellow,
Amanda Smith, lead pharmacist,
Douglas Thorburn, consultant hepatologist (douglas.thorburn@uhb.nhs.uk),
V S Raman, consultant gastroenterologist

Liver Unit, Queen Elizabeth Hospital, Birmingham B15 2TH
George Elliot Hospital, Nuneaton, Warwickshire CV10 7DJ

EDITOR—The incidence of obesity in the United Kingdom is increasing in parallel with an increase in the use of slimming aids, including traditional Chinese medicines. The safety and quality of herbal medicines have been weakly regulated because of an exemption in the Medicines Act 1968 that allowed them to be marketed without going through stringent criteria required for licensing of …