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Abstract
EDITOR,--Guy Vautier and R C Spiller report a suspected severe hepatotoxic reaction to Dictamnus dasycarpus.1 They make the important general suggestion that suspected reactions to herbal or natural medicines should be reported in the same way as are those to other drugs. The World Health Organisation Collaborating Centre for International Drug Monitoring has received, from different national centres, over 5000 reports of suspected adverse reactions that have mentioned herbal medicines. This probably represents considerable underreporting, given the total size …

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