{"title":"Online Marketing of Alternative Medicine for Heart Failure: An Assessment of Amazon.com.","authors":"Nadya Vinsdata, Robert E Heidel, Paul J Hauptman","doi":"10.1016/j.amjmed.2024.12.016","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>A wide array of products in the category of complementary or alternative medicine products for cardiovascular disease and prevention are readily available on online retail platforms. However, a critical assessment of these products including their therapeutic claims has not been previously performed.</p><p><strong>Methods: </strong>\"Heart failure supplement\" and similar terms were entered into the Amazon.com search engine and all medication products including claims, content and formulations were individually evaluated.</p><p><strong>Results: </strong>We identified 111 products, most of which lack safety information; include on average 8.2 ingredients; and cost $27.60 per order (median). Most were in capsule form (58.6%) and the most common ingredient was Co-Enzyme Q10. All included a legal disclaimer; physician testimonials were included in only 3 product listings.</p><p><strong>Conclusions: </strong>Given the popularity of and easy accessibility to online retailing of complementary and alternative medicine and the fact that prior studies suggest a minority of patients discuss use with their providers, further study is needed to evaluate the extent of use and the potential for both undiagnosed drug-drug interactions and/or replacement of guideline-directed medical treatment for heart failure with unapproved products.</p>","PeriodicalId":50807,"journal":{"name":"American Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":2.5000,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.amjmed.2024.12.016","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
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Abstract
Background: A wide array of products in the category of complementary or alternative medicine products for cardiovascular disease and prevention are readily available on online retail platforms. However, a critical assessment of these products including their therapeutic claims has not been previously performed.
Methods: "Heart failure supplement" and similar terms were entered into the Amazon.com search engine and all medication products including claims, content and formulations were individually evaluated.
Results: We identified 111 products, most of which lack safety information; include on average 8.2 ingredients; and cost $27.60 per order (median). Most were in capsule form (58.6%) and the most common ingredient was Co-Enzyme Q10. All included a legal disclaimer; physician testimonials were included in only 3 product listings.
Conclusions: Given the popularity of and easy accessibility to online retailing of complementary and alternative medicine and the fact that prior studies suggest a minority of patients discuss use with their providers, further study is needed to evaluate the extent of use and the potential for both undiagnosed drug-drug interactions and/or replacement of guideline-directed medical treatment for heart failure with unapproved products.
期刊介绍：
The American Journal of Medicine - "The Green Journal" - publishes original clinical research of interest to physicians in internal medicine, both in academia and community-based practice. AJM is the official journal of the Alliance for Academic Internal Medicine, a prestigious group comprising internal medicine department chairs at more than 125 medical schools across the U.S. Each issue carries useful reviews as well as seminal articles of immediate interest to the practicing physician, including peer-reviewed, original scientific studies that have direct clinical significance and position papers on health care issues, medical education, and public policy.
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