Aloe vera

Aloe vera as it relates to DILI in Health report: Genetics of Antibiotics-Induced Liver Injury

Aloe vera is a popular plant known for its medicinal properties, including its ability to treat skin conditions and promote healing. However, in the context of Drug-Induced Liver Injury (DILI), it is important to be cautious when using products containing Aloe vera.

Aloe vera and DILI

While Aloe vera is generally considered safe for topical use, there have been reports of liver injury associated with the ingestion of Aloe vera supplements or extracts. The potential for Aloe vera to cause DILI is thought to be due to the presence of anthraquinones, which are compounds with laxative effects that can be harmful to the liver in high doses.

It is important to note that the risk of developing DILI from Aloe vera is relatively low, especially when used topically. However, individuals with pre-existing liver conditions or those taking medications that can affect liver function should exercise caution when using Aloe vera products internally.

Conclusion

While Aloe vera is generally safe for topical use, there is a potential risk of DILI associated with its internal use. It is important to consult with a healthcare provider before using Aloe vera supplements or extracts internally, especially if you have a history of liver disease or are taking medications that can affect liver function.

Supplements for DILI

Here are some dietary supplements related to the content in this report. Click the shopping cart to purchase the supplement from our partners.

  1. Green tea extract

    Contains catechins which may increase oxidative stress and liver cell damage when combined with hepatotoxic antibiotics.

  2. Greater celandine

    Alkaloids like chelidonine may further impair liver function when the organ is under stress from antibiotics.

  3. Chaparral

    Nordamnacanthal is a quinone that could synergistically increase antibiotic liver toxicity through mitochondrial dysfunction.

  4. Germander

    Diterpenoids may amplify antibiotic liver injury by disrupting bile salt export and causing cholestasis.

  5. Mistletoe

    Contains toxic lectins which could worsen immunological reactions or alter detox pathways of antibiotic metabolites.

  6. Skullcap

    Flavonoids may inhibit pathways involved in hepatic metabolism and clearance of antibiotics from the liver.

  7. Valerian

    Isovaltrate and other constituents thought to directly damage cell membranes, potentially worsening antibiotic hepatocellular toxicity.

  8. Kava kava

    Kavalactones like desmethoxyyangonin may inhibit CYP450 liver enzymes important for antibiotic clearance.

  9. St. John's wort

    Hyperforin alters PXR nuclear receptors and could decrease bile acid transport, contributing to antibiotic cholestasis.

  10. Ginseng

    Ginsenosides may inhibit P-glycoprotein transporters important for antibiotic efflux from hepatocytes, allowing accumulation of toxic levels.

  11. Aloe vera

    Anthraquinone glycosides possibly damage cell membranes and worsen antibiotic-mediated liver cell necrosis.

  12. Ashwagandha

    Withanolides thought to cause oxidative stress which synergizes with redox-cycling antibiotic metabolites.

  13. Andrographis

    Diterpene lactones may reduce bile acid secretion and flow, contributing to cholestatic injury.

  14. Noni juice

    Anthraquinones could impair mitochondrial function and increase antibiotic hepatotoxicity.

  15. Peppermint oil

    Menthol interferes with CYP450s and UGTs involved in antibiotic metabolism and clearance.

  16. Kratom

    Mitragynine and 7-hydroxymitragynine are metabolized in liver and could enhance antibiotic toxicity.

  17. Ephedra

    Ephedrine alkaloids may deplete glutathione and reduce the liver's defense against antibiotic oxidative damage.

It is essential to consult your healthcare provider before starting any of these supplements. They can have side effects, and some may interact with medications or other supplements you're already taking.
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