The use of dietary supplements in pediatrics: A study of echinacea

Alternative medical therapies al-e commonly used and have increased in popu larity Although patients may not always disclose the use of alternative the rapies, they may seek advice regarding their use, especially fur children. Regulation and standardization of these modalities, especially botanicals, is incomplete. The University of Arizona has initiated a study of the use o f echinacea in the prevention of recur-rent otitis media. A review of echin acea preparations was undertaken, and this report discusses the complexitie s surrounding the use of this dietary supplement. The number and diversity of echinacea preparations are detailed; the role of die physician as "botan ical" advisor to patients and families is examined.