Alcoholic hepatitis

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Alternative medicine

By Mayo Clinic staff

No alternative medicine treatments have been found to cure alcoholic hepatitis. Still, some herbs and supplements are touted as treatments for liver diseases. Herbs and supplements can't replace your doctor's treatments or abstaining from alcohol. But if you'd still like to try supplements, talk to your doctor about the risks and benefits first.

Milk thistle
The leaves and seeds of the milk thistle plant are thought to control inflammation in the liver. Milk thistle supplements are a popular alternative treatment among people with liver disease. But studies haven't found a benefit for people with alcoholic liver disease who take milk thistle supplements.

Milk thistle is generally safe, but can cause diarrhea and nausea. Talk to your doctor about milk thistle if you're considering taking this supplement. Because milk thistle can interfere with prescription medications, ask your doctor whether it's safe for you.

SAMe
SAMe (S-adenosylmethionine) is a supplement that's thought to reduce liver inflammation and help the liver repair itself. Your body naturally makes SAMe, but some evidence suggests people with liver disease have a deficiency of SAMe. In theory, taking a SAMe supplement might restore levels of the substance in the liver. But whether this can reverse or stabilize liver disease has yet to be proven.

SAMe is generally safe when taken as a supplement. Side effects may include gas, nausea, vomiting and diarrhea. Because SAMe can interfere with prescription medications, ask your doctor about whether SAMe is safe for you to take.

References
  1. O'Shea RS, et al. Alcoholic liver disease. American Journal of Gastroenterology. 2010;105:14.
  2. Carithers RL, et al. Alcoholic liver disease. In: Feldman M, et al. Sleisinger and Fordtran's Gastrointestinal and Liver Disease. 9th ed. Philadelphia, Pa.: Saunders; 2010. http://www.mdconsult.com/book/player/linkTo?type=bookHome&isbn=978-1-4160-6189-2&eid=4-u1.0-B978-1-4160-6189-2..X0001-7--TOP&uniq=200844987-3. Accessed July 14, 2010.
  3. Alcohol-induced liver disease. American Liver Foundation. http://www.liverfoundation.org/abouttheliver/info/alcohol/. Accessed July 14, 2010.
  4. Hacker JF, et al. Alcoholic liver disease. American College of Gastroenterology. http://www.acg.gi.org/patients/cgp/cgpvol2.asp#Alcoholic%20Liver. Accessed July 14, 2010.
  5. Cirrhosis. National Institute of Diabetes and Digestive and Kidney Diseases. http://digestive.niddk.nih.gov/ddiseases/pubs/cirrhosis/index.htm. Accessed July 14, 2010.
  6. Milk thistle. Natural Medicines Comprehensive Database. http://www.naturaldatabase.com. Accessed July 20, 2010.
  7. SAMe. Natural Medicines Comprehensive Database. http://www.naturaldatabase.com. Accessed July 20, 2010.
  8. Hepatitis C FAQs for the public. Centers for Disease Control and Prevention. http://www.cdc.gov/hepatitis/C/cFAQ.htm. Accessed July 20, 2010.
DS00785 Aug. 14, 2010

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