The C.A.M. Report
Complementary and Alternative Medicine: Fair, Balanced, and to the Point
  • About this web log

    This blog ran from 2006 to 2016 and was intended as an objective and dispassionate source of information on the latest CAM research. Since my background is in pharmacy and allopathic medicine, I view all CAM as advancing through the development pipeline to eventually become integrated into mainstream medical practice. Some will succeed while others fail. But all are treated fairly here.

  • About the author

    John Russo, Jr., PharmD, is president of The MedCom Resource, Inc. Previously, he was senior vice president of medical communications at, a complementary and alternative medicine website.

  • Common sense considerations

    The material on this weblog is for informational purposes. It is not medical advice or counsel. Be smart, consult your health professional before using CAM.

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  • Recent Comments

    Know your psyllium dosage forms

    They’re not all the same, and the FDA has some advice that could help avoid side effects.

    The FDA says over-the-counter (OTC) laxative drug products that contain granular dosage forms of bulk-forming psyllium ingredients are not safe in light of reports of esophageal obstruction associated with their use.

    Not all psyllium products are unsafe. But the FDA advisory does include products in the form of granules that are swallowed dry before drinking liquid; dispersed, suspended, or partially dissolved in liquid prior to swallowing; chewed, partially chewed, or unchewed, and then washed down (or swallowed) with liquid; or sprinkled over food.

    Avoid the following forms of psyllium.

    • Psyllium (hemicellulose)
    • Psyllium hydrophilic mucilloid
    • Psyllium seed
    • Psyllium seed (blond)
    • Psyllium seed husks
    • Plantago ovata husks (see photo)
    • Plantago seed

    The FDA advisory does not apply to psyllium laxatives in nongranular dosage forms, such as powders, tablets, or wafers.

    6/5/07 10:05 JR

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