Can You Consume Antrodia Camphorata During Chemotherapy? - Oncology

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Can I consume Antrodia camphorata during chemotherapy?


Dear Dr.
Lai: My husband has metastatic colorectal cancer that has spread to the liver, and he is also a carrier of hepatitis B (currently taking Baraclude).
He is undergoing chemotherapy and targeted therapy, and he has completed four cycles.
However, when he was about to start the fifth treatment, blood tests showed a significant increase in liver enzymes, so the treatment was paused.
I would like to know if taking Antrodia camphorata (niu zhang zhi) could help lower the liver enzymes quickly, or if you have any better recommendations to restore the levels to normal.

tina, 50~59 year old female. Ask Date: 2012/04/17

Dr. Lai Yicheng reply Oncology


Dear Ms.
Tina,
1.
What could be the reasons for the elevated liver enzymes? Is it caused by chemotherapy drugs or liver metastasis from colorectal cancer? If it is the former, do not pause chemotherapy; continue taking Bevacizumab, and liver function will gradually improve.
If it is the latter, it indicates disease progression, and please discuss the treatment plan further with your attending physician.
2.
According to the literature, Antrodia camphorata has hepatoprotective effects, and its triterpenoids have anti-tumor properties.
However, please consult your attending physician to determine whether your husband can take Antrodia camphorata given his current condition.

Reply Date: 2012/04/17

More Info


Antrodia camphorata, commonly known as "niu zhang zhi" or "Antrodia," is a medicinal fungus native to Taiwan that has been traditionally used for its potential health benefits, including anti-cancer properties and liver protection. However, when it comes to consuming Antrodia camphorata during chemotherapy, especially for a patient with advanced colorectal cancer that has metastasized to the liver, there are several important considerations to keep in mind.

Firstly, it is crucial to understand that chemotherapy can significantly affect liver function, particularly in patients with pre-existing liver conditions, such as hepatitis B, as in your husband's case. Elevated liver enzymes can indicate liver stress or damage, which may be exacerbated by certain supplements or herbal products. While Antrodia camphorata is often touted for its hepatoprotective effects, the interaction between this fungus and chemotherapy drugs is not well-studied, and its safety during chemotherapy is not fully established.

The primary concern with using Antrodia camphorata during chemotherapy is the potential for it to interfere with the metabolism of chemotherapy drugs. Many herbal supplements can affect liver enzymes that are responsible for drug metabolism, potentially leading to altered drug levels in the body. This can either enhance the toxicity of chemotherapy or reduce its effectiveness, which is particularly concerning in a patient undergoing treatment for cancer.

Moreover, while some studies suggest that Antrodia camphorata may have anti-cancer effects, these findings are primarily based on preclinical research, and there is limited clinical evidence to support its use as a complementary treatment during chemotherapy. Therefore, it is essential to approach the use of any herbal supplement with caution, especially in the context of cancer treatment.

In terms of managing elevated liver enzymes, it is advisable to consult with your husband's oncologist or a hepatologist. They can provide tailored recommendations based on his specific medical history, current treatment regimen, and liver function. Some general strategies to support liver health during chemotherapy may include:
1. Dietary Modifications: A balanced diet rich in fruits, vegetables, lean proteins, and whole grains can support liver health. Foods high in antioxidants, such as berries and leafy greens, may help reduce oxidative stress.

2. Hydration: Staying well-hydrated is essential for overall health and can help the liver function more effectively.

3. Avoiding Alcohol and Toxins: Alcohol can exacerbate liver damage, so it is crucial to avoid it during treatment. Additionally, minimizing exposure to environmental toxins can help reduce liver stress.

4. Regular Monitoring: Frequent blood tests to monitor liver function can help track changes and guide treatment decisions.

5. Medication Review: Ensure that all medications, including over-the-counter drugs and supplements, are reviewed by the healthcare team to avoid potential interactions.

In conclusion, while Antrodia camphorata may have potential benefits, its use during chemotherapy should be approached with caution due to the lack of comprehensive studies on its safety and efficacy in this context. It is vital to discuss any supplement use with your husband's healthcare team to ensure that it does not interfere with his treatment or worsen his liver function. They can provide the best guidance on managing his liver health and optimizing his cancer treatment plan.

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