Adverse drug reaction following the concurrent use of alcohol and Ayurvedic formulation Sahacharadi Avartita Taila: A case report

Abstract

Background: Adverse drug reactions (ADRs) are uncommon but can cause significant complications in Ayurvedic therapies, especially when lifestyle factors are considered. Sahacharadi Avartita Taila used for managing musculoskeletal disorders was used for snehapana (internal oleation). Case Report: A 56-year-old male diagnosed with a condition similar to lumbar disc degeneration presented with radiating low back pain and numbness. He was admitted to the hospital on 12th October 2023 and treatment started by Shamana Snehapana with 10 drops of Sahacharadi Avartita Taila in milk daily. He developed acute inflammatory cellulitis on his face and required emergency hospital care on 4^th day. Results: The medication was immediately stopped and a clinical review was done which revealed that the patient was consuming alcohol during the course of treatment, which was brought to our attention by a bystander. The patient had initially concealed his history of alcohol use. The development of cellulitis must have happened due to the intake of alcohol which interacted adversely with the Snehapana. Gradual recovery happened with administration of Intensive treatment. Conclusion: This case of Adverse Drug Reaction Following the intake of Alcohol and Shamana Snehapana emphasizes the importance of adhering to dietary and lifestyle guidelines as advised by the consultant during intake of Snehapana. The adverse reaction was likely due to alcohol consumption which was an important contraindication that the patient concealed and the seasonal influence of summer further aggravated the condition. This case highlights the need for thorough patient education regarding treatment protocols and contraindications. Ensuring compliance with classical guidelines and standard operative procedures is essential to prevent such adverse events and to safeguard patient outcomes.