By MountainSageNaturalHealth.com Editorial Team
The safety-relevant parts of an herbal supplement label sit in four places: the ingredient list (the Supplement Facts panel), the serving details and directions, any warnings or cautions, and any mark showing an outside group tested the product. This guide walks you through each one, ends with a checklist you can use at the shelf or at home, and tells you when to put the bottle down and call a professional. It does not recommend any product.
Start With the Ingredient List
A plant-based product still deserves the same careful read as anything else you take into your body. The National Center for Complementary and Integrative Health (NCCIH) says to look for the Supplement Facts panel, where the manufacturer is required to list all of the supplement’s ingredients, either in the Supplement Facts chart or in the list of other ingredients below it.
Read both parts. If you have ever reacted to a particular ingredient, the other-ingredients list is where you check.
Find the Serving Details and Directions
NCCIH’s advice is plain: if you take a dietary supplement, follow the instructions on the label. Before you open the bottle, find the serving information and any directions about how and when to take it, and keep to them as written. If you notice side effects, NCCIH says to stop taking the supplement and contact your health care provider.
Read Every Warning and Caution
Natural origins do not make a product safe for everyone. NCCIH gives kava as an example: it is a member of the pepper family, yet kava supplements can cause liver disease. These are situations where NCCIH advises talking with a health care provider:
- If you take prescription or over-the-counter medicines. NCCIH notes that some supplements may harm you if you have a particular medical condition or risk factor or take certain medications, and that St. John’s wort makes many medications less effective.
- If you have surgery planned. NCCIH says certain supplements may increase the risk of bleeding or affect your response to anesthesia, and to tell your providers as far in advance as possible.
- If you are pregnant, nursing, or choosing for a child. NCCIH says many dietary supplements have not been tested in pregnant women, nursing mothers, or children.
A label may not mention every caution that applies to you, so a missing warning does not mean a product is right for your situation.
Look for a Third-Party Testing Mark
NCCIH suggests looking for products tested by an independent organization, and names the U.S. Pharmacopeia (USP) Dietary Supplement Verification Program and ConsumerLab.com as examples. According to NCCIH, this kind of testing helps confirm that a supplement contains what is on the label, is of high quality, and is not contaminated or adulterated. Keep in mind that testing speaks to what is in the bottle, not to whether it suits your health situation or your medicines. For a closer look at what these seals can and cannot tell you, read our guide, What Third-Party Testing Can and Cannot Tell You About Botanicals.
Know Who Is Responsible for the Label
The U.S. Food and Drug Administration (FDA) states that manufacturers and distributors of dietary supplements are prohibited from marketing products that are adulterated or misbranded, and that they are responsible for the safety and labeling of their products before marketing. The FDA has authority to take action against an adulterated or misbranded supplement after it reaches the market.
Label-Reading Checklist
Work through these before you take anything:
- Find the Supplement Facts panel and read every listed ingredient, including the other ingredients below the chart.
- Find the serving information and directions, and follow them as written.
- Read every warning or caution, and compare each one against your medicines, health conditions, pregnancy or nursing status, and any planned surgery.
- Look for a third-party testing mark, and remember it speaks to quality rather than suitability for you.
- Write down the exact product name and every ingredient so a pharmacist or provider can review them with you.
- Decide ahead of time that you will stop and contact your health care provider if side effects appear.
When to Talk With a Professional
Bring the label to a pharmacist, doctor, or other licensed health care provider before you start, especially if you take any medicine, have a medical condition, are pregnant or nursing, are choosing for a child, or have surgery coming up. NCCIH encourages you to talk with your health care providers about any complementary health approaches you use, so that decisions are shared and well informed. Our guide, Herb and Medicine Lists: Preparing a Safer Pharmacist Conversation, shows how to organize what you take before that visit. To look up a specific herb, NCCIH’s Herbs at a Glance directory links to fact sheets on individual herbs.
Your Next Step
Pick one supplement you already own and run it through the checklist. If any step leaves you unsure, take the bottle to your pharmacist before the next dose.
This article is general education and is not medical advice. It does not recommend, rate, or review any product.