Herbal medications, such as Tribulus terrestris, are widely used, especially by healthy individuals. Despite being easily accessible and perceived as safe, multiple reports have highlighted the potential adverse effects of these medications, although some acknowledge their benefits. In this case report, we present a 43-year-old male patient who has a significant history of self-administered herbal medicine usage. Our aim is to increase awareness about the potential toxicities linked to the use of over-the-counter herbal medicines. Initially, the patient’s elevated creatinine level prompted further investigations, which led to the need for dialysis. Following management, he finally survived and recovered; currently, approximately three months later, the patient remains asymptomatic. This case serves as a cautionary example regarding the potential risks of using herbal medications without proper medical guidance.
Freidoon et al. (Fri,) studied this question.