Summary
In a case-control study of 1881 women with breast cancer and 1523 controls with benign conditions, 65 cases (3.5%) and 64 controls (4.2%) reported having used a drug that contained rauwolfia, giving a rate ratio estimate of 0.8 (95% confidence interval, 0.5–1.1). Use that ended more than a year previously was negatively associated with breast cancer (rate ratio, 0.5; 95% confidence interval, 0.2–0.9). The risk of breast cancer did not vary significantly according to duration of use. Nor did it vary within strata of varying base-line risk, such as age at first pregnancy. The data suggest that rauwolfia alkaloids do not increase the risk of breast cancer.
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Shapiro, S., Parsells, J.L., Rosenberg, L. et al. Risk of breast cancer in relation to the use of rauwolfia alkaloids. Eur J Clin Pharmacol 26, 143–146 (1984). https://doi.org/10.1007/BF00630277
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DOI: https://doi.org/10.1007/BF00630277