Anzaroot (Astragalus sarcocolla dymock) herbal remedies, which are known in Arabic countries as Anzaroot, are widely available in Saudi Arabia and are used to treat several conditions, such as the common cold, respiratory infections, gastrointestinal disease and wound bleeding. However, several species of Anzaroot that are considered to be safe in adults have unknown safety parameters in children. We report two pediatric cases with hepatic problems that were possibly induced by Anzaroot.

Anzaroot or Astragalus sarcocolla dymock has been widely used in the northern region of the Arabian peninsula because of the general belief that it is safe, especially when used in cases of common cold, lu and colic. Anzaroot consumption explains the cause of the two cases. Despite the lack of evidence, Anzaroot is widely used in this area as an alternative treatment for various diseases. According to the Physicians' Desk Reference for herbal medicine, the daily dosage of dried Astragalus root in adults is 2 to 6 g in divided doses or an oral ingestion of an Astragalus decoction at7.5 g/kg, indicating very low inherent toxicity

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