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DRUGS & S U P P L E M E N T S

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USE: Chamomile is used in a tea as a sedative. Allergic reactions can occur because of the ragweed. DRUG INTERACTIONS: Chamomile can interact with anti-coagulants such as warfarin (Coumadin).

Chamomile

Consult Your

DOCTOR

Herbal supplements may interact with your medication by decreasing its effectiveness or worsening the side effects. Supplements in plant, tea or pill form may cause interactions. It is always important to consult with your doctor before starting an herbal supplement regimen.

USE: Echinacea has been advertised to help boost the immune system. Echinacea can cause liver toxicity. DRUG INTERACTIONS: Should avoid with medication that affects the liver such as ketoconazole: Nizoral, Extina, Xolegel, Kuric, leflunomide (Arvaca), methotrexate (Rheumatrex), isoniazid (INH, Nydrazid, Laniazid).

Echinacea

USE: This supplement is commonly used to treat depression, anxiety and sleep disorders. Its common side effect is the development of sun sensitivity. DRUG INTERACTIONS: Medication that affect sun sensitivity such as tetracycline, achromycin, sulfacontaining medications, piroxicam (Feldene) can worsen the side effect. St. Johns Wort may cause headaches, dizziness, sweating and agitation when used with SSRIs such as Prozac and Paxil.

St. Johns Wort

USE: Feverfew is commonly used for migraine headaches and causes allergic reactions to chamomile, ragweed or yarrow. DRUG INERACTIONS: NSAIDS (ibuprofen, Aleve, Mortin) can reduce the effects of feverfew. Warfarin (Coumadin) and feverfew should be avoided.

Feverfew

USE: This herb has been promoted to help improve brain function. The side effects are upset stomach and headache; ginkgo biloba has blood-thinning properties. DRUG INTERACTIONS: Aspirin, ibuprofen, naproxen (Aleve/Mortin), warfarin (Coumadin) and seizure medications such as phenytoin (Dilantin), carbamazepine (Tegretol) and phenobarbital.

Gingko Biloba

6 What you should

KNOW
Herbal supplements are not as heavily regulated as medicine. Many of the herbal supplements do not have adequate scientific research to support its claims. Since there is no standardized dosages or formulations for supplements, one batch can vary from the next batch of the same supplement. Some herbs can have very toxic effects on the body and the manufacture does not warn consumers about the dangers. Its important to read the labels! Look for supplements that list the common and scientific name, manufacture name and address, and manufacture date and batch number, and expiration date.

USE: Ginseng is commonly used to increase energy and may help reduce blood sugar in individuals with diabetes. Side effects include increased blood pressure, vomiting, insomnia, and nose bleed. Ginseng may cause headaches, tremors, nervousness, and sleeplessness. It should be should be avoided in individuals with manic disorder or psychosis. DRUG INTERACTIONS: Aspirin, ibuprofen, Aleve or Mortin, and warfarin (Coumadin).

Ginseng

USE: Commonly used to help with menopause, PMS and weak bones. DRUG INTERACTIONS: Lipitor, Zocor, Mevacor, Pravastatin, Cisplatin (Platinol-AQ), Tylenol, Rheumatrex, Erythromycin, Phenytoin, Aldomet, Diflucan, Tegretol and Cordarone

Black Cohosh

USE: Milk thistle is promoted to help with liver disorders, diabetes, hangovers, depression and allergy symptoms. DRUG INTERACTIONS: Milk thistle interacts with Elavil, Valium, glipizide, ibuprofen, Dilantin, warfarin (Coumadin), Demadex, Tolinase, Feldene, Avapro, Ativan, oxazepam, morphine, Mevacor, digozin, Lipitor.

Milk Thistle

References: 1) 2) 3) Medicine Net. Available at: http://www.medicinenet.com/script/main/art.asp?articlekey=7506 Accessed on: 12/18/2013 Consumer Report. Available at: http://www.consumerreports.org/cro/2012/05/beware-of-risky-herbdrug-combos/index.htm. Accessed on: 12/18/2013 WedMD.Com. Avilable at: http://www.webmd.com/interaction-checker/default.htm. Accessed on: 12/18/2013