Herbal Products plus prescription medications equal potentially dangerous combinations.
Tips on medications and supplements to avoid taking together.
A “natural” product does not mean that it’s safe or effective! Herbal medications are not recommended for children, pregnant or nursing women, the immunosuppressed, or elders on prescription drugs.
Florida Poison Information Center-Tampa 1-800-222-1222.
Diet /Herbal Supplement
Possible Interaction or Side Effect
|Aloe||Antiarrhythmics, Corticosteroids, Diuretics, Lanoxin||May lower potassium leading to excess drug effect and toxicity|
|Cayenne (Capsicum)||Blood-thinners (Aspirin, Coumadin, Plavix, Ticlid)||Increased risk of bleeding|
|Dong Quai||Blood-thinners (Aspirin, Coumadin, Plavix, Ticlid)||Increased risk of bleeding|
|Echinacea||Immunosuppressants (Cyclosporine)||Decrease effectiveness leading to organ rejection|
|Ephedra (MaHuang)||Antihypertensives, Stimulants (Caffeine), Hypoglycemics, Lanoxin, MAOI’s||Interfere with drug effect: raising blood pressure or heart rate, elevate blood sugar, cause seizures or strokes|
|Garlic clove, tablets||Blood-thinners (Aspirin, Coumadin, Plavix,Ticlid)||Increased risk of bleeding|
|Garlic clove, tablets||Hypoglycemics||Increased effect-may lead to severe blood sugar lowering|
|Garlic clove, tablets||HIV medications, Cyclosporine||Decrease effectiveness leading to drug resistance or organ rejection|
|Garlic clove, tablets||Oral Contraceptives||Decrease effectiveness leading to pregnancy|
|Ginkgo leaf, Biloba||Blood-thinners (as above), Thiazide diuretics||Increased risk of bleeding, elevated blood pressure (BP)|
|Ginkgo leaf, Biloba||Seizure lowering drugs,Trazodone (Desyrel)||Decrease effectiveness, possible seizures, coma|
|Ginseng (American, Panax, Siberian)||Blood-thinners (as above)||Conflicting evidence but may increase risk of bleeding|
|Ginseng (American, Panax, Siberian)||Hypoglycemics||Increased effect may lead to extreme blood sugar lowering|
|Ginseng (American, Panax, Siberian)||Immuno suppressants (Cyclosporine)||Decrease effectiveness, possible organ rejection|
|Ginseng (American, Panax, Siberian)||Diuretics (Lasix)||Decreased effectiveness leading to elevated BP|
|Glucosamine||Hypoglycemics||Increased insulin resistance leading to altered blood sugar|
|Goldenseal||Sedatives||May see additive effects intensifying sedation|
|Hawthorn||Cardiovascular Drugs, Digoxin||Conflicting evidence but may interfere with effectiveness or increase digoxin effect|
|Kava-Kava||CNS Depressants (Alcohol, Barbiturates, Benzodiazepines-Ativan, Valium, Xanax)||May see additive effects intensifying sedation and increased risk of liver damage|
|St. John’s Wort||Crixivan (Indinavir), Cyclosporine, Coumadin, Digoxin, Tegretol, Theophylline||Increase metabolism leading to reduced drug effectiveness & potential worsening of disease|
|St. John’s Wort||Antidepressants including: Celexa, Paxil, Prozac, MAOI’s||Additive serotonin elevation leading to fever, muscle rigidity, altered mental status|
|St. John’s Wort||Oral Contraceptives||Increased metabolism-leading to pregnancy|
|Valerian||CNS Depressants (Alcohol, Barbiturates, Benzodiazepines)||Additive effects may intensify sedation|