Guest guest Posted April 10, 2006 Report Share Posted April 10, 2006 Acknowledgement of Support Supported by an educational grant from Sucampo Pharmaceuticals, Inc, and Takeda Pharmaceuticals North America, Inc.. ACP: Garlic, Ginseng, Ginkgo Biloba, and Ginger All Bad Actors with Coumadin By Peggy Peck, Managing Editor, MedPage Today Reviewed by Jasmer, MD; Assistant Professor of Medicine, University of California, San Francisco April 09, 2006 MedPage Today Action Points • Explain to patients who ask that vitamins, as well as so-called natural substances, can react with prescription drugs. • Explain to patients who ask that periodic review of all prescription and non-prescription drugs that they are using can reduce the risk of adverse events. Review PHILADELPHIA, April 9 - When it comes to adverse events associated with Coumadin (warfarin) therapy, beware of herbs and many supplements beginning with the letter G, according to a University of Washington investigator. S. Paauw, M.D., spelled them out for a standing-room-only crowd at the American College of Physicians meeting here. They are garlic, ginger, gingko biloba, and ginseng. " Garlic, ginger, and gingko biloba all increase the anticoagulation of warfarin [Coumadin], while ginseng can decrease it, " he said. Adverse events associated with Coumadin therapy continue to be a leading cause of hospitalizations for drug-related adverse events, and many times the problem can be traced to those herbs and supplements, he said. Dr. Paauw ran through those and other hazards during a session titled, " Ten Common Prescribing Errors: Drug Interactions and Side Effects. " http://www.medpagetoday.com/2005MeetingCoverage/ACP/dh/3050 Sears PDX Quote Link to comment Share on other sites More sharing options...
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