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Herbal Warnings

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I happened upon these warnings today for anyone who might be interested:

Therese Zink, MD, MPH

Herbs Herb Herbs

People don't tell their doctors

that they're taking natural herbal reme-

dies. And doctors rarely ask. Such a lack of communication can lead to health

complications---and some can be serious.

Here are some of the dangerous herb-drug interactions..

Echinacea

Echinacea comes from the purple coneflower and boosts your immune system to

ward off colds and flu.

A recent study, however, showed that echinacea worked no better than a

placebo.

Echinacea may not work for you ... but if you take it ,it should do no harm.

While it has no known drug interactions, side effects or toxicity...

*Don't take echinacea for longer than eight weeks at a time because it may

weaken the immune system.

*People with AIDS, tuberculosis or an autoimmune disease, such as lupus or

multiple sclerosis, should not take it.

FEVERF'EW

Feverfew, a member of the chrysan- themum family, is used to prevent

migraines. Interaction dangers...

*Avoid taking feverfew if you're taking prescription blood thinners, such as

Coumadin, or aspirin regularly be- cause it can cause internal bleeding.

*Avoid feverfew if you're taking serotonin-specifte antidepressants, such as

Prozac and Zoloft. Feverfew and this family of antidepressants work on the

same system in the brain and can cause increased anxiety.

Caution: Suddenly stopping fever- few can cause headaches

GINKO BILOBA

This herb is extracted from ginkgo trees-and is used in traditional Chinese

medicine to improve mental alertness. Interaction dangers...

*When ginkgo biloba is combined with blood thinners, internal bleeding

can result. So use caution if you are taking prescription blood-thinner medi-

cations ... or aspirin ... or other over-the- counter painkillers.

Watch all bleeding.

GINSENG

Ginseng is a root often used to boost mental and physical resistance to

stress. Use with caution...

*Ginseng can cause vaginal bleed- ing, high blood pressure, low blood

sugar--diabetics should be careful-and interacts with blood thinners.

KAVA

This Polynesian pepper derivative can relieve anxiety. Interaction danger...

a Never take kava with alcohol...

or with antianxiety medications, such as Ativan, Valium, Xanax ... or with

sleep- ing pills

Saint s-WORT

This natural herb is used to treat mild-to-moderate depression. Interac- tion

dangers...

*Don't use Saint-'s-wort in

combination with any prescription antidepressantr,-Paxil, Prozac, Zoloft etc.

It could cause serotonin syndrome -too much activity in the brain chemicals

you're trying to affect.

BEFORE TRYING ANY HERB

Talk with your doctor about the use of herbs and other remedies before you try

them.

In general, avoid herbs if you are someone, such as a senior, who takes many

medications or if you are preg- nant or breast-feeding.

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