HERB

USAGE

SIDE EFFECTS/ADVERSE INTERACTIONS

St. John’s Wort

Short-term treatment for mild or moderate depression

Because it can significantly increase the metabolism of many drugs which are excreted through the liver, it can interact with some narcotic pain relievers, benzodiazepines (valium-like drugs), and most importantly, coumadin and blood thinning drugs. Note: Discontinue this medication at least 5 days prior to any surgical procedures, as problems with excessive bleeding may occur. TOP
 

Echinacea

Activation of immune system

Short term usage may increase the immune system, however LONG TERM usage of Echinacea will actually decrease the effectiveness of the immune system. Patients who are on medication (immuno-suppressants for autoimmune diseases, including rheumatoid arthritis, tuberculosis, lupus, multiple sclerosis, and HIV) should be monitored very closely for side effects and problems with their medications. TOP

Valerian

Sedative used for insomnia

Because it acts like a benzodiazepine (valium-like sedative), withdrawal effects may occur. These withdrawal effects can include fatigue, tremor, headache, and paradoxical insomnia. TOP

Ginseng

General health improvement with sexual function athletic ability, and others

High doses may cause diarrhea, hypertension, insomnia and nervousness. Be particularly careful if you are on blood thinning medications, as it could affect coumadin function and bleeding disorders. TOP

Gingko Biloba

Dementia, cognitive improvement, memory

Mild gastrointestinal distress, headache, and like St. John’s Wort or Ginseng, bleeding could be a problem. May also interact with Non-steroidal anti-inflammatory medications, and diuretic (water-pill) medications. TOP

Goldenseal

Upper respiratory infections, common cold

Diarrhea, hypertension with elevated and prolonged doses. TOP

Garlic

Lowering blood pressure, reversing coronary artery diseases and lowering cholesterol levels

Gastrointestinal upset, gas, and anticoagulant effects. With it’s anti-platelet activity, it’s important to watch for bleeding problems, particularly when on coumadin. TOP

Ephedra (Ma Huang)

Weight loss, diet

Like it’s pharmacologic companion ephedrine, the greatest risk lies with elevated blood pressures, heart palpitations, and possible strokes and heart attack. TOP