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Top 20 Herbal

Top 20 Herbal Products

HerbIndicationsLimitations
Glucosamine/Chondroitin Osteoarthritis Chondrointin can increase bleeding risk with antiplatelet agents/antigcoagulants. Caution in DM, HTN, Hyperlipidemia, and shellfish allergy
Echinacea Common cold and URI Avoid in autoimmune disorder; ADR: allergic reactions, rash
Ginkgo Alzheimer dementia, memory loss, vertigo, tinnitus, intermittent claudication, motion sickness Increase bleeding risk with anticoagulants, antiplatelet agents; ADR: mild GI upset, constipation, dizziness, HA
Ginseng Improve energy, increse resistant to stress, improve immune function Possible antipletelet effects; may reduce warfarin absorption; reduce immunosuppressants' effects; increase antidiabetic drugs' effects; ADR: insomnia, edema, HTN, tachycardia
Saw Palmetto BPH Do not affect prostate size or PSA; pts must continue to be evaluated for prostate CA; ADR: dizziness, nausea, vomiting, diarrhea, sexual dysfuntion
Fish Oil Heart disease; Hypertriglyceridemia Increase bleeding rish with very high doses; do not increase INR; ADR: fishy aftertaste, GI intolerance, loose stools, belching (dose-related)
St. Jonh's Wort Mild-Moderate Depression Reduce levels of cyclosporine, HIV agents, OCs, CBZ, warfarin. Reduce effects of antidepressants, triptans. Caution in bipolar, schizoprenia, Alzheimer. ADR: GI, dry mouth, restlessness/insomnia, vivid dreams, agitation, mania, dizziness, rash, photosensi
Garlic Hyperlipidemia, HTN, prevention of atherosclerosis Increase bleeding risk w/ warfarin, ASA. Reduce effects of cyclosporine, saquinavir, OCs. ADR: heartburn, N/V, bad breath, body odor
Melatonin Insomnia, jet lag Increase antiplatelet effects. Increase BP & impair blood sugar control. ADR: fatigue, drowsiness, anxiety, dizziness
Coenzyme Q10 Congestive heart failure, angina, HTN Reduce effect of warfarin. Synergistic effects with antihypertensive agents
Cranberry UTI Action not due to acidic pH
Feverfew Migraines, colds, PMS, fever CI: pregnancy due to increase bleeding risk; Caution: allergies to ragweed, daisies, mums
Ginger Motion sickness, nausea, stomach disorders Monitor patients on anticoagulants
Hawthorn Cardiotonic (lowers BP) Avoid: pregnancy
Milk thistle Hepatoprotectant ADR: loose stools
Valerian Mild tranquilizer & sedative for insomnia ADR: sleep disorders
Soy isoflavones Hot flashes Avoid: Hx of breast cancer
Black cohosh Hot flashes Conflicting evidences
SAM-e Depression, Osteoporosis Well tolerated
MSM Osteoporosis Limited data
Created by: locle
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