Ginseng
Avoid Ginseng
Eleutherococcus senticosus
Eleuthero Ginseng
Devil's Shrub
Siberian Ginseng
Avoid PKD/PLD
High estrogenic activity. May cause an increase in PLD symptoms. Can precipitate migraine headaches and shunts blood away from kidneys. Harmful for PKD.Use caution
With stimulants such as decongestants, caffeine, caffeine-containing beverages. Use with caution in individuals with hypertension, receiving antihypertensive medications, or for those at risk of low blood pressure including those taking antihypertensive medication or agents that predispose to orthostasis, elderly individuals, or those who could not tolerate transient episodes. May potentiate effects of antihypertensives.Use caution
In individuals taking barbiturates (based on in vitro or animal studies) (McRae, 1996; Medon, 1984).Use caution
In individuals with diabetes or in those who may be predisposed to hypoglycemia; may alter glucose regulation. Effects of drugs with hypoglycemic activity may be potentiated (including insulin and oral hypoglycemics). Blood sugar should be closely monitored and the dosage of hypoglycemic medications may require adjustment. This should be carefully coordinated among the individual's healthcare providers.Use caution
In individuals with active bleeding, history of bleeding, hemostatic disorders, or drug-related hemostatic problems; and in individuals taking anticoagulant medications, including warfarin, aspirin, aspirin-containing products, NSAIDs, or anti platelet agents (i.e., ticlopidine, clopidogrel, dipyridamole). Discontinue use prior to dental or surgical procedures (generally at least 14 days before). Based on pharmacologic activity and case reports, hemostasis may be affected. May have anti platelet effects. Potential to interact with epinephrine and levonordefrin can result in increased BP; use vasoconstrictors with caution.