what natural herbs to avoid when taking lisinopril
Herbal remedies such as St. John's wort can dilute, intensify, or exacerbate the side furnishings of prescription heart drugs.
STORY HIGHLIGHTS
- Contempo study names 25 herbal products that people with cardiovascular diseases should avoid
- Herbal medicinces prophylactic on their own, but can cause problems when taken with middle medicine
- Herbal products non subject to the same checks as prescription drugs
- 1 doctor says yous should go rid of all herbal supplements
(Wellness.com) -- If yous take centre medication, you may want to avoid some of the most popular over-the-counter herbal supplements on the market place, including ginseng, saw palmetto, and echinacea. These herbal remedies -- and many others -- can cause potentially serious problems in people taking heart medications, a new report warns.
"These products are non by themselves dangerous," says the pb author, Dr. Arshad Jahangir, a cardiologist and professor of medicine at the Mayo Clinic in Scottsdale, Arizona. "Simply when taken with medications for cardiovascular diseases, a relatively safe compound tin get unsafe."
Herbal remedies such equally ginseng, ginkgo, garlic, blackness cohosh, St. John's wort, hawthorn, saw palmetto, and echinacea can dilute, intensify, or exacerbate the side effects of prescription heart drugs such as claret thinners and cholesterol-lowering statins, the report says.
Some supplements may also increase heart charge per unit and blood pressure level, causing potential complications in heart patients.
The written report, published this week in the February 9 outcome of the Journal of the American Higher of Cardiology, lists more than than 25 herbal products that people with cardiovascular diseases should avoid, including 12 of the xx best-selling herbal supplements in the United States, according to the American Botanical Quango.
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For example, St. John'due south wort, which is oft taken to treat depression and anxiety, affects how the body absorbs dozens of prescription medications and may diminish the efficacy of statins and beta-blockers, a class of drugs used to treat high blood pressure level and heart-rhythm disorders.
Herbal supplements such equally garlic and ginkgo, meanwhile, can interfere with blood thinners (most notably warfarin) and increase the run a risk of bleeding associated with those drugs.
"Stay away from the iv G's: garlic, ginkgo, ginseng, and ginger," says Dr. Elsa-Grace Giardina, a cardiologist at Columbia University, in New York, who has studied herbal remedies and center drugs but did non participate in the current report. "They all have furnishings on bleeding."
Fifty-fifty grapefruit juice, which people ofttimes drink for weight loss and heart health, tin can increment the claret concentration of statins, raising the chance of liver impairment and musculus pain, the report notes.
Older people should be especially mindful of interactions such as these, since they are much more likely than younger people to have heart issues and may be taking a half-dozen prescription drugs or more, Dr. Jahangir says.
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Many middle patients -- and fifty-fifty some doctors -- aren't enlightened of the dangers of mixing center drugs and herbal products, he adds. Doctors rarely ask for a detailed list of the alternative remedies that patients take, and patients seldom volunteer that data.
"Patients will typically hash out prescription or over-the-counter medicines, just in their minds these [herbal] compounds are not medicines," Dr. Jahangir says.
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Mixing eye medicine and herbal products is fabricated even more risky by the lack of scientific bear witness and regulation for herbal products and other dietary supplements, the written report suggests. Although the potency of some herbal products tin rival that of some prescription medicines, they are non subject area to the same checks that prescription drugs are.
Few herbal products have been widely tested for safety and efficacy in randomized, placebo-controlled trials, as the U.S. Food and Drug Administration (FDA) requires of prescriptions drugs. Moreover, the FDA does not approve dietary supplements before they announced on the market place, and monitors the safety and purity of herbal products merely if consumers study side effects or other bug.
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As a result, many popular herbal products haven't been proven to work, and some contain impurities or inconsistent amounts of the active ingredient.
"The public believes there is a check on everything, which is not true at all," says Dr. Jahangir.
For her part, Dr. Giardina recommends that center patients -- and anyone else, for that affair -- steer clear of herbal products.
"Bluntly, I would just avoid them all," she says. "Become into your medicine cabinet and become rid of annihilation you bought in an herbal shop that you take in a pill form. Save your money and go buy a pair of shoes."
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Copyright Wellness Magazine 2011
Source: http://www.cnn.com/2010/HEALTH/02/01/moh.healthmag.remedies.avoid/index.html
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