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Wednesd ay, June, 2011 6:00 PM Posted b y SuperbSite

Can My Herbal Supplements Harm Me?

By Dwayne Haskell

Unknown to most people is the fact that

everyday foods and Herbal supplements

can and do interact with popular 

prescription medications. I became

interested while talking to my Pharmacist

that my son couldn't take decongestant

cold medications with his heart medication.

Well, I knew about interactions between two

drugs, but when the Pharmacist told me he couldn't have grapefruit juice, I was stunned. Seems that

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grapefruit juice increases the blood concentrations of the drug. Basically that means that it greatly

enhances the effects of the drug which could result in an overdose of the medication. This is everyday

grapefruit juice! It got me wondering about other everyday foods and Herbs we take. Below are a few foods

and Herbs that have an effect on your medications.

This list is a basic guide, and is by no means the meant to replace your Doctor or Pharmacist. Consult with

them about any prescriptions you are taking and the foods and Herbs that will interact with them. Although I

have taken this information from a handout from a local Hospital, Use this information at your own risk.

 Again, I am not a Doctor or Pharmacist, and I have h ad NO medical training , so please con sult with yours for 

more information.

People usually ask if Herbal supplements change the way their prescription drugs work. The answer is YES!

Some medications should never be taken with Herbal supplements. Some can cause unwanted side effects

or cause the medi cation to stop working to their full effect.

 Another misconception about supplements is that they are completely safe because they are natural. Yes,

they may be from plants, but they are not natural to your body. Herbal supplements are not tested or 

inspected like prescription drugs are tested, so the supplements vary in quality and strength from pill to pill

and bottle to bottle.

Just like supplements, foods can change the way your body responds to medications. One example is

grapefruits and grapefruit juice. Many pe ople a ren't aware that grapefruit juice can increase the drug levels

of certain medications. An increase in the level s will also increase the side effects of the dru g.

Things to Re member 

1. Herbal supplements and foods can change the way your medications work.

2. Tell your caregiver what Herbal supplements you take and what foods you eat often.

3. Ask your Doctor or Pharmacist what Herbal supp lements or foods will in teract with your med ications.

4. Always talk with your Doctor or Pharmacist FIRST before taking any Herba l supp lements.

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DISCLAIMER: The following charts are not all inclusive and do not contain every interaction of drugs with

foods and herbs. It serves as a guide only. Consult with your Doctor, Pharmacist or a registered dietician if 

you have any q uestions.

Analgesics ( Pain Relievers)

 Aspirin

Celecoxib (Celebrex)

Ibuprofen (Advil, Motrin)

Naproxen

Food: Avoid alchohol. Avoid large amounts of orange juice and vitamin C.

Herbs:  Avoid Black Cohosh, Dong Quai, Evening Primrose, Feverfew, Flaxseed Oil, and Ginko as it

increases the risk of bleeding.

Narcotics

Codeine (Tyleno l #2, 3, 4)

Morphine (MS Contin)

Oxycodone (Oxycontin/Percocet)

Foods: Avoid alchohol.

Herbs:Do not take with Kava o r Valerian as it may make you feel d rowsy.

Antibiotics

Ciproflaxacin (cipro)

Levofloxacin (Levaquin)

Food: Take 2 Hrs before or 6 Hrs after antacids, dairy products amd multi-vitamins that contain calcium,

iron, zin c, or magnesium. Avoid la rge amou nts of caffeine .See Chart 3 below.

Herbs:

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Methronidazole

Foods: Avoid alchohol during an d 3 days after taking this medication to a void nausea and vomiting.

Herbs:

Penicillin

Foods:Citrus fruits/juices and carbonated beverages will decrease desired effect.

Herbs:

Tetracycline

Foods:Take 2 Hrs before or 6 Hrs after antacids, dairy products amd multi-vitamins that contain calcium,

iron, zinc, or magnesium.

Herbs:Dong Quai or St. John's Wort increase the risk of sunburn.

Trimethoprim/Sulfamethoxaz ole (Ba ctrim, Septra)

Foods:May cause rash if taken with alchohol.

Herbs:Dong Quai or St. John's Wort increase the risk of sunburn.

Anticoagulants (Blood Thinners)

Warfarin (Coumadin)

Food: Avoid alchohol. Avoid foods high in Vitamin K: beef liver, oils and green leafy vegetables (broccoli,

brussel sprouts, cabbage, collards, spinach).

Herbs: Avoid Black Cohosh, Dong Quai, Evening Primrose, Feverfew, Flaxseed Oil and Ginko as they

increase the risk of bleedin g. Do not take St. John' s Wort as it may decrease the de sired effect.

Choleste rol Lowering Agents

 Atorvastatin (Lipitor)

Pravastatin (Pravachol)

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Rosuvastatin (Crestor)

Simvastatin (Zocor)

Food: Avoid alchohol. Do not take with grapefruit juice.

Herbs: St. John 's Wort may decrease d esired e ffect.

Diabetes Medications

Glipizide (Glucotrol, Glucotrol XL)

Glyburide (Glynase, Micronase)

Metformin (Glucophage)

Food: Avoid alchohol.

Herbs: Do not take with Ephedra as it may increase blood sugar and decrease desired effect.

Erectile Dysfunction

Sildenafil (Viagra)

Tadalafil (Cialis)

Varden afil (Levitra)

Food: Do not take with grapefruit juice.

Herbs: Do not take with Yohimbe a s it may increase side effects.

Gastrointestinal Agents (Stomach Meds)

Prochlorperazine (Compazine)

Food: Do not take with alchohol.

Herbs: Do not take with Dong Qua i, Kava, St. John's Wort or Valeria n as they may make you drowsey.

Cimetidine (Tagamet)

Foods: Avoid alchoh ol. Take 1 hour b efore or 2 ho urs after antacids. Limit caffeine in take; see Chart 3.

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Herbs: St John's Wort may decrea se desired effect.

Lansoprozole (Prevacid)

Omeprazole (Prilosec)

Pantoprazole (Protonix)

Rabeprazole (Aciphex)

Foods: Avoid alchohol as it may cause upset stomach.

Herbs: St. John 's Wort may decrease d esired e ffect.

Heart and Blood Pressure Medicatio ns

*Note: The following herbs may cause an INCREASE in blood pressure and decrease desired effect of any blood 

 pressure medications: Black Cohosh, Dong Quai, Ephedra, Hawthorn, Quass ia, Vervain and Yohimbe.

 Angiotensin Conve rting Enzyme (ACE) Inhibitors-

Captopril (Capoten)

Linisopril (Prinivil, Zestril)

Food: Avoid salt substitutes that contain p otassium and po tassium rich foods; see Chart 1.

Herbs: See *Note above

Beta Blockers-

 Atenol ol (Tenormin)

Metoprolo l (Lopressor, Toprol Z L)

Propranolol (Inderal)

Foods: Avoid alchoh ol.

Herbs: See *Note above.

Calcium Channel Blockers-

Diltiazem (Cardizem, Tiazac)

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Verapa mil (Calan, Verelan )

Foods: Do not take with grape fruit juice. A low sodiu m diet may be recommende d.

Herbs: See *Note above.

Digoxin (Lanoxin)

Foods: Avoid antacid s. Limit caffeine intake; see Chart 3 below.

Herbs: Avoid Ma Huang and St. John's Wort as they may decrease desired effect.

Nitrates-

Isosorbide (isordil, Imdur)

Nitroglycerin Patch (Nitrol)

Foods: Avoid alchoh ol.

Herbs: See *Note above.

Diuretics (Water Pil ls)

Furosemide (Lasix)

Hydrochlorothiazide

Food: INCLUDE potassium rich food s in d iet; see Chart 1 belo w.

Herbs: See *Note abo ve under Heart and Bloo d Pressure Medications.

Hormone Re placement Therapy

Estrogen (Premarin, Premphase, Prempro)

Food: Avoid alchohol.

Herbs: St John's Wort may decrease desired effect. Do not take Black Cohosh Dong Quai, Red Clover or 

Saw Palmetto because of the possible side effects.

Mood Disorders

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 Aripiprazole (Abilify)

Clozapine (Clozaril)

Olanzapine (Zyprexa)

Risperidone (Risperdal)

Food: Avoid alcho hol. Do not take g rapefruit juice. Limit caffeine in take; see Chart 3.

Herbs: Do not take with Kava, St. John's Wor or Valerian as the y may make you feel d rowsy.

Benzodiazepines-

 Alprazolam (Zanax)

Clonazepam (Klonopin)

Diaze pam (Valium)

Lorazepam (Ativan)

Foods: Avoid alcho hol. Do not take gra pefruit juice. Limit caffeine intake; see Chart 3 below.

Herbs: Do not take with Kava, St. John's Wor or Valerian as the y may make you feel d rowsy.

Lithium (Eskalith, Lithobid )

Food: Avoid alcho hol. Limit caffeine intake ; see Chart 3 below.

Herbs: Avoid Green Tea.

Monoamine Oxidase Inhibitors (MAOI's)-

Phenelzine (Nardil)

Tranylcypromine (Parnate)

Foods: Avoid alchoh ol. Avoid tyramine-rich food s see Chart 2 belo w.

Herbs: Do not take with Ephedra, Kava , Ginko, St. John's Wort or Yohimbe a s they may increase effect and

cause a serious increase in blood pressure.

Selective Seratonin Reuptake Inhibitors (SSRI's)-

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Citalopram (Celexa)

Escitalopra m (Lexapro )

Fluoxetine (Prozac)

Paroxetine (Paxil)

Food: Avoid alchohol.

Herbs: Do not take with Ephedra, Kava, Melatonin, Valerian or Yohimbe as they may make you drowsy. Do

not take with St. John's Wort as it may increa se effect of drug an d risk of side e ffects.

Tricyclic Antidepressants (TCA's)-

 Amitriptyline (Elavil)

Desipramine (Norpramin)

Nortriptyline (Pamelor)

Foods: Avoid alchohol. Do not take with grapefruit juice.

Herbs: Do not take with Kava, St. John's Wort or Valerian as they may make you feel drowsy.

Oral Contraceptives ( Birth Control)

Estradiol Cypionate

Ethinyl Estradiol

Mestranol

Food: Avoid smoking.

Herbs: Do not take with Chaste Tree Berry, Red Clover, Saw Palmetto or St. John's Wort as they may

decrease desired effect.

Osteoporosis

 Alendronate (Fosomax)

Risendronate (Actonel)

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Food: Take only with plain water. Do not take anything else within 30 minutes of taking these drugs as they

may decrease desired effect.

Herbs:

Seizure Medications

Carbamazepine (Carbatrol, NOT Tegretol)

Divalproex (Depakote)

Oxcarbazepine (trileptal)

phenytoin (Dilantin)

Food: Avoid alchohol. Do not take with grapefruit juice.

Herbs: Evening Primrose increases risk for seizures. Do not take with Kava or Valerian as they may make

you feel d rowsy. St. John' s Wort may de crease d esired e ffect.

Thyroid Me dications

Levothyroxine (Levoxyl, Synthroid, Unithroid)

Thyroid (Armour Thyroid)

Food: Limit intake of Brussel Sprouts, cabbage, kale, greens, rutabaga, soybeans and turnips.

Herbs: Do not take with Lemon Balm.

Miscellaneous

 Antihistamines-

Chlorpheniramine (Chlor-Trimeton)

Diphenhydramine (Benadryl)

Food: Do not take with alchohol.

Herbs: Do not take with Kava o r Valeria n as it may make you fee l drowsy.

Cyclosporine (Neoral, Sandimmune)

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Foods: Do not take with grapefruit juice.

Herbs: Do not take with Echina cea or St. John's Wort as they may decrease de sired effect.

Prednisone

Methylprednisolone

Food: Avoid alchohol. Calcium supplements may be recommended to prevent Osteoporosis.Limit caffeine

intake; see Chart 3 belo w.

Herbs: Avoid Echinacea o r St. John' s Wort as they may decrease d esired e ffect.

Theopylline (theo-Dur)

Foods: Avoid alcho hol.Limit caffeine intake; see Chart 3 below.

Herbs: Do not take with Ephe dra or Gree n Tea as it may increa se effect of drug.

Foods:

Herbs:

Chart # 1

High potassium rich foods include the following:

 Apricots, Artichokes, Asparagus, Avacado, Ba nana , Broccoli, Brusse l Sp routs, Carrots, Celery,

Chocolate, Dates, Dried Bean s, Dried Fruit, Figs, Greens, Honeyde w, Milk, Orange Juice , Potato,

Pumpkin, Prune Ju ice, Raisins, Rhubarb, Spina ch, Squash , Tomato, V-8 Ju ice

Chart # 2

High tyramine-content foods include the following:

 Aged Cheese*, Aged Meat,Anchovies, Avacado s, Banana s, Beer, Broad Bean s, Caffeine

Chicken Liver, Chocolate, Cola Drinks, Canned Figs, Mushro oms, Raisins, Sausa ges, Sour Cream

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Soy S auce, Wine (Chianti, Sherry), Yeast, Yogurt

*Camembert, Chedder, Gruy er, processed American and Stilton

Chart # 3

High caffeine-content foods include the following:

Chocolate (milk and dark, Coffee (brewed, cappuccino, expresso)

Caffeina ted water (Java, Ka nk, Aqua Blast), Ice Cream (coffee, cho colate)

Soft Drinks (Mountain Dew, Coca Cola , Pepsi, Root Beer, Sunkist Orange S oda)

Teas (green Tea, Ginseng, Sna pple Iced Tea, Lipton)

Dwayne Haskell owns and operates Hidden Hills Nursery. He also enjoys teaching others how to grow their 

own land scape p lants from rooted cuttings. After buildin g his own misting system for his nu rsery, he rea lize d

he could design and build a system for home gardeners who are interested in starting their own plants from

cuttings. He offers complete misting kits, individua l componen ts, and a dvice at Mistkits.com

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Wednesd ay,June, 2011 6:00 PM Posted b y SuperbSite

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 Are you currently taking Herbal Supplements? Many folks are not aware of the

potential interactions between prescribed medications, Herbal supplements

and common foods. Read on to see how the Herbs and foods we commonly

take can affect the medications you are taking.

 

COPYRIGH T (C) 20 11 SUPERBSITE.INFO. ALL RIGHTS RESERVED.TAGAMET KLONOPIN | PRIVACY

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