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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

i i i l i i ll i l

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grape ruit juice increases the blood concentrations o 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 had NO medical training, so ple ase 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 supple ments or foods will interact with your medication s.

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

Finance

Hotels

Furniture

Games

Insurance

Cars

Movies

Maps

Loan

Music

Travel

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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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Rosuvastatin (Crestor)

Simvastatin (Zocor)

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

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

Diabetes Medications

Glipiz ide (Glucotrol, Glucotrol XL)

Glyburide (Glynase, Micronase)

Metformin (Glucophage)

Food: Avoid a lchohol.

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 decre ase d esired e ffect.

Heart and Blood Pressure Medications

*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.

Angioten sin Conve rting Enzyme (ACE) Inhibitors-

Captopril (Capoten)

Linisopril (Prinivil, Zestril)

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

Herbs: See *Note above

Beta Blockers-

Atenolol (Teno rmin)

Metoprolo l (Lopressor, Toprol Z L)

Propranolol (Inderal)

Foods: Avoid alchohol.

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.


Digoxin (Lanoxin)

Foods: Avoid antacids. Limit caffeine intake; see Cha rt 3 below.

Herbs: Avoid Ma Huang a nd St. John's Wort as they may decrea se desired effect.

Nitrates-

Isosorbide (isordil, Imdur)

Nitroglycerin Patch (Nitrol)

Foods: Avoid alchohol.


Diuretics (Water Pil ls)

Furosemide (Lasix)

Hydrochlorothiazide

Food: INCLUDE potassium rich foo ds in diet; see Chart 1 belo w.

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

Hormone Re placement Therapy

Estrogen (Premarin, Premphase, Prempro)


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

Saw Palmetto beca use of the possib le side e ffects.

Mood Disorders

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Aripiprazole (Abilify)

Clozapine (Clozaril)

Olanzapine (Zyprexa)

Risperidone (Risperdal)

Food: Avoid alchoh ol. Do not take grap efruit juice. Limit caffeine intake; see Chart 3.

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

Benzodiazepines-

Alprazolam (Zanax)

Clonazepam (Klonopin)

Diaze pam (Valium)

Lorazepam (Ativan)

Foods: Avoid alchoh ol. Do not take grap efruit juice. Limit caffeine intake; see Chart 3 below.

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

Lithium (Eskalith, Lithobid )

Food: Avoid alchoh ol. 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 foods see Cha rt 2 below.

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)


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 alchoh ol. Do not take with grap efruit 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 Cypio nate

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 Ba lm.

Miscellaneous

Antihistamines-

Chlorpheniramine (Chlor-Trimeton)

Diphenhydramine (Benadryl)

Food: Do not take with alchohol.

Herbs: Do not take with Kava or Valerian a s it may make you feel 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 decrea se desired effect.

Prednisone

Methylprednisolone

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

intake; see Chart 3 belo w.

Herbs: Avoid Echina cea or St. John's Wort as they may decrea se desired effect.

Theopylline (theo-Dur)

Foods: Avoid alchoh ol.Limit caffeine intake; see Cha rt 3 below.

Herbs: Do not take with Ephedra o r Green Tea as it may increa se effect of drug.

Foods:

Herbs:

Chart # 1

High potassium rich foods include the following:

Apricots, Artichokes, Asparag us, Avacado , Bana na, Bro ccoli, Brussel Sprouts, Carrots, Celery,

Chocolate, Dates, Dried Beans, Dried Fruit, Figs, Greens, Honeydew, Milk, Orange Juice, Potato,

Pumpkin, Prune Juice , Raisins, Rhuba rb, Spinach, Squa sh, 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, Sausag es, Sour Cream

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Soy Sau ce, Wine (Chian ti, 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, Kan k, Aqua Blast), Ice Cream (coffee, chocola te)

Soft Drinks (Mou ntain Dew, Coca Cola, Pepsi, Root Beer, Sunkist Orange So da)

Teas (green Tea, Ginseng, Snap ple 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

valerian klonopin Information

valerian

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.

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