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Herb-drug interactions
Long-Term Care Nursing Advisor, April 6, 2007
With herbal supplements gaining mainstrain popularity, it is essential that you closely monitor your residents for possible herb-drug interactions.
Some common herbal supplements and dangerous interactions include:
- Dong quai: Can interact with warfarin, estrognens, photosensitizing drugs, anticoagulants, antiplatelet drugs, and a number of other medications
- Echinacea: Should be used with caution with other immunosuppressive therapies
- Ginkgo biloba: Can interact with Warfarin, NSAIDs, and MAO inhibitors
- Glucomannan: Should be avoided by diabetics; delays absorption of glucose from intestines
- Kava: Can interact with CNS depressants and benzodiazepines
- Siberian ginseng: Can increase digoxin levels
No matter what herbal supplements your resident is taking be sure to check any potential interaction with medications. If you have questions, consult your pharmacist or the resident's physician.
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