ginseng (eleutherococcus and panax sp.) - oral (cont.)
DRUG INTERACTIONS: Before using this product, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: medications/products that may increase your risk of bleeding (e.g., "blood thinners" such as warfarin and heparin, anti-platelet drugs such as clopidogrel, nonsteroidal anti-inflammatory drugs-NSAIDs such as ibuprofen, herbal products such as danshen/garlic/ginger), MAO inhibitors (isocarboxazid, linezolid, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, selegiline, tranylcypromine), drugs that weaken the immune system (e.g., corticosteroids such as prednisone, drugs to prevent organ transplant rejection such as cyclosporine), drugs to treat diabetes (e.g., glyburide, insulin), "water pills" (diuretics such as furosemide, bumetanide, ethacrynic acid), other herbal products (e.g., fenugreek, willow bark).Aspirin may also increase the risk of bleeding when used with this product. If your doctor has prescribed low doses of aspirin to prevent heart attack or stroke (usually at dosages of 81-325 milligrams a day), you should continue to take the aspirin. Consult your doctor or pharmacist for more details.Caffeine can increase the side effects of this product. Avoid drinking large amounts of beverages containing caffeine (coffee, tea, certain soft drinks) and eating large amounts of chocolate.Check the labels on all your medicines (e.g., cough-and-cold products, diet aids) because they may contain ingredients that could increase the side effects of ginseng. Decongestants (e.g., pseudoephedrine) and stimulants (e.g., caffeine, ephedra, ma huang) may worsen trouble sleeping, fast heartbeat, and increased blood pressure. Consult your doctor or pharmacist for more details.If you are taking Siberian ginseng, tell your doctor or pharmacist if you also take drugs/other products that cause drowsiness such as: anti-seizure drugs (e.g., carbamazepine), medicine for sleep or anxiety (e.g., alprazolam, diazepam, zolpidem), muscle relaxants, narcotic pain relievers (e.g., codeine), psychiatric medicines (e.g., chlorpromazine, risperidone, amitriptyline, trazodone), other herbal products (e.g., kava, valerian), antihistamines in allergy and cough-and-cold products (e.g., diphenhydramine).Do not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first.This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.
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