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PRECAUTIONS: Before taking horse chestnut, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. People allergic to latex should not take horse chestnut because they may be at greater risk of having an allergic reaction to it. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.If you have any of the following health problems, consult your doctor or pharmacist before using this product: bleeding or clotting problems, kidney problems, liver problems, diabetes, stomach/intestinal problems (e.g., infection/inflammatory disease of the gut).This product may make you dizzy. Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Limit alcoholic beverages.Liquid products may contain sugar and/or alcohol. Caution is advised if you have diabetes, alcohol dependence, or liver disease. Ask your doctor or pharmacist about using this product safely.This product is not recommended for use during pregnancy. Consult your doctor before using this product.It is unknown if this product passes into breast milk. Consult your doctor before breast-feeding.

DRUG INTERACTIONS: Before using this product, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: "blood thinners" (e.g., warfarin, heparin), anti-platelet drugs (e.g., clopidogrel, ticlopidine), nonsteroidal anti-inflammatory drugs (NSAIDs such as ibuprofen, naproxen), drugs used to treat diabetes (e.g., glyburide, insulin), herbal products that may increase the risk of bleeding or low blood sugar (e.g., danshen, garlic, ginseng).Aspirin may also increase the risk of bleeding when used with this product. If your doctor has directed you to take low-dose aspirin for heart attack or stroke prevention (usually at dosages of 81-325 milligrams a day), you should continue taking it unless your doctor instructs you otherwise. Consult your doctor for more information.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.

Report Problems to the Food and Drug Administration   You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088. Need help identifying pills and medications? Use the pill identifier tool on RxList.