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kava (piper methysticum) - oral (cont.)

PRECAUTIONS: Before taking kava, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. 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: depression, past/current liver disease, Parkinson's disease.This product may make you dizzy or drowsy or cause blurred vision. Do not drive, use machinery, or do any activity that requires alertness or clear vision until you are sure you can perform such activities safely. Avoid alcoholic beverages because alcohol may worsen these effects and increase the risk of serious liver problems.Liquid forms of this product 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.Kava 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: Do not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first.This product should not be used with the following medication because a very serious interaction may occur: alprazolam.If you are currently using the medication listed above, tell your doctor or pharmacist before starting kava.Before using this product, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: drugs that can harm the liver (e.g., acetaminophen, amiodarone, carbamazepine, isoniazid, methotrexate, methyldopa, "statins" such as atorvastatin and lovastatin), "blood thinners" (e.g., warfarin), drugs for Parkinson's disease (e.g., levodopa, bromocriptine).Tell your doctor or pharmacist if you also take drugs that cause drowsiness such as: certain antihistamines (e.g., diphenhydramine), anti-seizure drugs (e.g., carbamazepine), medicine for sleep or anxiety (e.g., diazepam, zolpidem), muscle relaxants, narcotic pain relievers (e.g., codeine), psychiatric medicines (e.g., chlorpromazine, risperidone, amitriptyline, trazodone).Check the labels on all your medicines (e.g., cough-and-cold products) because they may contain ingredients that may make you drowsy. Ask your pharmacist about using those products safely.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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