ma-huang (Ephedra sp)-oral

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ma-huang (Ephedra sp)-oral

GENERIC NAME: MA-HUANG (Ephedra sp) - ORAL

Warning | Medication Uses | How To Use | Side Effects | Precautions | Drug Interactions | Overdose | Notes | Missed Dose | Storage

WARNING: This drug should not be used in combination with other stimulant products (e.g., caffeine), other cough-and-cold products, or as a dietary supplement for the purpose of weight loss or body building. Doing so may increase your risk of unlikely but potentially fatal side effects including: stroke, heart attack, seizures, or severe mental disorders (see Side Effects section and Precautions section). In addition, dietary supplements containing ephedra should not exceed 8 mg as a single ephedra dose, 24 mg of ephedra per day (24 hours), or be given for longer than 7 days, as recommended by the FDA. Exceeding the recommended ephedra dose increases your risk of the side effects noted above. For detailed information, consult your pharmacist. Check all product labels carefully to see if they contain ephedrine or ephedra/ma huang, which are all very similar; do not combine them.

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USES: Ma-huang has been used for breathing problems, asthma, swelling and nasal congestion, and weight loss. Some herbal/diet supplement products have been found to contain possibly harmful impurities/additives. Check with your pharmacist for more details regarding the particular brand you use. The FDA has not reviewed this product for safety or effectiveness. Consult your doctor or pharmacist for more details.

HOW TO USE: Take this product by mouth as directed. Follow all directions on the product package. If you are uncertain about any of the information, consult your doctor or pharmacist. When used in high doses, ma-huang may cause serious side effects including heart attack, seizure and stroke. This herbal product should not be used for more than 7 days at a time. Use this product exactly as directed. Do not increase the dose, take it more frequently or use for a longer period than directed because this product can be habit-forming. Also, if used for a longer period of time, do not suddenly stop using this product without consulting your doctor or pharmacist. If your condition persists or worsens, or if you think you may have a serious medical problem, seek immediate medical attention.

SIDE EFFECTS: Nausea or headache may occur. If any of these effects persist or worsen, contact your doctor promptly. Unlikely but report promptly: mental/mood changes, dizziness, trouble sleeping, changes in the appearance of the skin, trouble with urination, restlessness. Very unlikely but report promptly: chest pain, fast/irregular pulse, trouble breathing, seizure, fainting, slurred speech, one-sided weakness. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS: If you have any of the following health problems, consult your doctor before using this product: heart disease (e.g., heart attack, angina, coronary artery disease), stroke, circulation problems, diabetes, high blood pressure, seizures, thyroid problems (hyperthyroid), glaucoma (narrow angle), prostate problems, any allergies. If you experience dizziness, caution is advised when performing tasks requiring alertness (e.g., driving). Liquid preparations 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 the safe use of this product. Ma-huang is not recommended for use during pregnancy. Consult your doctor before using this product. Because of the potential risk to the infant, breast-feeding while using this product is not recommended. Consult your doctor before breast-feeding.

DRUG INTERACTIONS: Before using this product, tell your doctor or pharmacist of all prescription and nonprescription medications you may use, especially of: heart medications, beta-blockers (e.g., propranolol, metoprolol), MAO inhibitors (e.g., furazolidone, linezolid, moclobemide, phenelzine, procarbazine, selegiline), phenothiazine drugs (e.g., chlorpromazine, thioridazine), medication for blood pressure, adrenaline-like drugs (e.g., epinephrine, norepinephrine, pseudoephedrine), digoxin, caffeine- containing products, theophylline. Check the label of all nonprescription cough, cold or allergy products, as they may contain adrenaline-like drugs such as pseudoephedrine or phenylpropanolamine. Using ma-huang with pseudoephedrine or phenylpropanolamine-containing products may increase the likelihood of serious side effects. Consult your doctor or pharmacist. Ma-huang can interfere with certain lab tests. Make sure that your doctor and lab personnel know that you are using this product.

OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately. US residents can call the US national poison hotline at 1-800-222-1222. Canadian residents should call their local poison control center directly.

NOTES: Check product labeling carefully. Some products also contain caffeine or yohimbine and may cause serious side effects.

MISSED DOSE: If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

STORAGE: Refer to storage information printed on the package. If you have any questions about storage, ask your pharmacist.

Last Editorial Review: 3/2/2005

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Selected from data included with permission and copyrighted by First Databank, Inc. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use.

CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.

Reviewed on 3/2/2005
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