Supplement | Use | Adverse Effects |
Bilberry (Vaccinium Mrytillus) | Visual acuity, antioxidant | Antiplatelet, inhibition of clot formation |
Dong quai (Angelica sinensis) | Relief of menopausal & menstrual disorders | May potentiate anticoagulant medications |
Echinacea (Echinacea augustfolia) | Immune system stimulant | Can cause hepatoxicity, contraindicated with hepatoxic drugs (anabolic steroids, methotrexate, etc.) |
Ephedra (ma huang) | Central nervous stimulant, appetite suppressant, antiasthmatic, nasal decongestant, bronchodilator | Hypertension, tachycardia cardiomyopathy, dysrhythmia myocardial infarction |
Feverfew (Tanacetum parthenium) | Migraine preventative, used for allergies | May affect clotting components, contraindicated with warfarin or other anticoagulants |
Fish Oil Capsules | Contains Omega-3 derivatives DHA & EPA, used for hyper-cholesterolemia and elevated triglycerides | EPA & DHA inhibit platelet adhesion and aggregation. Excessive doses can inhibit wound healing |
Garlic | Antispasmodic, antiseptic, antiviral, antihypertensive, used for hypercholesterolemia | Contraindicated with warfarin or other anticoagulants, NSAIDs, aspirin |
Ginger (Zingiber officinale) | Antinauseant, antispasmodic | Risk of prolonged clotting (Zingiber officinale) time. contraindicated with warfarin or other anti-coagulants, NSAIDs, aspirin |
Ginkgo Biloba | Antioxidant, enhances cerebral blood flow, alleviates vertigo & tinnitus | Inhibition of platelet activity factor, contraindicated with warfarin or other anticoagulants, NSAIDs |
Ginseng (Zingiber officinale)(Panax Ginseng; Panax quinquefolium) | Improves physical & cognitive performance, antioxidant | May interact with cardiac & hypoglycemic agents, contraindicated with warfarin or other anticoagulants, NSAIDs |
Goldenseal (Hydrastis canadensis) | Mild laxative, reduces inflammation | May worsen swelling or high blood pressure |
Hawthorne (Cratagaegus laevigata) | Used for ischemic heart disease, hypertension, angina & chronic congestive heart disease | Potentiates actions of digitalis & other cardiac glycosides |
Kava Kava (Piper Methysticum) | Sedative, analgesic, muscle relaxant, anxiolytic | May potentiate CNS effects of barbiturates and general anesthesia |
Licorice (Glycyrrhiza glabra) | Used for gastric & duodenal ulcers, gastritis & bronchitis | May cause high blood pressure, hypokalemia and edema |
Melatonin | Used for jet lag, insomnia and SAD (seasonal affective disorder) | May potentiate CNS effects of barbiturates and general anesthesia |
Red Clover (Trifolium pretense) | Used to relieve menopausal systems | May potentiate existing anticoagulant medications |
St. John’s Wort (Hypericum perforatum) | Antidepressant for mild to moderate depression | Contraindicated with other MAOIs or SSRIs, photosensitivity, multiple drug interactions |
Valerian | Sleep aid, mild sedative | Contraindicated with sedatives or anxiolytics |
Vitamin E | Antioxidant, used in treatment of cardiovascular disease | Anti-clotting benefits may prolong bleeding time |
Yohimbe (Corynanthe yohimbe) | Aphrodisiac, sexual stimulant | Hypertension, tachycardia, increases potency of anesthetic agents |
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