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Terrible Twosomes

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Here are some common herb-drug interaction compiled by the Mayo

Clinic:

* Ginkgo biloba-May cause spontaneous and /or excessive bleeding

when combined with aspirin, clopidogrel(plavix), dipyridamole

(persantine), ticlopodine (ticlid) warfarin(coumadin).

* Ginseng- may cause bleeding if combined with warfarin; manic

behavijor, headache and trem b=bling with phenelzine (nardil) and

monitoring drug response may be difficult with digoxin (lanoxin).

*Ephedra- may cause sedation, heart attack, seizure or death when

used with decongestants( such as actifed, dristan, sinutab, sudafed)

or stimulants( such as caffeine).

*Kava- should not be combined with sedatives, sleeping pills,

antipsychotics, alcohol, alprazolam (xanax) drugs to treat parkinsons

disease or anesthetics.

*Echinacea- may alter the effects of anabolic steroids,

amiodarone(cordarone), methotrexate(rheumatrex), ketoconazole

(nizoral )and cyclosporine(sandimmune).

*St. " s wort- may cause sunburn when used with

tetracyclines, also may interact with digoxin, oral contraceptives,

cyclosporine and possible sertraline(zoloft).

This all comes from the Pomona Valley Hospital Medical Center

==Vera===

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