Will Alternative Therapies Work with Warfarin?

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The healing world has been rocked in recent years by the allinclusive use of alternative therapies in treating illnesses and injuries. In fact, it's now estimated that as many as one in three adults in the U.S. Uses herbal remedies and other alternative therapies. Sales of herbal treatment skyrocketed nearly 60 percent in 1997, amounting to an thinkable, .24 billion.

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Yet, doctors are not all the time aware of the fact that their patients are using alternative treatments. One study a few years ago indicated that only 58 percent of the physicians surveyed all the time or often request their patients about alternative therapies. A majority of doctors questioned believe that herbal remedies have no side effects or quite microscopic side effects.

As a ensue of this study, researchers thought about that physicians tend to underestimate how many of their patients are using alternative therapies.

The security Issue

Although alternative therapies are more beloved than ever, it still isn't clear how safe these remedies are. Consequently, it can be hard for a pharmacist to suggest a patient about the permissible use of such therapies in connection with prescription medication.

Given the allinclusive use of alternative therapies, it stands to conjecture that there would be concerns about either herbs are safe to use in conjunction with prescription drugs. The concern among doctors is particularly high when it comes to warfarin.

A Closer Look at Warfarin

Warfarin also goes by names such as Coumadin, Jantoven, Marevan, and Waran. For the most part, it is taken orally, although it can be injected as well. The drug is a synthetic derivative of coumarin, which is found in a number of plants. Interestingly enough, warfarin was first used as a rat poison, but it is no longer used that way.

Warfarin is a medication which prevents the amelioration of blood clots or prevents them from enlarging. Doctors often prescription it for patients who caress an irregular heartbeat following a heart assault or heart surgery.

The medication is regularly taken once each day, and must be used exactly as directed. At times, it may be used in conjunction with other drugs in the treatment of lung cancer.

However, for the most part, other medications should not be taken with warfarin because they may interfere with the effectiveness of the drug. One of the most illustrious early users of warfarin was U.S. President Dwight D. Eisenhower, who used it as a remedy for his heart trouble.

Doctors and pharmacists say that patients using warfarin should not start attractive herbal products without consulting a doctor first. It may be particularly harmful to mix warfarin with bromelains, coenzyme Q10, danshen, dong quai, garlic, Ginkgo biloba, and St. John's wort. Even foods containing vitamin K, such as broccoli and cauliflower, may interfere with prosperous warfarin use.

Side effects associated with warfarin comprise stomach upset, diarrhea, fever, and headache. At times, the effects may be more severe and may comprise blood in the urine and chills. Any serious side ensue should be reported to federal health officials, who monitor adverse reactions to warfarin.

Because warfarin use can be accompanied by heavy bleeding, patients are advised to undergo regular blood testing--as often as twice a week. That way, doctors can monitor the degree of anticoagulation associated with its use.

Warfarin/Herbal Interactions

In their article, "Potential Interactions between Alternative Therapies and Warfarin," researchers A.M. Heck, B.A. DeWitt, and A.L. Lukes examined warfarin in greater depth. The investigate team noted that the issue of alternative therapy use is especially leading with respect to medications such as warfarin which have small therapeutic indexes.

For instance, the researchers found that there are a number of herbal products that can increase bleeding when combined with warfarin. In fact, the bleeding can be so pronounced that it a patient can hemorrhage. These comprise anise, chamomile, fenugreek, ginkgo, licorice root, tumeric, and willow bark.

In addition, ginseng, green tea, and vitamin E may lead to some unpleasant side effects when combined with warfarin. In fact, it appears that warfarin is the drug most likely to be associated with adverse corporeal reactions when combined with herbal treatments.

The difficulty of Interpreting Data

Yet, it should be noted that it is difficult to account for data about interactions between herbs and warfarin. This is because the evidence tends to be based on animal studies or personel cases rather than large-scale human studies. As a result, physicians say that further investigate is needed in order to contemplate the range of possible effects from herbal supplement/warfarin interactions.

The U.S. Food and Drug management asks pharmacists to narrative any known cases of interaction between medication and alternative therapies to federal health authorities. The more data collected, the easier it will be to decide either there is a conflict between the two forms of treatment.

Some further Considerations

Doctors talk that there are comparatively few adverse reactions associated to herbal products. In other words, it is far more likely that a patient will narrative a question with a prescription drug than an herbal remedy. The reasons for this are not entirely clear.

Pharmacists say it may not be that herbal remedies are inherently safer than prescription drugs. Rather, it may naturally be that consumers are less likely to narrative side-effects stemming from herbal therapies.

As a result, it is leading that pharmacists take a proactive approach, questioning prescription drug users about their use of herbal remedies. In this way, a clearer picture may emerge about the impact herbs may have on the effectiveness of warfarin and other prescription medications.

The lowest Line for Warfarin Users

Warfarin has become a beloved form of medication, meaning that it is fairly routinely described. Similarly, habitancy have become accustomed to using herbal remedies for a wide range of ailments, from digestive problems to depression.

Yet, given the ready healing evidence, caution should be used when a patient using warfarin is inspecting using herbal therapies. In a number of cases, the possible negative side-effects may outweigh the possible benefits.

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