Showing posts with label Supplements. Show all posts
Showing posts with label Supplements. Show all posts

Herbal Supplements + Chemo - Gamble Worth Taking?

Coumadin Warfarin - Herbal Supplements + Chemo - Gamble Worth Taking?. The content is nice quality and useful content, That is new is that you simply never knew before that I know is that I even have discovered. Before the distinctive. It is now near to enter destination Herbal Supplements + Chemo - Gamble Worth Taking?.

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Several patients and family members are often curious about how oriental medicines and herbal supplements might help them in their struggle against cancer. This is a natural feeling considering that most patients and families out of desperation, are searching for approaches which will improve their quality of life. In this article, we chronicle some of the coarse benefits and risks related with taking herbal supplements when combined with cancer treatment.

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How is Herbal Supplements + Chemo - Gamble Worth Taking?

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What is an herbal supplement?

Herbal supplements are products made from plants for use in the rehabilitation and management of certain diseases and curative conditions. Many designate and over-the-counter medications are also made from the same plant derivatives. These products consist of only purified ingredients and are regulated by the Fda.

Herbal supplements may be ready in several forms: dried, chopped, powdered, capsule or liquid, and may be delivered in discrete ways, including:
Swallowing as pills Brewing as tea Applying to the skin as gels Adding to bath waterWhat inherent benefits might herbs supply to cancer patients?

Though there are several controversial claims all over the Web about how Chinese former rehabilitation and the application of herbs can directly target root causes of cancer, few requisite clinical studies and scientific evidence exist which demonstrate reputable and repeatable results. However, several sources have recognized the use of herbal supplements in treating the side effects of chemotherapy and radiation treatment.

According to Cancer Supportive Care, some of these benefits have included:
Diarrhea: blackberry, raspberry tea, fanugreek seeds, peppermint tea Nausea or Vomiting: Ginger tea, cookies, cinnamon Insomnia: Valerian, Kava Depression: St. John's Wort Urinary obstruction or enlarged prostate: Saw PalmettoPatients often elect herbal supplements based on their perceived non-toxic and natural appeal. They believe that these treatments offer them a psychological sense of comfort, because they are natural products and may supply them with revitalizing energy to battle cancer. Herbal pharmacies refer to this revitalizing energy as "Wei qi".

What Key Issues Do I Need To Understand Before considering Herbal Supplements?

Though herbal supplements do have several curious benefits, there are also hazardous risks related with these treatments. Dr. Barrier Cassileth, Chief of Integrative rehabilitation assistance at the Memorial Sloan-Kettering Cancer center warns, "A common, false reliance is that 'if it's natural, it must be safe'. But herbs and other dietary supplements are biologically active compounds, and they oftentimes have negative interactions with designate pharmaceuticals."

Reduced Efficacy of Chemotherapy & Radiation Therapy

Many supplements possess pharmacokinetic interactions with chemotherapy drugs. For example, St. John's Wort, used to treat depression, has shown to significantly decrease the effectiveness of Camptosar. Other herbs such as Coumadin (Warfarin) have shown to compromise medicines that sway blood clotting.

According to the Diet Channel, the following herbal supplements are not recommended for population receiving chemotherapy or oral drug rehabilitation due to their quality to modify the liver's metabolism of drugs:
Garlic Ginkgo Ginseng Goldenseal Milk Thistle St. John's Wort TurmericAdditionally, herbal supplements which should be during radiation therapy include: Chrysanthemum, Dong quai, and Shitake mushrooms. All of these supplements can growth a patient's sensitivity to light.

Unanticipated Side Effects

Additionally, some herbal supplements have shown to sacrifice the liver's metabolism activity, and as a result, the body fails to break down chemotherapy drugs adequately and the drug remains in the body. This harmful consequence can lead to severe side effects due to drug overdose.

Despite the cautionary warnings from foremost sources, herbal medicines remain an area of extra interest which requires additional investigation. The bioactive nature of these supplements along with the pharmacokinetic interactions with former chemotherapy treatments have piqued the interest of researchers in trying to identify new ways to improve the therapeutic index and supervene of former treatments.

Please caution other patients to considered consult their current oncologist when deciding to add herbal supplements to their current treatment.

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Can My Herbal Supplements Harm Me?

Coumadin Diet Guide - Can My Herbal Supplements Harm Me?.
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Coumadin Diet Guide! Again, for I know. Ready to share new things that are useful. You and your friends.

Unknown to most people is the fact that everyday foods and Herbal supplements can and do interact with popular prescription medications. I became interested while talking to my Pharmacist that my son couldn't take decongestant cold medications with his heart medication. Well, I knew about interactions between two drugs, but when the Pharmacist told me he couldn't have grapefruit juice, I was stunned. Seems that grapefruit juice increases the blood concentrations of the drug. Basically that means that it greatly enhances the effects of the drug which could result in an overdose of the medication. This is everyday grapefruit juice! It got me wondering about other everyday foods and Herbs we take. Below are a few foods and Herbs that have an effect on your medications.

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How is Can My Herbal Supplements Harm Me?

We had a good read. For the benefit of yourself. Be sure to read to the end. I want you to get good knowledge from Coumadin Diet Guide.

This list is a basic guide, and is by no means the meant to replace your Doctor or Pharmacist. Consult with them about any prescriptions you are taking and the foods and Herbs that will interact with them. Although I have taken this information from a handout from a local Hospital, Use this information at your own risk. Again, I am not a Doctor or Pharmacist, and I have had NO medical training, so please consult with yours for more information.

People usually ask if Herbal supplements change the way their prescription drugs work. The answer is YES! Some medications should never be taken with Herbal supplements. Some can cause unwanted side effects or cause the medication to stop working to their full effect.

Another misconception about supplements is that they are completely safe because they are natural. Yes, they may be from plants, but they are not natural to your body. Herbal supplements are not tested or inspected like prescription drugs are tested, so the supplements vary in quality and strength from pill to pill and bottle to bottle.

Just like supplements, foods can change the way your body responds to medications. One example is grapefruits and grapefruit juice. Many people aren't aware that grapefruit juice can increase the drug levels of certain medications. An increase in the levels will also increase the side effects of the drug.

Things to Remember

1. Herbal supplements and foods can change the way your medications work.
2. Tell your caregiver what Herbal supplements you take and what foods you eat often.
3. Ask your Doctor or Pharmacist what Herbal supplements or foods will interact with your medications.
4. Always talk with your Doctor or Pharmacist FIRST before taking any Herbal supplements.

DISCLAIMER: The following charts are not all inclusive and do not contain every interaction of drugs with foods and herbs. It serves as a guide only. Consult with your Doctor, Pharmacist or a registered dietician if you have any questions.

Analgesics (Pain Relievers)

Aspirin
Celecoxib (Celebrex)
Ibuprofen (Advil, Motrin)
Naproxen

Food: Avoid alcohol. Avoid large amounts of orange juice and vitamin C.
Herbs:Avoid Black Cohosh, Dong Quai, Evening Primrose, Feverfew, Flaxseed Oil, and Ginko as it increases the risk of bleeding.

Narcotics
Codeine (Tylenol #2, 3, 4)
Morphine (MS Contin)
Oxycodone (Oxycontin/Percocet)

Foods:Avoid alcohol.
Herbs:Do not take with Kava or Valerian as it may make you feel drowsy.

Antibiotics

Ciproflaxacin (cipro)
Levofloxacin (Levaquin)

Food: Take 2 Hrs before or 6 Hrs after antacids, dairy products amd multi-vitamins that contain calcium, iron, zinc, or magnesium. Avoid large amounts of caffeine.See Chart 3 below.
Herbs:

Methronidazole

Foods:Avoid alcohol during and 3 days after taking this medication to avoid nausea and vomiting.
Herbs:

Penicillin

Foods:Citrus fruits/juices and carbonated beverages will decrease desired effect.
Herbs:

Tetracycline

Foods:Take 2 Hrs before or 6 Hrs after antacids, dairy products amd multi-vitamins that contain calcium, iron, zinc, or magnesium.
Herbs:Dong Quai or St. John's Wort increase the risk of sunburn.

Trimethoprim/Sulfamethoxazole (Bactrim, Septra)

Foods:May cause rash if taken with alcohol.
Herbs:Dong Quai or St. John's Wort increase the risk of sunburn.

Anticoagulants (Blood Thinners)

Warfarin (Coumadin)

Food: Avoid alcohol. Avoid foods high in Vitamin K: beef liver, oils and green leafy vegetables (broccoli, brussel sprouts, cabbage, collards, spinach).
Herbs: Avoid Black Cohosh, Dong Quai, Evening Primrose, Feverfew, Flaxseed Oil and Ginko as they increase the risk of bleeding. Do not take St. John's Wort as it may decrease the desired effect.

Cholesterol Lowering Agents

Atorvastatin (Lipitor)
Pravastatin (Pravachol)
Rosuvastatin (Crestor)
Simvastatin (Zocor)

Food: Avoid alcohol. Do not take with grapefruit juice.
Herbs: St. John's Wort may decrease desired effect.

Diabetes Medications

Glipizide (Glucotrol, Glucotrol XL)
Glyburide (Glynase, Micronase)
Metformin (Glucophage)

Food: Avoid alcohol.
Herbs: Do not take with Ephedra as it may increase blood sugar and decrease desired effect.

Erectile Dysfunction

Sildenafil (Viagra)
Tadalafil (Cialis)
Vardenafil (Levitra)

Food: Do not take with grapefruit juice.
Herbs: Do not take with Yohimbe as it may increase side effects.

Gastrointestinal Agents (Stomach Meds)

Prochlorperazine (Compazine)

Food: Do not take with alcohol.
Herbs: Do not take with Dong Quai, Kava, St. John's Wort or Valerian as they may make you drowsey.

Cimetidine (Tagamet)

Foods: Avoid alcohol. Take 1 hour before or 2 hours after antacids. Limit caffeine intake; see Chart 3.
Herbs: St John's Wort may decrease desired effect.

Lansoprozole (Prevacid)
Omeprazole (Prilosec)
Pantoprazole (Protonix)
Rabeprazole (Aciphex)

Foods: Avoid alcohol as it may cause upset stomach.
Herbs: St. John's Wort may decrease desired effect.

Heart and Blood Pressure Medications
*Note: The following herbs may cause an INCREASE in blood pressure and decrease desired effect of any blood pressure medications: Black Cohosh, Dong Quai, Ephedra, Hawthorn, Quassia, Vervain and Yohimbe.

Angiotensin Converting Enzyme (ACE) Inhibitors-
Captopril (Capoten)
Linisopril (Prinivil, Zestril)

Food: Avoid salt substitutes that contain potassium and potassium rich foods; see Chart 1.
Herbs: See *Note above

Beta Blockers-
Atenolol (Tenormin)
Metoprolol (Lopressor, Toprol ZL)
Propranolol (Inderal)

Foods: Avoid alcohol.
Herbs: See *Note above.

Calcium Channel Blockers-
Diltiazem (Cardizem, Tiazac)
Verapamil (Calan, Verelan)

Foods: Do not take with grapefruit juice. A low sodium diet may be recommended.
Herbs: See *Note above.

Digoxin (Lanoxin)

Foods: Avoid antacids. Limit caffeine intake; see Chart 3 below.
Herbs: Avoid Ma Huang and St. John's Wort as they may decrease desired effect.

Nitrates-
Isosorbide (isordil, Imdur)
Nitroglycerin Patch (Nitrol)

Foods: Avoid alcohol.
Herbs: See *Note above.

Diuretics (Water Pills)

Furosemide (Lasix)
Hydrochlorothiazide

Food: INCLUDE potassium rich foods in diet; see Chart 1 below.
Herbs: See *Note above under Heart and Blood Pressure Medications.

Hormone Replacement Therapy

Estrogen (Premarin, Premphase, Prempro)

Food: Avoid alcohol.
Herbs: St John's Wort may decrease desired effect. Do not take Black Cohosh Dong Quai, Red Clover or Saw Palmetto because of the possible side effects.

Mood Disorders

Aripiprazole (Abilify)
Clozapine (Clozaril)
Olanzapine (Zyprexa)
Risperidone (Risperdal)

Food: Avoid alcohol. Do not take grapefruit juice. Limit caffeine intake; see Chart 3.
Herbs: Do not take with Kava, St. John's Wor or Valerian as they may make you feel drowsy.

Benzodiazepines-
Alprazolam (Zanax)
Clonazepam (Klonopin)
Diazepam (Valium)
Lorazepam (Ativan)

Foods: Avoid alcohol. Do not take grapefruit juice. Limit caffeine intake; see Chart 3 below.
Herbs: Do not take with Kava, St. John's Wor or Valerian as they may make you feel drowsy.

Lithium (Eskalith, Lithobid)

Food: Avoid alcohol. Limit caffeine intake; see Chart 3 below.
Herbs: Avoid Green Tea.

Monoamine Oxidase Inhibitors (MAOI's)-
Phenelzine (Nardil)
Tranylcypromine (Parnate)

Foods: Avoid alcohol. Avoid tyramine-rich foods see Chart 2 below.
Herbs: Do not take with Ephedra, Kava, Ginko, St. John's Wort or Yohimbe as they may increase effect and cause a serious increase in blood pressure.

Selective Seratonin Reuptake Inhibitors (SSRI's)-
Citalopram (Celexa)
Escitalopram (Lexapro)
Fluoxetine (Prozac)
Paroxetine (Paxil)

Food: Avoid alcohol.
Herbs: Do not take with Ephedra, Kava, Melatonin, Valerian or Yohimbe as they may make you drowsy. Do not take with St. John's Wort as it may increase effect of drug and risk of side effects.

Tricyclic Antidepressants (TCA's)-
Amitriptyline (Elavil)
Desipramine (Norpramin)
Nortriptyline (Pamelor)

Foods: Avoid alcohol. Do not take with grapefruit juice.
Herbs: Do not take with Kava, St. John's Wort or Valerian as they may make you feel drowsy.

Oral Contraceptives (Birth Control)

Estradiol Cypionate
Ethinyl Estradiol
Mestranol

Food: Avoid smoking.
Herbs: Do not take with Chaste Tree Berry, Red Clover, Saw Palmetto or St. John's Wort as they may decrease desired effect.

Osteoporosis

Alendronate (Fosomax)
Risendronate (Actonel)

Food: Take only with plain water. Do not take anything else within 30 minutes of taking these drugs as they may decrease desired effect.
Herbs:

Seizure Medications

Carbamazepine (Carbatrol, NOT Tegretol)
Divalproex (Depakote)
Oxcarbazepine (trileptal)
phenytoin (Dilantin)

Food: Avoid alcohol. Do not take with grapefruit juice.
Herbs: Evening Primrose increases risk for seizures. Do not take with Kava or Valerian as they may make you feel drowsy. St. John's Wort may decrease desired effect.

Thyroid Medications

Levothyroxine (Levoxyl, Synthroid, Unithroid)
Thyroid (Armour Thyroid)

Food: Limit intake of Brussel Sprouts, cabbage, kale, greens, rutabaga, soybeans and turnips.
Herbs: Do not take with Lemon Balm.

Miscellaneous

Antihistamines-
Chlorpheniramine (Chlor-Trimeton)
Diphenhydramine (Benadryl)

Food: Do not take with alcohol.
Herbs: Do not take with Kava or Valerian as it may make you feel drowsy.

Cyclosporine (Neoral, Sandimmune)

Foods: Do not take with grapefruit juice.
Herbs: Do not take with Echinacea or St. John's Wort as they may decrease desired effect.

Prednisone
Methylprednisolone

Food: Avoid alcohol. Calcium supplements may be recommended to prevent Osteoporosis.Limit caffeine intake; see Chart 3 below.
Herbs: Avoid Echinacea or St. John's Wort as they may decrease desired effect.

Theopylline (theo-Dur)

Foods: Avoid alcohol.Limit caffeine intake; see Chart 3 below.
Herbs: Do not take with Ephedra or Green Tea as it may increase effect of drug.

Foods:
Herbs:

Chart # 1

High potassium rich foods include the following:

Apricots, Artichokes, Asparagus, Avacado, Banana, Broccoli, Brussel Sprouts, Carrots, Celery,
Chocolate, Dates, Dried Beans, Dried Fruit, Figs, Greens, Honeydew, Milk, Orange Juice, Potato,

Pumpkin, Prune Juice, Raisins, Rhubarb, Spinach, Squash, Tomato, V-8 Juice

Chart # 2

High tyramine-content foods include the following:
Aged Cheese*, Aged Meat,Anchovies, Avacados, Bananas, Beer, Broad Beans, Caffeine

Chicken Liver, Chocolate, Cola Drinks, Canned Figs, Mushrooms, Raisins, Sausages, Sour Cream
Soy Sauce, Wine (Chianti, Sherry), Yeast, Yogurt

*Camembert, Chedder, Gruyer, processed American and Stilton

Chart # 3

High caffeine-content foods include the following:
Chocolate (milk and dark, Coffee (brewed, cappuccino, expresso)
Caffeinated water (Java, Kank, Aqua Blast), Ice Cream (coffee, chocolate)
Soft Drinks (Mountain Dew, Coca Cola, Pepsi, Root Beer, Sunkist Orange Soda)
Teas (green Tea, Ginseng, Snapple Iced Tea, Lipton)

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How to Use Natural Supplements for Menopause Symptoms in a Safer Way

Coumadin Diet List - How to Use Natural Supplements for Menopause Symptoms in a Safer Way

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For decades, hormone replacement therapy (HRT) was known as a main treatment for menopausal symptoms. After the year of 2000, however, numerous empirical findings in women's health issues raised serious questions about long-term safety of HRT. This is an important reason to push many women seek for 'safer' alternative therapies - botanical or natural supplement treatments are welcomed since then.

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About Coumadin Diet List

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Although botanical supplements are focused as a safe method of remedy for menopausal symptoms supported by many evidences on market, there are some essential points to keep in mind before choosing these therapies:

1. Tell your doctor about any alternative practices. Your doctor should know the full picture of what you do to avoid any miss therapies or over doses with normal prescription drugs. Remember herbs can also give positive interactions with drugs or, thus, negative side effects.

2. Natural doesn't mean SAFE. Keep in mind that even though dietary supplements are from natural sources, "natural" doesn't mean completely safe. Like all medicines, botanical treatments can cause harmful side effects.

There are numerous supplement products for menopausal remedy available on drugstore's counter. Such products are often marketed as food supplements and 100% derived from natural sources that make you feel safe to try them.The list below shows negative side effects from 'popular' supplements on market:

Black cohosh- This herb is a 'highlight' herb among botanical supplements for menopausal treatment. Many studies have claimed about its effectiveness to relieve hot flashes and night sweats, however, many reliable evidences reports to its major effect on the liver.These cases are very unusual; the use of this herb should be avoided if the patient has a liver disorder or in risk of liver trouble, such as dark urine or hepatitis. Dong quai - Dong quai can interact with the blood-thinning medicine, for example Warfarin (Coumadin). This can lead to bleeding complications later. Kava- The FDA has warning to the patient who has liver disease that the herbs can potentially cause serious harm to the liver. Also, that some manufacturer had claimed that they use in "verified" term or "certified" dosage do not guarantee product quality and safety. Ginkgo- Ginkgo has been known to help avid the onset of memory loss and cognitive function. Like Dong quai, Ginkgo can interfere with blood clotting, so it should not be taken with anti-coagulant drugs such as Warfarin and Aspirin. Sage- Known as a helpful herb in relieving hot flushes and night sweats, it must be aware of interaction with some drugs such as Tamoxifen. Red clover- clinical studies report little side effects with no related serious health problems itself; however, there are some notes of caution about phytoestrogens in the herb. From some findings, phytoestrogens may have unsafe effects on hormone-sensitive tissue such as in the breast and uterus tissues.

3. Choose reliable products.Many of herbal products often marketed as food supplements but usually not subject to any safety regulations on label as conventional drugs did. Choosing trust manufacturers may help reduce any chance of taking bad choices from under standard products. 

Moreover, be caution that an herbal supplement product may contain dozens of unknown ingredients mixtures. For example, a bottle of black cohosh supplement consists of 30% of the herb and other 70% of unknown compounds.

Also consider the possibility that what are on the label may not be your preferable ingredients you look for. Dietary supplements sometimes differ between label and actual ingredients.

This is just a small caution you should know before choosing any natural supplements. Alternative treatment is still interesting for menopausal symptoms. However, it should be aware that not only herbal supplement remedies but also total lifestyle changes. Your healthy behavior is the key answer. Quit smoking, healthy diet, regular exercising and stress managing have been proved to prevent for relief of menopause-related symptoms with totally no side effects.

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Can My Herbal Supplements Harm Me?

Coumadin Food List - Can My Herbal Supplements Harm Me?

What up. Today, I discovered Coumadin Food List - Can My Herbal Supplements Harm Me?. Which may be very helpful for me and also you.

Do you know - Can My Herbal Supplements Harm Me?

Unknown to most people is the fact that everyday foods and Herbal supplements can and do interact with popular prescription medications. I became interested while talking to my Pharmacist that my son couldn't take decongestant cold medications with his heart medication. Well, I knew about interactions between two drugs, but when the Pharmacist told me he couldn't have grapefruit juice, I was stunned. Seems that grapefruit juice increases the blood concentrations of the drug. Basically that means that it greatly enhances the effects of the drug which could result in an overdose of the medication. This is everyday grapefruit juice! It got me wondering about other everyday foods and Herbs we take. Below are a few foods and Herbs that have an effect on your medications.

What I said. It isn't in conclusion that the actual about Coumadin Food List. You look at this article for home elevators what you need to know is Coumadin Food List.

About Coumadin Food List

This list is a basic guide, and is by no means the meant to replace your Doctor or Pharmacist. Consult with them about any prescriptions you are taking and the foods and Herbs that will interact with them. Although I have taken this information from a handout from a local Hospital, Use this information at your own risk. Again, I am not a Doctor or Pharmacist, and I have had NO medical training, so please consult with yours for more information.

People usually ask if Herbal supplements change the way their prescription drugs work. The answer is YES! Some medications should never be taken with Herbal supplements. Some can cause unwanted side effects or cause the medication to stop working to their full effect.

Another misconception about supplements is that they are completely safe because they are natural. Yes, they may be from plants, but they are not natural to your body. Herbal supplements are not tested or inspected like prescription drugs are tested, so the supplements vary in quality and strength from pill to pill and bottle to bottle.

Just like supplements, foods can change the way your body responds to medications. One example is grapefruits and grapefruit juice. Many people aren't aware that grapefruit juice can increase the drug levels of certain medications. An increase in the levels will also increase the side effects of the drug.

Things to Remember

1. Herbal supplements and foods can change the way your medications work.
2. Tell your caregiver what Herbal supplements you take and what foods you eat often.
3. Ask your Doctor or Pharmacist what Herbal supplements or foods will interact with your medications.
4. Always talk with your Doctor or Pharmacist FIRST before taking any Herbal supplements.

DISCLAIMER: The following charts are not all inclusive and do not contain every interaction of drugs with foods and herbs. It serves as a guide only. Consult with your Doctor, Pharmacist or a registered dietician if you have any questions.

Analgesics (Pain Relievers)

Aspirin
Celecoxib (Celebrex)
Ibuprofen (Advil, Motrin)
Naproxen

Food: Avoid alcohol. Avoid large amounts of orange juice and vitamin C.
Herbs:Avoid Black Cohosh, Dong Quai, Evening Primrose, Feverfew, Flaxseed Oil, and Ginko as it increases the risk of bleeding.

Narcotics
Codeine (Tylenol #2, 3, 4)
Morphine (MS Contin)
Oxycodone (Oxycontin/Percocet)

Foods:Avoid alcohol.
Herbs:Do not take with Kava or Valerian as it may make you feel drowsy.

Antibiotics

Ciproflaxacin (cipro)
Levofloxacin (Levaquin)

Food: Take 2 Hrs before or 6 Hrs after antacids, dairy products amd multi-vitamins that contain calcium, iron, zinc, or magnesium. Avoid large amounts of caffeine.See Chart 3 below.
Herbs:

Methronidazole

Foods:Avoid alcohol during and 3 days after taking this medication to avoid nausea and vomiting.
Herbs:

Penicillin

Foods:Citrus fruits/juices and carbonated beverages will decrease desired effect.
Herbs:

Tetracycline

Foods:Take 2 Hrs before or 6 Hrs after antacids, dairy products amd multi-vitamins that contain calcium, iron, zinc, or magnesium.
Herbs:Dong Quai or St. John's Wort increase the risk of sunburn.

Trimethoprim/Sulfamethoxazole (Bactrim, Septra)

Foods:May cause rash if taken with alcohol.
Herbs:Dong Quai or St. John's Wort increase the risk of sunburn.

Anticoagulants (Blood Thinners)

Warfarin (Coumadin)

Food: Avoid alcohol. Avoid foods high in Vitamin K: beef liver, oils and green leafy vegetables (broccoli, brussel sprouts, cabbage, collards, spinach).
Herbs: Avoid Black Cohosh, Dong Quai, Evening Primrose, Feverfew, Flaxseed Oil and Ginko as they increase the risk of bleeding. Do not take St. John's Wort as it may decrease the desired effect.

Cholesterol Lowering Agents

Atorvastatin (Lipitor)
Pravastatin (Pravachol)
Rosuvastatin (Crestor)
Simvastatin (Zocor)

Food: Avoid alcohol. Do not take with grapefruit juice.
Herbs: St. John's Wort may decrease desired effect.

Diabetes Medications

Glipizide (Glucotrol, Glucotrol XL)
Glyburide (Glynase, Micronase)
Metformin (Glucophage)

Food: Avoid alcohol.
Herbs: Do not take with Ephedra as it may increase blood sugar and decrease desired effect.

Erectile Dysfunction

Sildenafil (Viagra)
Tadalafil (Cialis)
Vardenafil (Levitra)

Food: Do not take with grapefruit juice.
Herbs: Do not take with Yohimbe as it may increase side effects.

Gastrointestinal Agents (Stomach Meds)

Prochlorperazine (Compazine)

Food: Do not take with alcohol.
Herbs: Do not take with Dong Quai, Kava, St. John's Wort or Valerian as they may make you drowsey.

Cimetidine (Tagamet)

Foods: Avoid alcohol. Take 1 hour before or 2 hours after antacids. Limit caffeine intake; see Chart 3.
Herbs: St John's Wort may decrease desired effect.

Lansoprozole (Prevacid)
Omeprazole (Prilosec)
Pantoprazole (Protonix)
Rabeprazole (Aciphex)

Foods: Avoid alcohol as it may cause upset stomach.
Herbs: St. John's Wort may decrease desired effect.

Heart and Blood Pressure Medications
*Note: The following herbs may cause an INCREASE in blood pressure and decrease desired effect of any blood pressure medications: Black Cohosh, Dong Quai, Ephedra, Hawthorn, Quassia, Vervain and Yohimbe.

Angiotensin Converting Enzyme (ACE) Inhibitors-
Captopril (Capoten)
Linisopril (Prinivil, Zestril)

Food: Avoid salt substitutes that contain potassium and potassium rich foods; see Chart 1.
Herbs: See *Note above

Beta Blockers-
Atenolol (Tenormin)
Metoprolol (Lopressor, Toprol ZL)
Propranolol (Inderal)

Foods: Avoid alcohol.
Herbs: See *Note above.

Calcium Channel Blockers-
Diltiazem (Cardizem, Tiazac)
Verapamil (Calan, Verelan)

Foods: Do not take with grapefruit juice. A low sodium diet may be recommended.
Herbs: See *Note above.

Digoxin (Lanoxin)

Foods: Avoid antacids. Limit caffeine intake; see Chart 3 below.
Herbs: Avoid Ma Huang and St. John's Wort as they may decrease desired effect.

Nitrates-
Isosorbide (isordil, Imdur)
Nitroglycerin Patch (Nitrol)

Foods: Avoid alcohol.
Herbs: See *Note above.

Diuretics (Water Pills)

Furosemide (Lasix)
Hydrochlorothiazide

Food: INCLUDE potassium rich foods in diet; see Chart 1 below.
Herbs: See *Note above under Heart and Blood Pressure Medications.

Hormone Replacement Therapy

Estrogen (Premarin, Premphase, Prempro)

Food: Avoid alcohol.
Herbs: St John's Wort may decrease desired effect. Do not take Black Cohosh Dong Quai, Red Clover or Saw Palmetto because of the possible side effects.

Mood Disorders

Aripiprazole (Abilify)
Clozapine (Clozaril)
Olanzapine (Zyprexa)
Risperidone (Risperdal)

Food: Avoid alcohol. Do not take grapefruit juice. Limit caffeine intake; see Chart 3.
Herbs: Do not take with Kava, St. John's Wor or Valerian as they may make you feel drowsy.

Benzodiazepines-
Alprazolam (Zanax)
Clonazepam (Klonopin)
Diazepam (Valium)
Lorazepam (Ativan)

Foods: Avoid alcohol. Do not take grapefruit juice. Limit caffeine intake; see Chart 3 below.
Herbs: Do not take with Kava, St. John's Wor or Valerian as they may make you feel drowsy.

Lithium (Eskalith, Lithobid)

Food: Avoid alcohol. Limit caffeine intake; see Chart 3 below.
Herbs: Avoid Green Tea.

Monoamine Oxidase Inhibitors (MAOI's)-
Phenelzine (Nardil)
Tranylcypromine (Parnate)

Foods: Avoid alcohol. Avoid tyramine-rich foods see Chart 2 below.
Herbs: Do not take with Ephedra, Kava, Ginko, St. John's Wort or Yohimbe as they may increase effect and cause a serious increase in blood pressure.

Selective Seratonin Reuptake Inhibitors (SSRI's)-
Citalopram (Celexa)
Escitalopram (Lexapro)
Fluoxetine (Prozac)
Paroxetine (Paxil)

Food: Avoid alcohol.
Herbs: Do not take with Ephedra, Kava, Melatonin, Valerian or Yohimbe as they may make you drowsy. Do not take with St. John's Wort as it may increase effect of drug and risk of side effects.

Tricyclic Antidepressants (TCA's)-
Amitriptyline (Elavil)
Desipramine (Norpramin)
Nortriptyline (Pamelor)

Foods: Avoid alcohol. Do not take with grapefruit juice.
Herbs: Do not take with Kava, St. John's Wort or Valerian as they may make you feel drowsy.

Oral Contraceptives (Birth Control)

Estradiol Cypionate
Ethinyl Estradiol
Mestranol

Food: Avoid smoking.
Herbs: Do not take with Chaste Tree Berry, Red Clover, Saw Palmetto or St. John's Wort as they may decrease desired effect.

Osteoporosis

Alendronate (Fosomax)
Risendronate (Actonel)

Food: Take only with plain water. Do not take anything else within 30 minutes of taking these drugs as they may decrease desired effect.
Herbs:

Seizure Medications

Carbamazepine (Carbatrol, NOT Tegretol)
Divalproex (Depakote)
Oxcarbazepine (trileptal)
phenytoin (Dilantin)

Food: Avoid alcohol. Do not take with grapefruit juice.
Herbs: Evening Primrose increases risk for seizures. Do not take with Kava or Valerian as they may make you feel drowsy. St. John's Wort may decrease desired effect.

Thyroid Medications

Levothyroxine (Levoxyl, Synthroid, Unithroid)
Thyroid (Armour Thyroid)

Food: Limit intake of Brussel Sprouts, cabbage, kale, greens, rutabaga, soybeans and turnips.
Herbs: Do not take with Lemon Balm.

Miscellaneous

Antihistamines-
Chlorpheniramine (Chlor-Trimeton)
Diphenhydramine (Benadryl)

Food: Do not take with alcohol.
Herbs: Do not take with Kava or Valerian as it may make you feel drowsy.

Cyclosporine (Neoral, Sandimmune)

Foods: Do not take with grapefruit juice.
Herbs: Do not take with Echinacea or St. John's Wort as they may decrease desired effect.

Prednisone
Methylprednisolone

Food: Avoid alcohol. Calcium supplements may be recommended to prevent Osteoporosis.Limit caffeine intake; see Chart 3 below.
Herbs: Avoid Echinacea or St. John's Wort as they may decrease desired effect.

Theopylline (theo-Dur)

Foods: Avoid alcohol.Limit caffeine intake; see Chart 3 below.
Herbs: Do not take with Ephedra or Green Tea as it may increase effect of drug.

Foods:
Herbs:

Chart # 1

High potassium rich foods include the following:

Apricots, Artichokes, Asparagus, Avacado, Banana, Broccoli, Brussel Sprouts, Carrots, Celery,
Chocolate, Dates, Dried Beans, Dried Fruit, Figs, Greens, Honeydew, Milk, Orange Juice, Potato,

Pumpkin, Prune Juice, Raisins, Rhubarb, Spinach, Squash, Tomato, V-8 Juice

Chart # 2

High tyramine-content foods include the following:
Aged Cheese*, Aged Meat,Anchovies, Avacados, Bananas, Beer, Broad Beans, Caffeine

Chicken Liver, Chocolate, Cola Drinks, Canned Figs, Mushrooms, Raisins, Sausages, Sour Cream
Soy Sauce, Wine (Chianti, Sherry), Yeast, Yogurt

*Camembert, Chedder, Gruyer, processed American and Stilton

Chart # 3

High caffeine-content foods include the following:
Chocolate (milk and dark, Coffee (brewed, cappuccino, expresso)
Caffeinated water (Java, Kank, Aqua Blast), Ice Cream (coffee, chocolate)
Soft Drinks (Mountain Dew, Coca Cola, Pepsi, Root Beer, Sunkist Orange Soda)
Teas (green Tea, Ginseng, Snapple Iced Tea, Lipton)

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