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There
is little doubt that the use of herbal medicines is
growing. It is estimated that over 40% of all people
use complementary/herbal therapies and about 20% of
all prescription drug users also take herbal medicines
or high-dose vitamins. In some cases, herbs can interact
with prescription medicines or their use may conflict
with certain diseases. A doctor may not be aware that
their patient is using some form of complimentary
therapy. In one survey, only one-third of patients
told their physicians that they were using complementary
therapies. The majority of herbal products are purchased
in a drugstore. This means that your Peoples Drug
Mart Pharmacist is nearby if you have any questions
or concerns. You can ask your Pharmacist about these
new therapies and if they will conflict with the medications
you are already taking.
.....How can herbs and
vitamins interfere with how a drug acts? This is a
good question. In some cases, an herb can interfere
with the way your body absorbs or eliminates the drug.
Sometimes an herb can enhance the effect of a particular
drug, or it can counteract that drug's action in the
body. An herb can even worsen a condition that the
drug is being used to treat. This is why it is important
to tell your Doctor or Pharmacist if you are taking
any herbs or vitamins. This will help give them a
better understanding of your health.
.....Many herbal products
can interfere with the absorption of medications.
Many products that are considered to be herbal laxatives
can be at fault here. Herbal products, like senna,
cascara, aloe latex, psyllium, and others, can cause
problems in three ways. First, they can bind to the
drug and prevent it from being absorbed into the body.
Secondly, they can speed up your bowel movements so
your body doesn't have enough time to absorb the drugs.
Lastly, laxatives can over time deplete your body
of potassium. Potassium is needed by some heart drugs
to work properly.
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herbal
interactions
with heart
medicines
by Ian Lloyd
Beware of herbal products that are used for "detoxification"
or weight loss, in many cases these products may contain
herbal laxatives.
.....Some herbal products
can raise your blood pressure. This may be a problem
if your Doctor feels it is already too high. Watch
for products that claim to give you lots of "energy".
Many of these products contain ginseng. All types
of ginseng, Siberian, Korean and American/Canadian,
have the potential to raise your blood pressure. So
it might be a safe idea to avoid these herbs. There
are some herbal products that contain caffeine and
ephedra. These two chemicals can both raise your blood
pressure and speed up your heart rate and should be
avoided, especially ephedra. Caffeine can be found
in coffee, tea, kola nut, guarana and maté. Ephedra
is primarily found in Ma Huang.
.....Another natural
product that can raise your blood pressure is licorice.
Natural licorice can cause fluid retention, high blood
pressure, and potassium loss when taken at higher
doses for longer periods of time. This is not a concern
if you occasionally eat licorice-flavoured candies.
Most licorice candies are flavoured with anise and
are not likely to raise blood pressure. It is mostly
a concern for those who eat real licorice products
daily. There is a processed licorice product called
DGL or deglycyrrhizinated licorice. This product is
not likely to raise your blood pressure, but you should
be careful and talk to your Doctor or Pharmacist before
taking licorice.
..... Hawthorne is another
herbal
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product that might interfere with heart medications.
Hawthorne can strengthen the contractions of the

heart and lower blood pressure. Two other natural
products that can affect blood pressure, by possibly
raising it, are goldenseal and yohimbe. These products
should only be taken upon recommendation from a Doctor
or Naturopathic Physician.
.....Another herb that
can cause problems with prescription drug use is St.
John's Wort. St. John's Wort has been shown to decrease
the amount of digoxin in the body. There have also
been reports that this herb can reduce the effectiveness
of the drug Cyclosporin. Cyclosporin is a drug that
is used to prevent the body from rejecting transplanted
tissues. This might be a big concern if someone has
had a heart transplant. St. John's Wort can also interfere
with other prescription drugs like Warfarin, Theophylline,
birth control pills and anti-depressants. If someone
is currently taking, or thinking about trying St.
John's Wort, it is best to talk to you Doctor or Pharmacist.
They can advise you on a safe course of action.
.....Another drug interaction
problem can be found on the breakfast table. Grapefruit
juice can interact with many drugs. It is thought
that a component of grapefruit juice, naringenin,
can increase the amount of the drug that enters the
body. This could lead to higher drug levels and more
side effects.
continued
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