If you’re lucky, complementary med supplements give you really expensive pee (STUDY)
We want to live healthy lives, and be our best every day. But it isn’t always easy when we’re bombarded by ALL CAPS claims of revolutionary results (!), super solutions (!), and unbelievable outcomes (!).
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There are certain CAM products like garlic, CoQ10, fish oil and multivitamins, which may not be very effective in lowering the BP, serum cholesterol or not preventing CVD and HF, but they are safe and can be taken together with conventional medicines, although the evidence for benefit is neither strong nor consistent (ref). However, there are others such as ginseng, St John’s wort, Ginkgo biloba, hawthorn, saw palmetto, dansen and licorice that can cause serious adverse effects through drug interactions or by themselves.
Herb/FS
|
Indication
|
Effect
|
Drug interaction
|
Side effect
|
Ginseng
|
CVD, HTN
|
Equivocal
|
Antidiabetic, digoxin, warfarin
|
Hypogly, Dig, tox thrombosis
|
St John’s wort
|
Depression, DM
|
Poss. effective
|
Drugs affecting CYP3A4
|
Bleeding
|
Mother wort
|
Sedative, tachycardia
|
Poss. effective
|
Drugs affecting CYP3A4
|
Bleeding
|
Ginkgo
|
Demen., CVD, HTN
|
Equivocal
|
Drugs affecting CYP3A4
|
Bleeding
|
Garlic
|
Cholest. HTN, CVD
|
Poss. effective
|
Anticoagulants
|
Bleeding
|
Hawthorn
|
CVD, HF, HTN
|
Poss. effective
|
Glycosides
|
Dig. toxicity
|
Saw palmetto
|
BPH,
|
Poss. effective
|
Warfarin
|
Bleeding
|
Danshen
|
CAD, HTN
|
Poss. effective
|
Warfarin
|
Bleeding
|
Licorice
|
Peptic ulcer/Chinese
|
Poss. effectve
|
Spironolactone
|
HTN, hypokal
|
Food sweetener
|
No longer used
|
Cardiac arrhythmias
|
||
CoQ10
|
Cholest. HTN, CVD
|
Poss. effective
|
NA
|
NA
|
Vitamin E
|
Cholest. CVD
|
Poss. effective
|
NA
|
NA
|
Vitamin C
|
HTN
|
Poss. effective
|
NA
|
NA
|
Vitamin B
|
CVD, HF
|
Poss. effective
|
NA
|
NA
|
Fish oil
|
CVD, HTN
|
Poss. effective
|
NA
|
NA
|
l-Arginine,
|
||||
l-Creatinine,
|
||||
Taurine
|
CVD, HF
|
Poss. effective
|
NA
|
NA
|
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