Herbal Medications and Drug Interactions

  1. Ginko Biloba: taken for alzheimers, vascular dementia, peripheral vascular disease, erectile dysfunction, and tinnitis. Aspirin-spontaneous hyphema; Coumadin-intracerebral hemorrhage; Thiazide diuretics-hypertension; Acetominophen, ergotamine/caffeine-subdural hematoma.
  2. St. John's Wort: taken for mild depression. anti-virals, cyclosporine, theophylline, coumadin-decreases levels of drugs available; Digoxin-decreased drug absorption for stomach; SSRI-lethargy/incoherence
  3. Saw Palmetto: taken for prostrate. No specific drug interactions. However may cause headaches or stomach upset
  4. Ginseng: taken as a cure-all herb. Coumadin- decreased clotting; Alcohol- increased alcohol effect
  5. Yohimbine: taken for sexual dysfunction Amitriptyline-hypertension
  6. Senna, cascara: taken as laxative. interferes with intestinally absorbed drugs: decrease drug effect

Over-the-Counter Medications (OTC)

  1. Always the label: what it is for, how to take it, ingredients, side effects, warnings, precautions
  2. Know what types of OTC's to avoid while taking your prescriptions; ask your Pharmacist
  3. Select OTC's that treat only the symptoms you have; avoid combination products
  4. Take OTC's exactly as stated on the label: more is not better, never guess. Ask your Pharmacist
  5. Use extra caution when taking more than 1 OTC. Many products contain the same active ingredients
  6. As with Rx medications, do not use after thei expiration date. Flush down the toilet
  7. Most OTC's are for temporary use. Talk to your Doctor or Pharmacist if taken longer than recommended


About Crestone

Medication Safety

Care Management



Client Care Network

Contact Crestone