| the |
| Coquitlam Connection |
| SIDE EFFECTS AND ADVERSE INTERACTION FOR COMMON HERBAL PRODUCTS |
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| Herbal Product |
| Interaction |
| Side Effects |
| Echinacea |
| Unknown |
| Allergic reactions: Rash, hives, anaphylaxis |
| Garlic Pills |
| Increased risk of bleeding if combined with warfarin, ASA,ticlopidine, clopidogrel, dipyridamole, heparin |
| Excessive bleeding during surgery |
| St. John's Wort |
| Decreased effect of digoxin, cyclosporine, indinavir, birth control pills, nevirapine, theophylline, warfarin. Additive toxicity with other antidepressants. |
| Photosensitivity, mania |
| Ginseng |
| Possibly digoxin and warfarin |
| Little known; high blood pressure, euphoria, mania, insomnia |
| Ginkgo biloba |
| Increased risk of bleeding if combined with warfarin, ASA, ticlopidine, clopidogrel, dipyridamole, heparin |
| Cerebral hemorrhages |