Caution with Herbal Remedies
Herbal Remedy | Common Use | Possible Side Effect | Pre Operative Concern | Recommendations |
---|---|---|---|---|
ARNICA | Reduce swelling and bruising. | Inhibits blood clotting. | May increase risk of bleeding or potentiate the effects of Warfarin therapy. | Discontinue at least 24 hours before surgery. |
ECHINACEA | Boosts immunity. | Impairs wound healing & suppresses immunity if used long term. | Allergic reaction, impairs immune suppressive drugs, can cause immune suppression when taken long-term could impair wound healing. | Discontinue as far in advance as possible. |
GARLIC | Lowers cholesterol and BP. | Inhibits platelet aggregation & increases fibrinolysis. | Risk of bleeding, especially when combined with other drugs that inhibit clotting. | Discontinue at least 7 days before surgery. |
GINGER | Reduces nausea, vomiting and vertigo. | Inhibits blood clotting. | Risk of bleeding, especially when combined with other drugs that inhibit clotting. | Discontinue at least 7 days before surgery. |
GINKO BIOBA | Improves circulation memory and alertness. | Inhibits platelet aggregation. | Risk of bleeding, especially when combined with other drugs that inhibit clotting. | Discontinue at least 36 hours before surgery. |
GINSENG | Increases concentration and stamina. | Lowers blood glucose. Inhibits platelet aggregation. | Lowers blood sugar levels. Increase risk of bleeding. Interferes with warfarin.
| Discontinue at least 7 days before surgery. |
ST JOHNS WORT | Reduces anxiety, helps depression and sleep problems. | Inhibits re-uptake of neuro-transmitters [similar to prozac]. | Alters metabolisms of other drugs such as cyclosporin, warfarin, steroids, protease inhibitors. May interfere with many other drugs. | Discontinue at least 5 days before surgery. |
FEVERFEW | Treats migraine, arthritis and allergies. | Inhibits blooding clotting. | May increase bleeding, especially in-patients already taking anticoagulants. | Discontinue at least 36 hours before surgery. |
EPHDRA | Suppress appetite. | Increase heart rate, increases blood pressure. | Risk of heart attack, arrhythmias, stroke, interaction with other drugs, kidney stones. | Discontinue at least 24 hours before surgery. |
KAVA | Reduces anxiety. | Sedates decreases anxiety. | May increase sedative effects of anaesthesia. Risks of addiction, tolerance and withdrawal unknown. | Discontinue at least 24 hours before surgery. |
VALERIAN | Reduces anxiety and sedates. | Sedates. | Could increase effects of sedatives. Long term use could increase the amount of anaesthesia needed. Withdrawal symptoms resemble Valium addiction. | If possible, taper dose weeks before surgery. If not, continue use until surgery. Treat withdrawal symptoms with benzodiazepines. |
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