Herbal Medicine – PPEToolkit

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Herbal Agents

NAME

INTENDED USES

SIDE EFFECTS

HAZARDS AND PRECAUTIONS

Ginger

Root (fresh or dried)
Tea, beverage, syrup, pureed, others

Nausea
Dyspepsia
Constipation
Colic
Others

Heartburn
Bloating
Flatus
Belching

Increases risk of bleeding
Should not be taken with ASA or Warfarin
Others

Ginseng

Root (fresh or dried)
Tea, tablets, powder, energy drinks, others

As an adaptogen, used to increase overall physical and mental well being
Lower cholesterol
Reduce fatigue
Enhance libido
Others

Insomnia
Nausea
Diarrhea
Headaches
Nervousness
Nose bleeds
Others

Increases risk of bleeding
should not be taken with ASA or Warfarin
Blood pressure changes (high or low)
Mania in depressed patients taking MAOIs
May inhibit the effects of opioids
Others

St. John’s Wort

Crushed flower buds or seed pods (reddish/purple liquid)
Tea, tablets, capsules

Depression
Anxiety
Sleep disorders
Improve BPH symptoms
Others

Increase sensitivity to sunlight
Anxiety
Dry mouth
Dizziness
Gastrointestinal symptoms
Fatigue
Headache
Sexual dysfunction
Others

Increases risk of blood clotting
Should not be taken with ASA or Warfarin
Many drug interactions (e.g. in combination with SSRIs may contribute to serotonin syndrome; may decrease the effectiveness of oral contraceptives, digoxin, alprazolam, amitriptyline, and others; may increase the effects or narcotics and others)
Reacts with light, perhaps leading to cataract formation
Others

Echinacea

Root or whole plant
Extract, capsules

Reduce symptoms of the common cold
Others

Allergic reactions
Nausea
Abdominal pain
Dysuria
Myalgias
Others

Anaphylaxis
Hepatotoxicity
Nephrotoxicity
Potentially may cause increased sedation during anesthesia
Others

Gingko Biloba

Leaves
Extracts, capsules, tablets, teas

Memory and concentration enhancer
Improving symptoms of Alzheimer’s disease, intermittent claudication, and glaucoma
Others

Nausea
Vomiting
Diarrhea
Headaches
Dizziness
Palpitations
Restlessness
Others

Increases risk of bleeding
should not be taken with ASA or Warfarin
May increase blood pressure
Others

Black Cohosh

Plant root and stems
Capsules or liquid

Improving premenstrual and menopausal discomfort

Nausea
vomiting
Dizziness
Mastalgia
Weight gain
Others

When taking large amount, may cause seizures, visual disturbances, bradycardia, and others
May increase the risk of bleeding (e.g. vaginal)
Mimics estrogen effects, should not be taken by women taking hormone replacement therapy

Evening Primrose

Flowering plant or roots
Oil

Improving premenstrual and menopausal discomfort

Nausea
Soft stools
Headache
Allergy
Others

May elevate blood glucose
May increase the risk of epilepsy in patients taking antipsychotics
May increase the incidence of seizures inpatients with seizure disorders requiring anesthesia for surgery

Kava Kava

Plant root
Powder mixed cold water to drink

Improve relaxation without disturbing mental clarity
Others

Rash
Eye irritation
Others

Higher doses and long term use can lead to hypertension, liver damage, visual impairment, and dry skin
Alcohol increases toxic effects
May worsen Parkinson’s symptoms
May impair reaction time when driving an automobile
Others

Garlic

Bulb or root form

Improve indigestion and respiratory complaints
Increase energy levels
Others

Bad Breath
Nausea
Indigestion
Others

Increases risk of bleeding
should not be taken with ASA or oral anticoagulants
Others

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