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a preferred womens health
a preferred womens health , A
growing number of Americans are using herbal products for preventive and
therapeutic purposes. a preferred womens health e
manufacturers of these products are not required to submit proof of safety and
efficacy to the U.S. Food and Drug Administration before marketing. For this
reason, the adverse effects and drug interactions associated with herbal
remedies are largely unknown. Ginkgo biloba extract, advertised as a preferred womens health
improving cognitive functioning, has been reported
to cause spontaneous bleeding, and it may interact with anticoagulants and
antiplatelet agents. St. John's wort, promoted as a treatment for depression,
may have monoamine oxidaseinhibiting effects or may cause increased levels of
serotonin, dopamine and norepinephrine. Although St. John's wort probably does
not interact with foods that contain tyramine, it should not be used with
prescription a preferred womens health antidepressants
About a preferred womens health
a preferred womens health Ephedrine-containing
herbal products have been associated with adverse cardiovascular events,
seizures and even death. Ginseng, widely used for its purported physical and
mental effects, is generally well tolerated, but it has a preferred womens health
implicated as a cause of decreased response to warfarin. Physicians must be
alert for adverse effects and drug interactions associated with herbal remedies,
and they should ask all patients about the use of these products. a preferred womens health.
One report4 described a 70-year-old man who
presented with bleeding from the iris into the anterior a preferred womens health of the eye one
week after beginning a self-prescribed regimen consisting of a Ginkgo biloba
concentrated extract (Ginkoba), in a dosage of 40 mg twice daily. His medical
history included coronarya preferred womens health bypass surgery performed three years
previously. His only medication was aspirin, in a dosage of 325 mg per day,
which he had taken since his bypass surgery. After the spontaneous bleeding
episode, a preferred womens health continued to take aspirin but discontinued the ginkgo
product. Over a three-month follow-up period, he had no further bleeding
episodes. Interaction of the ginkgo product and aspirin was considered the cause
of his ocular hemorrhage a preferred womens health.
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a preferred womens health
a preferred womens health e conventional drugs, herbal products are not regulated for purity
and potency.2 Thus, a preferred womens health of the adverse
effects and drug interactions reported for herbal products could be caused by
impurities (e.g., allergens, pollen and spores) or batch-to-batch variability.
In addition, the potency of an herbal product may increase the possibility of
adverse a preferred womens health
a preferred womens health physicians are likely to encounter patients who are using herbal
remedies, they need to be aware of the purported effects of these products. They
also need to be cognizant of the adverse effects of herbal remedies (Table 1)
and the possibility of deleterious drug a preferred womens health
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