NUR 2060 Herbal Supplements
Ginkogo, feverfew, garlic interactions - ANS-increase risk of bleeding with aspirin and
anticoagulants
Ma Huang (ephedra) interactions - ANS-increase blood pressure and heart rate
St. John's Wort interactions - ANS-accelerates metabolism of other drugs causing a loss of
therapeutic effects
Comfrey - ANS-Supplement to Avoid
topical OK, oral can result in severe liver damage and carcinogen. Off market per FDA.
Kava - ANS-Supplement to Avoid
Sleep and anti-anxiety aid
Causes severe liver damage
Ma Huang (Ephedra) - ANS-Supplement to Avoid
Stimulant and weight loss product
Off and on market for severe problems related to death
Black Cohosh* - ANS-Uses: Symptoms of menopause (hot flashes, vaginal dryness,
palpitations, insomnia, irritability)
• Action:Unknown
• ADRs: usually minor (GI and other)
• Cautions:
- Not for use during pregnancy (miscarriage)
- Do not confuse with Blue Cohosh (induces labor, starts menstruation, stops muscle spasms)
Coenzyme Q-10* - ANS-Uses: heart failure, muscle injury (statins and others)
• Action: antioxidant
• ADRs: well tolerated except in high doses
• Cautions: not to use with warfarin
Cranberry Juice* - ANS-Uses: prevent urinary tract infections (UTIs) and prevent urine odor
• Action: prevent bacteria from adhering to
urinary tract wall
• ADRs: high dosage may cause GI upset
and kidney stones
• Cautions: not to use with warfarin
Echinacea* - ANS-Uses: Stimulate immune function,
Ginkogo, feverfew, garlic interactions - ANS-increase risk of bleeding with aspirin and
anticoagulants
Ma Huang (ephedra) interactions - ANS-increase blood pressure and heart rate
St. John's Wort interactions - ANS-accelerates metabolism of other drugs causing a loss of
therapeutic effects
Comfrey - ANS-Supplement to Avoid
topical OK, oral can result in severe liver damage and carcinogen. Off market per FDA.
Kava - ANS-Supplement to Avoid
Sleep and anti-anxiety aid
Causes severe liver damage
Ma Huang (Ephedra) - ANS-Supplement to Avoid
Stimulant and weight loss product
Off and on market for severe problems related to death
Black Cohosh* - ANS-Uses: Symptoms of menopause (hot flashes, vaginal dryness,
palpitations, insomnia, irritability)
• Action:Unknown
• ADRs: usually minor (GI and other)
• Cautions:
- Not for use during pregnancy (miscarriage)
- Do not confuse with Blue Cohosh (induces labor, starts menstruation, stops muscle spasms)
Coenzyme Q-10* - ANS-Uses: heart failure, muscle injury (statins and others)
• Action: antioxidant
• ADRs: well tolerated except in high doses
• Cautions: not to use with warfarin
Cranberry Juice* - ANS-Uses: prevent urinary tract infections (UTIs) and prevent urine odor
• Action: prevent bacteria from adhering to
urinary tract wall
• ADRs: high dosage may cause GI upset
and kidney stones
• Cautions: not to use with warfarin
Echinacea* - ANS-Uses: Stimulate immune function,
