Your patient asks: Is it OK to take these natural products and presciption medicines at the same time?
-Abilify and Kava
-Digoxin and Aloe
-Clozapine and Green Tea
-Ecotrin and Horny Goat Weed
-Warfarin and Drinking Beer or Wine
-Etanercept and Echinacea
-Lovenox and Ginkgo Biloba
-Propulsid and Marijuana
-Fluoxetine and SAMe
-Coumadin- and Chinese Licorice
-Lexapro and Omega-9 fatty acid
-Hersheys Chocolate and Yohimbe Bark Extract
-Plavix and Evening Primrose Oil
-Methotrexate and Vitamin E
-Lipitor and St Johns Wort
-Phytoestrogens and Black Cohosh
-Thyroid medication (Synthroid) and Fenugreek
-Levitra and Saw Palmetto
-Humalog and Hyssop
All of the above combinations are Dangerous!
Check interactions between herbal supplements and prescription medications using Natural Medicines or Natural Standard databases. There are also natural products listed in Lexi-Comp and Micromedex Alt-Med
Pradaxa (dabigratran etexilate) is an anticoagulant for use in patients with Atrial Fibrillation. FDA issued several post-market safety alerts for this medication.
Which herbal medications might cause severe interactions in patients who take Pradaxa? Use LEXI COMP to check for adverse interactions.
(I found over 30 herbal supplements that might cause significant side affects with this blood thinner!)
iCAM and EBM Resources
Three excellent subscription databases on iCAM modalities are here for you to use, via the UCHC Library database list.
- Consumer Lab * use Internet Explorer, not Firefox
- Our drug databases Micromedex and Lexi-Comp, the comprehensive drug reference resources that UCHC library provides for your use, can be used to check for dangerous drug "Interactions" between prescription medicines and herbal supplements.
Here are some ways to limit your search efficiently in the PubMed database:
- Limit your search to only alternative, holistic or complementary medicine periodicals. To do this in PubMed, pull down the LIMITS tab and select under Journal Subset the box for Complementary Medicine or Dietary Supplements.
- Find the "best" search terms by checking your subject or keywords in the Medical Subject Headings List (MeSH).
Reviews and comparisons of efficacy of iCAM treatments can be found in the Cochrane Library. Keyword searching or MeSH terms can be used to look for comparisons of alternative treatment effectiveness and meta-analyses of allopathic versus naturopathic treatments.
Cochrane Library can also be searched by selecting from a list of the appropriate Cochrane Review Group(s).
Try these CAM Searches
Link to a few SAMPLE SEARCHES in PubMed
I saved citations from 2001 to 2012 only for these topics: