The following is a guide to the potential effects of herbal preparations and the possible interactions with drugs.
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Simple rules and cautions should be exercised when patients are taking complementary medicines.
Please refer to the following information:
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- Herbal remedies may not be perceived as medicines by consumers.
- Some drugs have a narrow therapeutic window, such as warfarin, digoxin, phenytoin, theophylline and immunosuppressants. This group of drugs can easily be under or overdose in patients taking herbal remedies.
- Caution in patients with cardiac, hepatic or renal impairment.
- Caution in patients who have a genetic disorders or immunocompromised.
- All herbs should be stopped approximately 1 week before surgery.
- Using reliable sources for herb-drug interactions are recommended to avoid misleading information.
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Select the following link to download more information about possible herb-drug interactions (24 herbs).
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References
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References
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Evidence table
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Other web-based information sources:
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- Victorian Department of Health. Micromedex 2.0. Clinicians Health Channel. http://www.health.vic.gov.au/clinicians/
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- For further information, please contact The Women’s Drug Information on (03) 8345 3190.
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Royal Women's Hospital Clinical Practice Guidelines (CPGs) are intended to provide guidance to health care professionals, based on a thorough evaluation of research evidence, on the practical assessment and management of specific clinical issues or situations. The guidelines allow some flexibility on the part of the health care professional based on the needs of the specific patient for whom they are caring.
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