Ginseng Side Effects & Warnings

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Since ginseng is considered to be a stimulant, caution should be exercised if you ingest caffeine, products containing pseudoephedrine or other stimulants.

Vitamin C can interfere with or increase the absorption of ginseng.

Reports include reactions such as headache, insomnia, anxiety and breast soreness or tenderness. It is also possible that skin rashes may develop as well as asthma attacks, increased blood pressure, diarrhea, euphoria, nervousness, skin eruptions, heart palpitations, or post-menopausal uterine bleeding. Stop using ginseng and consult your pharmacist or doctor if you suffer any side effects.

Use ginseng only under the direction of an herbalist or a licensed healthcare professional if you have any of the following conditions: pregnancy, insomnia, hay fever, fibrocystic breasts, asthma, emphysema, high blood pressure, blood-clotting problems, heart disorders, hypoglycemia or diabetes.

This article advises against using ginseng in pregnant women in the first trimester because of possible birth defects.

Ginseng reinforces warfarin action by heterogeneous mechanisms. It should thus not be used in patients on oral anticoagulant and/or antiplatelet therapy.

Ginseng has been associated with documented reports of potential interactions with warfarin.

Lowers blood concentrations of alcohol and warfarin, and induces mania if used concomitantly with phenelzine.

Ginseng and amlodipine may cause an adverse interaction.

Ginseng may exacerbate seizures although the evidence for this is similarly anecdotal and uncertain.

Ginseng may affect blood glucose levels and should not be used in patients with diabetes mellitus.

Ginseng may cause headache, tremulousness, and manic episodes in patients treated with phenelzine sulfate. Ginseng should also not be used with estrogens or corticosteroids because of possible additive effects

Ginseng may interfere with either digoxin pharmacodynamically or with digoxin monitoring.

The analgesic effect of opioids may be inhibited by ginseng.


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