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Nutrition in Cancer Care (PDQ®)
Patient Version   Health Professional Version   En español   Last Modified: 08/22/2008
Common Herbs Used by Cancer Patients and Possible Food/Drug Interactions

Herbal  Possible Food/Drug Interactions 
Black cohosh May lower blood fat or blood pressure when taken with certain drugs. May increase the effect of tamoxifen.
Chamomile May increase bleeding when used with blood-thinners. May increase the effect of certain tranquilizers.
Dong quai May increase effects of warfarin (a blood-thinner).
Echinacea May interfere with therapy that uses the immune system to fight cancer.
Garlic May increase bleeding when used with aspirin,dipyridamole, and warfarin. May increase the effects of drugs that treat high blood sugar.
Ginkgo biloba May increase bleeding when used with aspirin, dipyridamole, and warfarin. May raise blood pressure when used with certain diuretics (drugs that cause the body to lose water through the kidneys).
Ginseng May prevent the blood from clotting normally. May decrease blood sugar if taken with insulin. May interfere with drugs used to treat a mental disorder. May cause high blood pressure with long-term use of caffeine.
Kava kava May increase the effect of certain tranquilizers. May cause liver damage.
St. John's wort May cause life-threatening side effects when used with drugs that raise the level of serotonin in the brain, such as many antidepressants. May reduce the effect of certain drugs used for cancer, AIDS, organtransplants, heart disease, and birth control.
Ma huang (ephedra) May cause high blood pressure, increased heart rate, or death if used with beta-blockers (drugs used for high blood pressure and heart conditions), monoamine oxidase inhibitors (antidepressants), caffeine, and St. John’s wort.
Yohimbe Reduces the effect of St. John's wort and drugs for depression, high blood pressure, and high blood sugar.


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