Interactions Comprehensive Questions
(Frequently Tested) with Verified
Answers Graded A+
1. Bai Mao Liang (golden seal) Answer: Warfarin, Heparin
Increases risk of thrombosis-embolism
2. Ju Hua (chrysanthemum) Answer: Barbiturates,Intensifies or
prolongs sedatives Iron supplements reduces iron absorption
Warfarin increases bleeding
3. Echinacea Answer: Immunosuppresants Stimulates T-cells,
antagonist to immunosuppressant drugs.
Amiodarone, anabolic steroids, ketoconoazole, methotrexate slows metabolism of non
immunosuppressants, increases hepatotoxicity
CYP450, caffeine , slows metabolism of drugs, increase jitteriness, H/A, insomnia, slows
metabolism
4. Ma Huang (ephedra) Answer: Epinephrine, pseudoephedrine,
penylprpanolamine, Increases stimulating effects
,NCCAOM Biomed I Herb Drug Interactions Comprehensive Questions (Fre quently Tested)
witVerified Answers Graded A+
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MAOI intensifies medication side effects
Increases stimulating effects;
Intensifies medication side effects
5. Xiao Bai Ju (Feverfew) Answer: Antimigraine; Increases
irregular or rapid heartbeat, hypertension, increases
stimulating effect
Antiplatelet Increases bleeding
Iron supplements Reduces iron absorption
NSDAIDs prevents migraines medication effect
Warfarin increases bleeding;
6. Da Suan (garlic) Answer: Antihypertensive Increases irregular
or rapid heartbeat
Antiplatelet increases bleeding
Protease inhibitor reduces protease effect
Warfarin Increases bleeding
7. Sheng Jiang (ginger) Answer: Antiplatelet drugs Increases
bleeding
, NCCAOM Biomed I Herb Drug Interactions Comprehensive Questions (Fre quently
Tested) witVerified Answers Graded A+
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Warfarin Increase bleeding
8. Bai Guo and Yin Xing (gingko) Answer: Anticonvulsants
(phenytoin) reduces efficacy MAOI (tranylcypromine)
intensifies did effects (headache, tremors, mani episodes)
NSAIDs Increase bleeding
Warfarin Increase bleeding
9. Ren Shen (Ginseng) Answer: Antihypertensive (glipizide)
Increases hypoglycemia
Aspirin (NSAIDS) Increases bleeding
Corticosteroids Increases adverse effects of anti inflammatories
Digoxin Increase digoxin levels
Estrogen Intensify adverse effects
MAOIs Headache, tremors, manic episodes
Opioids reduce effectiveness
Warfarin Increase bleeding
10. Lu Cha (Green Tea) Answer: Warfarin Increases
thromboembolis