Ginseng
Brand: (no brand; generic only)
No boxed warning on the current FDA label.
- Caution
- Lowers the INR on warfarin and can alter blood sugar.
Common side effects
- Insomnia
- Headache
- Nervousness
- Blood sugar changes
Key interactions
- Reduces warfarin's effect, lowering the INR
- May add to the effect of diabetes medicines
- Additive stimulation with caffeine
Counseling points
- Tell the pharmacy you take it, especially on warfarin
- May alter blood sugar control
- Not evaluated by FDA for effectiveness
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