Black cohosh primary effective use
menopause associated symptoms
Black cohosh safety concerns
may be hepatotoxic
unclear if safe for use in women with hormone sensitive cancers
Cinnamon primary effective use
diabetes
Cinnamon safety concern
use with caution alongside other anti hyperglycemic agents
may be hepatotoxic
Coenzyme Q10 priamry effective use
heart failure and statin induced myalgia
Coenzyme Q10 saftey concerns
drug interactions with warfarin
Elderberry primary effective use
cold, flu, and other viral upper respiratory tract infections
Elderberry safety concerns
raw/unripe elderberries contain toxic substances that can cause N/V/D
proper cooking should eliminate toxin
Fish oil primary effective use
hyperlipidemia (high cholesterol)
Fish oil saftey concerns
increased risk of bleeding at higher doses
drug interactions with warfarin and aspirin
Glucosamine/Chonodrotin primary effective use
osteoarthritis and joint heath
Glucosamine/Chonodrotin saftey concerns
avoid in patients allergic to shell fish drug interactions with warfarin and aspirin
Ginkgo primary effective use
dementia
Ginkgo saftey concerns
may increase risk of bleeding, avoid in patients on anticoagulants or aspirin
Green tea primary effective use
weight loss
green tea safety concerns
may be hepatotoxic
drug interactions with warfarin, decongestants, and stimulants
Melatonin primary use
insomnia
Melatonin saftey concerns
avoid in pts with seizure disorders
caution in pts taking other sedative meds
increased risk of heart failure with long term use
Phytoestrogens (soy) primary effect
symptoms associated with menopause
Phytoestrogens (soy) saftey concerns
caution in pts with family history of estrogen dependent cancers
interacts with warfarin
Red yeast rice primary effective use
hyperlipidemia (high cholesterol)
Red yeast rice saftey concerns
may be hepatotoxici
additive risk of ADE with statins
St. John’s wart primary effective use
depression
St. John’s Wort saftey conerns
lots of DDI verify med list before recommending and causes photosensitivity