Herbal safety chapter 2 and 3

Active Constituents

Adulteration and Contamination

Dosage and Preparation

Herb-Drug Interactions

Preclinical studies

Clinical trials

Toxicological studies

All of the above

Delay in seeking appropriate medical care

Increased effectiveness of herbal remedies

No risk of drug interactions

Guaranteed safety of natural products

Inhibit drug-metabolizing enzymes

Alter drug absorption

Enhance drug excretion

Change drug distribution

Pyrrolizidine Alkaloids

Aristolochic Acid

Monoterpenes

Phenylpropanoids

Lack of communication

Increased drug toxicity

Reduced drug effectiveness

All of the above

Reduced drug effectiveness

Increased drug toxicity

Altered drug response

Pharmacokinetic variability

Avoid using ginseng altogether

Monitor blood glucose levels closely

Increase insulin dosage

Switch to herbal medications

Gastrointestinal effects

Statin-related adverse effects

Allergic reactions

Neurological effects

Inform healthcare professionals

Avoid all herbal products

Increase medication dosages

Stop all medications

St. John's Wort

Ginkgo biloba

Grapefruit juice

Ginseng

Increased effectiveness of antidepressants

Decreased blood levels of antidepressants

Increased risk of bleeding

No significant interaction