Whoever thinks a faultless piece to see, thinks what ne'er was, nor is, nor e'er shall be. A. Poe, An Assay on Criticism

LUIGI S. BRANDI
Publications
Contacts
Disclaimer


INFORMATION


GENERAL ANESTHESIA


REGIONAL ANESTHESIA


LOCAL ANESTHESIA


LABOR ANALGESIA


SURGERY and PAIN


MALIGNANT HYPERTHERMIA


ANESTHESIA and HERBS


ANESTHESIA SIDE EFFECTS


REFERENCED in:
PAGINEMEDICHE

DICA 33 MOTORE DI RICERCA



HERBAL MEDICATIONS and ANESTHESIA

Herbal products are also known as dietary supplements, alternative therapies, complementary medicine, and homeopathic health care. Some of the most common herbal products are: ephedra, feverfew, garlic, ginger, ginkgo, ginseng, Kava, and St. John's Wort. There are few instructions on proper use and dosage requirements, and little information about possible side effects, toxicity and possible drug interactions. While many herbal products offer noticeable health benefits when used correctly, takingherbal products right up until the day of your procedure/surgery may have an impact on the success of your anesthetic and procedure. Concerns may arise when herbal products interact with anesthetics. Some of the potential side effects are increased surgical bleeding, heart and blood pressure effects, reaction with sedatives and changes in the body's reactions to certain medications.

STOP taking the herbal product at least two weeks prior to the scheduled procedure or surgery to prevent side effects. Inform your surgeon and anesthesia provider that you are taking an herbal product. Offer accurate information about any herbal products you are taking. When asked about your medication history, include all herbal products, over-the-counter drugs, dietary supplements, minerals, and teas. If you are not sure of the contents of an herbal product, then bring the product and the container it comes in with you for the preoperative anesthesia interview. Make sure that someone close to you is aware that you take an herbal product. In the event that you need emergency care, this person will need to share this information with your health care providers. Realize that herbal products need to be treated as medicine. Even if the product is natural, it still may be harmful when combined with anesthetics.

Popular Herbal Products and Possible Side Effects when Interacting with Anesthetics

  • EPHEDRA Blood pressure changes; exaggerated response to high blood-pressure medications; risk of heart attack and stroke Feverfew Migraine, insomnia, anxiety and joint stiffness; risk of prolonged bleeding
  • GARLIC Blood pressure changes; risk of prolonged bleeding
  • GINGER Sedative effects; risk of bleeding, especially if taken with aspirin and ginkgo
  • GINSENG Insomnia and irritability; risk of cardiac effects
  • KAVA Sedative effects; potential liver toxicity; risk of additive effect to medications
  • St. JOHN'S WORT Sedation; blood pressure changes; risk of interaction with other medications that prolong effects of anesthesia

RECOMMENDATIONS

The medical effects and drug interactions of herbal preparations are largely unknown. Few scientific studies have been done. However we recommend that patients discontinue herbals 2 weeks before anesthesia and surgery.

We recognize that this is a conservative stance. However, until further studies are done on herbals, this would appear to be prudent.


More information


TOP

Google
  Web www.brandianestesia.it   

Email

© Copyright 2003-2008 Luigi Brandi. All rights reserved

Last Update 12-08-2008

on line since January, 22, 2003


FAQ and ANSWERS


NEWS


MORE UTILITIES


CLIPS and ANESTHESIA


VIDEO CLIPS
New links to video clips in the sections:
LABOR ANALGESIA
GENERAL ANESTHESIA


CARTOONS ANESTHESIA