Diuretic Herbal
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Are there any contra indications taking St Johns wort with Valsartan, Felodopine, and Bendroflurozide.?
Im away from home at present so unable to ask my Doc. The above meds are a Angiotensin II receptor blocker, a calcium channel blocker and a thiazide diuretic taken for hypertension. Can i take St johns with them??
If not what is the most effective herbal/plant derived Anti Depressant.
St Johns Wort can only really be used for mild to moderate depression. It was not found helpful for severe depression.
As with other antidepressants, St John’s Wort may take two to four weeks to begin to take effect.
There are no listed contraindications for St John’s Wort (situations when it should not be used). It should be used with caution during pregnancy and while breast-feeding because there is no information on its safety in these conditions. Patients with a diagnosis of manic depression should use it with caution, since, as with all antidepressants, its use is associated with ‘switching’, or moving rapidly from a low to a high mood.
St John's wort has significant interactions with a large number of prescribed medicines which are in common use, in addition to those mentioned below. These are listed in the British National Formulary (BNF). People who are taking any other medicine should always seek professional advice from a doctor or a pharmacist before combining it with St John’s Wort. If you are away from your doctor then maybe phoning the surgery and asking the receptionist to have a word on your behalf and arrange a later time to find out whether it is suitable or not. Another suggestion is to call into a pharmacy and asking the pharmacist or phoning the NHS helpline or going on to their website.
You should not take St John’s Wort at the same time as SSRI or MAOI antidepressants. (It has been made a prescription-only drug in the Irish Republic because of anxieties about its possible similarity to MAOI antidepressants.)
St John’s Wort may prolong the effects of some sleeping pills and anaesthetics. If you are to receive an anaesthetic you should tell the anaesthetist if you are taking St John’s Wort.
It also reduces blood levels of oral contraceptives , increasing the risk of pregnancy and breakthrough bleeding.
The most commonly reported side effects include gastrointestinal symptoms (such as nausea, vomiting, diarrhoea), allergic reactions, fatigue, dizziness, confusion, and dry mouth in a small percentage of patients. Another rare side effect is photo-sensitisation – increased sensitivity to sunlight. This is associated with high doses, but people taking it should increase their sun protection and avoid strong sunlight.
Hope this helps.
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