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Herbal supplements can be just as dangerous as prescription and over-the-counter (OTC) drugs when it comes to their interaction with anesthesia. Be sure to tell your doctor about any drugs — including herbal supplements — that you're taking and how much you're taking as soon as possible if you're anticipating any surgery.
According to the American Society of Anesthesiologists, the following herbs can affect heart rate and blood pressure:
Ginseng. May cause rapid heartbeat and increase blood pressure.
Golden seal. May cause or worsen high blood pressure.
Ephedra (ma-huang). May elevate blood pressure and heart rate. It's commonly
used as an appetite suppressant. Ephedra is a potent herb that is present
in many products, especially those designed to give pep or lose weight. It
goes by many names, such as ma huang, herbal ecstasy, mahuang, mahuanggen
and ma huang root. Suspect any "natural" product that claims to
cause weight loss or increase energy to have ephedra in it, and review the
product's contents with your doctor or pharmacist before assuming it doesn't.
Licorice. May increase blood pressure. This herb isn't to be confused with
candy licorice, which contains little or no actual licorice. Licorice (Glycyrrhiza
glabra) commonly is used to treat stomach pain.
The following herbs may increase your risk of bleeding:
Stop taking herbal supplements at least 2 to 3 weeks before surgery to allow them to clear from your body. If this isn't possible, bring the herbal product in its original container to the hospital, so the anesthesiologist knows exactly what you're taking.
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