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Herbal Medication Management
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Ross Hanrahan
Search Herbal Medication Perioperative Recommendations
| wdt_ID | Supplement | Continue / Hold | Additional Considerations |
|---|---|---|---|
| 1 | 5-hydroxytrypophan | Hold 24 hours. | Increases CNS serotonin level especially when combined with peripheral decarboxylase inhibitors such as carbidopa. Concern for serotonin syndrome. |
| 2 | Agaricus mushroom | Hold 2 weeks. | Improves insulin resistance. Concern for hypoglycemia in combination with other medications. |
| 3 | Aloe | Hold 2 weeks. Topical preparations are likely safe to continue. | Can interact with oral hypoglycemic drugs and cause significant hypoglycemia. Can increase perioperative bleeding combined with sevoflurane or other platelet-inhibiting drugs. |
| 4 | Alpha-lipoic acid | Hold 2 weeks. | Increases insulin sensitivity. Concern for hypoglycemia in combination with other medications. |
| 5 | American Ginseng | Hold 2 weeks. | Upregulates glucose transporters and insulin receptors. May interfere with coagulation. Interacts with warfarin, may alter INR. |
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