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bitter melon	ACARBOSE	Bitter melon is an herb that has a hypoglycemic activity and decreases glucose absorption. If taken with hypoglycemic drugs such as the antidiabetic agent acarbose, used to control elevated blood sugar levels in diabetics, there could be an additive effect and blood sugar levels becoming lower than desired.
bitter melon	ACETOHEXAMIDE	Bitter melon is an herb that has a hypoglecemic activity and decreases glucose absorption. If taken with hypoglycemic drugs such as the sulfonalurea acetohexamide, used to control elevated blood sugar levels in diabetics, there could be an additive effect and blood sugar levels becoming lower than desired.
bitter melon	CHLORPROPAMIDE	Bitter melon is an herb that has a hypoglecemic activity and decreases glucose absorption. If taken with hypoglycemic drugs such as the sulfonalurea chlorpropamide, used to control elevated blood sugar levels in diabetics, there could be an additive effect and blood sugar levels becoming lower than desired.
bitter melon	GLIMEPIRIDE	Bitter melon is an herb that has a hypoglecemic activity and decreases glucose absorption. If taken with hypoglycemic drugs such as the sulfonalurea glimepiride, used to control elevated blood sugar levels in diabetics, there could be an additive effect and blood sugar levels becoming lower than desired.
bitter melon	GLIPIZIDE	Bitter melon is an herb that has a hypoglecemic activity and decreases glucose absorption. If taken with hypoglycemic drugs such as the sulfonalurea glipizide, used to control elevated blood sugar levels in diabetics, there could be an additive effect and blood sugar levels becoming lower than desired.
bitter melon	GLYBURIDE	Bitter melon is an herb that has a hypoglecemic activity and decreases glucose absorption. If taken with hypoglycemic drugs such as the sulfonalurea glyburide, used to control elevated blood sugar levels in diabetics, there could be an additive effect and blood sugar levels becoming lower than desired.
bitter melon	INSULIN	Bitter melon is an herb that has a hypoglecemic activity and decreases glucose absorption. If taken with hypoglycemic drugs such as the insulins, used to control blood sugars in patients such as diabetics, there could be an additive effect and blood sugar levels becoming lower than desired. The various types of insulins available includes the rapid-acting, short-acting, intermediate-acting, or long-acting insulins. The names and brands of the insulins are insulin aspart (Novolog@), insulin glargine (Lantis@), insulin human (Humulin@, Novolin@,Velosulin@), insulin isophane also known as neutral protamine hagedorn insulin or NPH (HumulinN@, Ilente@ II NPH, purified pork), and insulin lispro (humalog@), insulin zinc (Lente@).
bitter melon	METFORMIN HYDROCHLORIDE	Bitter melon is an herb that has a hypoglecemic activity and decreases glucose absorption. If taken with hypoglycemic drugs such as the antidiabetic agent metformin, used to control elevated blood sugar levels in diabetics, there could be an additive effect and blood sugar levels becoming lower than desired.
bitter melon	NATEGLINIDE	Bitter melon is an herb that has a hypoglecemic activity and decreases glucose absorption. If taken with hypoglycemic drugs such as the antidiabetic agent nateglinide, used to control elevated blood sugar levels in diabetics, there could be an additive effect and blood sugar levels becoming lower than desired.
bitter melon	PIOGLITAZONE HYDROCHLORIDE	Bitter melon is an herb that has a hypoglecemic activity and decreases glucose absorption. If taken with hypoglycemic drugs such as the antidiabetic agent pioglitazone, used to control elevated blood sugar levels in diabetics, there could be an additive effect and blood sugar levels becoming lower than desired.
bitter melon	REPAGLINIDE	Bitter melon is an herb that has a hypoglecemic activity and decreases glucose absorption. If taken with hypoglycemic drugs such as the antidiabetic agent repaglinide, used to control elevated blood sugar levels in diabetics, there could be an additive effect and blood sugar levels becoming lower than desired.
bitter melon	ROSIGLITAZONE MALEATE	Bitter melon is an herb that has a hypoglecemic activity and decreases glucose absorption. If taken with hypoglycemic drugs such as the antidiabetic agent rosiglitazone, used to control elevated blood sugar levels in diabetics, there could be an additive effect and blood sugar levels becoming lower than desired.
bitter melon	TOLAZAMIDE	Bitter melon is an herb that has a hypoglecemic activity and decreases glucose absorption. If taken with hypoglycemic drugs such as the sulfonalurea tolazamide, used to control elevated blood sugar levels in diabetics, there could be an additive effect and blood sugar levels becoming lower than desired.
bitter melon	TOLBUTAMIDE	Bitter melon is an herb that has a hypoglecemic activity and decreases glucose absorption. If taken with hypoglycemic drugs such as the sulfonalurea tolbutamide, used to control elevated blood sugar levels in diabetics, there could be an additive effect and blood sugar levels becoming lower than desired.
borage	ACETAMINOPHEN	Borage is an herb considered to have a potential to stress the liver and cause damage (hepatotoxic). On it's own, this would more than likely be rare unless severe liver inflammation and/or damage already existed. Acetaminophen has a hepatotoxic potential, particularly in patients with active hepatitis. Avoid the combination of these two substances.
borage	ALCOHOL	Borage is an herb considered to have a potential to stress the liver and cause damage (hepatotoxic). On it's own, this would more than likely be rare unless severe liver inflammation and/or damage already existed. Alcohol is hepatotoxic and should be avoided if taking borage.
borage	BARBITURATES	The oil of borage is rich in the omega 6 fatty acid, gamma linoleic acid (GLA), and case reports have described it as lowering the seizure threshold. Taken with anticonvulsant medications such as the barbiturates, it could potentially decrease the therapeutic effect. This class of anticonvulsant includes mephobarbital, phenobarbital, primidone.
borage	BENZODIAZEPINES	The oil of borage is rich in the omega 6 fatty acid, gamma linoleic acid (GLA), and case reports have described it as lowering the seizure threshold. Taken with anticonvulsant medications such as the benzodiazepines, it could potentially decrease the therapeutic effect. The one benzodiazepine that is used as an anticonvulsant is clonazepam.
borage	BUPROPION HYDROCHLORIDE	The oil of borage is rich in the omega 6 fatty acid, gamma linoleic acid (GLA), and case reports have described it as lowering the seizure threshold. There is an additive effect of this action if taken with a medication like bupropion, also known as Wellbutrin@, which can lower the seizure threshold as well. The risk of having a seizure, particularly in someone with a known seizure disorder is increased.
borage	CLARITHROMYCIN	Borage is an herb considered to have a potential to stress the liver and cause damage (hepatotoxic). On it's own, this would more than likely be rare unless severe liver inflammation and/or damage already existed. in combination with other hepatotoxic substances can cause liver inflammation. Clarithromycin, in combination with other hepatotoxic substances, can cause liver inflammation.
borage	ERYTHROMYCIN	Borage is an herb considered to have a potential to stress the liver and cause damage (hepatotoxic). On it's own, this would more than likely be rare unless severe liver inflammation and/or damage already existed. Erythromycin, in combination with other hepatotoxic substances, can cause liver inflammation.
borage	HYDANTOINS	The oil of borage is rich in the omega 6 fatty acid, gamma linoleic acid (GLA), and case reports have described it as lowering the seizure threshold. Taken with anticonvulsant medications such as the hydantoins, it could potentially decrease the therapeutic effect. This class of anticonvulsant includes ethotoin and phenytoin.
borage	ISONIAZID	Borage is an herb considered to have a potential to stress the liver and cause damage (hepatotoxic). On it's own, this would more than likely be rare unless severe liver inflammation and/or damage already existed. Isoniazide, a drug used to treat tuberculosis, is considered to have a hepatotoxic potential. Avoid the combination of these two substances.
borage	METHOTREXATE SODIUM	Borage is an herb considered to have a potential to stress the liver and cause damage (hepatotoxic). On it's own, this would more than likely be rare unless severe liver inflammation and/or damage already existed. Methotrexate is a cancer chemotherapeutic agent that has other uses such as in rheumatoid arthritis or severe psoriasis. It is a drug that has a high hepatotoxic potential particularly if used for a long duration of time. Avoid this combination of substances.
borage	METHYLDOPA	Borage is an herb considered to have a potential to stress the liver and cause damage (hepatotoxic). On it's own, this would more than likely be rare unless severe liver inflammation and/or damage already existed. Methyldopa is and older antihypertensive that can be hepatotoxic, particularly in women. Avoid this combination.
borage	MISCELLANEOUS ANTICONVULSANTS	The oil of borage is rich in the omega 6 fatty acid, gamma linoleic acid (GLA), and case reports have described it as lowering the seizure threshold. Taken with anticonvulsant medications, it could potentially decrease the therapeutic effect. This class of anticonvulsant includes carbamazepine, felbamate, gabapentin, levetiracetam, magnesium sulfate, oxcarbazepine, tiagabine hydrochloride, toprimate, valproic acid, and zonisamide.
borage	NIACIN	Borage is an herb considered to have a potential to stress the liver and cause damage (hepatotoxic). On it's own, this would more than likely be rare unless severe liver inflammation and/or damage already existed. High dose niacin used to treat dyslipidemia and it's resultant high triglycerides and LDL cholesterol, can be hepatotoxic. The combination of high dose niacin and borage could cause stress to the liver.
borage	OXAZOLIDINEDIONES	The oil of borage is rich in the omega 6 fatty acid, gamma linoleic acid (GLA), and case reports have described it as lowering the seizure threshold. Taken with anticonvulsant medications such as the oxazolidinediones, it could potentially decrease the therapeutic effect. This class of anticoagulant was once the drugs of choice for absence seizure but is rarely prescribed now.
borage	PHENYTOIN SODIUM	Borage is an herb considered to have a potential to stress the liver and cause damage (hepatotoxic). On it's own, this would more than likely be rare unless severe liver inflammation and/or damage already existed. The anticonvulsant phenytoin also known as Dilantin@, is hepatotoxic in certain people with a genetic predisposition to slow break down of certain drugs in the liver. Use caution with the combination of these two substances.
borage	STATIN DRUGS	Borage is an herb considered to have a potential to stress the liver and cause damage (hepatotoxic). On it's own, this would more than likely be rare unless severe liver inflammation and/or damage already existed. The statin drugs, used to lower cholesterol, have a high hepatotoxic potential. This class of drugs includes atorvastatin, fluvastatin, lovastatin, pravastatin, rosuvastatin, and simvastatin.
borage	SUCCINIMIDES	The oil of borage is rich in the omega 6 fatty acid, gamma linoleic acid (GLA), and case reports have described it as lowering the seizure threshold. Taken with anticonvulsant medications such as the succinimides, it could potentially decrease the therapeutic effect. This class of anticonvulsant includes ethosuximide and methsuximide.
caffiene	ATROPINE SULFATE	Caffeine is a tannin-containing herb and can decrease the plasma level and the therapeutic action of the anesthetic qualities of the mandrake derived medications such as atropine.
caffiene	BELLADONNA	Caffeine is a tannin-containing herb and can decrease the plasma level and the therapeutic action of the antimuscarinic activity of the solanaceous alkaloids. It is the atropine content in these drugs that is responsible for this activity and tannin reduces the plasma levels of atropine.
caffiene	COX 2 INHIBITOR	Caffeine can irritate the lining of the stomach. There would be an additive effect and an increased chance of gastric irritation, erosion and ulceration if any of the nonsteroidal anti-inflammatory class of drugs, of which the Cox 2 inhibitors are a type, is taken with an herb or beverage containing caffeine. The Cox 2 inhibitor drug currently on the market is celecoxib.
caffiene	DESERPIDINE	Caffeine is a tannin-containing herb and can decrease the plasma level and the therapeutic action of the antihypertensive rauwolfia alkaloids such as reserpine. The desired reduction in blood pressure may be difficult to achieve with the combination of these two substances.
caffiene	DIHYDROERGOTAMINE MESYLATE	Caffeine is a tannin-containing herb and can decrease the plasma level and the therapeutic action of the ergot alkaloids used to treat migraine headaches. This action can be dose dependant, thus large amounts of caffeine may interfere with the effectiveness of these drugs in the treatment of acute onset migraine syndrome with or without headache.
caffiene	ERGOLOID MESYLATES	Caffeine is a tannin-containing herb and can decrease the plasma level and the therapeutic action of the ergot alkaloids used to treat migraine headaches. This action can be dose dependant, thus large amounts of caffeine may interfere with the effectiveness of these drugs in the treatment of acute onset migraine syndrome with or without headache.
caffiene	ERGOTAMINE TARTRATE	Caffeine is a tannin-containing herb and can decrease the plasma level and the therapeutic action of the ergot alkaloids used to treat migraine headaches. This action can be dose dependant, thus large amounts of caffeine may interfere with the effectiveness of these drugs in the treatment of acute onset migraine syndrome with or without headache.
caffiene	I-131
caffiene	IPECAC	Caffeine is a tannin-containing herb and can decrease the plasma level and the therapeutic action of the emetic ipecac which is an alkaloid. Once a universally recommended drug to have in one's medicine cabinet in case of accidental poisoning, ipecac treatment and inducing vomiting is no longer recommended universally as the initial treatment. (for more on the use of ipecac, discuss further with a pediatrician or other health care provider)
caffiene	IRON	Caffeine-containing herbs can bind with iron and decrease it's absorption. Do not take this drug/supplement/herb combination; take separately.
caffiene	METHYSERGIDE MALEATE	Caffeine is a tannin-containing herb and can decrease the plasma level and the therapeutic action of the ergot alkaloids used to treat migraine headaches. This action can be dose dependant, thus large amounts of caffeine may interfere with the effectiveness of these drugs in the treatment of acute onset migraine syndrome with or without headache.
caffiene	NONSTEROIDAL ANTIINFLAMMATORY DRUGS	Caffeine can irritate the lining of the stomach. There would be an additive effect and an increased chance of gastric irritation, erosion and ulceration if any of the nonsteroidal anti-inflammatory class of drugs is taken with an herb or beverage containing caffeine. This class of drugs includes aspirin and salicylate salts, diclofenac, diflunisal, etodolac, fenoprofen, ibuprophen, indomethacin, ketoprofen, ketorolac, meclofenamate, mefenamic, meloxicam, naproxen, oxaprozin, piroxicam, sulindac,and tolmetin.
caffiene	OPIOIDS	Caffeine is a tannin-containing herb and can decrease the plasma level and the therapeutic action of the opioids including codeine, fentanyl, hydrocodone, hydromorphone, levomethadyl, levophanol, meperidine, methadone, morphine, opium, oxycodone, propoxyphene, sufentanil, and tramadol. The result could be a reduction in the pain relieving, analgesic effect desired.
caffiene	QUININE SULFATE	Caffeine is a tannin-containing herb and can decrease the plasma level and the therapeutic action of the anti-malaria drug quinine. Avoid this combination
caffiene	RESERPINE	Caffeine is a tannin-containing herb and can decrease the plasma level and the therapeutic action of the antihypertensive rauwolfia alkaloids such as reserpine. The desired reduction in blood pressure may be difficult to achieve with the combination of these two substances.
caffiene	RESERPINE	Caffeine is a tannin-containing herb and can decrease the plasma level and the therapeutic action of the antihypertensive rauwolfia alkaloids such as reserpine. The desired reduction in blood pressure may be difficult to achieve with the combination of these two substances.
caffiene	SCOPOLAMINE	Caffeine is a tannin-containing herb and can decrease the plasma level and the therapeutic action of the anesthetic qualities of the mandrake derived medications such as scopolamine.
calcium	MOST DRUGS	Calcium is a mineral and can bind with many drugs impeding their absorption or converting them into another compound. Avoid taking drugs at the same time as calcium and other minerals.
casara	ADENOSINE	Casara is an herb with a cathartic laxative action. This action can lead to depletion of potassium. Low potassium levels can increase the occurrence of cardiac arrhythmias (irregular, often rapid heart beat). This herb could diminish the effect if you are given medication, like adenosine, in an ER to correct a cardiac arrhythmia.
casara	AMIODARONE HYDROCHLORIDE	Casara is an herb with a cathartic laxative action. This action can lead to depletion of potassium. Low potassium levels can increase the occurrence of cardiac arrhythmias (irregular, often rapid heart beat). This herb should be taken cautiously if you are taking medication, like amiodarone, to correct or control an underlying cardiac arrhythmia.
casara	BRETYLIUM TOSYLATE	Casara is an herb with a cathartic laxative action. This action can lead to depletion of potassium. Low potassium levels can increase the occurrence of cardiac arrhythmias (irregular, often rapid heart beat). This herb could diminish the effect if you are given medication, like bretylium, in an ER to correct a lethal cardiac arrhythmia.
casara	CORTICOSTEROIDS	Casara may cause increased side effects of depletion of potassium and possible fluid imbalances if taken with the oral corticosteroids. Oral corticosteroids includes betamethasone, cortisone, dexamethasone, fludrocortisone, hydrocortisone, prednisolone, and prednisone.
casara	DIGOXIN	Casara is an herb with a cathartic laxative action. This action can lead to depletion of potassium. Low potassium levels can increase the occurrence of cardiac arrhythmias (irregular, often rapid heart beat). This herb should be taken cautiously if you are taking medication, like digoxin, to correct or control an underlying cardiac arrhythmia or rapid heart beat.
casara	FLECAINIDE ACETATE	Casara is an herb with a cathartic laxative action. This action can lead to depletion of potassium. Low potassium levels can increase the occurrence of cardiac arrhythmias (irregular, often rapid heart beat). This herb should be taken cautiously if you are taking medication, like flecainide, to correct or control an underlying cardiac arrhythmia.
casara	LIDOCAINE HYDROCHLORIDE	Casara is an herb with a cathartic laxative action. This action can lead to depletion of potassium. Low potassium levels can increase the occurrence of cardiac arrhythmias (irregular, often rapid heart beat). This herb could diminish the effect if you are given medication, like lidocaine HCL, in an ER to correct a lethal cardiac arrhythmia.
casara	PROCAINAMIDE HYDROCHLORIDE	Casara is an herb with a cathartic laxative action. This action can lead to depletion of potassium. Low potassium levels can increase the occurrence of cardiac arrhythmias (irregular, often rapid heart beat). This herb could diminish the effect if you are given medication, like procainamide, in an ER to correct a lethal cardiac arrhythmia.
casara	QUINIDINE	Casara is an herb with a cathartic laxative action. This action can lead to depletion of potassium. Low potassium levels can increase the occurrence of cardiac arrhythmias (irregular, often rapid heart beat). This herb should be taken cautiously if you are taking medication, like quinidine, to correct or control an underlying cardiac arrhythmia.