Ginseng

An herb that has been used to stimulate the adrenal gland and thereby increase energy. It also may have some beneficial effect on reducing blood sugar in patients with diabetes mellitus. Ginseng can cause elevation in blood pressure, headache, vomiting, insomnia, and nose bleeding. Ginseng can also cause falsely abnormal blood tests for digoxin level in persons taking the drug for heart disease. It is unclear whether ginseng may affect female hormones. Its use in pregnancy is not recommended. Ginseng may affect the action of the normal blood clotting element (platelets). It should be avoided in patients taking aspirin, nonsteroidal antiinflammatory drugs (such as ibuprofen/Advil, Motrin or naproxen/Aleve), or medications to prevent blood clotting (anticoagulants) such as warfarin/Coumadin. Ginseng may also cause headaches, tremors, nervousness, and sleeplessness. It should be avoided in persons with manic disorder and psychosis.