Supplements in hand
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Supplement Safety

It seems like these products should be harmless. After all, you use herbs all the time when you’re cooking. But some may not be safe, especially if you have certain medical conditions or take some medications. Talk with your doctor before taking any supplements.

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St. John’s Wort
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St. John's Wort

This popular supplement is often taken for depression, anxiety, and sleep problems. But it can cause side effects like headache, nausea, dizziness, and dry mouth. And it may make you more likely to get sunburned. It also can cause problems if you take certain drugs -- from heart medicines to antidepressants, and even birth control pills. And it can make some chemotherapy less effective.  

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Kava root
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This is supposed to help with anxiety and insomnia. But it may cause liver damage, like hepatitis. So you shouldn't take it if you have liver or kidney problems. Kava also can be dangerous if you drink alcohol or take other drugs that make you sleepy.

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Ginkgo plant
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People often take this to try to improve their memory. Some believe ginkgo biloba also helps with circulation, mental function, and altitude sickness, among other health conditions. But it can thin your blood and cause bleeding. That's especially risky if you take blood-thinning drugs.

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Arnica globules
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Some people believe rubbing oil from this plant on their skin helps ease pain from bruising, as well as from swelling and aches. Others take the supplement to try to help with constipation. But eating the herb can raise your blood pressure and cause a fast heartbeat and shortness of breath. It can even damage your liver, or bring on a coma or death.

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Ginger root
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People take this to try to ease nausea brought on by surgery, chemotherapy, or motion sickness. And sometimes it's used to treat arthritis or other joint pain. But ginger may cause problems with blood clotting, heart rhythms, blood pressure, and blood sugar levels. Check with your doctor before taking this if you are on blood thinners or have diabetes.

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Goldenseal capsules
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This remedy, which has a long history among Native Americans, is used for constipation and colds, eye infections, and even cancer. But goldenseal can affect your heart’s rhythm, affect blood clotting, and lower your blood pressure. You should check with your doctor first if you have blood clotting problems or are on blood pressure medicines.

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Aloe Vera
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Rubbing this plant on a burn or wound may help it heal or feel better. But some people also take it by mouth, and that can cause an abnormal heart rhythm or kidney problems. It also may lower your blood sugar levels if you have diabetes.

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Ephedra Plant
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Also known as ma huang, this herb has been used for thousands of years in China and India to treat coughs, headaches, and cold symptoms. More recently, it's been used to help people lose weight and get energy. But studies have found it may boost the chance of heart problems and strokes, and cause a rise in heart rate and blood pressure. Doctors also warn of possibly deadly interactions with many heart medicines. The FDA has banned ephedra as a dietary supplement, but it still can be found in some herbal teas.

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Ginseng variety
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Some people take this because they hope it will slow aging. Others take it for diabetes, to boost immunity, or to help with sex. But it may lead to a drop in blood sugar, so it can cause issues for people with diabetes. You also shouldn’t take it if you take blood thinners.

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Black Cohosh
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Black Cohosh

This supplement is often used for menopause symptoms like hot flashes and night sweats. Some women also try it to help with PMS. But it should be off limits for anyone with liver problems, because there’s a chance it can cause inflammation or failure. It should also be avoided by women with breast cancer until more is known about how it may affect them.

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Some people believe it helps with high blood pressure and can treat cold symptoms. Studies show it can lower your cholesterol a bit, too. It’s safe for most people, but garlic can thin your blood. That can increase your risk of bleeding if you take blood-thinning medications for heart problems.

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Licorice Root
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Licorice Root

Some people use this to treat coughs, stomach ulcers, bronchitis, infections, and sore throat. But it can raise your blood pressure and cause issues with heart rhythms, so check with your doctor first if you have heart problems. Excessive amounts also can cause problems for people with kidney disease.

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Stinging Nettle
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Stinging Nettle

This is thought to help with allergies and arthritis, kidney and bladder stones, and urinary tract infections. Some people use it on their scalps to fight dandruff. But nettle can make your body hold on to water, so you shouldn't take it if you retain fluid because of heart or kidney problems or if you take diuretics.

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Feverfew flower
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This supplement is most commonly taken to try to prevent migraines. Some people also take it for arthritis and allergies. Feverfew, however, may cause a problem with blood clotting, so it may cause issues for people with heart disease or blood disorders.

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Sources | Medically Reviewed on 09/19/2018 Reviewed by Melinda Ratini, DO, MS on September 19, 2018


Thinkstock Photos



Cleveland Clinic: "Herbal Supplements: Helpful or Harmful."

Cupp, M. American Family Physician. March 1, 1999.

Harvard Health Publications: "Dietary Supplement Safety."

Memorial Sloan Kettering Cancer Center: "Arnica," "Black Cohosh," "Feverfew," "Ginger," "Ginseng," "Kava," "Nettle," "St. John's Wort."

National Center for Complementary and Integrative Health: "Aloe Vera," "Black Cohosh," "Ephedra," "Garlic," "Ginger," "Ginkgo," "Ginseng," "Goldenseal," "Hawthorn," "Kava," "Licorice Root," "St. John's Wort."

National Institute of Mental Health: "Brain Basics."

National Kidney Foundation: "Herbal Supplements and Kidney Disease."

Tachjian, A. Journal of the American College of Cardiology, Feb. 2, 2010.

Reviewed by Melinda Ratini, DO, MS on September 19, 2018

This tool does not provide medical advice. See additional information.

THIS TOOL DOES NOT PROVIDE MEDICAL ADVICE. It is intended for general informational purposes only and does not address individual circumstances. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.