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When using this product, it is crucial to be aware of several important safety considerations and potential interactions:

• Drug Interactions: This product may interact with various medications, including:

  • Fezolinetant and similar drugs.
  • Medications that increase bleeding risk, such as blood thinners (e.g., warfarin, heparin), anti-platelet drugs (e.g., clopidogrel), NSAIDs (e.g., ibuprofen), and certain herbal products (e.g., danshen, garlic, ginger).
  • MAO inhibitors, including isocarboxazid, linezolid, metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, and tranylcypromine.
  • Drugs that weaken the immune system, such as corticosteroids (e.g., prednisone) and transplant rejection medications (e.g., cyclosporine).
  • Diuretics or "water pills" like furosemide and bumetanide.
  • Other herbal products, including fenugreek and willow bark.

• Aspirin Interaction: Aspirin may elevate bleeding risk when used with this product. However, if your healthcare provider has advised low-dose aspirin (81-162 mg daily) for heart attack or stroke prevention, continue its use but consult your doctor or pharmacist for more information.

• Caffeine Effect: Caffeine can heighten the side effects of this product. To minimize risks, avoid consuming large quantities of caffeine-containing beverages (e.g., coffee, tea, some soft drinks) and chocolate.

• Label Check: Examine the labels of all your medications, such as cough-and-cold remedies and diet aids, as they may contain ingredients that enhance ginseng's side effects. Decongestants (e.g., pseudoephedrine) and stimulants (e.g., caffeine, ephedra, ma huang) can exacerbate symptoms like insomnia, rapid heartbeat, and elevated blood pressure. Seek guidance from your doctor or pharmacist.

• Siberian Ginseng Advisory: If taking Siberian ginseng, inform your healthcare provider if you are also using other products that induce drowsiness. These include opioid pain or cough medications (e.g., codeine, hydrocodone), alcohol, cannabis, sleep or anxiety drugs (e.g., alprazolam, lorazepam, zolpidem), muscle relaxants (e.g., carisoprodol, cyclobenzaprine), and antihistamines (e.g., cetirizine, diphenhydramine).

These precautions are essential for safe and effective use of this product. Always consult with healthcare professionals for personalized advice.

Common side effects:

• trouble sleeping

Less common but important to monitor:

• headaches
• agitation
• upset stomach
• menstrual irregularities
• breast pain
• dizziness
• changes in blood pressure
• drowsiness
• nervousness
• mood changes

Serious side effects:

• fast, pounding, or irregular heartbeat
• severe allergic reaction
• rash
• itching or swelling
• severe dizziness
• trouble breathing

Certain medications can interact with this product, leading to increased risks or side effects. These include:

• Drugs that may increase bleeding risk: Blood thinners like Warfarin and heparin, anti-platelet medications such as Clopidogrel, NSAIDs like Ibuprofen, and herbal supplements such as danshen, Garlic, and ginger. Additionally, if you are on a prescribed low-dose Aspirin regimen (81-162 mg daily) for heart attack or stroke prevention, continue as directed by your doctor but be aware of the potential for increased bleeding risk.

• MAO inhibitors: These include medications like isocarboxazid, linezolid, and others that could cause interactions.

• Immunosuppressants: Drugs that weaken the immune system, including corticosteroids like Prednisone and medications used to prevent organ transplant rejection such as Cyclosporine.

• Diuretics: Commonly known as water pills, such as Furosemide and Bumetanide.

• Other herbal products: Such as fenugreek and willow bark.

• Caffeine: High consumption of caffeine from drinks or chocolate can intensify the side effects of this product.

Check all medication labels, including over-the-counter cough and cold remedies and diet aids, as they might contain ingredients that could exacerbate side effects. Decongestants like pseudoephedrine and stimulants such as caffeine and ephedra can worsen symptoms like insomnia, rapid heartbeat, and high blood pressure.

If you use Siberian ginseng, inform your healthcare provider if you are taking any substances that cause drowsiness, such as opioid pain relievers (codeine, Hydrocodone), alcohol, cannabis, sleep or anxiety medications (Alprazolam, Lorazepam, Zolpidem), muscle relaxants (Carisoprodol, Cyclobenzaprine), or antihistamines (Cetirizine, diphenhydramine).

Always consult your doctor or pharmacist for further guidance on managing these interactions.