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Natural Medicine May Not Necessarily Mean Safe Medicine When it Comes to Getting Ready for Surgery

Since 1990, it is estimated that over 60 million people in the United States have used alternative medical therapies at an estimated cost of well over $13 billion. It is also estimated that the number of annual visits to providers of alternative medicine exceeds the number of visits to all U.S. primary care physicians. Unfortunately, most patients who acknowledge using alternative therapy never mention it to their doctors

Consumers of natural medicine should beware. However popular, accessible, and seemingly harmless natural herbs and medicines may appear, they are not simple fail safe substances. There are many ways in which herbal preparations can complicate conventional medical treatment. This is especially true if you are having surgery. Certain herbs could have an effect on coagulation, on the heart, or on blood pressure. Others could have potential sedative effects, and still others could alter electrolytes.

As you prepare for surgery, to protect your own health, be sure to establish open communication with your doctor or healthcare provider. It is his or her professional obligation to monitor therapies with potential or documented toxicity, including herbal preparations. What complicates matters is that there is no systematic labeling or preparation of natural medicines. It is thus very important that patients planning to undergo surgery communicate with their doctors about the nature and extent of the use of complementary alternative medicine (CAM). It is especially useful if you can bring along any herbal products you are using so that your provider can determine whether or not continued use will pose a problem for your surgery.

Herbs and their potential effects:

Herbs that could affect blood pressure

  • Black Cohosh
  • Capsicum
  • Celery
  • Ephedra
  • Fenugreek
  • Garlic
  • Ginger
  • Ginseng
  • Hawthorn
  • Horseradish
  • Licorice
  • St. John's Wort

Herbs with sedative effects

  • Celery
  • Chamomile
  • Ginseng
  • Goldenseal
  • Hops
  • Kava Kava
  • Marijuana

Herbs that could affect coagulation

  • Alfalfa
  • Capsicum
  • Celery
  • Chamomile
  • Fenugreek
  • Feverfew
  • Fish oil
  • Garlic
  • Ginger
  • Ginkgo
  • Ginseng
  • Horseradish
  • Kava Kava
  • Licorice
  • Passionflower
  • Red Clover

Herbs with cardiac effects

  • Black Cohosh
  • Ephedra
  • Fenugreek
  • Ginger
  • Ginseng
  • Goldenseal
  • Hawthorn
  • Licorice
  • Lobelias

References

Barrett M. Reference on evaluating botanicals. Washington, DC: Council for Responsible Nutrition; 1998:15-16.

Chamberlain L. What the labels won't tell you. Herbs for Health. Nov/Dec. 1998;34-36.

Jellin J, Batz F, Hitchens K. Pharmacist's Letter/Prescriber's Letter Natural Medicines Comprehensive Database. Stockton, CA: Therapeutic Research Faculty; 1999:19-22.

Norred CL, Zamudio S, Palmer S. Use of complementary and alternative medicines by surgical patients. AANA Journal. 2000;68(1):13-18.

Preston SJ. Pre-op Use of Complementary and Alternative Medicines. Integrative Nursing Consult. July 2000:36-37.


Review Date: March 2000
Reviewed By: Integrative Medicine editorial

 

 

RELATED INFORMATION
  Herbs
American Ginseng
Asian Ginseng
Black Cohosh
Celery Seed
Ephedra
Feverfew
Garlic
German Chamomile
Ginger
Ginkgo Biloba
Goldenseal
Hawthorn
Kava Kava
Licorice
Lobelia
Passionflower
Roman Chamomile
Siberian Ginseng
St. John's Wort
Valerian