Do not take ginseng without first talking to your doctor if you have a bleeding or blood clotting disorder, diabetes, high blood pressure or heart disease, or if you are taking any medicines to prevent or treat these conditions. Ginseng has not been evaluated by the FDA for safety, effectiveness, or purity. All potential risks and/or advantages of ginseng may not be known. Additionally, there are no regulated manufacturing standards in place for these compounds. There have been instances where herbal/health supplements have been sold which were contaminated with toxic metals or other drugs. Herbal/health supplements should be purchased from a reliable source to minimize the risk of contamination.

The use of ginseng in cultural and traditional settings may differ from concepts accepted by current Western medicine. When considering the use of herbal supplements, consultation with a primary health care professional is advisable. Additionally, consultation with a practitioner trained in the uses of herbal/health supplements may be beneficial, and coordination of treatment among all health care providers involved may be advantageous. A number of ginseng species used in herbal products grow around the world. Some of these plants include American ginseng, Korean ginseng, Sanchi ginseng, Chikusetsu ginseng, Himalayan ginseng, zhuzishen, and dwarf ginseng. Ginseng is also known as Siberian ginseng, devil's shrub, eleuthero, touch-me-not, and wild pepper. Ginseng has been used to improve the body's resistance to stress and to increase vitality. Ginseng has not been evaluated by the FDA for safety, effectiveness, or purity. All potential risks and/or advantages of ginseng wort may not be known. Additionally, there are no regulated manufacturing standards in place for these compounds. There have been instances where herbal/health supplements have been sold which were contaminated with toxic metals or other drugs. Herbal/health supplements should be purchased from a reliable source to minimize the risk of contamination. Ginseng may also have uses other than those listed in this product guide.

Do not take ginseng without first talking to your doctor if you have a bleeding or blood clotting disorder, diabetes, high blood pressure or heart disease, or if you are taking any medicines to prevent or treat these conditions. Talk to your doctor before taking ginseng if you have any other medical conditions, allergies (especially to plants), or if you take other medicines or herbal/health supplements. Ginseng may not be recommended in some situations. Do not take ginseng without first talking to your doctor if you are pregnant or could become pregnant. It is not known whether ginseng will harm an unborn baby. Do not take ginseng without first talking to your doctor if you are breast-feeding a baby. It is also not known whether ginseng will harm a nursing infant. There is no information available regarding the use of ginseng by children. Do not give any herbal/health supplement to a child without first talking to the child's doctor.

The use of ginseng in cultural and traditional settings may differ from concepts accepted by current Western medicine. When considering the use of herbal supplements, consultation with a primary health care professional is advisable. Additionally, consultation with a practitioner trained in the uses of herbal/health supplements may be beneficial, and coordination of treatment among all health care providers involved may be advantageous. If you choose to take ginseng, use it as directed on the package or as directed by your doctor, pharmacist, or other health care provider. Standardized extracts, tinctures, and solid formulations of herbal/health supplements may provide a more reliable dose of the product. Ginseng is available in various formulations Do not use different formulations (e.g., tablets, topical formulations, teas, tinctures, and others) of ginseng at the same time, unless specifically directed to do so by a health care professional. Using different formulations together increases the risk of an overdose of ginseng. Store Ginseng as directed on the package. In general, ginseng should be protected from light and moisture.

No information is available regarding a missed dose of ginseng. Consult your doctor, pharmacist, or health care provider if you require further information.

Seek emergency medical attention. A massive ginseng overdose has been reported to cause the "Ginseng Abuse Syndrome" which is characterized by sleeplessness, muscle tension, and swelling or fluid retention.

There are no known restrictions on food, beverages, or activity while taking ginseng, unless otherwise directed by your health care provider.

Although uncommon, allergic reactions to ginseng have been reported. Stop taking ginseng and seek emergency medical attention if you experience symptoms of a serious allergic reaction including difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives. No other side effects have been reported with the use of ginseng. Notify your doctor if you develop any side effect while taking ginseng.

Do not take ginseng without first talking to your doctor if you are taking any of the following medicines: * any heart or blood pressure medicines; * a medicine to control blood sugar levels such as insulin, glipizide (Glucotrol), glyburide (Glynase, Diabeta, Micronase), chlorpropamide (Diabinese), tolbutamide (Orinase), tolazamide (Tolinase), troglitazone (Rezulin), rosiglitazone (Avandia), repaglinide (Prandin), metformin (Glucophage), and others; * warfarin (Coumadin); * aspirin; * a nonsteroidal anti-inflammatory drug (NSAID) including ibuprofen (Advil, Motrin, Nuprin, others), naproxen (Aleve, Naprosyn, Naprelan, Anaprox, others), ketoprofen (Orudis KT, Orudis), indomethacin (Indocin), etodolac (Lodine), nabumetone (Relafen), oxaprozin (Daypro), piroxicam (Feldene), sulindac (Clinoril), tolmetin (Tolectin), and others; * ardeparin (Normiflo); * dalteparin (Fragmin); * danaparoid (Orgaran); * enoxaparin (Lovenox); or * heparin. You may not be able to take ginseng, or you may require a dosage adjustment or special monitoring while taking ginseng if you are taking any of the medicines listed above. Drugs other than those listed here may also interact with ginseng or affect your condition. Talk to your doctor, pharmacist, or health care provider before taking any prescription or over-the-counter medicines or other herbal/health supplements.

Your doctor, pharmacist, or health care provider may have more information about ginseng.

---- Consultation with a licensed health care professional is advisable before using any herbal/health supplement. Additionally, consultation with a practitioner trained in the uses of herbal/health supplements may be beneficial and coordination of treatment among all health care providers involved may be advantageous. Remember, keep this and all other prescription drug products, over-the-counter drug products, and herbal/health supplements out of the reach of children. Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist. Do not take ginseng without first talking to your doctor if you have a bleeding or blood clotting disorder, diabetes, high blood pressure or heart disease, or if you are taking any medicines to prevent or treat these conditions. Ginseng has not been evaluated by the FDA for safety, effectiveness, or purity. All potential risks and/or advantages of ginseng may not be known. Additionally, there are no regulated manufacturing standards in place for these compounds. There have been instances where herbal/health supplements have been sold which were contaminated with toxic metals or other drugs. Herbal/health supplements should be purchased from a reliable source to minimize the risk of contamination.

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