Coreg
side effects, nutrient depletions, herbal interactions and health notes:
Data provided by Applied Health
• Take with food to reduce the risk of orthostatic hypotension.1
• Use with caution in diabetics, the drug may alter sugar levels.2
• Co enzyme Q-10 deficiency is possible.3
• Grapefruit juice may interact with this drug, avoid using together.4
• A low sodium and low calorie diet may be beneficial.5
• Avoid alcohol.6
• Broom, Calamus, Cereus, Cola, Coltsfoot, Devil's Claw, Fenugreek, Figwort, and Fumitory have cardioactive effects according to Newall. It may be advisable to avoid using these herbs with Coreg.7
• Poplar, sweet birch, and wintergreen and willow bark all have salicylate properties which may interfere with beta blockers.8
• Avoid natural licorice products.9
• Ephedra should not be taken together with other CNS stimulants or circulatory agents (digitoxin, beta-blockers, etc.). Theoretically, a single high dose could result in irregular heartbeats.10
• Cola, Guarana, Mate are some caffeine containing herbs that should be avoided with beta blockers.11
• Beta Blockers can help to prevent Yohimbe toxicity.12
References1 Facts and Comparisons, Clinisphere 2.0, Wolters Kluwer Company, 2000
1 Pronsky, Z Food Medication Interactions, 11th edition, 1999
2 Pronsky, Z Food Medication Interactions, 11th edition, 1999
3 Kishi H, Kishi T, Folkers K: Bioenergetics in clinical medicine III - inhibition of coenzyme Q10-enzymes by clinically used antihypertensive drugs, Res Commun Chem Pathol Pharmacol, 1975, 12(3):533-40
4 Pronsky, Z Food Medication Interaction, 11th edition, 1999.
5 Pronsky, Z Food Medication Interactions, 11th edition, 1999.
6 Facts and Comparisons, Clinisphere 2.0, Wolters Kluwer Company, 2000
7 Newall CA, Anderson LA, Phillipson JD. Herbal Medicines: A Guide for Health-care Professionals. London: The Pharmaceutical Press, 1996
7 PDR for Herbal Medicines, 2nd edition, Medical Economics Company, 2000
7 Facts and Comparisons, The Review of Natural Products, Clinisphere 2.0, Wolters Kluwer Company, 2000
8 Brinker, F Herb Contraindications and Drug Interactions, Eclectic Medical Publications, 1998.
9 Farese, RV et al., Licorice-induced hypermineralcorticoidism. NEJM. 1991, 325:1,1223-1,227
9 Pronsky, Z Food Medication Interactions, 11th edition, 1999
10 Brinker, F Herb Contraindications and Drug Interactions, Eclectic Medical Publications, 1998.
11 Brinker, Francis, N.D. Herb Contraindications and Drug Interactions, Eclectic Medical Publications, 1998.
12 Brinker, F Herb Contraindications and Drug Interactions, Eclectic Medical Publications, 1998.
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Disclaimers
The information in Drug Watch is provided as a courtesy to NewsTarget readers by Applied Health Solutions in cooperation with Healthway Solutions. Although the information is presented with scientific references, we do not wish to imply that this represents a comprehensive list of considerations about any specific drug, herb or nutrient. Nor should this information be considered a substitute for the advice of your doctor, pharmacist, or other healthcare practitioner. Please read the disclaimer about the intentions and limitations of the information provided on these pages. It is important to tell your doctor and pharmacist about all other drugs and nutritional supplements that you are taking if they are recommending a new medication. Copyright © 2007 by Applied Health Solutions, Inc. All rights reserved.
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