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Questionable Supplements
May 9, 2000

I recently heard somewhere that we needed to be careful in taking supplements if on HIV meds. I am on Combivir, Sustiva and Paxil. I take a daily multi-vitamin, NAC and an herbal combo that contains Ginseng, Astragalus, Goldenseal, Echinacea, Garlic, Ginko Biloba, licorice, Ginger, Wild Yam, Cayenne and Melatonin (Phew!).

Should I be concerned with any interactions? Is there a listing somewhere which lists specific interactions?

Thanks for your wonderful service!

Response from Dr. Fisher

Whew for sure.

See my previous answer about drug-drug interactions when herbal products are used. We do not know a lot about these potential interactions. We have a clinical pharmacist available to consult with our patients; she is extremely helpful for this type of problem. Ask your doc or others if someone like this is available to you.

Alvan Fisher, M.D.


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