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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.

Results from not drinking proper fluids
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