Warn patients with cardiovascular disease, hypertension or hypotension, or on steroid therapy to avoid the use of this herb.
Caution pregnant or breastfeeding women not to use this herb.
Instruct patient in the symptoms of ginseng toxicity and to reduce dose or stop use of the herb if they occur.
Inform patient to limit the amount of caffeine consumed.
Advise patients with diabetes to monitor blood sugar levels until response to this agent is known.
Inform patient that the recommended course of therapy is 3 wk. A repeated course is feasible. Do not use for longer than 3 mo.
Teach patient about the signs and symptoms of hepatitis (yellow skin or whites of eyes, dark urine, light colored stools, lack of appetite for several days or longer, nausea, abdominal pain) and to stop use of the herb and promptly contact health care professional if they occur. (This herb is hepatoprotectant at low doses, but hepatodestructive at high doses.).
Caution patient not to exceed recommended doses because of potential side effects and toxicity.
If diarrhea develops, stop herb.
Instruct patient to consult health care professional before taking any Rx or OTC medications concurrently with ginseng.
ginseng (Panax Ginseng) has been found in Davis's Drug Guide
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