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Discontinue 2 weeks before surgery: consider bleeding risk associated with herb use.(Clinical Rounds)
NEW YORK -- Herb-using individuals who are at risk of bleeding should be advised to use caution, despite uncertainty about the actual degree of risk that may be involved, Dr. Adrian Fugh-Berman said at a meeting on botanical medicine sponsored by Columbia University and the University of Arizona.
"Actual, theoretical, and fanciful herbal adverse events and interactions infest the medical literature," said Dr. Fugh-Berman of Georgetown University, Washington.
Given the level of uncertainty, it is prudent to check international normalized ratio (INR) of anticoagulated patients 7-14 days after starting any herbal, dietary supplement, or weight-loss regimen. By the same token, all herbs and supplements should be discontinued 2 weeks before surgery, she said at the meeting.
In one study, a 10-g dose of ginger decreased platelet aggregation 4 hours later, and a case was reported in which a 76-year-old woman developed nosebleeds and showed changes in INR after ...
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Source: HighBeam Research, Discontinue 2 weeks before surgery: consider bleeding risk associated...