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    Category: Health Blogs

    The Emotional Impact of Wounds: Supporting Patients Through the Healing Process

    The Emotional Impact of Wounds: Supporting Patients Through the Healing Process

    15/03/23

    Wounds, whether caused by accidents, surgery, or medical conditions, can have a significant emotional impact on patients. The emotional impact of wounds can range from anxiety and fear to depression and social isolation. Therefore, it is essential to provide emotional support to patients during the healing process. In this article, we will explore the emotional impact of wounds and ways to support patients through the healing process.

     

    The Emotional Impact of Wounds

    Wounds can be painful and uncomfortable, but they can also have a significant emotional impact on patients. Patients may experience a range of emotions, including anxiety, fear, depression, and social isolation.

    Anxiety and Fear

    Patients may experience anxiety and fear due to the uncertainty surrounding the healing process. They may worry about the wound becoming infected, the pain associated with the healing process, and the potential for scarring. It is essential to provide patients with information about the healing process and address their concerns to help alleviate anxiety and fear.

    Depression

    Wounds can also lead to depression, especially in patients who experience chronic wounds. Chronic wounds can be challenging to heal, and patients may feel discouraged and hopeless. Depression can also lead to physical symptoms such as fatigue, difficulty sleeping, and loss of appetite. It is important to recognize the signs of depression and provide appropriate support to patients.

    Social Isolation

    Patients may feel socially isolated due to their wound. They may be unable to participate in activities they enjoy or feel self-conscious about their appearance. Social isolation can lead to feelings of loneliness and sadness. Encouraging patients to engage in social activities and providing emotional support can help reduce social isolation.

     

     

    Ways to Support Patients Through the Healing Process

    Providing emotional support and education about wound healing can help patients cope with the emotional impact of wounds. Additionally, addressing the patient’s physical needs can help facilitate the healing process.

    • Provide Emotional Support

    Providing emotional support can include listening to the patient’s concerns, addressing their fears, and offering encouragement. Patients may also benefit from support groups or counseling to help them cope with the emotional impact of the wound.

    • Educate Patients about Wound Healing

    Educating patients about wound healing can help alleviate anxiety and fear. Patients should be informed about the healing process, how to care for their wound, and signs of infection. They should also be informed about potential complications and when to seek medical attention.

    • Encourage Patients to Engage in Social Activities

    Encouraging patients to engage in social activities can help reduce social isolation. Patients should be encouraged to participate in activities they enjoy and to maintain their social connections.

    • Address the Patient’s Physical Needs

    Addressing the patient’s physical needs can help facilitate the healing process. Patients should be encouraged to eat a healthy diet, get enough sleep, and exercise as appropriate. Additionally, wound care should be tailored to the patient’s specific needs and preferences.

    Conclusion

    Wounds can have a significant emotional impact on patients. Patients may experience anxiety, fear, depression, and social isolation. Therefore, it is essential to provide emotional support and education about wound healing. Additionally, addressing the patient’s physical needs can help facilitate the healing process. By providing comprehensive support to patients, healthcare providers can help patients navigate the emotional impact of wounds and support them through the healing process.

    FAQs

    Q: Can wounds cause PTSD?

    A: While not everyone who experiences a wound will develop post-traumatic stress disorder (PTSD), it is possible for wounds to contribute to PTSD symptoms. If you are experiencing symptoms such as flashbacks, nightmares, and avoidance behaviors, seek professional help.

    Q: How can family and friends support someone with a wound?

    A: Family and friends can provide emotional support, help with wound care, and assist with daily activities as needed. Encouraging the person to participate in social activities and providing a listening ear can also be helpful.

    Q: Can stress affect wound healing?

    A: Yes, stress can affect wound healing. Stress can increase inflammation and reduce blood flow, both of which can slow down the healing process. Managing stress through relaxation techniques, exercise, and social support can help improve wound healing.

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    Five Principles of Wound Management

    10/03/23

    Wound management is a crucial aspect of healthcare, and it involves different aspects, including assessment, cleaning, dressing, and monitoring. The goal of wound management is to promote healing, prevent infections, and reduce the risk of complications. Effective wound management requires a systematic approach that takes into account the patient’s individual needs, the type of wound, and the underlying health conditions. By adhering to these principles, clinicians can efficiently provide holistic and comprehensive wound care to patients.

     

    1. Assessment Of The Wound

    The first principle of wound management is assessment of the wound. Proper assessment of the wound is crucial in determining the appropriate treatment plan. Assessment involves identifying the type of wound, its size, depth, location, and the presence of any underlying health conditions. The assessment should also include a review of the patient’s medical history, medications, allergies, and previous wound management interventions. The assessment is important in determining the appropriate dressing, the frequency of dressing changes, and the need for additional interventions such as debridement or antimicrobial therapy.

    2. Cleaning and Debridement

    The second principle of wound management is cleaning and debridement. Cleaning the wound involves removing any debris, dirt, or foreign objects that may be present in the wound. Debridement involves removing dead tissue or foreign materials that may interfere with the healing process. The goal here is to create an environment that is conducive to healing and prevent the risk of infection. Cleaning and debridement should be done using sterile techniques and appropriate wound care products.

    3. Timely Change of Dressings

    The third principle of wound management is timely change of dressings. Timely dressing changes help reduce infection rates and also indicate the state of recovery that the patient is in. The utmost care should be given to the patients when removing the dressings so as to not cause pain to them.

     

     

    4. Appropriate Wound Dressing

    The fourth principle of wound management is appropriate wound dressing. There are a lot of products on the market, and not all of them are clinic grade. A good rule of thumb to measure the quality of wound dressings would be one that is able to control the moisture around the wound, non-toxic, cheap and easy to use. 

    5. Antibiotic Use

    The fifth principle of wound management is antibiotic use. Wounds should be thoroughly inspected for signs of infection before antibiotics are prescribed. This is because regular antibiotic use can increase the risk of antibiotic-resistant infections. Fever, odor, and skin redness are some of the clinical symptoms of a possible wound infection.

    Conclusion

    In conclusion, wound management is a crucial aspect of healthcare that requires proper knowledge and skills. The five principles of wound management, which include assessment of wounds, cleaning and debridement, timely change of dressings, appropriate wound dressing, and antibiotic use, provide a useful framework for healthcare providers and patients alike. Healthcare providers can abide by these principles to effectively tend wounds and promote healing while reducing the risk of complications. Besides that,  patients can also play an active role in their own wound care by adhering to these principles and seeking medical attention when necessary. With proper wound management, patients can achieve an improved quality of life and faster healing.

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    Type 1 vs. Type 2 Diabetes: An In-Depth Outlook On The Chronic Disease

    10/03/23

    Diabetes is a chronic disease that affects millions of people worldwide. It is characterized by high blood sugar levels, which can lead to serious health complications if left untreated. There are two main types of diabetes – Type 1 and Type 2. Now, let us delve deep into the topic.

     

    Types of Diabetes

    Introduction

    Diabetes is a chronic disease that affects the way the body processes blood sugar, also known as glucose. Glucose is an essential source of energy for the body’s cells. However, when there is too much glucose in the blood, it can cause serious health problems. Despite humanity’s best efforts to combat the disease, diabetes is a growing health concern worldwide till today.

    Type 1 Diabetes

    • What is Type 1 Diabetes?

    Type 1 diabetes, also known as insulin-dependent diabetes, is a chronic condition in which the body’s immune system attacks and destroys the insulin-producing cells in the pancreas. As a result, the body cannot produce enough insulin to regulate blood sugar levels, and glucose builds up in the bloodstream.

    • Causes of Type 1 Diabetes

    The exact cause of Type 1 diabetes is not known, but it is believed to be caused by a combination of genetic and environmental factors. Certain viruses and environmental toxins may trigger the immune system to attack the insulin-producing cells in the pancreas.

    • Symptoms of Type 1 Diabetes

    The symptoms of Type 1 diabetes can develop quickly and can include frequent urination, increased thirst, hunger, weight loss, fatigue, and blurred vision. If left untreated, Type 1 diabetes can lead to serious health complications, such as nerve damage, kidney damage, and cardiovascular disease.

    • Treatment of Type 1 Diabetes

    The primary treatment for Type 1 diabetes is insulin therapy. People with Type 1 diabetes need to take insulin injections or use an insulin pump to regulate their blood sugar levels. In addition to insulin therapy, people with Type 1 diabetes need to monitor their blood sugar levels regularly, follow a healthy diet, and exercise regularly.

    • Potential Complications of Type 1 Diabetes

    If left untreated, Type 1 diabetes can lead to serious health complications, such as nerve damage, kidney damage, cardiovascular disease, and vision problems.

     

     

    Type 2 Diabetes

    • What is Type 2 Diabetes?

    Type 2 diabetes, also known as non-insulin-dependent diabetes, is a chronic condition in which the body becomes resistant to insulin, or the pancreas does not produce enough insulin to regulate blood sugar levels. This leads to high blood sugar levels, which can cause serious health complications if left untreated.

    • Causes of Type 2 Diabetes

    The exact cause of Type 2 diabetes is not known, but it is believed to be caused by a combination of genetic and lifestyle factors, such as obesity, physical inactivity, and poor diet.

    • Symptoms of Type 2 Diabetes

    The symptoms of Type 2 diabetes can develop gradually and may include frequent urination, increased thirst, hunger, fatigue, blurred vision, and slow-healing wounds. Some people with Type 2 diabetes may not experience any symptoms at all.

    • Treatment of Type 2 Diabetes

    The treatment of Type 2 diabetes may include lifestyle changes, such as following a healthy diet and exercising regularly, as well as medication, such as oral glucose-lowering drugs or insulin therapy. People with Type 2 diabetes also need to monitor their blood sugar levels regularly and manage other health conditions, such as high blood pressure and high cholesterol.

    • Potential Complications of Type 2 Diabetes

    If left untreated, Type 2 diabetes can lead to serious health complications, such as nerve damage, kidney damage, cardiovascular disease, and vision problems.

    • Differences between Type 1 and Type 2 Diabetes

    While both Type 1 and Type 2 diabetes involve high blood sugar levels, there are several key differences between the two conditions. Type 1 diabetes is an autoimmune condition that typically develops in childhood or adolescence, while Type 2 diabetes is more commonly associated with lifestyle factors and typically develops in adulthood. Type 1 diabetes requires insulin therapy, while Type 2 diabetes may be treated with lifestyle changes, medication, or a combination of both. Type 1 diabetes can lead to serious health complications if left untreated, while Type 2 diabetes is often asymptomatic and may go undiagnosed for years.

    Conclusion

    Diabetes is a chronic disease that affects millions of people worldwide. While Type 1 and Type 2 diabetes share certain similarities, there are also significant differences between the two. However, one thing has to be stressed once again – it is essential to manage diabetes effectively to prevent serious health complications down the road.

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    Understanding Diabetic Wounds

    Understanding Diabetic Wounds

    09/03/23

    Diabetes is a chronic medical condition that affects millions of people worldwide. One of the most common complications associated with diabetes is the development of diabetic wounds. Diabetic wounds are slow-healing and can lead to serious health complications. In this article, we will discuss the causes, symptoms, prevention, and treatment of diabetic wounds.

    Diabetic Progression

    Introduction

    Diabetes is a disease in which the body’s ability to produce or respond to insulin is impaired, leading to high levels of glucose in the blood. Over time, this can cause damage to the nerves and blood vessels, particularly in the feet and legs. As a result, people with diabetes are at increased risk of developing diabetic wounds.

    What are diabetic wounds?

    Diabetic wounds are wounds that are slow to heal and can become chronic. They can occur anywhere on the body, but are most commonly found on the feet, legs, and toes. Diabetic wounds are often caused by a combination of factors, including poor circulation, nerve damage, and high blood sugar levels.

    Causes of diabetic wounds

    There are several factors that can contribute to the development of diabetic wounds. These include:

    1. Poor circulation: Diabetes can damage blood vessels, making it difficult for blood to flow to the feet and legs.
    2. Nerve damage: High blood sugar levels can cause nerve damage, leading to a loss of sensation in the feet and legs. This can make it difficult to feel cuts, blisters, or other injuries that can lead to diabetic wounds.
    3. High blood sugar levels: High blood sugar levels can damage blood vessels and impair the body’s ability to fight infection, making it more difficult for wounds to heal.
    4. Foot deformities: Foot deformities, such as hammertoes or bunions, can increase the risk of developing diabetic wounds.
    5. Poor wound care: Neglecting to care for wounds properly can lead to infections and the development of diabetic wounds.

    Symptoms of diabetic wounds

    Symptoms of diabetic wounds may include:

    1. Redness or swelling around the wound
    2. Pain or tenderness
    3. Warmth around the wound
    4. Drainage from the wound
    5. A foul odor coming from the wound
    6. Black or dead tissue around the wound

    Prevention of diabetic wounds

    Preventing diabetic wounds is essential for people with diabetes. Here are some tips for preventing diabetic wounds:

    1. Check your feet daily for any cuts, blisters, or other injuries.
    2. Keep your feet clean and dry.
    3. Wear comfortable shoes that fit well and provide good support.
    4. Avoid going barefoot, even indoors.
    5. Trim your toenails straight across and not too short.
    6. Keep your blood sugar levels under control.
    7. Get regular health screenings from a healthcare provider.

     

    Our doctors treating a diabetic patient.

    Treatment of diabetic wounds

    Treatment for diabetic wounds will depend on the severity and location of the wound. In general, treatment may include:

    1. Cleaning the wound and removing any dead tissue
    2. Applying a dressing to keep the wound moist
    3. Taking antibiotics if an infection is present
    4. Using compression therapy to improve circulation
    5. Undergoing surgery to remove dead tissue or correct foot deformities

    Conclusion

    Diabetic wounds are a serious complication of diabetes that can lead to serious health problems if left untreated. By taking steps to prevent diabetic wounds and seeking prompt treatment if they do occur, people with diabetes can minimize their risk of complications.

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    TOP 10 REASONS FOR WHY YOU FEEL SO TIRED

    TOP 10 REASONS FOR WHY YOU FEEL SO TIRED

    12/10/20

    Tiredness (also known as fatigue) is an extremely common problem. In fact, “why am I so tired?” was one of the most frequently searched questions of the last 2 years at Google. The answers can vary, since tiredness can come from a physiological or psychological condition. In this article we’ll discuss 10 of the main causes of fatigue.   

    3. ANEMIA

    Anemia is a condition characterized by a low number or abnormal shape of red blood cells. In some countries up to 10% of the population is at risk of developing some kind of anemia, mostly due to low levels of iron. Pregnant women are especially vulnerable to it. There are several types of anemia; however, the one caused by iron deficiency is the most commonly related to fatigue.

    Iron deficiency is related to fatigue mainly because this ion is essential for oxygen transportation, ATP production (the main energy currency of the cell) and muscle function. People with this condition usually experience dizziness and get tired easily.

    4. SLEEP APNEA

    This condition involves blocking of the upper airways during sleep which leads to short periods where the person is not able to breathe. This can be caused by a number of factors like obesity, genetic disorders, kidney failure, etc.   

    The lack of sleep and sudden shortage of oxygen eventually lead to general sleepiness and fatigue in most cases. So far, women have proved to be more vulnerable to this condition.

    5. UNDERACTIVE THYROID

    The condition is also known as Hypothyroidism. It is characterized by a low production of important hormones. Since early symptoms are very common for many other diseases, people can spend many years without being diagnosed.

    Usually, the symptoms include weight gain, depression, muscle ache, sensitivity to cold, dry skin and hair and of course, fatigue.

    This condition can be treated with hormone therapy.

    9. GLANDULAR FEVER

    Also known as infectious mononucleosis, this infection is mostly seen in adolescents or adults who haven’t been infected with the Epstein-Barr virus before, people can be infected and show no symptoms for nearly 2 months. 

    Although fever is the main symptom, fatigue is the one that lasts the longest (up to 6 months after the infection).

    10. DEPRESSION

    Depression is the term usually used when someone feels sad or anxious for an extended period of time. People that have been depressed for a long period of time (over 2 years) can develop feelings of tiredness as part of a particular form of depression called dysthymia.

    However, in literature, is common to see depression as the consequence of chronic fatigue syndrome. People who live with the syndrome often spend very long periods of their lives without effective treatment of diagnosis, which leads to feelings of hopelessness and eventually depression.

    There are plenty of other reasons for why you may feel tired all the time, for example, if you are fighting an infection, it often triggers what some call “sickness behavior”, which sometimes includes fatigue. Overall, any condition related to chronic inflammation has the potential to cause tiredness. Or it simply could be that you need to make dietary changes. Whatever the case, if you If you experience long periods of fatigue and are concerned, talk to your doctor.  

    Hector Osorio 29 Jan 2019

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    HIGH CHOLESTEROL WHAT IT IS, AND 5 WAYS TO CONTROL IT

    HIGH CHOLESTEROL WHAT IT IS, AND 5 WAYS TO CONTROL IT

    12/10/20

    Cholesterol is a fat molecule synthesized by the body to serve various vital and structural functions. Your body produces these molecules on its own, and also absorbs it from foods you eat, especially animal sources like meat, dairy, and eggs.

    High levels of cholesterol in your blood is known to cause heart and blood vessel diseases. Cholesterol can bind to other substances in your bloodstream and clog up your arteries which can lead to a heart attack or a stroke.

    You’ve probably heard of LDL, HDL, and VLDL cholesterol, which are different types of cholesterol, and that some are “bad” and some are “good”. In general, LDL cholesterol is termed “bad” cholesterol for its tendency to build up in vessel walls damaging them. HDL cholesterol is termed “good” cholesterol for its counteractive effect, where it transports cholesterol from your bloodstream back into the liver, preventing its buildup in your vessels. Having too much bad cholesterol (LDL), and/or very little good cholesterol (HDL) is dangerous, and can lead to the mentioned conditions.

    WHAT CAUSES HIGH CHOLESTEROL?

    Several factors could contribute to high cholesterol levels, and they all have to do with your lifestyle:

    • An unhealthy diet: eating processed, fried, and fast foods that are rich in saturated and trans fats is a major source of bad (LDL) cholesterol. These fats are also found in different sweets, fatty meat, dairy foods, and pastry.
    • A sedentary lifestyle: moderate and intense physical activity is needed to lower your LDL cholesterol and elevate the protective HDL cholesterol.
    • Smoking: like in many other diseases, smoking is a cause. Smoking raises your LDL cholesterol levels and reduces the HDL cholesterol level, tipping the balance towards more problems.

    The good news is, there are many medications in use today that can help you manage your high cholesterol level and protect your body against its dire effects. Moreover, there are several diet and lifestyle changes that you can adopt to reduce your cholesterol level naturally without needing medications:

    1. Take control of your diet

    The thing is, a high cholesterol level is largely a dietary problem. The importance of controlling what and how much you eat cannot be stressed enough.

    • Avoid saturated fats: These fats are found in many of the things we eat, especially meat products. Processed and fast foods contain higher proportions of saturated fats, and hence it’s best if you avoid these altogether. These fats mainly increase your bad (LDL) cholesterol levels and are not a healthy choice.
    • No more trans fats: The FDA is working on banning trans fats from food products for the ill effects they cause. These fats are usually found in fried foods and some forms of pastry. You can check the label on the product you’re buying and search for the ones containing “partially hydrogenated oil”, which is a more complex way of saying trans fats.
    • Choose foods with good cholesterol: As already mentioned, HDL cholesterol is considered a good type of cholesterol, one that protects your vessels and prevents them from clogging up. Foods like avocado,  olive oil, fresh nuts, fish, and some fruits are good HDL sources and would be a great substitute for unhealthy foods in your diet.
    • Opt for foods high in fiber: These foods can help reduce the amount of cholesterol absorbed by your guts, and hence would help drop your LDL. Foods like oatmeal, beans, fruits, vegetables, and seeds are rich in fiber, and you would be smart to incorporate them into your diet.
    • Try foods rich in Omega-3: These are a special type of fatty acids that you’ve probably already heard of. Many studies claim that Omega-3 protects your heart and improves your health. The most famous source of this nutrient is fish. You can try to replace red meat in your diet for fish to take the full benefit.

    2. Exercise more

    As already said, having a sedentary lifestyle puts you at a higher risk of having high cholesterol. You can work out around 30 minutes, 3 to 5 times a week to stay within the recommended physical activity level. Staying active can raise your good cholesterol (HDL) levels and protect you against various metabolic disorders.

    Now, you don’t have to start running marathons right away, but you can start by choosing to walk more often rather than drive. Maybe invest in a bicycle and take it to work twice a week. With time, your body will be more used to moving and you can start doing higher intensity exercises like jogging or swimming.

    3. No more smoking

    As with most other medical conditions, smoking is one of the causes. It is well known that smoking harms your heart and blood vessels, and can cause many types of cancer. Stopping smoking can help raise the level of HDL cholesterol, enhancing its protective effects on your body.

    4. Lose those extra pounds

    If you’re overweight or obese, you should consider losing some weight through diet and exercise. Extra weight is an important cause of metabolic disturbances which include high cholesterol. Moreover, obesity can lead to many diseases like hypertension, diabetes, and heart problems.

    You can lose weight by adjusting your diet and exercising a little more. Seeking the help of a healthcare professional to set a comprehensive diet and training program can be worthwhile.

    5. If you drink, do so in moderation

    Some studies have shown that moderate consumption of alcohol may increase HDL cholesterol, which is a good thing. Nevertheless, data is still inconsistent in this regard, but if you do indeed drink alcohol, make sure you do so in moderation. This translates to a maximum of one alcoholic drink per day for women or two drinks for men.

    High cholesterol is harmful to your health and is usually a result of unhealthy life habits. The most important controllable factor contributing to high blood cholesterol is your diet. By getting your diet in check, and maybe exercising a little more and quitting some bad habits, you will probably be able to control your cholesterol levels and gain numerous other health benefits.

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    MOH: Vaccines in Malaysia are halal and must be administered to children

    MOH: Vaccines in Malaysia are halal and must be administered to children

    12/10/20

    A two-year-old child passed away in Miri Hospital, Sarawak, from diphtheria in March 2018. An investigation by the Ministry of Health (MOH) Malaysia revealed that the parents chose to not have her immunised against diphtheria due to concerns about the halal nature of vaccine.

    According to the MOH, there were 32 cases of diphtheria – including seven deaths – reported throughout the country last year. Out of those cases, 75% were unvaccinated, most of them children.

    Health Director-General Datuk Dr Noor Hisham Abdullah advised that children should be administered with the ‘five-in-one’ injection at two, three and five months, including a booster at 18 months.

    Vaccines are Halal

    The technical committee chairman of vaccine advocacy programme Immunise4Life, Datuk Dr Zulkifli Ismail, said the anti-vaccine sentiment has created confusion and distrust towards vaccination. “There is nothing in Islam or any other religion that says you cannot give vaccinations to children. The only reason we are seeing diphtheria cases is not because vaccine has failed, but because parents do not want their children to take the vaccine.”

    The MOH urged Muslim parents to not doubt the halal status of vaccines.


    The National Fatwa Council has also issued a statement that vaccines provided by the government are all halal. Health Deputy Minister Datuk Seri Dr Hilmi Yahaya advised Muslim parents to trust the data provided by experts instead of false information circulated on social media.

    “In Malaysia, there is only one vaccine which contains porcine DNA – the rotavirus vaccine. The government does not buy this vaccine. It is only available in private clinics to treat severe diarrhoea,” he added.

    Dr Zulkifli encouraged the use of reliable resources to retrieve information on immunisation, such as Immunise4Life website (www.ifl.my) and MYVaksinBaby app.

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    Herb-drug interactions that patients need to know

    Herb-drug interactions that patients need to know

    12/10/20

    Doctors in Singapore are on alert regarding herb-drug interactions following an incident last year, when a 58-year old woman died after surgical removal of a benign brain tumour.

    The woman failed to inform doctors that she took cordyceps, a herbal medication, a week before her operation. This was believed to have led to extensive bleeding in her brain.

    Patients need to understand that herbal medications are not completely safe, and that these preparations, when taken with other drugs, can alter the way that the drug is processed and excreted by the body, enhance a drug’s side effects, or block the intended therapeutic effect of the drug.

    It is important that patients consult first with a physician before taking any herbal supplements, or inform their physician if they are taking herbal preparations if they are prescribed with medications.

    Below are some of the most common herbs used as supplements, together with some of their known interactions with drugs:

    1. Black Cohosh
    Black cohosh is often used for menopausal disorders. It could be toxic to the liver and could have an increased toxic effect to liver when used together with other drugs that can also cause liver toxicity. Drugs that depend on the liver for their excretion may accumulate and lead to toxicity when used with black cohosh.

    2. Coenzyme Q10
    Coenzyme Q10 protects the heart from damage from cancer medications. The use of coenzyme Q10 with warfarin decreases its blood thinning effects and may increase the risk for a blood clot.

    3. Echinacea
    Echinacea is used to enhance the body’s immune system and helps in the management of the common cold. Echinacea affects the metabolism of drugs by the CYP450 system. This could lead to complicated drug interactions, enhancement of side effects and reduction of the drug’s therapeutic effects. It can also slow down the metabolism of caffeine which can lead to insomnia, jitteriness and headache.


    4. St. John’s Wort supplements
    Supplements containing St. John’s Wort are commonly used to treat symptoms of depression. This should not be used concomitantly with other antidepressants, migraine medications, dextromethorphan, warfarin, birth control pills, and certain antiretroviral medications due to seriousness of drug interactions.

    5. Ginseng
    Ginseng is commonly used to improve the body’s resistance and vitality. There are four known types of ginseng, namely American, Korean, Siberian and Brazillian. Of these, American ginseng is known to decrease the effects of warfarin and should not be used together with other anticoagulants, though this cannot be conclusively said for the other three types. Ginseng also has an effect in blood pressure and blood sugar medications.


    6. Ginkgo biloba
    Gingkgo biloba is used to enhance memory, and in improving symptoms of Alzheimer’s and Parkinson’s diseases. It can decrease effects of certain HIV medications, and alter the actions of drugs metabolized by the liver.

    Cecille Anthony Adams, 09 Jul 2018

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