Is it important to tell my doctor if I am taking an alternative medication such as herbs or supplements?

Nearly half of people in the United States are using Complementary Alternative Medicine (CAM) of one sort or another. Over half of those using complementary therapies or medications did not tell their doctor. While many CAM treatments are beneficial, not all of them are safe, particularly when surgery is needed.

For example, chondroitin, gingko biloba, ginseng, and garlic supplements may lead to an increase in bleeding so should be stopped before surgery.

Echinacea should be stopped 2-3 weeks before surgery. It can slow the clearance from your body of certain medications. It may also affect allergic reactions, and cause suppression of the immune system. This could affect healing and fighting infection.

Glucosamine should also be stopped 2-3 weeks prior to surgery as it may cause low blood sugar, fainting, and delayed recovery after anesthesia.

Especially in the case of surgery, your surgeon should know about everything you are taking so that your care can be managed safely and appropriately.

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