Many Americans are using supplements of all kinds to treat or prevent various illnesses and diseases. Some products are used to improve memory, immune function, and joint lubrication. Others are thought to prevent depression and colds. In this report, two pharmacists review 10 of the most common herbal products. They present the effects these herbs have on patients planning to have orthopedic surgery.
Most herbal supplements have some possible problems when used around the time a patient is having surgery. For example, gingko biloba is used to improve memory. But it can also increase the risk for bleeding. The gingko keeps platelets from clumping together so they can’t form a clot.
Ginseng is used to prevent the effects of aging. It’s also reported to increase energy. This is another herb that can prevent blood clotting. It also lowers blood glucose levels after eating. This leaves a person at risk for low energy and falls.
Most doctors tell patients to stop using herbs or supplements at least two weeks before surgery. Some products can be used up to 48 hours before an operation. Others must be stopped slowly to prevent withdrawal. Doctors will be able to set more specific times as information about these herbs becomes available.
These pharmacists suggest that patients always tell their doctors all drugs, medications, and herbs they are using before having surgery. Doctors must know the effects of each product and advise patients about using or avoiding these herbs.