Can Pregnant Women with Preeclampsia Safely Take Liver Health Pills?

Doctor, is it safe for someone at high risk for gestational hypertension to take liver health pills?

Hello Doctor: I would like to inquire about my wife, who is currently 5-6 months pregnant.
During the early stages of her pregnancy, her obstetrician detected a high risk of gestational hypertension (preeclampsia).
She is currently taking medication to control her blood pressure (Bokey enteric-coated micro-pellets).
Given her current condition, is it safe for her to take "Shenpu Liver Nourishing Pills"? My wife's parents mentioned that it could help prevent allergies or jaundice in the child and is good for the child's skin.
Additionally, my wife sometimes has a yellowish complexion and palms (especially when she doesn't sleep well).
I kindly ask for your clarification.
Thank you.
Below are the ingredients of "Shenpu Liver Nourishing Pills": 300mg per capsule, with each dose consisting of 14 capsules containing: Angelica sinensis 24mg, Plantago seed 24mg, White peony root 24mg, Saposhnikovia root 24mg, Semen pruni 24mg, Rehmannia root (cooked) 24mg, Chuanxiong 24mg, Bitter orange 24mg, Honey 108mg.

Niming, 30~39 year old female. Ask Date: 2017/03/29

Dr. Yan Sumei reply Traditional Chinese Medicine

Dear Anonymous User,
Thank you for your message.
Your wife is currently 5-6 months pregnant, and you are considering using Shenpu Liver Nourishing Pills to prevent allergies or jaundice in your child.
However, I cannot guarantee that this herbal remedy will effectively prevent skin allergies or jaundice in your child.
Traditional Chinese medicine requires a comprehensive assessment through observation, listening, inquiry, and pulse diagnosis to provide appropriate treatment based on the principles of the Four Examinations and Eight Principles.
While I appreciate your desire to give your future child a better constitution, I cannot provide the answer you seek without first conducting a thorough assessment of your wife.
I recommend that you consult a qualified and trusted traditional Chinese medicine practitioner with your wife and your concerns for better guidance.
Wishing you health and safety!
Sincerely,
Yen Su-Mei
Department of Traditional Chinese Medicine, Nantou Hospital

Reply Date: 2017/03/29

More Info

When considering the use of herbal supplements like "Shenpu Yanggan Wan" (深浦養肝丸) during pregnancy, especially in the context of preeclampsia (gestational hypertension), it is crucial to approach the matter with caution. Preeclampsia is a serious condition that can lead to significant complications for both the mother and the fetus, and managing it effectively is of utmost importance.

Firstly, it is essential to understand the components of "Shenpu Yanggan Wan." This herbal formulation contains various traditional Chinese medicinal herbs, including Angelica sinensis (Dong Quai), Plantago asiatica (Che Qian Zi), and others. While these herbs are often used for their purported benefits in promoting liver health and improving blood circulation, the safety and efficacy of such herbal products during pregnancy have not been extensively studied.

The primary concern with taking any supplement during pregnancy, particularly for women with preeclampsia, is the potential for adverse effects. Preeclampsia is characterized by high blood pressure and can lead to complications such as placental abruption, preterm birth, and even maternal and fetal morbidity. The use of herbal supplements may interact with prescribed medications, such as antihypertensive drugs, and could potentially exacerbate the condition or lead to unforeseen side effects.

Moreover, the claim that "Shenpu Yanggan Wan" can prevent allergies or jaundice in newborns is not supported by robust scientific evidence. While some herbal ingredients may have beneficial properties, the specific effects on fetal development and health outcomes are not well-documented. The concern about your wife's yellowing of the skin and palms could be related to various factors, including liver function or dietary issues, and should be evaluated by a healthcare professional rather than relying on herbal remedies.

Given your wife's current situation—being at high risk for preeclampsia and already on medication to control her blood pressure—it is advisable to consult with a qualified healthcare provider, preferably an obstetrician or a maternal-fetal medicine specialist. They can provide personalized advice based on her medical history, current health status, and the specifics of her pregnancy.

In summary, while the intention to support your wife's health and the health of your unborn child is commendable, the use of "Shenpu Yanggan Wan" or any herbal supplement should be approached with caution. The potential risks associated with herbal products during pregnancy, particularly in the context of preeclampsia, necessitate a thorough discussion with a healthcare professional. They can help determine the safest and most effective management plan for your wife's condition and ensure the best possible outcomes for both her and the baby. Always prioritize evidence-based medical advice over anecdotal claims regarding herbal remedies.

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