Managing Herbal Medicine Dosages: Safety and Timing for Patients - Traditional Chinese Medicine

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Regarding medication issues?


Previous question: Doctor, due to gastrointestinal issues and chronic prostate problems, I need to take prescriptions from two different traditional Chinese medicine practitioners, with no overlap in the prescriptions.
How long should I space out the dosages? Doctor's response: For different herbal prescriptions, you can take them one hour apart, or one before meals and one after meals.
(New question) Doctor, I would like to ask: Generally, traditional Chinese medicine practitioners in clinics prescribe herbal packages that are around 15 grams each.
If one is taken before meals and the other after meals, that totals 30 grams.
Is there a concern about the dosage being too heavy?

S, 40~49 year old female. Ask Date: 2021/06/19

Dr. Yan Sumei reply Traditional Chinese Medicine


Hello! The daily dosage of Chinese medicine is 15 grams, divided into three doses of 5 grams each.
There are two types of herbal prescriptions, to be taken before and after meals, totaling 10 grams at a time.
Scientific Chinese medicine is made from the decoction of traditional herbs and is generally milder compared to Western medications.
If you are not experiencing any discomfort, it indicates that there is no overdose.
If you still have concerns, you may temporarily stick to the prescription provided by one physician.
Wishing you peace and health! Best regards, Su-Mei Yen, Department of Traditional Chinese Medicine, Nantou Hospital.

Reply Date: 2021/06/19

More Info


When managing herbal medicine dosages, especially for patients with specific health concerns such as gastrointestinal issues and chronic prostate problems, it is crucial to consider both safety and timing. The question raised about the appropriate intervals between taking different herbal prescriptions is a valid concern, particularly when patients are under the care of multiple practitioners.

In general, when taking herbal medicines, it is advisable to space out the dosages to minimize potential interactions and to allow the body to absorb each formulation effectively. As mentioned in the previous response, a gap of about one hour between different herbal prescriptions is a reasonable approach. This timing can help ensure that the active compounds in each herbal formulation do not interfere with each other, which could potentially reduce their effectiveness or increase the risk of side effects.

Regarding the concern about the total dosage of herbal medicine, it is important to note that traditional Chinese medicine (TCM) often prescribes herbal formulas in specific dosages tailored to the individual’s condition. A typical prescription may range from 10 to 30 grams per day, depending on the formulation and the patient's needs. In your case, if you are taking two different prescriptions, one before meals and one after, totaling around 30 grams, this is generally within the acceptable range for many herbal treatments. However, it is essential to consider the specific herbs involved, as some may have stronger effects or potential side effects than others.

To address the concern of "overweight" in terms of herbal medicine, it is crucial to evaluate the individual herbs' properties and their cumulative effects. Some herbs may have synergistic effects, enhancing each other's benefits, while others may lead to adverse reactions when combined. Therefore, it is advisable to consult with a qualified herbalist or a healthcare provider familiar with herbal medicine to ensure that the combination of herbs is safe and appropriate for your specific health conditions.

Moreover, monitoring for any adverse effects is essential when taking multiple herbal formulations. Patients should be aware of any new symptoms or changes in their health status and report these to their healthcare provider. This vigilance is especially important for individuals with pre-existing conditions, as they may be more susceptible to side effects or interactions.

In summary, when managing herbal medicine dosages, it is essential to:
1. Space out the dosages of different herbal prescriptions by at least one hour to minimize interactions.

2. Be mindful of the total daily dosage and the specific herbs being used, ensuring they are within safe and effective limits.

3. Consult with a healthcare provider or herbalist to tailor the herbal regimen to your individual health needs and to monitor for any adverse effects.

4. Maintain open communication with all healthcare providers involved in your care to ensure a coordinated approach to your treatment.

By following these guidelines, patients can safely manage their herbal medicine dosages while addressing their health concerns effectively.

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