Can Propranolol and Herbal Supplement Shoumei Jangzhi No. 1 Be Taken Together? - Cardiology

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Drug interactions


Hello, doctor.
May I ask if Propranolol for arrhythmia can be taken simultaneously with the traditional Chinese medicine "Shoumei Jiangzhi No.
1"? Thank you!

Carollin, 50~59 year old female. Ask Date: 2024/01/15

Dr. Wu Xueming reply Cardiology


I am not familiar with the ingredients of this traditional Chinese medicine, so it may be necessary to consult a Chinese medicine practitioner.
However, it is generally recommended to space the intake of Western and Chinese medications by at least two hours.

Reply Date: 2024/01/15

More Info


When considering the concurrent use of Propranolol, a commonly prescribed beta-blocker, and the herbal supplement Shoumei Jangzhi No. 1, it is essential to evaluate both the pharmacological properties of Propranolol and the potential effects of the herbal supplement.
Propranolol is primarily used to manage hypertension, anxiety, and certain types of heart rhythm disorders. It works by blocking beta-adrenergic receptors, which helps to decrease heart rate and blood pressure. On the other hand, Shoumei Jangzhi No. 1 is a traditional Chinese herbal formula that is often marketed for its purported benefits in lowering cholesterol and improving cardiovascular health. However, the specific ingredients and their concentrations in this herbal supplement can vary, and the exact mechanisms of action may not be well understood or documented in scientific literature.

Regarding drug interactions, there is limited research specifically addressing the combination of Propranolol and Shoumei Jangzhi No. 1. However, it is crucial to consider that herbal supplements can have various effects on the body, including potential impacts on liver enzymes that metabolize medications. Some herbs may induce or inhibit cytochrome P450 enzymes, which could alter the metabolism of Propranolol, potentially leading to increased side effects or reduced efficacy of the medication.

Moreover, certain herbal supplements may also affect blood pressure or heart rate, which could counteract the intended effects of Propranolol. For instance, if Shoumei Jangzhi No. 1 contains ingredients that lower blood pressure, this could lead to an additive effect when taken with Propranolol, resulting in hypotension (low blood pressure). Conversely, if the herbal supplement has stimulating properties, it might counteract the calming effects of Propranolol.

It is also important to consider individual patient factors such as age, overall health, and the presence of other medical conditions. For example, patients with pre-existing heart conditions or those who are elderly may be more susceptible to the effects of both Propranolol and herbal supplements, necessitating careful monitoring.

Given these considerations, it is advisable to consult with a healthcare provider before combining Propranolol with Shoumei Jangzhi No. 1. A healthcare professional can provide personalized advice based on your specific health status and medication regimen. They may also recommend monitoring your blood pressure and heart rate more closely if you decide to take both products.

In summary, while there is no well-documented interaction between Propranolol and Shoumei Jangzhi No. 1, the potential for interactions exists due to the effects of herbal supplements on drug metabolism and cardiovascular function. Always prioritize safety by discussing any new supplements with your healthcare provider, especially when you are on prescription medications. This approach ensures that you can safely manage your health conditions while minimizing the risk of adverse effects.

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