Can You Combine Health Supplements with Traditional Chinese Medicine? - Pharmacology

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Medication consultation


Hello, doctor.
I have polycystic ovary syndrome (PCOS).
Currently, I take one Metformin pill with breakfast and dinner, and one hour after meals, I take a herbal medicine (ingredients: yam, cooked rehmannia, goji berries, dodder seed, cornelian cherry, cyperus, curcuma, chicken gizzard, poria, parasitic plant, morinda root, fried eucommia, and salvia) along with Liuwei Dihuang Wan.
Recently, I have also purchased some dietary supplements (4 inositol capsules per day, 1 folic acid capsule per day, and 1 vitamin E capsule per week).
I would like to know if it is safe to take dietary supplements together with traditional Chinese medicine, or should I space them out?

Yang, 20~29 year old female. Ask Date: 2015/11/02

Dr. Huang Shenggang reply Pharmacology


Hello Ms.
Yang: Since you are taking metformin, it indicates that you have issues with blood sugar levels.
Additionally, you are taking various traditional Chinese medicines, so it is important to understand the purpose of your herbal treatments.
It is not advisable to take too many dietary supplements, as there may be interactions between the prescription medications, herbal medicines, and supplements you are using.
Therefore, I recommend that you first clarify the purpose of each medication and supplement you are taking.
Thank you for your question.

Reply Date: 2015/11/02

More Info


Combining health supplements with Traditional Chinese Medicine (TCM) is a topic that warrants careful consideration, especially for individuals with specific health conditions such as polycystic ovary syndrome (PCOS). In your case, you are currently taking metformin and a combination of TCM herbs, along with various health supplements. Here’s a detailed response to your question, along with some additional insights into the interactions and considerations involved.


Can You Combine Health Supplements with Traditional Chinese Medicine?
Yes, it is generally possible to combine health supplements with Traditional Chinese Medicine, but there are several important factors to consider:
1. Timing and Dosage: It is advisable to space out the intake of TCM and health supplements. A common recommendation is to wait at least 30 minutes to an hour between taking TCM and any supplements or medications. This allows for better absorption and reduces the risk of potential interactions. For instance, if you take your TCM herbs after meals, you might consider taking your supplements at a different time of day, such as in the morning or before bed.

2. Potential Interactions: While there may not be well-documented interactions between specific supplements and TCM herbs, the pharmacological effects of both can vary significantly. For example, certain herbs in TCM can influence blood sugar levels, which may interact with metformin. Similarly, supplements like inositol, which is often used for PCOS, can also affect insulin sensitivity. Therefore, it is crucial to monitor your body’s response and consult with a healthcare professional who understands both TCM and Western medicine.

3. Individual Health Conditions: Your specific health condition, such as PCOS, plays a significant role in determining what combinations are safe and effective. For example, some TCM herbs may have hormonal effects that could either complement or interfere with the action of metformin or other supplements. Always discuss your complete regimen with your healthcare provider to ensure that all components work harmoniously.

4. Quality of Supplements: The quality and source of health supplements can vary widely. It is essential to choose high-quality products from reputable manufacturers to minimize the risk of contamination or adulteration. Some supplements may contain fillers or additives that could interact with TCM herbs.

5. Monitoring and Adjustments: When combining TCM with health supplements, it is important to monitor your symptoms and overall health closely. If you notice any adverse effects or changes in your condition, consult your healthcare provider immediately. They may recommend adjustments to your regimen based on your response.


Additional Considerations
- Consultation with Practitioners: It is beneficial to work with healthcare practitioners who are knowledgeable in both TCM and Western medicine. They can provide personalized advice based on your health history and current medications.


- Holistic Approach: TCM often emphasizes a holistic approach to health, focusing on diet, lifestyle, and emotional well-being in addition to herbal remedies. Incorporating a balanced diet, regular exercise, and stress management techniques can enhance the effectiveness of both TCM and supplements.

- Research and Evidence: While there is growing interest in the integration of TCM and Western medicine, more research is needed to fully understand the interactions and efficacy of combining these approaches. Keeping abreast of new studies and findings can help inform your choices.

In summary, while combining health supplements with Traditional Chinese Medicine is generally feasible, it requires careful consideration of timing, potential interactions, and individual health conditions. Always consult with knowledgeable healthcare providers to ensure a safe and effective approach to your health management.

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