Common Herbal Supplements Common Herbal Supplements with Photosensitivity with Estrogenic Properties Herbal Properties • Black Cohosh • Chrysanthemum • Chasteberry Supplements • Dong Quai • Dong Quai • Shiitake Mushroom • Flax Seed Oil • St. John’s Wort • Gingko Biloba & Cancer • Red Clover Potential Interactions • Soy Products Treatment Increases skin sensitivity to sunlight. Potential Interactions Who Should Avoid Use Estrogenic effect may stimulate estrogen • Patients undergoing radiation dependent tumor growth. therapy.
Who Should Avoid Use • Breast cancer patients (especially those patients who are hormone positive)
• Endometrial cancer patients
Common Herbal Supplements with Immunomodulatory Properties
• Astragalus
• Maitake & Reishi Mushroom • Mistletoe (European)
Potential Interactions Copyright 2017 Michigan Oncology Quality Consor�um, All rights Interactions presented are related to May boost or suppress the reserved. MOQC makes no representa�ons or warran�es and explicitly disclaims the appropriateness or applicability of the MOQC Content to common supplements and not standard use immune system. any specific pa�ent's care or treatment. Any clinician seeking to treat a in cooking or foods. pa�ent using the MOQC Content is expected to use independent medical judgment in the context of individual clinical circumstances of a specific Who Should Avoid Use pa�ent's care or treatment. • Patients taking Weiger WA, et al. Ann Intern Med. 2002;137(11):889-903. Ngo Z. CAM immunosuppressants therapy. CancerSuppor�veCare.com 2004; Arslan D, et al. J Palliat Med. • Lymphoma patients 2013;16(11):1466-1476. Frenkel M, et al. Integr Cancer Ther. 2013;12(5):369-384. Ngo Z. CAM therapy. CancerSuppor�veCare.com 2004. Weiger WA, et al. Ann Intern Med. 2002;137(11):889-903.
Common Herbal Supplements Common Herbal Supplements with Antioxidant Properties with Enzyme Modifying • Garlic Properties • Gingko Biloba • Black Cohosh • Ginseng • Curcumin (Tumeric) • Grapeseed Extract • Echinacea • Green Tea • Essiac • High-dose Vitamin E & C • Garlic • Melatonin • Ginseng • Red Clover & CoQ10 • Goldenseal Common Herbal Supplements • Selenium • Grapeseed Extract with Blood Thinning • Kava Properties Potential Interactions • Licorice • Curcumin (Tumeric) • Milk Thistle May interfere with cancer killing • Dong Quai • Mistletoe (European) • Evening Primrose effects of certain chemotherapy and • Nettle • Feverfew radiation. • Reishi Mushroom • Fish Oil • Soy Extract • Garlic Who Should Avoid Use • St. John’s Wort • Gingko Biloba • Valerian • Ginseng • Patients undergoing radiation • therapy Grapeseed Extract • High-dose Vitamin E & C • Patients on some chemotherapy Potential Interactions • Maitake & Reishi Mushroom May affect how the chemotherapy drug • Selenium is broken down in the body and either increase or decrease how well it works. Potential Interactions
May inhibit platelets’ ability to clump Who Should Avoid Use together (clot) and increase the risk • Patients taking certain oral of bleeding. chemotherapy drugs
Who Should Avoid Use • Patients undergoing surgery • Patients with low platelet counts • Patients taking blood thinners