Interactions
Ginseng: May enhance the effect of oral hypoglycemics (eg, glimepiride, glipizide). Decreased effect of MAOIs (eg, selegiline, phenelzine, moclobemide. Decreased blood prothrombin levels w/ warfarin.
Dosage
Orally, 1-2 softgel capsules daily.
Or, as directed by a doctor.
Missed Dose: If the patient missed a dose, just give the next dose and the subsequent doses at the usual recommended schedule.
Do not double the dose.
Contraindications
If the patient is allergic to any ingredient in the product.
If the patient is pregnant or breastfeeding.
Special Precautions
Do not take more than the recommended dose.
Consult the Doctor: If any undesirable effect occurs.
Use In Pregnancy & Lactation
Contraindicated if the patient is pregnant or breastfeeding.
Adverse Reactions
Nicotinamide: Dosages of nicotinamide in excess of 100 mg daily may cause flushing of the face, arms, and chest, itching, and nausea.
Iron: Doses of elemental iron greater than 120 mg per day may cause gastrointestinal side effects such as nausea, vomiting, bloating, and upper abdominal discomfort. Other undesirable effects may include black stools, diarrhea or constipation.
Ginseng: Ginseng when taken in high doses (>3 g daily) may cause hypertension, nervousness, insomnia, edema, diarrhea, and skin reactions.
Royal Jelly: Royal Jelly may cause hypersensitivity reactions such as eczema, rhinitis, urticaria, and bronchospasm.