Alpha-lipoic acid (ALA) may lower blood sugar levels. Caution is advised when using herbs or supplements that may also lower blood sugar. Blood glucose levels may require monitoring, and doses may need adjustment.
ALA may alter thyroid levels. Caution is advised in people diagnosed with thyroid disease. Patients using herbs or supplements for thyroid disease should be monitored closely by their healthcare providers while using ALA. Dosing adjustments may be necessary.
ALA may increase the risk of bleeding when taken with herbs and supplements that are believed to increase the risk of bleeding. Multiple cases of bleeding have been reported with the use of Ginkgo biloba, and fewer cases with garlic and saw palmetto. Numerous other agents may theoretically increase the risk of bleeding, although this has not been proven in most cases.
ALA may interfere with the way the body processes certain herbs or supplements using the liver's cytochrome P450 enzyme system. As a result, the levels of these herbs or supplements may be altered in the blood and may cause potentially serious adverse reactions. It may also alter the effects that other herbs or supplements possibly have on the P450 system.
ALA may increase the amount of drowsiness caused by some herbs or supplements
ALA may cause low blood pressure. Caution is advised in people taking herbs and supplements that lower blood pressure.
ALA may interact with antioxidants; biotin; blood thinners; calcium; cholesterol-lowering herbs and supplements; coenzyme Q10; Devil's claw; herbs and supplements for Alzheimer's, cancer, or osteoporosis; herbs and supplements for depression or psychosis; herbs and supplements for HIV or viruses; herbs and supplements for inflammation, pain relief, or weight loss; herbs and supplements for the brain, eyes, heart, immune system, or skin; herbs and supplements that alter blood sugar or blood pressure; herbs and supplements that are poisonous to the liver; herbs and supplements that widen or narrow blood vessels; phosphorus; sedatives; thiamine; thyroid agents; and vitamin C and E.
You should read product labels, and discuss all therapies with a qualified healthcare provider. Natural Standard information does not constitute medical advice, diagnosis, or treatment.
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