Cordyceps may increase the risk of bleeding when taken with drugs that increase the risk of bleeding. Some examples include aspirin, anticoagulants (blood thinners) such as warfarin (Coumadin®) or heparin, antiplatelet drugs such as clopidogrel (Plavix®), and nonsteroidal anti-inflammatory drugs (NSAIDS) such as ibuprofen (Motrin®, Advil®) or naproxen (Naprosyn®, Aleve®).
- Cordyceps may lower blood sugar levels. Caution is advised when using medications that may also lower blood sugar. Patients taking drugs for diabetes by mouth or insulin should be monitored closely by a qualified healthcare provider. Medication adjustments may be necessary.
- Cordyceps may lower blood pressure. Caution is advised when using medications that may also lower blood pressure. Patients taking drugs for blood pressure, such as ACE inhibitors, should be monitored closely by a qualified healthcare professional, including a pharmacist.
- Cordyceps may increase the amount of drowsiness caused by some drugs. Examples include benzodiazepines such as lorazepam (Ativan®) or diazepam (Valium®), barbiturates such as phenobarbital, narcotics such as codeine, some antidepressants, and alcohol. Caution is advised while driving or operating machinery
- Cordyceps may also interact with agents for aging, allergy, asthma, and abnormal heart rate; agents for cancer, depression, inflammation, and malaria; agents for the brain, heart, intestines, lung, skin, and stomach; agents that alter the immune system; agents that reduce blood clots and platelet aggregation; agents that widen blood vessels; agents toxic to the liver or kidneys; alcohol; aminoglycosides (type of antibiotic); antibiotics; athletic performance enhancers; cholesterol-lowering agents; corticosteroids; enalapril; gentamicin; hormonal agents; monoamine oxidase inhibitors (MAOIs; depression medication); sexual performance agents; steroids; and Thymoglobulin® (organ transplant medicine).
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