
Q I am currently taking SSRIs prescribed by a psychiatrist. Is it okay to take herbal medicine at the same time?
A In most cases, it is possible to take SSRIs and herbal medicines together. However, since certain ingredients, such as St. John's wort, interact with SSRIs, you must inform the Korean medicine doctor of all medications you are currently taking.
Detailed Answer
Combining SSRIs (such as sertraline, paroxetine, and escitalopram) with herbal medicine is generally safe when properly prescribed. However, it is important to note that certain Western herbs (especially St. John's wort) can affect the blood concentration of SSRIs, so they should not be taken together. While traditional herbal medicines used at Dongjedang—such as those designed to relieve stuffiness by improving Qi circulation or calm anxiety and palpitations—rarely have reported interactions with SSRIs, you must accurately inform the doctor of all medications you are currently taking before receiving a prescription to ensure a safe prescription. Please notify us immediately if new symptoms such as dizziness, nausea, or changes in sleep occur after taking the medication. At Dongjedang, we design prescriptions to maintain the anti-anxiety effects of SSRIs when used in combination, while supplementing secondary symptoms such as sleep, digestive issues, and fatigue with herbal medicine. The two treatments are cooperative, not competitive.
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