
Q I am currently taking anti-inflammatory painkillers prescribed by an orthopedic doctor. Is it okay to take herbal medicine at the same time?
A Generally, the combined use of NSAIDs (anti-inflammatory painkillers) and herbal medicine is common in clinical practice, and in most cases, there are no major issues. However, since there is a possibility of interactions between certain herbal ingredients and anticoagulants or specific anti-inflammatory drugs, you must inform your attending Korean medicine doctor of any medications you are currently taking. The doctor will review your list of medications and adjust the prescription to ensure safety.
Detailed Answer
NSAIDs can cause gastrointestinal mucosal irritation and kidney burden, so caution is required for long-term use. When combined with herbal medicine, some ingredients (such as Angelica gigas and Salvia miltiorrhiza) may have anticoagulant effects, so those taking warfarin should exercise particular caution. Long-term steroid users must also notify their attending Korean medicine doctor when receiving a prescription for herbal medicine. In most cases, it is safe to take herbal medicine and Western medicine with a time interval (1 to 2 hours). Korean Medicine Clinic Perspective In Korean medicine, the cold and cooling properties of anti-inflammatory painkillers are considered to potentially harm the digestive system. While Western medicine suppresses symptoms, herbal medicine acts on a different level—protecting the digestive system, removing waste fluids, and promoting Qi and blood circulation—making them complementary. At Dongjedang, we prescribe safe herbal medicine after reviewing all medications currently being taken and examining potential interactions during the initial consultation. Therefore, it is recommended that you bring any medications you are currently taking or prepare a list of them for your first visit.
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