Eleuthero is a small, woody shrub. People use the root of the plant to make medicine. Eleuthero is sometimes called "Siberian ginseng". But eleuthero is not related to true ginseng. Don't confuse it with American ginseng or Panax ginseng.
Eleuthero is often called an "adaptogen." This is a non-medical term used to describe compounds that might improve resistance to stress. But there is no good evidence showing that eleuthero has adaptogen-like effects.
Eleuthero is used for diabetes, athletic performance, memory and thinking skills (cognitive function), the common cold, and many other conditions, but there is no good scientific evidence supporting most of its uses.
- Genital herpes.  Oral eleuthero root extract might help to prevent and reduce the severity of genital herpes outbreaks.
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- Athletic performance.  Small clinical studies suggest that oral eleuthero root is not beneficial for improving athletic performance.
Login for details - Bipolar disorder.  It is unclear if oral eleuthero root is beneficial for bipolar disorder.
Login for details - Cardiovascular disease (CVD).  It is unclear if oral eleuthero fruit is beneficial for preventing the development of CVD.
Login for details - Chronic fatigue syndrome (CFS).  It is unclear if oral eleuthero root is beneficial for CFS.
Login for details - Cognitive function.  It is unclear if oral eleuthero is beneficial for cognitive function.
Login for details - Common cold.  Oral eleuthero has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Login for details - Diabetes.  It is unclear if oral eleuthero is beneficial for improving glycemic control in type 2 diabetes.
Login for details - Diabetic neuropathy.  It is unclear if oral eleuthero is beneficial for diabetic neuropathy.
Login for details - Familial Mediterranean fever.  Oral eleuthero has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Login for details - Fibromyalgia. Login for details
- Hangover.  It is unclear if oral eleuthero root is beneficial for hangovers.
Login for details - Influenza.  Oral eleuthero has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Login for details - Osteoarthritis.  Oral eleuthero has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Login for details - Osteoporosis.  Oral eleuthero has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Login for details - Pneumonia.  Oral eleuthero has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Login for details - Quality of life.  It is unclear if oral eleuthero root improves quality of life in older healthy adults.
Login for details - Rheumatoid arthritis (RA). Login for details
- Stress.  It is unclear if oral eleuthero root is beneficial for stress.
Login for details - Upper respiratory tract infection (URTI).  Oral eleuthero has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
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Eleuthero contains many chemicals that affect the brain, immune system, and certain hormones. It might also contain chemicals that have activity against some bacteria and viruses.
When taken by mouth: Eleuthero is LIKELY SAFE for most adults when taken for up to 3 months. While side effects are rare, some people can have nausea, diarrhea, and rash. In high doses, eleuthero might cause nervousness and anxiety. There isn't enough reliable information to know if eleuthero is safe to use for longer than 3 months.
Special Precautions & Warnings:
Children: Eleuthero is POSSIBLY SAFE in teenagers (ages 12-17 years) when taken by mouth for up to 6 weeks. There isn't enough reliable information to know if it safe when taken for longer than 6 weeks or when taken by children younger than 12 years of age.Pregnancy and breast-feeding: There isn't enough reliable information to know if eleuthero is safe to use when pregnant or breast-feeding. Stay on the safe side and avoid use.
Heart conditions: Eleuthero might cause a pounding heart, irregular heartbeat, or high blood pressure in people who have heart disorders. People with "hardening of the arteries" or rheumatic heart disease should use eleuthero only under the supervision of a healthcare provider.
Hormone-sensitive conditions such as breast cancer, uterine cancer, ovarian cancer, endometriosis, or uterine fibroids: Eleuthero might act like estrogen. If you have any condition that might be made worse by exposure to estrogen, don't use eleuthero.
Alcohol
Interaction Rating=Moderate Be cautious with this combination.
Alcohol can cause sleepiness and drowsiness. Siberian ginseng might also cause sleepiness and drowsiness. Taking large amounts of Siberian ginseng along with alcohol might cause too much sleepiness.
Digoxin (Lanoxin)
Interaction Rating=Moderate Be cautious with this combination.
Digoxin (Lanoxin) helps the heart beat more strongly. One person had too much digoxin in their system while taking a natural product that might have had Siberian ginseng in it. But it is unclear if Siberian ginseng or other herbs in the supplement were the cause.
Lithium
Interaction Rating=Moderate Be cautious with this combination.
Siberian ginseng might have an effect like a water pill or "diuretic." Taking Siberian ginseng might decrease how well the body gets rid of lithium. This could increase how much lithium is in the body and result in serious side effects. Talk with your healthcare provider before using this product if you are taking lithium. Your lithium dose might need to be changed.
Medications changed by the liver (Cytochrome P450 1A2 (CYP1A2) substrates)
Interaction Rating=Moderate Be cautious with this combination.
Some medications are changed and broken down by the liver.
Siberian ginseng might decrease how quickly the liver breaks down some medications. Taking Siberian ginseng along with some medications that are changed by the liver might increase the effects and side effects of some medications. Before taking Siberian ginseng talk to your healthcare provider if you take any medications that are changed by the liver
Some of these medications that are changed by the liver include clozapine (Clozaril), cyclobenzaprine (Flexeril), fluvoxamine (Luvox), haloperidol (Haldol), imipramine (Tofranil), mexiletine (Mexitil), olanzapine (Zyprexa), pentazocine (Talwin), propranolol (Inderal), tacrine (Cognex), theophylline, zileuton (Zyflo), zolmitriptan (Zomig), and others.
Medications changed by the liver (Cytochrome P450 2C9 (CYP2C9) substrates)
Interaction Rating=Moderate Be cautious with this combination.
Some medications are changed and broken down by the liver
Siberian ginseng might decrease how quickly the liver breaks down some medications. Taking Siberian ginseng along with some medications that are broken down by the liver can increase the effects and side effects of some medications. Before taking Siberian ginseng talk to your healthcare provider if you take any medications that are changed by the liver.
Some medications that are changed by the liver include amitriptyline (Elavil), diazepam (Valium), zileuton (Zyflo), celecoxib (Celebrex), diclofenac (Voltaren), fluvastatin (Lescol), glipizide (Glucotrol), ibuprofen (Advil, Motrin), irbesartan (Avapro), losartan (Cozaar), phenytoin (Dilantin), piroxicam (Feldene), tamoxifen (Nolvadex), tolbutamide (Tolinase), torsemide (Demadex), warfarin (Coumadin), and others.
Medications changed by the liver (Cytochrome P450 2D6 (CYP2D6) substrates)
Interaction Rating=Minor Be watchful with this combination.
Some medications are changed and broken down by the liver.
Siberian ginseng might decrease how quickly the liver breaks down some medications. Taking Siberian ginseng along with some medications that are change by the liver can increase the effects and side effects of your medication. Before taking Siberian ginseng talk to your healthcare provider if you take any medications that are changed by the liver
Some medications that are changed by the liver include amitriptyline (Elavil), clozapine (Clozaril), codeine, desipramine (Norpramin), donepezil (Aricept), fentanyl (Duragesic), flecainide (Tambocor), fluoxetine (Prozac), meperidine (Demerol), methadone (Dolophine), metoprolol (Lopressor, Toprol XL), olanzapine (Zyprexa), ondansetron (Zofran), tramadol (Ultram), trazodone (Desyrel), and others.
Medications changed by the liver (Cytochrome P450 3A4 (CYP3A4) substrates)
Interaction Rating=Minor Be watchful with this combination.
Some medications are changed and broken down by the liver
Siberian ginseng might decrease how quickly the liver breaks down some medications. Taking Siberian ginseng along with some medications that are broken down by the liver can increase the effects and side effects of some medications. Before taking Siberian ginseng, talk to your healthcare provider if you are taking any medications that are changed by the liver.
Some medications changed by the liver include lovastatin (Mevacor), ketoconazole (Nizoral), itraconazole (Sporanox), fexofenadine (Allegra), triazolam (Halcion), and many others.
Medications for diabetes (Antidiabetes drugs)
Interaction Rating=Moderate Be cautious with this combination.
Siberian ginseng might affect blood sugar, either lowering or increasing blood sugar levels. Diabetes medications are also used to lower blood sugar. Taking Siberian ginseng along with diabetes medications might cause your blood sugar to go too low or cause your diabetes medication to be less effective. Monitor your blood sugar closely. The dose of your diabetes medication might need to be changed.
Some medications used for diabetes include glimepiride (Amaryl), glyburide (DiaBeta, Glynase PresTab, Micronase), insulin, pioglitazone (Actos), rosiglitazone (Avandia), chlorpropamide (Diabinese), glipizide (Glucotrol), tolbutamide (Orinase), and others.
Medications that slow blood clotting (Anticoagulant / Antiplatelet drugs)
Interaction Rating=Moderate Be cautious with this combination.
Siberian ginseng might slow blood clotting. Taking Siberian ginseng along with medications that also slow clotting might increase the chances of bruising and bleeding
Some medications that slow blood clotting include aspirin, clopidogrel (Plavix), diclofenac (Voltaren, Cataflam, others), ibuprofen (Advil, Motrin, others), naproxen (Anaprox, Naprosyn, others), dalteparin (Fragmin), enoxaparin (Lovenox), heparin, warfarin (Coumadin), and others.
Sedative medications (CNS depressants)
Interaction Rating=Moderate Be cautious with this combination.
Siberian ginseng might cause sleepiness and drowsiness. Medications that cause sleepiness are called sedatives. Taking Siberian ginseng along with sedative medications might cause too much sleepiness
Some sedative medications include clonazepam (Klonopin), lorazepam (Ativan), phenobarbital (Donnatal), zolpidem (Ambien), and others.
Herbs and supplements that might lower blood sugar: Eleuthero might lower blood sugar. Taking eleuthero along with herbs and supplements that might also lower blood sugar might cause your blood sugar to go too low or cause your diabetes medication to be less effective. Some of these products include bitter melon, ginger, goat's rue, fenugreek, kudzu, gymnema, and others.
Herbs and supplements that might slow blood clotting: Eleuthero might slow blood clotting. Taking eleuthero along with herbs or supplements that also slow clotting might increase the chances of bruising and bleeding. Some of these herbs and supplements include angelica, clove, danshen, fish oil, garlic, ginger, Panax ginseng, red clover, turmeric, vitamin E, and others.
There are no known interactions with foods.
The following doses have been studied in scientific research:
BY MOUTH:
- For genital herpes: 400 mg of eleuthero extract standardized to contain eleutheroside E 0.3%, daily for 3 months.
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