From: Evaluation and implications of natural product use in preoperative patients: a retrospective review
Natural Product | Evidence based Recommendations: Discontinuation of natural products prior to surgery | Perioperative Concerns |
---|---|---|
Fish Oil | 2-3 weeks prior to surgery [15] | |
Glucosamine | 2-3 weeks prior to surgery [15] | |
Garlic | ||
Flax Seed | No specific recommendations | Perioperative bleeding [18] |
Coenzyme Q-10 (ubiquinone) | No specific recommendations | Hypotension [20] Cardiac effects [20] Perioperative bleeding effects [21] |
Saw palmetto | 2-3 weeks prior to surgery [15] | Perioperative bleeding [9, 15] Tachycardia [9] Angina [9] Water/electrolyte disturbances [19] |
Ginseng | Hypoglycemia [9, 13, 15–17, 19] Perioperative bleeding [9, 13, 15, 17, 19–22] Water/electrolyte disturbances [19] Prolongation of anesthetic effects [19] | |
Chondroitin | 2-3 weeks prior to surgery [15] | |
Milk Thistle | 2-3 weeks prior to surgery [15] | Volume depletion [15] |
Green Tea | No specific recommendations | Perioperative bleeding [18, 21] Cardiovascular side-effects [18, 21] Water/electrolyte disturbances [19] |