Black Salve - chemical-free herbal ointment
BLACK SALVE IN THE TREATMENT OF ABNORMAL GROWTHS - making herbs work
Black Salve originated as a folk remedy or traditional treatment of external growths, warts and abnormal cells under the skin. Basically, tis preparation is actual herbs coarsely ground or powdered and mixed in an ointment.
Because our Black Salve is based on a folk remedy formulation and not a pharmaceutical preparation endorsed by the medical profession, no guarantees or claims are made about the effects or results from using our Black Salve. It must be understood that whoever uses our black salve must choose to do so based on their own judgment and accept full responsibility for any effects or no effects.
Herbactive Black Salve is made in a bees wax compound with Bloodroot (Sanguinaria canadensis) as the main active herb. The other main/supportive herbs in our salve are Chaparral, American Mandrake, Galangal, Graviola, with important back-up herbs including Comfrey root, Poke root, Red Clover, Greater Burdock root, Cayenne, Rhodiola and Greater Celandine also oils including olive oil, castor oil, flax oil, and essential oils like pine, camphor, thyme, and organic wood pulp extract DMSO. A salve is an ointment that contains coursely powdered herbs that strengthen the action.
Certain Black Salve manufacturers add chemicals like zinc chloride (battery acid) which are of course extremely harsh, acidic, caustic which burn into the skin, and can enter the body's metabolism. However, I do not consider these additions necessary, warranted or true to herbal medicine. Zinc chloride becomes the active principle giving the product its boring power and shortens the action of the treatment; but I cannot comment on this corrosive chemical's effectiveness in Black Salve since I do not use it and have no experience of its use in my patients. I don't like inorganic chemicals in herbal medicines nor do I think the body likes them. None of my prescriptions or tonics contains chemicals and additives of this sort. Therefore, I don't recommend a chemicalized Black Salve. My Black Salve can work absolute wonders with the synergy of strong herbs it contains.
"Hi Alan, you prescribed HerbShield, the ABC powder and the Black Salve to treat my progressively enlarging squamous carcinoma on my lip. I'm contacting you because I'm amazed that after just three days of application of your black salve the hole in my lip has shrunk so much that it has almost completely closed up now. I still have an appointment to have this serious cancer removed (it's not the less serious basal type) and I'm wondering what the surgeon will say about what has happened. I'll let you know. But for now I'm very thankful to you for this treatment and the astonishing quickness of its action since it has almost completely healed up!" - John T. England
It is worth noting that such herbal remedies have usually been discovered and originate from indigenous peoples and evolved over generations handed down through families or communities following experimentation on themselves and their livestock. The good results they witnessed are the reason they become well known and eventually reach a wider audience. Essiac from an Indian tribe in Canada is another example. Turpentine pine gum oil used internally by slaves in America is another example (now often associated with candida cures). In fact, this international tradition of use with herbs and herbal mixtures going back to the dawn of the human race is why herbal medicine is so widely used today with an impeccable safety record. The science is in the centuries of use often by peoples divided by continents, e.g. stinging nettle. For more about the history of herbalism.
Since black salve hasn’t been scientifically evaluated, should a person decide to use it, it can usually cause a flesh wound where it has been applied resulting in releasing a thick white discharge and then the tumour. But every case is different. Sometimes just a small hole can remain. Its use is usually because the person has made the decision not to use harsh chemical drugs, or not to go on the chemo path, not to go under the knife, or for religious reasons, etc.
This Black Salve lotion is excellent, and the skin cancer on my ear is almost completely healed.
Many thanks for your wonderfully healing product.
For generations black salve has been used to cure cancers in cows, save calves from external viral diseases, treat sarcoid growths on horses, and to treat abnormal tissue warts and tumours in all kinds of pets including birds. It even became a local cure of gangrenes and leprosy for country people living far from a local doctor. It has been used to draw out splinters, shrapnel, and glass from the skin. The salve has a way of isolating the alien (tumour, splinter, shrapnel) and pulling or drawing it out.
"I had a small but prominent mast cell tumour on my leg. I took your HerbShield internally and applied your Black Salve to this malignant? lump. Within just 4 days the skin opened and a lot of thick white discharge came out as well as the tumour. Just a small hole remained. I continued applying black salve for a few days as you advised. The hole was completely clean, fresh looking. I applied the healing balm you supplied and it is now just smooth natural skin. I was amazed at the speed this worked. I'm so grateful to you because I was really worried about this tumour. Thank you."
Mrs L. Staffordshire UK.
Black Salve is not a gentle remedy. It is regarded as somewhat extreme as it hunts down and vanquishes the enemy viz. abnormal growths in the skin. Animals which have a greater pain threshold tolerate it better. But even with animals I have sometimes had to supply a spray of the Black Salve in lotion form (no carrier ointment) so that the owner can spray-apply because the animal reacts but this is because the sarcoid is so tender and painful to the touch even of their trusted owner. Within a few days of spraying the pet (horse, cow, cat, dog) permits its loving owner to apply the salve by hand, and usually within 1-4 weeks the growth has been ejected (falls off) and normal skin is restored. But on people with superficial breast growths or other skin cell abnormalities tolerance of black salve is often a steep curve which may involve severe inflammation, swelling, burning pain (but never infection of the area under treatment), and even generalised fever as the body, in response to the penetrative and targeted action of the herbal combination in our black salve, rapidly reacts to the foreign growth tissue cells; hence the incredible swiftness of resolution that often occurs once the salve programme is actioned and the abnormal tissue is isolated and either resolves via the body or is dried up, drawn out and expelled out of the tissues. The length of treatment varies of course due to the different circumstances. Sometimes it may take two or three months of dedicated application.
Scarring usually occurs but for most people this is a small price to pay considering the results and the subsequent relief. The aftercare healing balm we supply helps to minimize scars.
Some people describe it as the pain and trauma of giving birth – a removal of a growth and the restoration of normal health. It is recommended that an amount of our black salve is used to last through the day (or you can apply it twice daily), but you may want to apply less but more often to help reduce the severity and fervour of the herb action (but get advice from Alan Hopking, Herbactive medical herbalist with 35 years experience). It is recommended that throughout treatment with Black Salve that internal tonics are also taken to strengthen the system, clear toxins from the body and liver and improve the resolution of the treatment (e.g. BreastShield, HerbShield, LymphCleanse, TotalDetox, SkinClear, ABC Daily Powder, Caisse-ACT, etc whatever is appropriate to complement your treatment).
We also now make a Black Salve Strong Internal Tonic that is a powerful internal counterpart to the action of the external Black Salve. This is especially useful for breast lumps and growths, but other cellular abnormalities as well. You can purchase this tonic on our webstore.
"I applied your Black Salve to a fleshy, nasty looking sarcoid in the middle of his chest which was about 1.5 inches across, and after just 3 days it fell off!! We are over the moon! Thank you for an amazing product. (we had tried homeopathy creams and many orthodox ointments and nothing happened) ... can hardly believe yours took just 3 days!" Karen B, Hampshire.
How to use Herbactive Black Salve
Black Salve is an ointment and is for external use only. You will get special instructions from medical herbalist Alan Hopking MA MNIMH if the area of application is particularly sensitive e.g. near the eye, genitals, underarm, etc. There is a strong internal black salve tonic that combines the major herbs that are in the salve which can be taken with water throughout your treatment.
IMPORTANT ANNOUNCEMENT FROM HERBACTIVE: We are pleased to announce that all our Black Salve products now have been strengthened with the inclusion of cannabis CBD. Order our Black Salve Strong Internal Tonic
1. Improve your immune system’s response and defences by maintaining your usual healthy diet or change to a health diet for one month i.e. plenty of green salads, freshly made juice with apple, carrot, celery, beet, ginger; fresh fish, fruit and veg, whole grains; green smoothies with turmeric, ginger, garlic and fresh lemon. Cut out, or severely cut down, your sugar use i.e. in biscuits, cereals, cakes and bakes (use Herbactive Stevia for your baking and cooking instead. Find out about Stevia); free range eggs; low cheese and meat; low potato and pasta; low dairy products; plenty of water and green and herbal tea. (or consult Alan Hopking for more advice). For more dietary advice see our page on preventing cancer. It is also important to take relevant internal herbal tonics to support the process of healing e.g. for breast tumours take BreastShield Tonic and Black Salve Strong Internal Tonic and Cannabis CBD Oil; for skin growths take SkinClear Tonic; for growths in glands take LymphCleanse Tonic; for warts and moles take WartLess Tonic; for all abnormal growths, tumours, etc take CBD Oil, and HerbShield Tonic for protection against secondary outbreaks. Also take Caisse-ACT (used to be called Essiac-ACT). Also take Herbactive’s 77-plus herbal powder called ABC Daily Herbal NutriPowder Plus at 1tsp per day.
2. Apply Herbactive Black Salve carefully to cover the visible surface of the wart, mole, sarcoid or tumour growth. Reapply daily or as required 2-4 times in the 24 hour period. Email for advice if you're not sure.
3. Protect with a clean bandage each time (use one that prevents the soaking up of the salve); this is a 24 hour application. Pain and burning can be severe but to get the result you want you are required to continue the application. There are different types of application so get advice from Mr Hopking if you're not sure which is best for you.
4. After 24 hours reapply the Black Salve as before (you may need to wash or wipe the remainder of the Black Salve away; it is antiseptic and most is absorbed into the skin leaving the coarse residue on the skin). Follow instructions #2 and #3. At this stage the area can become swollen or itchy or burningly painful; the growth may appear to grow to more than twice its normal size due to swelling and inflammation; inflammation usually occurs; the colour can change. These are signs that the lesion is being attacked and rejected by the immune system and Black Salve and herbal tonics you're using as support.
5. Repeat this programme daily for up to 30 days or until you think the action of the Salve is finished. The time is dependant on the depth of the mass and the receptivity of your skin to the Salve - sometimes application can continue for 6 months (a short time in respect of the results obtained). If the pain becomes too intense you can take herbal painkillers or aspirin. Clean as required.
6. A sense of fever or general heat can begin, allow this to do its positive work. This may result in swelling, pain, tenderness, pus, as the abnormality is rejected by the body and it is pushed out. Clean and apply the Calendula Cream (see #3) and cover daily. Allow the body to cast off the growth itself, do not try to assist it in any way as it may regrow again. This can take up to 10 days, perhaps leaving a clean hole. There is no bleeding. The following 10-14 days the cavity is restored to normal (sometimes with scar tissue). Wash and dress the area each day as before. The area may remain tender for a few months afterwards. This is a generalised description of the progress of action as everyone will have a slightly different experience, and it will depend on where the growth is on the body.
7. Welcome the relief and the achievement and the new life you feel. Congratulations!
Hi Alan, I've been using your Black Salve on quite a large leg tumour. I only used it at night because of my work. I left it on all night under a dressing. In three months I'm pleased to say it is almost completely gone. I had a slight break in the skin but no hole was caused like others have reported. There's been no pain as such. The area has been very clean with no infection. I cleaned it with your witch hazel. The prognosis was dire - just weeks to live. I'm very, very happy with the result. Thank you for all your support. Peter
Hello Alan, I try to stay away from doctors and surgeons if possible! I had a BCC [basal cell carcinoma] on the back of my hand. You prescribed HerbShield to take internally for my immune system, the ABC powder for nutritional support, and the Black Salve to apply to the BCC. Everything went very well. It formed a crust over the BCC and it became very itchy. Following your directions I applied the salve every day and within a few weeks it came away. It has left a pink area of normal skin where the BCC was. I am really pleased. Thank you. I am continuing to take your ABC powder. George. France.
Black Salve use on Tumours in Sensitive Areas
Certain growths and tumours grow where the use of Black Salve needs to be applied in a different way. E.g. tumours or growths on the neck, face, axilla, back of knee, or multiple small lumps in the breast, etc. For these kinds of tumours, this is my advice:
For your black salve application you need to proceed cautiously, carefully monitoring its action. This is what I recommend: apply the black salve very thinly over the whole area; leave it on for 4-6 hours, then carefully wipe it off. Reapply the next day in the same way. During this application it is best to place cling-film over the area and then a bandage. The cling-film is to prevent the black salve from evaporation into the air and from being absorbed into the bandage and wasted. Avoid allowing the black salve being removed by clothing or furnishings or bedding; you need the black salve to be absorbed into the lesion.
Inflamation of the area will appear, and this is desirable, but not to such an extent that it blisters or breaks down the skin. So you need to watch the response and play by ear i.e. allow the black salve more time on the legion or remove it earlier than the 4 hours that I recommended.
Its action is best if you're able to apply the black salve regularly rather than having to wait for days for healing of the skin should your skin blister or break down.
Take your internal medicines regularly as directed.
Contact Mr Hopking if you need more advice (he cannot advise you if you're using some other manufacturer's black salve product).
Dear Alan, I am happy to say that the order for HerbActive Black Salve lotion arrived at the post office.
I have used it for the remaining stubborn area in the fold of my ear.
There was no pain at all, in contrast with severe pain with salve (containing zinc chloride) from a local supplier.
For my purpose I find it convenient to apply the lotion with an artist's paintbrush.
I experience a very pleasant healing sensation, and there is already a marked improvement.
I am confident (and delighted) that it will soon be totally healed.
Many thanks and best regards,
Christopher (South Africa)
Which treatments do you need? Black Salve, Black Salve Lotion, Black Salve Strong Internal Tonic, HerbShield, Caisse-ACT, Cannabis CBD Oil, ABC Powder, etc
Tonics that may be useful with Black Salve:
BreastShield, HerbShield, Black Salve Strong Internal Tonic, CBD Oil, LymphCleanse, WartLess, SkinClear, LungShield; Herpes; Caisse-ACT; TotalDetox, ABC Daily Powder
ABC Daily Herbal NutriPowder Plus
Black Salve (mixed with our powerful anti-irregular cell growth destroying herbs), is prepared with bloodroot herb and contains the same larrea (chaparral) herb which is mentioned in scientific research as specific for breast cancers*, and other herbs for effective action (now also including strong Hemp CBD). One of the most beneficial applications is its use for the treatment of skin abnormalities like warts and moles and its traditional use on sarcoids and skin and breast tumours - any growth that is just under the skin. But its use must be carefully monitored by your herbal practitioner. Alan Hopking supports many of his patients by telephone and email during treatment.
* It has been shown in research that Chaparral leaf has an anti-proliferative activity against T-lymphoma cells without affecting the viability of normal lymphocytes; it has also been shown in research that Chaparral leaf has anti-tumour activity on mammary carcinomas (Anesini C et al 1997 Phytother. Res. 11:521. and Anesini C et al 2001 Phytomedicine 8(1):1).
Herbactive Black Salve is prepared with strong bloodroot in combination with chaparral, galangal, and other herbs that may include burdock root, neem, but not zinc chloride. I do not use this chemical. Bloodroot in Black Salve has a long tradition as an effective remedy for many skin conditions like warts, skin tags, moles, polyps, tumourous growths and rodent ulcers. There is a long tradition for the treatments of skin abnormalities like squamous cell carcinomas and melanomas, as well as other skin conditions thought to be invasive. My Black Salve is powerful as has been attested by very many happy users having had their skin problems removed by it. Email me for a full list of the herbs in our Herbactive Black Salve, Black Salve Lotion, and Black Salve Strong Internal Tonic. Herbactive Black Salve is as strong as a pure herbal salve can be (chemical-free).
"I have had the BCC on my chest completely cleared using your Black Salve. Incredibly, it cleared in just a week. It has completely disappeared. Thank you for this fantastic treatment." - Chris T, London.
"I'm using your Black Salve with a specific herbal medicine you made for me. This is an update re my breast cancer (lump in one breast). I have been applying your Black Salve and taking your herbal medicine for over 3 months. The tissue over the lump has opened up and a lot of fluid is coming out of the wound; the tumor is visible and is sloughing off as I use the salve and it is coming away. It is very painful, burning, but this is a miraculous cream. It is working. Its a long process and I've had to keep trust. Thank you for your generous support." - May H.
Update from May H: "The latest scan has shown that I have no cancer in my body now. I am so very pleased with your support Alan. However with this scare, I want to continue with your fantastic tonics especially HerbShield and the Black Salve Internal Tonic. Thank you so much." (July 2015)
An easy and effective method of removing a skin tag with black salve can be very simple but must be administered effectively. Place a little amount of salve on the cotton-bud and carefully apply this to the skin tag, and just leave it there till it falls off, but you must reapply the salve 2-4 times daily for best results (we don't use corrosive chemicals in our products).
For all treatment using this salve you can get free advice from me via email or you can consult me in person or via phone (£40 donation requested).
I've been using your (chemical free!) Black Salve for some moles I've had for years. For three weeks nothing happened. Then they started to dry up and break up and get smaller. I'm so pleased and excited! I've kept to your regime of application up to 4 times a day and it's beginning to pay off. So pleased it's chemical free too! Thank you so much.
About nine months ago, my husband was scheduled to have a suspected bcc (basal cell carcinoma, a type of skin cancer) removed surgically. I had read about your Black Salve and persuaded him to try it. He applied it for several days, the lesion scabbed over and the scab dropped off after a couple of weeks, leaving new, normal skin underneath which was reddish to start with but faded to normal skin colour after a few months. When he attended his hospital appointment, the consultant was surprised to see that the lesion had all but disappeared and concluded that no treatment was necessary. Subsequently, my husband has applied the Black Salve to another suspected bcc and two suspected solar keratosis spots (as diagnosed by the consultant). Exactly the same thing has happened to these subsequent lesions.
Using Herbactive Black Salve
Using our Black Salve can cause burning or blistering of soft and tender skin. This will happen even though I refuse to use any such chemicals often found in other so-called herbal Black Salves. Some people enquiring about Black Salve do not buy our Black Salve preferring to buy the chemical version which we say is more difficult to control or when ours was used after getting poor results from a chemical version ours proved far more effective. Chemicalized black salve is toxic to your body, I don't recommend it. Our Black Salve relies on nature itself (not harsh unnatural industrialised chemicals). It needs to be applied carefully and accurately and under my direction ( Alan Hopking is a qualified herbal practitioner for 35 years). And if burning occurs you will need to apply a healing paste containing slippery elm and comfrey. But be sure that Herbactive Black Salve is strong and effective and the clearing of some threatening conditions involving unnatural cellular growths may involve pain in the area of treatment and may require taking of a Herbactive pain killing herbal tonic to reduce the shock of the elimination of irregular cellular tissue that is attached and growing into your normal healthy tissue.
We also recommend that you consider taking herbs to boost your immune system and improve the action of your eliminative systems (lymph, liver, and bowel). Tonics like HerbShield, LymphCleanse and InflammationLess may be necessary to include in your treatment, and of course Cannabis CBD Oil.
It is not our purpose to give advice or tell you what to do here. Personal consultations will provide that. We provide information so you can make more informed choices about your own health and well-being and treatment. We do our research thoroughly, we refer to orthodox and complementary research and that is why you will find more on this website than on others. We will report accurately on what we discover and based on clinical experience. You have a right to know. We make no medical claims for any of our herbal medicines.
We also make a Black Salve Lotion - this is a liquid mixture for external use made with the major herbs used in our Black Salve but as a lotion. I was requested to make this because sometimes the Black Salve as a salve was not appropriate and yet a lotion was.
We also now make Black Salve Strong Internal Tonic which is an internal medicine made from the combination of the most important herbs in black salve but to work with the immune system and via the blood stream to resist and attack abnormal cells inside the body.
"I've used Alan's Black Salve and Internal Black Salve Tonic for a month on two itchy moles on my body (one on my rib cage and one on my thigh). They both have erupted and completely healed with smooth skin. I believe most all diseases and cancers are due to candida fungal infections. Thank you for seeing me Alan and for all your information and support." Kit Campbell (to see more about Kit's health journey on YouTube, search Kit Campbell).
Other herbal tonics that may help
Black Salve Strong Internal Tonic
Cannabis CBD Oil
ABC Daily Herbal Powder
Lung lumps and COPD
Fungal Tonic and Lotion
Our herbal tonic medicines are carefully prepared on a personal and individual basis for your healing by medical herbalist Alan Hopking MA MNIMH FINEH.
Only whole herbs are used in our herbal medicines. Nothing else is added. If you have symptoms which you consider might be helped with herbal medicine please contact herbal practitioner Alan Hopking for a friendly confidential professional consultation. See terms and fees.
Once you have received your herbal prescription you can contact Alan Hopking at any time for more free advice (preferably by email). When you have completed your bottle of herbal medicine and if you want a repeat prescription you are requested to phone or email so that your progress can be assessed and adjustments made if necessary so that there is no break in your treatment. To order or re-order, click here.
HERBACTIVE Centre of Herbal Medicine, England, UK. Freephone 0800 0834436
General advice to consumers on the use of herbal remedies from the Medicines Healthcare products Regulatory Agency
From the website of the Medicines Healthcare products Regulatory Agency (www.mhra.gov.uk) Department of Health, UK
• Remember that herbal remedies are medicines. As with any other medicine they are likely to have an effect on the body and should be used with care. • Herbal remedies may sometimes interact with other medicines. This makes it particularly important to tell your doctor or pharmacist if you are taking a herbal remedy with other medicines such as prescribed medicines (those provided through your doctor or dentist). • Treat with caution any suggestion that a herbal remedy is '100% safe' or is 'safe because it is natural'. Many plants, trees, fungi and algae can be poisonous to humans. It is worth remembering that many pharmaceuticals have been developed or derived from these sources because of the powerful compounds they contain. Any medicine, including herbal remedies, which have an effect on the body should be used with care. • Treat with caution any herbalist or other person who supplies herbal remedies if they are unwilling or unable to provide written information, in English, listing the ingredients of the herbal remedy they are providing. • If you are due to have a surgical operation you should always remember to tell your doctor about any herbal remedy that you are taking. • Anyone who has previously experienced any liver complaint, or any other serious health complaint is advised not to take any herbal remedy without speaking to their doctor first.
Few conventional medicines have been established as safe to take during pregnancy and it is generally recognised that no medicine should be taken unless the benefit to the mother outweighs any possible risk to the foetus. This rule should also be applied to herbal medicinal products. However, herbal products are often promoted to the public as being “natural” and completely “safe” alternatives to conventional medicines. Some herbal ingredients that specifically should be avoided or used with caution during pregnancy. As with conventional medicines, no herbal products should be taken during pregnancy unless the benefit outweighs the potential risk.
Many herbs are traditionally reputed to be abortifacient and for some this reputation can be attributed to their volatile oil component.(6) A number of volatile oils are irritant to the genito-urinary tract if ingested and may induce uterine contractions. Herbs that contain irritant volatile oils include ground ivy, juniper, parsley, pennyroyal, sage, tansy and yarrow. Some of these oils contain the terpenoid constituent, thujone, which is known to be abortifacient. Pennyroyal oil also contains the hepatotoxic terpenoid constituent, pulegone. A case of liver failure in a woman who ingested pennyroyal oil as an abortifacient has been documented.
A stimulant or spasmolytic action on uterine muscle has been documented for some herbal ingredients including blue cohosh, burdock, fenugreek, golden seal, hawthorn, jamaica dogwood, motherwort, nettle, raspberry, and vervain. Herbal Teas Increased awareness of the harmful effects associated with excessive tea and coffee consumption has prompted many individuals to switch to herbal teas. Whilst some herbal teas may offer pleasant alternatives to tea and coffee, some contain pharmacologically active herbal ingredients, which may have unpredictable effects depending on the quantity of tea consumed and strength of the brew. Some herbal teas contain laxative herbal ingredients such as senna, frangula, and cascara. In general stimulant laxative preparations are not recommended during pregnancy and the use of unstandardised laxative preparations is particularly unsuitable. A case of hepatotoxicity in a newborn baby has been documented in which the mother consumed a herbal tea during pregnancy as an expectorant. Following analysis the herbal tea was reported to contain pyrrolizidine alkaloids which are known to be hepatotoxic.
A drug substance taken by a breast-feeding mother presents a hazard if it is transferred to the breast milk in pharmacologically or toxicologically significant amounts. Limited information is available regarding the safety of conventional medicines taken during breast-feeding. Much less information exists for herbal ingredients, and generally the use of herbal remedies is not recommended during lactation.
Herbal remedies have traditionally been used to treat both adults and children. Herbal remedies may offer a milder alternative to some conventional medicines, although the suitability of a herbal remedy needs to be considered with respect to quality, safety and efficacy. Herbal remedies should be used with caution in children and medical advice should be sought if in doubt. Chamomile is a popular remedy used to treat teething pains in babies. However, chamomile is known to contain allergenic sesquiterpene lactones and should therefore be used with caution. The administration of herbal teas to children needs to be considered carefully and professional advice may be needed.
The need for patients to discontinue herbal medicinal products prior to surgery has recently been proposed. The authors considered eight commonly used herbal medicinal products (echinacea, ephedra, garlic, ginkgo, ginseng, kava, St John’s Wort, valerian). On the evidence available they concluded that the potential existed for direct pharmacological effects, pharmacodynamic interactions and pharmacokinetic interactions. The need for physicians to have a clear understanding of the herbal medicinal products being used by patients and to take a detailed history was highlighted. The American Society of Anaesthesiologists (ASA) has advised patients to tell their doctor if they are taking herbal products before surgery and has reported that a number of anaesthesiologists have reported significant changes in heart rate or blood pressure in some patients who have been taking herbal medicinal products including St John’s Wort, ginkgo and ginseng. MCA is currently investigating a serious adverse reaction associated with the use of ginkgo prior to surgery. In this case, the patient who was undergoing hip replacement experienced uncontrolled bleeding thought to be related to the use of ginkgo.
From the website of the Medicines Healthcare products Regulatory Agency (www.mhra.gov.uk) Department of Health, UK
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