Testos4Torros - High Testosteronal Herbal

Testos 4 Torros

 

Testos-4-Torros Tonic

This herbal tonic and the information provided is about increasing your testosterone levels naturally (not using drugs or steroids). To improve your potency you're recommended to take the HerbalV8 Tonic.
Knowing how to increase testosterone naturally is a skill that every man should possess. In this modern age, our testosterone levels are on a constant decline. Every year, more and more men are being diagnosed with low testosterone level, and now more than ever, the information in this article is needed. Nature didn’t intend for you to inject yourself with hormones.

Are you one of 14 million
Look at this: men’s testosterone levels in 2013 ranged from 270 – 1070 ng/dL. 100 years ago men’s testosterone levels were recorded to be between 800-2000 ng/dL! This means that the men with “low testosterone” 100 years ago would be considered men with high testosterone now. This is an alarming statistic. And the trend is getting worse every year. It is estimated that over 14 million men currently suffer with low testosterone levels.
Are you one of 14 million men suffering with these low testos symptoms?
1) Low sex drive
2) Difficulty achieving a strong erection
3) Low semen volume
4) Hair loss or thinning
5) Fatigue & lack of energy
6) Loss of muscle
7) Increase in body fat
8) Decrease in bone mass
9) Mood changes (less enthusiasm, etc)

How do you know you have low testosterone levels?
Just so you know, low testosterone is diagnosed when levels fall below 300 nano grams per deciliter (ng/dL). If you’re not experiencing any of these symptoms then that’s great. But the truth is that you are still most likely low on testosterone and can still benefits highly by using these natural remedies to boost your testosterone levels through the roof. Like I said above, as years go on we are becoming less and less manly every year. So even if you are coming up high on the testosterone range, you are still low and can benefit greatly by using the tips below to boost testosterone naturally.
You may be asking yourself why is this happening? Is it natural evolution? Is it something that we can reverse? What is causing this yearly decline in men? Let’s take a look at a few of the causes below.

Causes for a low testosterone reading
1) Every day rubbish foods are usually eaten. Heavy metals, fluoride, chlorine, pesticides, dioxins and other dangerous chemicals that are in the foods we eat, in cosmetics we use and even in the air we breathe. These chemicals are causing confusion in our endocrine system (action onto the testes and testosterone production). It’s hard to avoid these effects (especially if you’re a smoker) but they are major contributors to modern men's decline in testosterone.
2) We have got our food intake confused. Our culture sees meat and fat as the enemy, while carbs and sugars are regarded as the foodstuffs that we should emphasise. High fructose corn syrup is in almost everything you buy, and this sugar is known to be the cause of illensses and diabetes and upset our endocrine system. Food companies using false advertising and causing intelligent people to get hooked on carbs and sugars, but as long as people demand it they will continue to produce it. If you want to increase your testosterone and your torros you will need to say no to these refined, empty commercial modern foods.
3) We are incredibly nutrient deficient: The majority of men are so nutrient deficient it is scandalous from an educated western sociiety and the cause of all kinds of illesses (this manufacturer's misbehaviour is now being taken to Africa and the third world).
In order for our body to function properly so that it can create the testosterone that we need, we require a wide range of vitamins, minerals and nutrients. This is found in the 65+ herbal mixture found in the ABC Daily Herbal NutriPowder Plus. But certain supplements can be taken alongside the ABC powder, the most important of which are: vitamin A, vitamin C, vitamin D, magnesium and zinc. You’ll be surprised to see Vit D here, derived as it is from sunlight, yet some 85% of people in America and even more in Britain are deficient. We are not getting enough sunlight due to long office hours, car journeys, trains, avoiding walking or working in the garden, plus the overuse of sunscreen.
These are the most important contributing factors to the slump in testosterone in most young and middle age men. It is not hard to increase your testos and get your torros back.

Torros
"Torros" is more than just mojo and sexuality, it is vitality, vigor, enthusiasm, confidence, energy, prowess, joie de vivre, happiness to be alive, etc.

So let's be holistic about getting more lead in our pencil - permanently.

Increase your testos by eating the right foods
Diet is the most important thing you need to change in order to start boosting testosterone levels in your body. You can have a huge increase in testosterone levels by just changing your diet alone. So what dietary changes can you make to naturally boost your testosterone levels?
---- Increase your good cholesterol
When it comes to boosting testosterone, cholesterol is your best friend. Testosterone is literally made from cholesterol and without it you would have none. That doesn’t mean go out and daily have greasy burgers and fries, and other fast foods. But by changing your diet you can boost good cholesterol to great effect and for improtant health benefits. Not all cholesterol is bad. It is now well known and proven that there is a no relation between cholesterol intake and heart attack as doctors and nutritionists used to think.
---- Sugar
The real enemy of both men and women is sugar. But still, countless doctors still have no idea, and will tell you over and over that your cholesterol is too high, you need to eat less fat, you need to take statins (cholesterol lowering medication). It’s a misinformed lie. The real danger comes when you eat a diet high in sugars and carbohydrates. The sugar binds to LDL (the so-called bad cholesterol) and renders it inert. When inert, the LDL cannot pull good cholesterol (HDL) into your cells. You remdy this situation in the following way:
- eat a lot of cruciferous vegetables (cabbage, kale, broccoli, sprouts, etc)
- limit your carb intake (cut out refined flour products, sugar, etc and have whole grains instead)
- don’t touch toxic sugars (sweets, chocolate, cakes, biscuits, etc)
- exercise regularly

Testosterone is important to the health of men and women. The hormone increases feelings of well-being, helps build lean muscle, increases libido and sexual pleasure. Your body needs specific nutrients to produce adequate amounts of testosterone and it works interdependently with other hormones to maintain optimal health.
Increasing your hormone level naturally allows your body to balance your system.
Although often associated with men, the hormone testosterone is important to the health of both men and women. As you age the level of testosterone naturally produced by your body tends to decline.
Other environmental factors, such as exposure to statin medications and the herbicide Roundup, may also trigger a decline in hormone production. A low testosterone level in men is associated with prostate enlargement, androgenic alopecia (hair loss) and certain types of cancer.
Women naturally have lower levels of testosterone throughout their lives; their bodies are more sensitive to the hormone, and their health depends on the balance between estrogen, progesterone and testosterone.
The resulting imbalance when women use hormone replacement therapy (HRT) during menopause is one theory behind the increased rates of breast cancer experienced by those women.
You are able to use natural methods to boost your testosterone levels and improve your overall health without triggering an imbalance in the delicate hormonal system in your body.

What’s Needed to Produce Testosterone?
To produce testosterone, your body requires several different nutrients. Among the nutrients more often depleted are vitamin D3 and zinc.
Zinc is an essential mineral that is naturally present in some foods. Deficiencies can result in a wide range of symptoms because zinc is involved in a number of significant body processes.
Vitamin D can be manufactured by your body when your skin is exposed to the sun. However, many people are deficient in vitamin D because of the number of hours spent indoors and the amount of sunscreen used. I don’t advocate hours of unprotected sun exposure, but your body does require regular unprotected exposure to produce vitamin D and gain other benefits.
Stress is a natural testosterone killer. When your body experiences stress you release cortisol, a hormone secreted by your adrenal glands. Cortisol reduces the effects of testosterone on your body. If you want to improve the effects of testosterone, then reduce your stress and cortisol levels.

Natural or Synthetic?
Testosterone is an important hormone to overall health, strength, sexuality and feelings of well-being. I don’t advocate using synthetic testosterone replacement therapy at all.
After testing by your holistic physician and exhausting other means of naturally boosting your testosterone levels, bioidentical hormones may be beneficial. These should generally be used only under the guidance and care of a holistic medicine physician.
Pharmaceutical replacements only address a single hormone without consideration for the balance needed to maintain optimal health. When your body produces testosterone naturally, it will balance the amount produced against other hormones present and required for your health and wellness.
This balance is ideal and reduces the potential that you’ll experience significant side effects.

Seven Foods That Naturally Boost Your Testosterone Levels
While there are several ways of boosting your testosterone levels, the production of the hormone is dependent on the presence of specific nutrients. Start with incorporating these foods into your nutritional plan.
1. Pomegranate This beautiful red fruit has been used medicinally for centuries. With high levels of antioxidants, vitamins A, C, E and iron, researchers have found one glass of pomegranate juice a day can increase testosterone levels between 16 percent and 30 percent improve mood, and increase libido.
Blood pressure fell and positive emotions rose as well among those consuming pomegranate juice. While many of the research studies have looked into pomegranate juice, I strongly suggest consuming the fruit in its whole form instead.
Not only will this give you added fiber (which is found in the edible seeds), but it will ensure that you’re not overdoing it on fructose, which is found in high levels in all types of fruit juice. That being said, even the whole fruit is high in sugar and should be eaten only in moderation.
2. Olive Oil Extra virgin olive oil carries a powerful punch in your quest to increase testosterone. In research, participants who consumed olive oil daily experienced an increase in testosterone levels between 17 percent and 19 percent over a three-week period.
3. Oysters Long hailed as a libido-boosting food, these little morsels are high in zinc. You may naturally experience a boost in your testosterone, your libido and your sperm count as a result.
Other foods packed with zinc include sardines, anchovies, cashews and wild-caught salmon. Raw pumpkin seeds are another good source but should be limited to one tablespoon a day.
4. Coconut Your body requires healthy saturated fats to produce most hormones, testosterone included. Coconut will help your body’s ability to produce cholesterol, necessary for optimal health, help reduce body fat and maintain your weight. Weight control is another natural way of improving your testosterone production.
5. Cruciferous Vegetables Broccoli and cauliflower may help a man’s body excrete excess estrogen and increase the amount of testosterone available to cells. Indole-3-carbinol, a compound found in cruciferous vegetables, may increase the excretion of estradiol (one estrogen hormone) in some men by up to 50 percent, thus increasing the amount of testosterone available.
6. Whey Protein Whether found in quality whey protein powder or in ricotta cheese, this protein may help restrict your body’s production of cortisol and thus increase the effect of the testosterone you are already producing. Whey protein may also help boost testosterone production.
In research from Finland, scientists gave participants 15 grams of whey isolate both before and after resistance exercises. Muscle biopsy showed an increase in testosterone production of up to 25 percent, which was maintained for 48 hours. Although important to the production of testosterone, too much protein can have the opposite effect.
A meat-free diet may lower your testosterone production by up to 14 percent, but that doesn’t mean you should eat excessive quantities of animal protein, either. Excessive protein intake may contribute to the development of chronic diseases like cancer and even accelerate aging. Consider reducing your protein levels 1 gram of protein for every kilogram of lean body mass, or one-half gram of protein per pound of lean body mass.
7. Garlic While this fragrant herb doesn’t contain the necessary nutrients to produce testosterone, it does contain allicin, a compound that lowers the levels of cortisol in your body. With your cortisol levels lowered, your body can more effectively and efficiently use the testosterone that is produced.1

How Men and Women Benefit
Both men and women benefit from adequate production of testosterone. Although known as the “male hormone,” women use testosterone to maintain lean muscle mass, feelings of well-being, sex drive and sexual pleasure. Leydig cells in the testicles in men and the ovaries and adrenal glands in women are responsible for the production and secretion of testosterone. Symptoms of low levels of testosterone in men and women include:
Low energy – Fatigue – Higher blood pressure – Decreased strength – Decreased work capacity of muscles – Low sexual desire – Lack of sexual responsiveness – Weaker orgasm – Loss of lean body mass and increase in fat stores – Increased cardiovascular risk

Five More Ways to Naturally Boost Testosterone
Begin with your nutrition intake to ensure your body has the building blocks to produce testosterone. But, don’t stop there! You can increase production and balance your hormonal levels using these five strategies.
1. Weight Loss
Shedding extra pounds may naturally increase your testosterone levels. In a study published in Endocrine, researchers found that weight loss reduced the prevalence of low testosterone levels in middle-aged, overweight men with prediabetes by at least 50 percent.
2. Exercise
Some studies have demonstrated that testosterone levels are elevated for up to 15 minutes after exercise and other studies demonstrated this increase for up to an hour. The differentiating factors were age, type of exercise, fitness level, weight, and time of day when you exercise.
However, high-intensity exercise combined with intermittent fasting has the greatest potential to increase both your human growth hormone and testosterone levels over longer periods of time.
3. Optimize Your Zinc and Vitamin D
These are the nutrient precursors needed to produce testosterone. You may find that you are deficient in these nutrients, as are many people. Zinc deficiency is a global concern and vitamin D deficiency is common in people of all ages.
Based on the evaluation of healthy populations that get plenty of natural sun exposure, the optimal range of vitamin D for general health appears to be somewhere between 50 and 70 ng/ml.
4. Reduce Your Stress Levels
When your body is stressed, your adrenal glands secrete cortisol. In a fight or flight situation, this can save your life. However, under chronic conditions cortisol can reduce the effectiveness of the testosterone your body produces.
Look for stress-reducing techniques that work for you. Yoga, the Emotional Freedom Techniques, exercise, adequate amounts of sleep and relaxation techniques can all help to reduce your stress levels.
5. Reduce Sugar and Carbohydrate Intake
Eating transiently lowers testosterone, but sugar and carbohydrates do the most damage by leading to surges in blood sugar and raising insulin levels. Past research has demonstrated that high levels of insulin reduce blood levels of testosterone.

Helpful information:
Many women enquire about testosterone at menopause as they believe it will help their sex drive and libido but this is best done with progesterone and achieving hormone balance. Progesterone is the natural precursor for testosterone in the body in menopausal women and has been used by men to help with prostate problems. However testosterone supplements should only ever be taken under the direct supervision on a medical doctor to their potential side effects in women. (with thanks to Dr Mercola)

Only eat organic sources of fat and good cholesterol:
- these are: whole eggs, avocado, nuts, olive oil, coconut oil, butter, fish, meats, shrimp etc
- eat a lot of high cruciferous vegetables. Along with helping control your triglycerides as stated above, broccoli and other veggies actually reduce oestrogen levels in your body. Thus promoting higher testosterone levels. Juicing daily is a healthy habit to get into. Click here to see the juicer and smoothie maker I recommend.
This will both improve your testos and also make you feel healthier and with more energy. If you’re not able to buy a good juicer, just make sure that half your plate is veggies.

So let's do a quick recap: Stop eating bad, refined sugars and refined grains (white bread, white rice, white pasta, etc)
Like we mentioned, sugars and refined grains are terrible for creating an anabolic state in your body. This means:
– No commercial soft drinks like coke, sugary drinks, sugary fruit juices
– No sweets, biscuits, cakes or junk food
– Even no breads and pastas if you want to feel the strongest effects. Some carbs which are still pretty good to eat are things like black beans and sweet potatoes. Do this for your testosterone and your waistline and energy levels will show their appreciation too.

Change how you eat
Don’t go on long low-calorie diets because they will kill your testos. One thing you can do is to eat often if you want to keep your testosterone high. Try to have 5 small meals a day (last meal by 7pm) or if that’s not possible, you can snack on good nuts (almonds, brazils, hazels, walnuts, macadamias) throughout the day. But one of the best things to do is IF (Intermitted Fasting). Intermitted fasting has been shown to boost your testosterone and also to dramatically increase your HGH. Do this just two days a week, usually from the evening meal to the following day’s evening meal. You can also do this every day if you want to get more testos. During the day you drink water or herb teas or black coffee (or try our High-10-NGen coffee-free drink made with dandelion root, sarsaparilla [testos herb], guaranna, mate, etc).

Exercise for Testos
Its been proven that lifting weights can give you a 40% boost in free testosterone levels. And in order to reap the benefits, you only have to hit the iron twice a week. Stick to less reps with heavier weights. A 5×5 program consisting of 5 sets of 5 reps of each exercise is best we're told. Also incorporate all of the full body compound movements into your routine. These movements include the deadlift, squat, bench press, pull up, and military press and can pump surges of testosterone through your body. NB NB Even though exercise will increase your testosterone, over-training will decrease it. So make sure you are getting adequate rest and not overdoing it. Also recommended are sprints. Sprints longer than 30 seconds straight have been proven to increase your HGH (human growth hormone) by 450%. That’s not your testosterone but it’s still pretty awesome and these hormones are all interacting and dependant on each other in the body.

Lose body fat
Exercise helps you to lose body fat. And carrying extra pound on your gut will cause you testosterone levels to plummet. Studies also show that an extra 30lb on a 5’10” man can accelerate your testosterone decline by 10 years. In a recent study, testosterone concentrations of young obese males was 40–50% lower than those with normal BMI. These are astounding statistic and are proof that more fat = less T.

Have more sex
Just having an erection is enough to circulate testosterone throughout your body. But having regular sex will help to keep your endocrine system stimulated and to boost your testos levels. In turn with increased T levels, you will enjoy and want more sex. A win-win situation.
– Research shows that just the anticipation of sex causes a boost in testosterone levels
– Another study has shown that testosterone increases after an evening of sex yet decreases after an evening when you don't have sex..
– A research study with elderly men proved that the men who had more sex had higher testosterone.

Avoid alcohol
Binge drinking and regular high alcohol consumption suppresses testosterone consumption. If you have to drink don’t drink more than 1-2 drinks, a few times a week, otherwise you will lose the testos benefits you have gained.

Increase your sleep
Sleep is essential for a well-charged life. And this is no different when it comes to your hormone levels. When you are well rested you recover from exercise quicker, have more energy, and also have higher testosterone levels.
Research has shown that after only 1 week of 5 hours sleep or less, men dropped their testosterone by 10-15%. So don’t stay out late and aim for at least 8 hours a night. If you have trouble sleeping, get our SleepMore Tonic.

Relax and avoid stress
Getting stressed is always best avoided. It can raise your blood pressure, affect your sleep and decrease your testos levels and torros. Being over stressed causes your cortisol levels to surge, suppressing your natural ability to produce testosterone. Exercise releases stress build-up and improves your testos. One other good way to de-stress is to meditate. Meditation is powerful and will definitely go a long way to relaxing your nervous system, lowering cortisol and ultimately boosting your testosterone and torros. Try it! You might even come to love it! I know I do.

Take Testosteronal herbs
If you bring into your lifestyle the recommendations I have outlined above you will see an increase in your testosterone levels, I promise. But to get more testos, a herbal tonic is an ideal addition to bring into your daily routine. Take 1-2tsp (5-10ml) Testos4Torros Tonic 2-4 times daily before your meals.
Don’t take unnatural synthetic testosterone boosting supplements.:
1) They’re not natural and so don’t harmonise with your body
2) They can give you unwanted and unpleasant side effects
3) They cause an unexpected drop in testosterone and rise in oestrogen after you stop using them (and give you moobs).

Herbs in Testos4Torros Tonic
Major herbs used in the tonic formula:
Tongat ali (when available)
Ashwaghanda
Korean red ginseng
Horny goat weed
Yehimbe
Muira puama
Catuaba
Forskolin
Mucuna

Supportive herbs in the T4T tonic formula:
Fleeceflower root
Suma root
Ma huang leaf
Ginger root
Cayenne pepper
Sarsaparilla
Tribulus
Maca
Fenugreek
Ginkgo leaf

What’s the difference between Testos4Torros and HerbalV8?
You are to choose which is right for you. The formulae are different so the action is different.
The action of T4T is specifically for the boosting of natural testosterone by bringing testosterone into the body and also to gather testos made by the diet we have outlined, the good sleep routine, the exercise, the meditation, and the regular sex too.
The action of HerbalV8 is for ED (erectile dysfunction) and to improve potency. Herbal V8 Tonic is a herbal medicine that contains specialist aphrodisiac herbs that help with potency (erectile dysfunction) and sexual desire. This contains all the most important Western, African, South American and Chinese herbs to help with testosterone and also for fertility (enhances motility of the male sperm). Here’s the action of HerbalV8: the herbs in Herbal V8 Tonic help erectile dysfunction (Cnidium, Dodder, Suoyang, Horny Goat Weed, Eucommia, Cloves, Muira Puama, Yo bark, Damiana, Puncture Vine), by improving blood supply to the sexual organs (Cayenne, Eucommia, Ginkgo, Yo bark, Prickly Ash, Ginger, Saw Palmetto), (note: Cayenne also acts as a stimulant to the other herbs in the tonic to enhance their action), to dilate blood vessels in the penis (Horny Goat Weed, Ginkgo, Yo bark), by improving the sex ‘yang’ energy (Cnidium, Suoyang, Horny Goat Weed, Catuaba, Cloves, Fleece flower, Ginger, Puncture Vine), aphrodisiac action (Cnidium, Dragon tree, Catuaba, Guaranam Yo bark, Damiana, Ashwagandha, Puncture Vine), by improving (that is, reducing) premature ejaculation (Dodder, Eucommia), by increasing the volume of seminal emission (Suoyang, Horny Goat Weed, Yo bark, Fleece flower, Damiana, Saw Palmetto, Sarsaparilla), reduce frigid anxiety (Catuaba, Muira Puama, Guarana, Damiana, Puncture Vine), stimulate sexual hormones in the body (Ginseng, Damiana, Saw Palmetto, Sarsaparilla).

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Hormonal Herbal Tonics for Men
1. Herbal V8 - for mature men with problems of potency and for ED (erectile dysfunction). Find it in our store

2. ProTest Tonic - this is a specific formula for men to balance the progesterone action and testosterone to improve the waistline and the male hormones during male changes in middle age. Find it in our store

3. Testos4Torros Tonic - this is a specific strong testosterone stimulating herbal tonic for men of all ages. See the herbs listed above. Find it in our store

Hormonal Herbal Tonics for Women
1. Herbal VW for Women - is a sexual stimulant for women containing the sex hermone herbs: Find it in our store

2. Progestereronal Tonic - for women with problem hormones with low progesterone. Find it in our store

3. FlushLess Tonic - this tonic is for women with menopausal sweats and other issues at this age (e.g. dry skin, etc). Find it in our store

Find all our products in our store

Related tonics:
HerbalV8
ABC Daily Herbal Powder
SleepMore
Candida Tonic for thrush and candida
Sex-drive for women
PE-Less for premature ejaculation
Fertility Tonics for women and men
WorryLess Tonic for stress, anxiety and worry
ProstateLess Tonic for prostatic symptoms
NerveShield for neurological conditions
TireLess for ME and fibromyalgia
MouthShield - a mouthwash for bad breath and gum disease
WindLess for flatulence and bad wind
SkinClear for eczema and skin disease
SpotLess for acne and teenage spots
BodyBuild Powder to enhance muscles during training
MuscleMore - to strengthen and tone the muscles
Horny Goat Weed
Damiana - for mood enhancement and more

To order these tonics go to our store

 

 

Related Products

Testos4Torros Tonic — strong testosterone tonic

 

 


Prescriptions

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.

MRCHM - see Alan Hopking's statement about renouncing his association with membership of this organisation

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.

PRECAUTIONS:

Pregnant/Breast-feeding mothers

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.

Volatile Oils

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.

Uteroactivity

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.

Breast-feeding mothers

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.

Paediatric Use

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.

Perioperative use

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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