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Can taking Ashwagandha cause interference with anesthesia?

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Patient's Query

Hello doctor,

I am scheduled for sinus surgery the day after tomorrow. I have been given a list of medications that should not be taken and I have followed that. However, I have been taking ashwagandha (herbal supplement) 470 mg once a day to help with anxiety.

I read online that this may interfere with anesthesia. I will be sure to mention this to the anesthesiologist on the day of surgery when I arrive, but I am curious if this is a cause for concern beyond just letting them know, or should I postpone surgery? I last took it yesterday night and will not take it again prior to surgery. Please advise.

Thank you.

Answered by Dr. Vivek Chail

Education:

MBBS

Professional Bio:

Dr. Vivek Chail is a General Practitioner and Family Physician committed to delivering holistic and comprehensive healthcare for individuals and families. He provides preventive, diagnostic, and therapeutic care for a wide spectrum of medical conditions. He provides patient education and lifestyle counseling for long-term health and wellness. He is well-versed in chronic disease management for conditions like diabetes, hypertension, asthma, and thyroid disorders. He is an expert in the diagnosis and management of acute and chronic illnesses across all age groups.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com. I have read through your query in detail. Please find my observations below.

Ashwagandha or Indian ginseng is a well-known Ayurvedic herbal medicine. The following constitute its important effects on the human body:

1. It causes an increase in energy levels.

2. It might interact with Monoamine oxidase inhibitors (MAOI) and can cause manic episodes in patients.

3. It might be used as an aphrodisiac (to stimulate sexual desire) and for anti-aging.

4. In some people it might cause irritability, insomnia (sleeplessness), hypoglycemia (low blood sugar level), hypertension, skin rashes, and nervousness.

5. It causes tachycardia (increased heart rate) and hypertension, particularly in those patients who are on other stimulants or have cardiovascular disease.

6. It interacts with oral anticoagulants, antiplatelet agents, corticosteroids, and hypoglycemic agents.

Taking Ashwagandha before surgery might predispose the patient to perioperative bleeding. It may be a concern for complications during anesthesia.

In conclusion, it is suggested that Ashwagandha has to be stopped for a week before a planned surgery unless such a surgery is very urgent to be performed or when the benefits outweigh the risks involved. Please discuss this with your doctor and reschedule your surgery for a week if recommended.

I hope that you get your answer.

Please let me know if you need any help.

Thank you.

Medically reviewed by iCliniq medical review team
Published At August 25, 2015
Reviewed At September 18, 2024

Education:

MBBS

Professional Bio:

Dr. Vivek Chail is a General Practitioner and Family Physician committed to delivering holistic and comprehensive healthcare for individuals and families. He provides preventive, diagnostic, and therapeutic care for a wide spectrum of medical conditions. He provides patient education and lifestyle counseling for long-term health and wellness. He is well-versed in chronic disease management for conditions like diabetes, hypertension, asthma, and thyroid disorders. He is an expert in the diagnosis and management of acute and chronic illnesses across all age groups.

This doctor is not available for online consultations on the platform anymore.

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Ashwagandha before surgery?

Five quick questions help you understand potential risks of ashwagandha before surgery, what to mention to your doctor, and when to seek immediate advice.

This tool provides educational information only and does not diagnose, treat, or replace professional medical advice. Consult a qualified healthcare professional for personalized medical guidance. Consult your healthcare provider before starting, stopping, or modifying the drugs.

Education:

MBBS

Professional Bio:

Dr. Vivek Chail is a General Practitioner and Family Physician committed to delivering holistic and comprehensive healthcare for individuals and families. He provides preventive, diagnostic, and therapeutic care for a wide spectrum of medical conditions. He provides patient education and lifestyle counseling for long-term health and wellness. He is well-versed in chronic disease management for conditions like diabetes, hypertension, asthma, and thyroid disorders. He is an expert in the diagnosis and management of acute and chronic illnesses across all age groups.

This doctor is not available for online consultations on the platform anymore.

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