St. John-a Wort? Hengte hi hriat chian a pawimawh hle!

He thinghnah St. John’s Wort an tih hi i hre tawh ngei ang? Mi thenkhat chuan depression ang chi thil atan an hmang a, thenkhat chuan ADHD (Attention-deficit hyperactivity disorder), OCD (Obsessive-compulsive disorder), vun natna, leh menopause symptoms ang chi natna atan an hmang bawk. Mahse hei hi natna engmah tihdamna, enkawlna leh venna a ni lo tih hriat reng a pawimawh. Herbal supplement anga ngaih a ni.

` St. John-a Wort`?

Okay, tunah chuan he `St. John's Wort`, doctor emaw pharmacist emaw hrilh hmasak ngai thil tlemte a awm. A chhan chu, engkim hi mi zawng zawng tan a thawk vek lo. Hetiang hriselna lama harsatna i neih leh neih loh an hriat a ngai a ni. He list hi en la:

• Thisen chhuahna lama harsatna i nei em, chu chu i thisen a tikhawlo awlsam lo tihna a ni em?
• Lung natna i nei em?
• Thisen sang i nei em?
• `HIV` nge `AIDS` i nei em?
• I taksa immune system-ah chak lohna emaw, harsatna emaw a awm em?
• Kal natna i vei em?
• Liver natna i nei em?
• Rilru natna eng emaw i vei em? Chu chu lungkhamna, lungngaihna, a nih loh leh mania ang chi dinhmun tihna a ni.
• Stroke i nei tawh em?
• Ngaihtuahna te, ruahmanna te, mahni intihhlum tumna te i nei ngai em? A nih loh leh i chhungkuaa tu emaw chuan chutiang chu an ti ngai em? Hei hi thupui sensitive tak a ni a, mahse doctor hnenah hrilh a pawimawh .
• Kar hnih kalta chhung khan `MAOI` (chu chu Monoamine Oxidase Inhibitors - entirnan, Carbex, Eldepryl, Marplan, Nardil, Parnate) tih damdawi pawlah hian i hmang tawh em?
• St. John’s Wort, thing leh mau dang, thing leh mau, damdawi dang, ei tur, artificial color, a nih loh leh preservatives te hi allergy i nei em?
• Tunah hian naupai i ni em, nakin lawkah naupai i beisei em?
• Nu hnute pe thin i ni em?

Heng thilte hi i doctor nena inbiakna neih hi nangmah himna atan a pawimawh hle a ni, i hrethiam em?

He damdawi hi engtin nge ka hman ang?

Okay, chuvangin hei hi hman dan tur i lo en ang u. `St. John’s Wort` hi a tlangpuiin pill emaw capsule emaw angin a awm a, chu chu ka atanga i ei thin a ni.

• Hei hi i in dawnin tui glass khat nen in tur a ni.
• Package-a instruction awmte chu uluk takin i chhiar tur a ni a, chu chu i zawm tur a ni. Chutiang a nih loh chuan i doctor emaw pharmacist emaw hnenah thu belhchian dawl zawk zawt rawh.
• I damdawi chu a hun takah, a zat dik takah ei rawh. I doctor-in a tih aia tam ei ngai suh, a dik em? Chu chuan ṭul lova harsatna a thlen thei a ni.

Hei hi naupang tê tête hnêna i pe a nih chuan i medical team-te nên sawipui rawh. Fimkhur bik a ngai mai thei.

Hetiang hi accident-a i ei tam lutuk nia i hriat chuan hlauthawng suh la, i hnai ber Poison Control Center emaw hospital emergency room emaw ah call nghal rawh. Hei hi a pawimawh hle a, ei tam lutuk hi a hlauhawm thei a ni.

Hei hi hre reng ang che: He damdawi hi i tan chauh a ni. I thian emaw chhungte emaw, nangmah ang bawka natna lanchhuahna nei te hnenah pe suh. Mi tin taksa leh hriselna a inang lo.

Damdawi dose pakhat i ei loh chuan engtin nge i tih?

Tunah chuan vawi khat chu i damdawi ei kha i theihnghilh ta niin han mitthla teh. Chutiang a nih chuan lungngai suh.

• I hriatreng veleh missed dose kha ei nghal rawh.
• Mahse, i hriatreng huna i dose lo awm tur hun a hnaih hle a nih chuan missed dose kha skip la, a hun ruatah dose lo awm tur chu ei rawh.
• Eng thil vang pawhin vawi khatah damdawi dose hnih ei loh tur a ni. Hei hian side effect a thlen theihna a tipung a ni.

Hei hian damdawi dang nen a inzawm em? Hei hi a pawimawh hle mai!

Hetah hian fimkhur hle a ngai a ni. St. John’s Wort hian damdawi dang nen a inzawm thei a ni. Chuvangin, damdawi dang, thinghnah, vitamin, supplement dang i ei a nih chuan i doctor hnenah hrilh a pawimawh hle.

`St. John’s Wort` hi heng damdawi te nen hian:

• Damdawi `MAOI` an tih (entirnan: Carbex, Eldepryl, Marplan, Nardil, Parnate) te hi a ni.
• Methylene blue, damdawi pakhat, thisen zam chhunga inject

Chu bakah, St. John’s Wort hian a hnuaia damdawi leh thil chi hrang hrangte hi a inzawm thei bawk.

• Zu
• Amiodarone (lung natna damdawi) .
• Amphetamines (rilru leh thluak lam harsatna thenkhat tan hman thin) .
• Aspirin leh aspirin ang chi damdawi (e.g. Diclofenac, Ibuprofen) te hi a ni.
• `Bosentan` (Pulmonary hypertension damdawi) .
• Depression, lungkhamna, emaw rilru lam natna dang (e.g., SSRIs Fluoxetine leh Sertraline ang chi) damdawi thenkhat
• Migraine lu natna atana hman damdawi thenkhat (e.g., triptans almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan te)
• Cyclosporine (damdawi, taksa chakna control nana hman) .
• `Digoxin` (thinlung natna damdawi) .
• Hmeichhe hormone, estrogen leh progestins te, leh naupai venna damdawi - St. John’s Wort hian naupai venna damdawi hmanna a ti tlem thei a, chuvangin naupai venna kawng dang ngaihtuah a ngai mai thei.
• `Irinotecan` (cancer dona damdawi) .
• `Linezolid` (antibiotic pakhat) a ni.
• `Lithium` (rilru lam natna, bipolar ang chi damdawi) .
• Thisen sang leh lung natna damdawi chi hrang hrang
• HIV hrik kai damdawi (e.g. Protease inhibitor, Non-nucleoside reverse transcriptase inhibitor) .
• Surgery neih laiin sedatives hman thin
• `NSAIDs` (natna tidamtu leh natna tidam thei damdawi, e.g. ibuprofen, naproxen) .
• `Procarbazine` (cancer dona damdawi) .
• `Rasagiline` (Parkinson natna damdawi) .
• Sirolimus, Tacrolimus (immune system control na damdawi) 1.1.
• `Sunitinib` (cancer dona damdawi) .
• `Theophylline` (thluak lam natna chi hrang hrang, asthma ang chi damdawi) .
• `Tramadol` (natna tidamtu) .
• Tryptophan (amino acid, a chang chuan mut leh rilru put hmang supplement atan ei thin) .
• Warfarin (thisen zawrh tur venna damdawi) - St. John’s Wort hian Warfarin hnathawh dan a tidanglam thei a ni. Hei hi a hlauhawm hle.

He list hi a kim lo. Damdawi dang pawh a awm thei. Chuvangin i damdawi ei zawng zawng, herbal remedies, non-prescription drugs, leh dietary supplement te pawh i doctor hnenah hrilh vek turin kan fuih a che. Zu i in emaw, zu i in emaw, ruihhlo i hman emaw chuan doctor hnenah hrilh ngei ang che . Chung zawng zawng chu i damdawi nen a inzawm thei vek a ni.

`St. John-a Wort`?

`St. John's Wort`, fimkhur tur thil tlemte a awm leh a.

• Rilru hriselna Enkawlna: Lungkhamna, lungngaihna emaw, rilru lam natna dang emaw avanga enkawl i nih tawh chuan he supplement hi i doctor thurawn hnuaiah chauh i hmang tur a ni. Hei hian i enkawlna dangte a tibuai thei a ni. I natna lan chhuah dan a ṭhat loh emaw, a zual emaw chuan doctor pan nghal rawh.
• Ni sensitivity: He damdawi hian i vun chu ni sensitivity a siam thei. Chumi awmzia chu i kang awlsam zawk thei a, i sen a, i blister awlsam zawk thei tihna a ni. Chuvangin nitin ni chhuahnaah a theih ang angin tihtlem rawh. Ni chhuahnaah i chhuah a ngai a nih chuan i vun khuh tha thei tur thawmhnaw ha la, lukhum ha la, sunscreen tha tak (SPF 30 tal) hmang bawk ang che. Sun lamp emaw, tanning bed/booth emaw hman a tha lo.
• Surgery leh ha enkawlna: 1.1.Damdawi lam emaw, ha lam emaw i tih chuan St. John’s Wort i ei tih i healthcare team hnenah hrilh hmasa phawt ang che. Anni chuan supplement ei hma ni engemaw zat chu ei tawh loh turin an fuih mai thei che.
• Dry mouth: Mi thenkhat chuan he damdawi an ei lai hian dry mouth an nei thei. Chutiang a nih chuan, sugar-free gum chewing, sugar-free hard candy sucking, leh nitin tui tam tak in hian a tihtlem theih nan i pui thei ang. Mahse, he harsatna hi a awm reng emaw, a nasat emaw chuan i doctor nen inbia .

Herbal supplement chungchangah special awareness neih a ni

Hei hi hriat reng tur dang a ni: Herbal emaw dietary supplement emaw hi damdawi dawr atanga kan lei thin angin khauh takin dan siam a ni lo. Chu chu quality control atana standard khauh tak siam a ngai lo tihna a ni.

• Heng thil siamte thianghlimna leh chakna hi package hrang hrangah a inang lo thei a, brand hrang hrangah pawh a inang lo thei bawk.
• He dietary supplement hi natna bik pakhat tan pawh a him leh him loh scientifically finfiah a la ni lo.
• Heng thil siamte hi natna engmah hriatchhuahna, enkawl, tihdam leh venna atana siam a ni lo.

US Food and Drug Administration (FDA) ang agency te chuan consumer te invenna atan heng tips te hi an pe a:

• Product label ngun takin chhiar fo la, a thupek ang chiah hian zawm fo ang che.
• Thil pakhat chu "natural" tia vuah a nih vang mai mai chuan mihringte hman atan a him vek tihna a ni lo. Pianphung thil thenkhat phei chuan a pawi thei hle.
• A theih chuan ingredient hming hnuaia `USP` (United States Pharmacopeia) tih ziakna product zawng rawh. Hei hian standard chungchang ngaihtuahna engemaw zat a pe thei che a ni.
• Food or pharmaceutical company rintlak, ram pum huapa hriat hlawh Supplement siam emaw hralh emaw chu control khauh tak hnuaia siam a nih a rinawm zawk.

St. John’s Wort hian eng side effect nge a neih theih?

Okay, tunah chuan a side effect awm thei te chu han en ila. Mi zawng zawng hian side effect an nei vek lo a, mahse mi thenkhat chuan an nei ve tho.

Hetiang thil a lo thlen chuan i doctor emaw, damdawi in hnai ber emaw pan vat tur a ni:

• Allergic reaction: Hei hi emergency a ni thei. A lan chhuah dan chu:
• Vun natna, eczema ang chi
• Itching a ni
• Hives (a lian, sen, hring, itchy bumps) 1.1.
• Hmai, hmui, lei emaw, ril emaw a hring (hei hian thawk harsatna a thlen thei) .

Side effect hlauhawm lo tak tak pawh a awm a, mahse a awm reng emaw, a tihbuai che emaw chuan doctor hnenah i hrilh tur a ni:

• Mipat hmeichhiatna lama duhna emaw, mipat hmeichhiatna lama thil tihdanglam emaw (a tlahniam emaw, a pung emaw pawh a ni thei) .
• Luak chhuak thei
• Kawng a vawt
• Lu na
• Sensitivity to light - A hmaa kan sawi tawh ang khan ni ênga kan awm hian vun lama harsatna a awm thin.
• Pum na, pum na, luak chhuak, etc.

He list-ah hian side effect awm thei zawng zawng a tel lo mai thei. Thil danglam tak i tawn chuan i doctor nen sawiho rawh.

He damdawi hi engtin nge ka dahkhawm ang?

He damdawi hi uluk taka dahkhawm a pawimawh bawk.

• Naupangte hmuh theih lohna hmunah leh an thlen theih lohna hmunah dah fo ang che.
• Room temperature (15 leh 30 degree Celsius inkar, emaw 59 leh 86 degree Fahrenheit inkar) ah dah tur a ni. A nih loh leh, package label-in storage temperature a rawt a nih chuan chu chu zawm rawh.
• Moisture lakah venghim rawh. Chumi awmzia chu bathroom ang chi hmun hnim ah dah suh tihna a ni.
• Damdawi a expiry date a pelh tawh zawng zawng chu paih vek rawh.

Note: He thuziak hian St. John’s Wort chungchang tawi te chauh a pe a ni. A chipchiar zawng zawng a keng tel lo. He damdawi chungchanga zawhna dang i neih chuan i doctor, pharmacist, emaw healthcare provider dang emaw nen inbia ang che.

Chuti a nih chuan, kan sawiho tawh atanga take-home message te chu engte nge ni?

`St. John’s Wort` hi herbal supplement a ni a, mi thenkhat chuan rilru leh taksa lama harsatna thenkhat tanpui nan an hmang thin. Mahse, i hman hmain i doctor nen in inbia ngei tur a ni. Hei hi a pawimawh hle. A chhan chu i damdawi dang i neih emaw, i ei mek damdawi dang emaw a react thei a, a nih loh leh "a tibuai" thei a ni. Chutiang a nih chuan, a ṭhatna aiin chhiatna a thlen tam thei a ni.

Label-a "natural" tih ziak zawng zawng hi mi zawng zawng tan a him vek lo. Chuvangin, a label kha ngun takin chhiar la, i doctor thupek dik tak zawm la, midangin a him nia an sawi thilte chauh hmang suh.

Tin, hetiang supplement hi thilmak tihdamna a ni lo. I natna lan chhuah dan a ṭhat loh chuan, emaw, a zual deuh a nih chuan doctor pan nghal rawh. I tih theih ṭha ber chu i hriselna chungchanga thutlukna i siam hunah hriattirna leh mawhphurhna nei taka i awm hi a ni. Hrisel takin awm rawh!

` St. John’s Wort, rilru lam hriselna, herb, supplement, side effects, drug reactions te