Feverfew,Dioscorides's Fever Reducer or febrifugia,what is the history of this pretty daisy-like flower?
- Basic Botanical Data of Feverfew.
- Cultivation of FeverFew:Feverfew Related Species.
- Feverfew History.
- Phytochemicals and Constituents.
- How FeverFew works in the body and Mechanism.
- Medicinal Action and Uses.
- Modern interest of Tanacetum parthenium.
- Modern Research Update.
- FAQ:Frequently Asked Questions of FeverFew.
- Feverfew:Identification by HPTLC Fingerprint.
- Research Update:FeverFew or Tanacetum parthenium.
FAQ:Frequently Asked Questions of FeverFew.:
What should my health care professional know before I use feverfew?
It is important for you to tell your prescriber or other health care professional that you are using feverfew. Some herbs exert potent effects and may interact with other drugs you are taking
You should discuss feverfew with your health care professional BEFORE taking it if you have any of these conditions:
blood or bleeding disorder, such as hemophilia or difficulty clotting
hayfever or skin allergies,head injury,kidney disease,liver disease,stroke,taking blood-thinning medications
an unusual or allergic reaction to feverfew, other herbs, plants, medicines, foods, dyes, or preservatives,pregnant or trying to get pregnant,breast-feeding
Dosage and Suggestions of FeverFew?
Feverfew leaf extracts with at least 0.2 % parthenolide content are generally used. Herbal extracts in capsules or tablets providing at least 250 mg of parthenolide per day are taken. It may take four to six weeks before benefits are noticed.
Recommended dosage is 120-240 mg 2-4 times day as an anti-inflammatory. For migraine prophylaxis, allow sufficient feverfew extract to provide 0.25-0.5 mg of parthenolide, taken twice daily.
How should I use FeverFew?
Feverfew is usually taken orally (i.e., swallowed). Follow the directions on the package labeling, or talk to your health care professional
Contact your pediatrician or health care professional regarding the use of this herb in children. Special care may be needed
What may interact with feverfew?
antiinflammatory medicine(NSAIDs), such as ibuprofen, used to treat fever, headache, pain, or inflammation
aspirin,clopidogrel,cilostazol,dalteparin, enoxaparin or other injectable blood thinners,dipyridamole,heparin
herbal products like danshen, dong quai, garlic pills, ginger, ginkgo biloba, horse chestnut, willow bark, and others
medications used to treat an acute migraine attack, such as ergot-type drugs (examples include Cafergot? or Migranal?), or eletriptan (Relpax?), naratriptan (Amerge?), rizatriptan (Maxalt?, Maxalt-MLT?), sumatriptan (Imitrex?) and zolmitriptan (Zomig?)
medications used to prevent migraines, such as methysergide (Sansert?) or propranolol (Inderal?)
What should I watch for while taking feverfew?
It may take several weeks of feverfew use before you notice an improvement in your symptoms. You should also contact your health care professional for advice prior to prolonged use of feverfew
Since feverfew is derived from a plant, allergic reactions are possible. Stop using this herb if you develop a rash. You may need to see your health care professional, or inform them that this occurred. Report any unusual side effects to your health care provider
You may need to see a doctor if your condition does not improve. Seek medical attention if your headache has gotten worse over the past few days or weeks, your headaches come on suddenly, if you experience weakness, numbness in an arm or leg or a change in hearing or sight, if over-the-counter analgesics do not relieve the headache pain, if you experience changes in memory or mood with the headaches, or if the headache is accompanied by a stiff neck, rash, nausea, vomiting, fever, breathing problems, or a history of head injury
If you have been taking feverfew regularly for a long period of time, you may need to slowly decrease your intake of the herb. You may notice headaches or tension, difficulty sleeping, muscle/joint pain or fatigue when you stop taking this herb
Different brands of feverfew might contain different amounts of active ingredient, so be careful to use the same brand. It is recommended that you use a brand from a reliable manufacturer. A standardized product is more likely to contain the same amount of herb from dose to dose. Your health care professional or pharmacist can assist you in finding a reliable product
If you are scheduled to have surgery or dental work, remember to tell your dentist, surgeon and anesthesia specialist that you are taking feverfew. In some cases they may want you to discontinue taking the feverfew supplement prior to the surgery
What side effects may I notice from using feverfew?
Side effects that you should report to your prescriber or health care professional as soon as possible:
any unusual bleeding or bruising,difficulty breathing, shortness of breath, or wheezing,irregular heartbeat or palpitations,itching,menstrual irregularity or unusual vaginal bleeding,skin rash or blisters,sores or blisters in the mouth, eyes, lips, or nose,swelling of any area of the lips, throat, tongue, skin, or body
Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):mild stomach upset,nervousness,unpleasant taste in the mouth.
Side Effects and Cautions:Feverfew Side Effects and Drug Interactions
Taken as recommended, standardized feverfew causes minimal side effects. Minor side effects include gastrointestinal upset and nervousness.
Tablets and tinctures are the safest form of this herb when used medicinally. It is used for the relief of migraine, to help prevent blood clots, as an anti-inflammatory for relief of arthritis, to relieve some types of menstrual problems, and as a digestive aid.
Do not take this herb during pregnancy. Controlled doses of this herb are safest. Consult an herbalist if you are not sure about the dose.
Feverfew is not recommended during pregnancy or lactation and should not be used by children under the age of two years.
Do not use during pregnancy and breast-feeding.
May interact with anti-coagulant, thrombolytic agents due to its effects on platelet aggregation.
Aphthous ulcers may result from chewing feverfew leaves.
Allergic dermatitis on contact with leaves, in some sensitive patients.
GI irritation, abdominal pain, and heartburn have been reported.
Rebound feverfew syndrome in 10% of patients who stopped taking it abruptly:
Rebound headaches, insomnia, muscle stiffness, arthralgia, fatigue, nervousness, tension.
The efficacy and safety of feverfew (Tanacetum parthenium L.): an update of a systematic review:
Feverfew (Tanacetum parthenium L.) is a popular herbal remedy often advocated for the prevention of migraine. The aims of this systematic review are to update the evidence from rigorous clinical trials for or against the efficacy of feverfew for migraine prevention and to provide a safety profile of this herbal remedy. DESIGN: Literature searches were performed using the following databases: Medline, Embase, Biosis, CISCOM and the Cochrane Library (all from their inception to December 1999). Only randomized, placebo-controlled, double-blind trials of feverfew mono-preparations for the prevention of migraine in human subjects were included. All articles were read by two independent reviewers. Data were extracted in a pre-defined, standardized fashion. The methodological quality of the trials was evaluated by the Jadad score. For the assessment of safety issues, major reference texts were also consulted. RESULTS: Six trials met the inclusion/exclusion criteria. The majority favour feverfew over placebo. Yet important caveats exist. The data also suggest that feverfew is associated with only mild and transient adverse effects and few other safety concerns. CONCLUSIONS: Feverfew is likely to be effective in the prevention of migraine. There are no major safety problems.
- 1.Feverfew,Dioscorides's Fever Reducer or febrifugia,what is the history of this pretty daisy-like flower?
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