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Existing Conditions

Natural remedies and existing health conditions: liver disease, bleeding, heart and blood pressure, hormone-sensitive conditions, autoimmune disorders, cancer and HIV treatment, diabetes, and what we could not verify for kidney disease.

Content last updated . This page has not been medically reviewed.

If you have a medical condition, ask your clinician before adding any herb or supplement. The table lists cautions that a source states; not being on the list does not mean a remedy is safe.

ConditionRemedy and cautionSource
Liver disease or liver riskRare, sometimes severe acute liver damage reported with supplements; kava linked to liver injury; bioavailable curcumin formulations linked to liver damage; black cohosh concerns; Asian ginseng uncommon liver damage. See Liver safety.[1][2][3][4][5]
Bleeding disorders, or taking blood thinnersGinkgo and garlic supplements may increase bleeding risk; Asian ginseng may interfere with clotting[6][7][5]
High blood pressure, heart or kidney conditionsLicorice glycyrrhizin can cause irregular heartbeat and cardiac arrest, and even small amounts have been linked to severe adverse effects in people who consume a lot of salt, who have hypertension, or heart or kidney conditions[8]
Hormone-sensitive conditions (breast or uterine cancer)Uncertain whether black cohosh is safe[4]
Autoimmune disordersAsian ginseng may worsen autoimmune disorders[5]
Cancer or HIV treatmentGrowing concern that supplements may interfere with effectiveness; St. John's wort lowers levels of some cancer and HIV medicines[9][10]
Type 2 diabetes (metformin)Goldenseal extract reduced metformin levels about 25% in healthy adults[10]
Depression and other conditions treated with serotonin drugsSt. John's wort can increase serotonin-related side effects[11]
Kidney diseaseProper evidence was not found in the sources we could read. NIH's ODS pages were blocked from our system. A 2001 FDA warning about aristolochic acid in botanical products is reported by trade press only; check FDA directly.[12]
Swallowing problemsLarge vitamin pills have caused emergency visits[1]

Before any change

Tell every provider. Bring a checklist.

References

  1. National Center for Complementary and Integrative Health (NIH). Using Dietary Supplements Wisely. Read 2026-10-22.
  2. National Center for Complementary and Integrative Health (NIH). Kava: Usefulness and Safety. Read 2026-10-22.
  3. National Center for Complementary and Integrative Health (NIH). Turmeric: Usefulness and Safety. Read 2026-10-22.
  4. National Center for Complementary and Integrative Health (NIH). Black Cohosh: Usefulness and Safety. Read 2026-10-22.
  5. National Center for Complementary and Integrative Health (NIH). Asian Ginseng: Usefulness and Safety. Read 2026-10-22.
  6. National Center for Complementary and Integrative Health (NIH). Ginkgo: Usefulness and Safety. Read 2026-10-22.
  7. National Center for Complementary and Integrative Health (NIH). Garlic: Usefulness and Safety. Read 2026-10-22.
  8. National Center for Complementary and Integrative Health (NIH). Licorice Root: Usefulness and Safety. Read 2026-10-22.
  9. National Center for Complementary and Integrative Health (NIH). Know the Science: Talk With Your Health Care Providers. Read 2026-10-22.
  10. National Center for Complementary and Integrative Health (NIH). Know the Science: Some Supplements May Decrease the Effects of Medications. Read 2026-10-22.
  11. National Center for Complementary and Integrative Health (NIH). St. John's Wort: Usefulness and Safety. Read 2026-10-22.
  12. Office of Dietary Supplements (NIH). Fact sheets. Access was blocked (HTTP 403) from our system on 2026-10-22; we did not read it and cite nothing from it.
Education, not medical advice. This page is for general information. It does not diagnose or treat any condition and is not a substitute for care from a qualified health professional. Natural does not automatically mean safe. Ask a clinician or pharmacist before changing your care, especially if you take medication, are pregnant or breastfeeding, or have a health condition.