台北市中醫師公會台北中醫醫學雜誌

誠徵：執業中醫師－漢補世家中醫診所體系

公會簡介

理事長的話

98.2 適當使用人參不會減弱抗凝血劑Warfarin 的效果

適當使用人參不會減弱抗凝血劑Warfarin 的效果

Adequately Taking Ginseng does not Reduce the Efficacy of Anticoagulation of Warfarin

陳安履　林舜穀*

臺北市立聯合醫院仁愛區中醫科

【摘要】

許多心血管疾病患者因為要長期控制凝血功能而在服用Warfarin，有動物實驗發現人參可能會降低 Warfarin 的抗凝血效果，因此許多醫師會建議病患避免服用。臨床研究顯示，心臟瓣膜置換病患與缺血性中風患者，若在醫師的監控下服用人參並不會降低Warfarin 的抗凝血效果。但對於健康人而言，合併使用 Warfarin 和西洋參則可能會抑制抗凝血。。

【關鍵詞】人參、Warfarin、抗凝血、中西藥交互作用

An-Lu ChenShun-Ku Lin*

Department of Chinese Medicine, Taipei City Hospital, RenAi Branch. Department of

Health, Taipei City Covernment

【Summary】

Several patients with cardiovascular disease take Warfarin for a long time to regulate blood coagulation. Some animal studies revealed that taking Ginseng may inhibit the efficacy of anticoagulation of Warfarin. Consequently, many doctors very often advise their patients not to take it. However, clinical studies revealed that taking Ginseng does not inhibit anticoagulation of Warfarin for those patients who have valve replacement surgery or ischemic stroke under the supervision of their doctors. By contrast, taking Warfarin in combination with Xiyangshen may inhibit anticoagulation for healthy people.

【Keywords】Ginseng, Warfarin, Anticoagulation, Herbal-drug Interactions

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