A man taking
digoxin developed grossly elevated
serum digoxin levels, without
symptoms of
toxicity, while taking Siberian
ginseng. Both Chinese
ginseng (Panax
ginseng) and Siberian
ginseng (Eleutherococcus senticosus) may interfere with some
digoxin assays, including fluorescence polarisation immunoassay (FPIA) and micro-
particle
enzyme immunoassay (MEIA).
Whether
serum digoxin levels are actually affected is uncertain. Be aware that
ginseng can possibly elevate
serum digoxin levels or affect the assay of
digoxin.