HORSE CHESTNUT

(HORSE CHEST nut) Brand: Venastat

What is the most significant information I must know about horse chestnut?

• Do not use horse chestnut without first talking to your doctor if you have a history of blood clots, colitis or another stomach or intestine related illnesses, diabetes, heart malady, low blood pressure, kidney malady, liver malady, or poor blood circulation.

• Do not take aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Motrin, Advil, others), naproxen (Aleve, others), or ketoprofen (Orudis KT, others) while using horse chestnut. These drugs may magnify the risk of bleeding while using horse chestnut.

Horse chestnut has not been evaluated by the FDA for safe, effectiveness, or purity. All potential risks and/or advantages of horse chestnut may not be known. Additionally, there are no regulated manufacturing standards in seat for these compounds. There have been instances where herbal/health supplements have been sold which were contaminated with toxic metals or another drugs. Herbal/health supplements must be purchased from a dependable source to minimize the risk of contamination.

What is horse chestnut?

• The use of horse chestnut in cultural and traditional settings may differ from concepts accepted by current Western medication. When considering the use of herbal supplements, consultation with a primary health care professional is advisable. Additionally, consultation with a practitioner trained in the uses of herbal/health supplements may be beneficial, and coordination of treatment among all health care providers involved may be advantageous.

Horse chestnut is also known as Aesculus hippocastanum, Cellu-Var, Variclear, Reparil, Varicare, Varicosin, VeinAway, Venastat, and others.

Horse chestnut has been used topically to cosmetically improve the appearance of varicose veins. It has also been promoted for relief of swelling or inflammation of joints, tendons, and muscles and hemorrhoids. Horse chestnut has been used orally to improve symptoms of fatigue, and pain, nighttime cramping, itching and swelling in the legs.

Horse chestnut has not been evaluated by the FDA for safe, effectiveness, or purity. All potential risks and/or advantages of horse chestnut may not be known. Additionally, there are no regulated manufacturing standards in seat for these compounds. There have been instances where herbal/health supplements have been sold which were contaminated with toxic metals or another drugs. Herbal/health supplements must be purchased from a dependable source to minimize the risk of contamination.

Horse chestnut may also have uses another than those listed in this product guide.

What must I discuss with my healthcare provider till using horse chestnut?

• Do not use horse chestnut without first talking to your doctor if you have

· a history of blood clots;

· colitis or another stomach or intestine related illnesses;

· diabetes;

· vitamin K deficiency;

· a bleeding or blood clotting disorder;

· are taking a blood thinner such as warfarin (Coumadin);

· heart disease;

· low blood pressure;

· poor blood circulation;

· liver malady; or

· kidney disease.

Horse chestnut may not be safety for use if you have any of the conditions listed above.

• Till using horse chestnut, conversation to your doctor, pharmacist, or health care professional if you have allergies (especially to plants, foods, medicines, dyes, or preservatives), have any medical condition, or if you take another medicines or another herbal/health supplements. Horse chestnut may not be recommended in some situations.

Do not use horse chestnut without first talking to your doctor if you are pregnant or could become pregnant. Horse chestnut may be deleterious to an unborn baby.

Do not use horse chestnut without first talking to your doctor if you are breast-feeding a child. It is also not known whether horse chestnut will be deleterious to a nursing infant.

Horse chestnut is usually not recommended for use by children. Do not give any herbal/health supplement to a baby without first talking to the child's doctor.

How must I use horse chestnut?

• The use of horse chestnut in cultural and traditional settings may differ from concepts accepted by current Western medication. When considering the use of herbal supplements, consultation with a primary health care professional is advisable. Additionally, consultation with a practitioner trained in the uses of herbal/health supplements may be beneficial, and coordination of treatment among all health care providers involved may be advantageous.

• If you choose to use horse chestnut, use it as directed on the package or as directed by your doctor, pharmacist, or another healthcare provider.

Horse chestnut cream and gel is intended for outside use only. Do not take it my mouth. Wash your hands till and after application of the topical product. Apply a thin layer of the medicine to the affected area and rub it gently into the skin. Do not apply the product to the eyes, nose, mucous membranes, or broken skin.

• Take the oral forms of horse chestnut with a full glass of water.

• Take oral horse chestnut after a meal to reduce the chance of stomach upset.

• Standardized extracts, tinctures, and solid formulations of herbal/health supplements may provide a more dependable doze of the product.

• Do not use various formulations (e.g., tablets, topical formulations, and others) of horse chestnut at the same time, unless specifically directed to do so by a health care professional. Using various formulations together increases the risk of an overdose of horse chestnut.

• Store horse chestnut as directed on the package. In common, horse chestnut must be protected from easy, heat, and moisture.

What happens if I miss a dose?

• Skip the missed doze if it is nearly time for your following scheduled doze. Do not use extra horse chestnut to create up the missed dose.

What happens if I overdose?

• Search abnormal medical attention or call the Poison Help line at 1-800-222-1222.

What must I avoid while taking horse chestnut?

• Do not take aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Motrin, Advil, others), naproxen (Aleve, others), or ketoprofen (Orudis KT, others) while using horse chestnut. These drugs may magnify the risk of bleeding while using horse chestnut.

What are the possible side effects of horse chestnut?

• Although uncommon, allergic reactions to horse chestnut have been reported. Stop taking horse chestnut and search abnormal medical attention if you experience:

· an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or person; or hives);

· bleeding (gums, nose, skin, stool, urine);

· decreased amounts of urine;

· joint or muscle pain;

· skin rash; or

· unusual bruising.

• Another smaller serious side effects have also been reported. Conversation to your doctor or pharmacist if you experience

· stomach upset or heartburn; or

· burning or stinging where cream or gel is applied.

• This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may message side effects to FDA at 1-800-FDA-1088.

What another drugs will affect horse chestnut?

• Do not take horse chestnut with any of the next medications or herbal supplements:

· aspirin;

· a nonsteroidal anti-inflammatory drug (NSAID) such as ibuprofen (Advil, Motrin, others), naproxen (Aleve, Anaprox, Naprosyn, others), ketoprofen (Orudis, Orudis KT), diclofenac (Cataflam, Voltaren), nabumetone (Relafen), etodolac (Lodine), indomethacin (Indocin), piroxicam (Feldene), oxaprozin (Daypro), and others;

· clopidogrel (Plavix);

· cilostazol (Pletal);

· dipyridamole (Persantine, Aggrenox);

· warfarin (Coumadin);

· heparin, dalteparin (Fragmin), danaparoid (Orgaran), enoxaparin (Lovenox), or tinzaparin (Innohep);

· feverfew;

· danshen;

· garlic; or

· ginger.

• You may not be able to take horse chestnut, or you may require a dosage adjustment or particular monitoring during treatment if you are taking any of the medicines listed above.

• Drugs another than those listed here may also interact with horse chestnut. Conversation to your doctor, pharmacist, or health care professional till taking any prescription or over-the-counter medicines or another herbal/health supplements.

Where can I get more information?

• Consult with a licensed healthcare professional till using any herbal/health supplement. Whether you are treated by a medical doctor or a practitioner trained in the use of natural medicines/supplements, create certain all your healthcare providers know about all of your medical conditions and treatments.

Remember, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.

Disclaim: Each effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses external of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way must be construed to indicate that the drug or drug combination is safety, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the help of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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