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Ginseng × Ssri

MINOR INTERACTION — Possible Evidence

⚠️ Mechanism

Ginseng may have weak MAO-inhibiting properties; theoretical risk of serotonin syndrome with SSRIs.

📋 Effect

Possible additive serotonergic effect (rare)

💊 Management

Generally safe at typical doses. Report any agitation or confusion.

Plain Language Summary

This combination is generally considered safe at typical doses. However, there is a small risk that ginseng could increase serotonin levels when taken with an SSRI, which could rarely lead to symptoms such as agitation or confusion.

Source

Mischoulon D, Fava M. J Clin Psychiatry 2002

Supporting Research

Treatments of Sexual Dysfunction in Opioid Substitution Therapy Patients: A Systematic Review and Meta-Analysis PMID:33967614 DOI:10.7150/ijms.57641 2021
Compound salvia pellet, a traditional Chinese medicine, for the treatment of chronic stable angina pectoris compared with nitrates: a meta-analysis PMID:16369479 2006
Efficacy of Ginseng Supplements on Fatigue and Physical Performance: a Meta-analysis PMID:27822924 DOI:10.3346/jkms.2016.31.12.1879 2016
Dose-response and temporal ergogenic effects of ginseng supplementation in athletes and active participants: A systematic review and meta-analysis PMID:36604650 DOI:10.1080/02640414.2022.2162753 2022
Clinical efficacy and safety of Panax notoginseng saponins in treating chronic obstructive pulmonary disease with blood hypercoagulability: A meta-analysis of randomized controlled trials PMID:38216446 DOI:10.1016/j.phymed.2023.155244 2024
[Dan'e-fukang soft extract for dysmenorrhea: a meta-analysis] PMID:25187464 2014
Efficacy of ginseng supplements on disease-related fatigue: A systematic review and meta-analysis PMID:35776997 DOI:10.1097/MD.0000000000029767 2022
The efficacy of ginseng supplementation on plasma lipid concentration in adults: A systematic review and meta-analysis PMID:31987252 DOI:10.1016/j.ctim.2019.102239 2020
Medical Disclaimer: This interaction record is for informational and educational purposes only and does not constitute medical advice. Drug-supplement interactions can be dangerous. Always consult your healthcare provider or pharmacist before combining any supplement with prescription medications. Do not stop or change any medication without professional guidance.