Evidence-Based Complementary and Alternative Medicine / 2018 / Article / Tab 3

Research Article

Which Benefits and Harms of Using Fenugreek as a Galactogogue Need to Be Discussed during Clinical Consultations? A Delphi Study among Breastfeeding Women, Gynecologists, Pediatricians, Family Physicians, Lactation Consultants, and Pharmacists

Table 3

Potential harms of using fenugreek to enhance human milk supply that need to be communicated to and discussed with breastfeeding women during the clinical consultation.

Item #Potential harms Round on which consensus was achieved
Panel of healthcare providersPanel of women

Fenugreek has anticoagulant effects
1Breastfeeding women who have a history of any clotting related disorder need to be warned not to take fenugreek21
2Breastfeeding women who have a history of vaginal bleeding disorder need to be warned not to take fenugreek11
3Breastfeeding women who are at risk of any bleeding disorder need to be warned not to take fenugreek11
4Breastfeeding women need to be warned that fenugreek might be associated with menstrual breakthrough bleeding21
5Breastfeeding women who are on anticoagulants need to be warned not to take fenugreek21
6Breastfeeding women who are on non-steroidal anti-inflammatory drugs (NSAIDs) need to be warned not to take fenugreek21
Fenugreek might be associated with abortion
7Women planning to become pregnant need to be warned that fenugreek is a potential utero-stimulant and might cause spontaneous abortion22
8Women with a history of previous miscarriage need to be warned not to take fenugreek11
9Women planning to become pregnant need to be warned that fenugreek might impair fetal development11
Risks associated with using fenugreek on other co-morbidities
10Breastfeeding women need to be warned that fenugreek might cause nausea and vomiting22
11Breastfeeding women need to be warned that fenugreek might cause diarrhea in the mother and her breastfed infant21
12Breastfeeding women with a history of asthma need to be warned that fenugreek might worsen the symptoms of their asthma11
13Breastfeeding women need to be warned that fenugreek might cause dehydration11
Fenugreek could be associated with hypotension
14Breastfeeding women with a history of or at risk of hypotension need to be warned not to take fenugreek11
15Breastfeeding women with a history of or at risk of dizziness need to be warned not to take fenugreek21
16Breastfeeding women who are on anti-hypertensive medications need to be warned not to take fenugreek11
Fenugreek could be associated with hypoglycemia
17Breastfeeding women with a history of or at risk of hypoglycemia need to be warned not to take fenugreek21
18Diabetic breastfeeding women whose disease is controlled by medications or insulin need to be warned not to take fenugreek11
Other adverse effects
19Breastfeeding women need to be warned that fenugreek might cause fever21
20Breastfeeding women need to be warned that fenugreek might cause excessive sweating22
21Breastfeeding women taking diuretics, laxatives, mineralocorticoids, and/or other hypokalemic agents need to be warned that fenugreek may worsen hypokalemia21

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