Obstetrics and Gynecology International / 2012 / Article / Tab 2

Research Article

Breastfeeding Self-Efficacy and the Use of Prescription Medication: A Pilot Study

Table 2

Herbs commonly associated with galactogogue properties and known interactions.

HerbalsIntended use (main effect)Potential side effectsPotential interactionsContraindications

Alfalfa* (Medicago sativa) Tonic
Rejuvenative
Diuretic
Diarrhea
Reversible pancytopenia
Reactivates-systemic Lupus
Immune modulatorsPregnancy
Allergies

Anise* (Pimpinella anisum)Expectorant
Antispasmodic
Antiseptic
Antiflatulence
SeizuresAnticoagulants
MAO inhibitors oral
contraceptives
Pregnancy: abortifacient

Black seed caraway (Carum carvi)Dyspepsia,
antinausea,
antiflatulent
incontinence
galactogogue
Contact dermatitis
Weak antispasmodic activity
DisulfiramPregnant, breastfeeding due to antispasmodic effects

Blessed thistle* (Cnicus benedictus)Stimulates menstruation,
antidiarrheal,
antibacterial,
expectorant
galactogogue
Nausea, vomiting diarrhea, contact dermatitisAntacids, H2 antagonists, proton pump inhibitors, sucralfate, insulinPregnant and breastfeeding

Fennel* (Foeniculum vulgare) Expectorant
Antispasmodic
URTI
Seizures
Nausea, pulmonary edema
Anticonvulsant
Sun exposure
Unknown

Fenugreek* (Trigonella foenum-graecum)GI complaints
URT congestion
Antidiarrheal
Uterine stimulant
Hepatotoxicity
Maple-syrup Urine diarrhea
Anticoagulants
Antidiabetics
Pregnancy (uterine stimulant) breastfeeding

Goat’s rue (Galega officinalis)Diuretic
Galactogogue
Antihyperglycemic
Headache weakness nervousnessNone reportedCaution for children, pregnant, and breastfeeding patients

Milk thistle* (Silybum marianum)Dyspepsia, liver damage from chemicalsNausea, vomiting diarrheaAspirin, cisplatin, disulfiram, hepatotoxic drugsPregnant or breastfeeding patients

Nursing Herbal Medicine Handbook, Nursing Drug Handbook Series, Springhouse Pennsylvania.
*Often herbs are used in combination, such as mother’s milk tea, various combinations of fenugreek, blessed thistle, anise, coriander, fennel, marshmallow and other herbs.

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