Regarding heather and orthosiphon, it is unknown whether the active compounds are excreted in human milk. As there is insufficient scientific data to support its safe use, its administration should be avoided or breastfeeding should be temporarily suspended. As a general rule, pure essential oils administered orally should be avoided during breastfeeding.
Drug provide to the patients
Patients with heart failure
Heart failure involves the inability of the heart to adequately maintain the body’s metabolic demands. In this case, special care must be taken with the treatment to choose.
The phytotherapeutic treatment of choice in these patients is thyme and eucalyptus. The recommended dosage is the same as that used in patients without other pathology since no dose adjustment is necessary.
The use of the American cranberry is contraindicated, due to its possible interaction with some of the drugs commonly used in this pathology, such as antiplatelet agents, vitamin K antagonists, as well as heparin and its derivatives, and enzymes such as streptokinase, etc. .
Likewise, due to the diuretic effect they present, bearberry, heather, orthosiphon, horsetail and dandelion are contraindicated, since they can produce an electrolyte imbalance and, with it, decompensation of patients with this pathology.
Patients with kidney failure
Kidney failure involves a decreased ability to excrete waste metabolic products and water. For this reason bearberry, heather, orthosiphon, horsetail and dandelion are contraindicated, which due to their diuretic effect can cause an electrolyte imbalance, and thus worsen the evolution of the pathology.
The recommended plants for this type of patient are: American cranberry, thyme and eucalyptus. The dosage regimen why using powdered urine is the best way of passing a drug test does not differ from that used in people without other pathologies since no dose adjustment is necessary.
Patients with liver failure
Liver failure involves a malfunction of the enzyme system responsible for the metabolism of many substances. This alteration entails a dose adjustment or the contraindication of many treatments, including some antibiotics.
In these patients, cranberry, heather, thyme, orthosiphon or horsetail can be used. All of them can be used with the same dosage that is used in patients without other pathology.
They are contraindicated: bearberry, since hydroquinone confers a certain hepatotoxic risk; dandelion, which has a choleretic and cholagogue effect, which poses a risk of obstruction of the bile ducts; eucalyptus, because it induces the microsomal enzymatic system, with the consequent possible worsening of liver failure.
Cancer patients receiving tamoxifen or letrozole
In the case of experiencing a urinary tract infection, herbal medicine is a valid option for cancer patients, since it has fewer interactions and probably fewer side effects than other drugs, and when it comes to mild infections it is usually sufficient.
For this type of patient, the recommended plants are American cranberry (which also has a great antioxidant effect), heather, ortosifón, horsetail (it also has an antioxidant, hepatoprotective effect and eliminates free radicals), dandelion (also has a stimulating effect on the immune system) and eucalyptus. The dosage regimen for all of them does not differ from that used in adult patients without other pathologies.
The plant contraindicated in these patients is thyme, since it has an estrogenic action that can antagonize the action of these chemotherapy drugs.
Bearberry should be used with caution, as high doses of hydroquinone have shown a carcinogenic effect in mice.
Considerations for the safe use of these plants
In general, herbal medicine is considered a “soft medicine”, since many of the medicinal plants in common use have few adverse reactions. However, it is important to remind patients that this relative safety is not due to its natural origin, but to the fact that active ingredients are used at relatively low doses, so it is important to respect the dosages also in herbal medicine.
In this sense, it is important to combat the perception that some people may have that plants that are bought in herbal shops or online are safer, which is based on the fact that they do not usually contain any warning about possible adverse effects or other risks . As long as European legislation fails to guarantee that the dispensing of medicinal plants is carried out exclusively by qualified health professionals and the information provided to consumers on the safety of phytotherapeutic preparations is standardized, it is difficult to make the user understand that the safest plants are precisely those that are purchased at the pharmacy. However,
It is important to combat the perception that some people may have that plants that are bought in herbal shops or online are safer, which is based on the fact that they do not usually contain any warning about possible adverse effects or other risks
Regardless of the treatment chosen for the treatment of UTIs, there are a series of practical advice that the pharmacist should give to those who suffer from them in order to improve prevention and minimize recurrences:
– Drink at least 1.5 l of water, juices or non-alcoholic or soft drinks every day.
– Maintain adequate hygiene in the perianal and genital area with daily washings. Washing will be done from front to back using a suitable soap, which respects the pH of the vaginal area.
– Wash that area well before intercourse. Then urinate and wash it again.
– Do not use spermicides or diaphragm, since reducing bacterial colonization by lactobacilli increases the risk of urinary infection.
– Do not retain urine and try to urinate frequently (it is not advisable to go more than 4 hours without urinating, except during the time of night rest).
– Wear cotton underwear and make sure it is loose.
– Try to avoid constipation, since this favors the reproduction of microorganisms in the rectal ampulla, with the consequent perianal contamination.
– In patients with bladder catheterization, do not raise the urine collection bag above the level of the bladder or support it. If single-use urine collection bags are used (lacking an emptying system), change the bag in the most aseptic way possible (washing and drying hands beforehand or using clean gloves), with immediate replacement of a new bag. Do not pull on the catheter and avoid kinking it, to prevent urine from accumulating in it.