Department of Family Medicine, Boston Medical Center, 1 Boston Medical Center Place, 5 Dowling, Boston, MA 02118, USA.
Maturitas. 2011 Mar;68(3):251-5. doi: 10.1016/j.maturitas.2010.11.017. Epub 2010 Dec 17.
Dietary supplements are becoming increasingly popular as therapies for symptom relief among menopause-age women in the United States. However, a large gap exists between research in the concomitant use of prescription medications and dietary supplements and provider preparedness to guide patient decision making. Many menopausal women take prescription medications, over the counter medications, and herbs and dietary supplements for climactic symptoms or other health conditions. With any drug, there is the potential for interactions. Women taking medications with a narrow therapeutic index, such as anticoagulants, anticonvulsants, and drugs for the treatment of chronic diseases, are at particular risk. Patients should be queried regarding their use of dietary supplements when starting or stopping a prescription drug, or if unexpected reactions occur. When counseling patients, one must carefully consider the risks and benefits of each supplement and medication being taken by each individual.
膳食补充剂在美国越来越受到更年期女性缓解症状疗法的欢迎。然而，在同时使用处方药和膳食补充剂的研究与提供者准备指导患者决策之间存在很大差距。许多更年期妇女为了缓解热潮红或其他健康状况而服用处方药、非处方药和草药及膳食补充剂。任何药物都有相互作用的可能性。服用窄治疗指数药物（如抗凝剂、抗惊厥药和治疗慢性病的药物）的妇女尤其有风险。当开始或停止服用处方药，或出现意外反应时，应询问患者是否使用膳食补充剂。在为患者提供咨询时，必须仔细考虑每个人服用的每种补充剂和药物的风险和益处。
