Do the following medications / herbs make birth control pills less effective? Do you possibly need to keep a distance? 1. nettle (nettle tea) 2. chrome 3. dandelion root 4. fig opuntia fruit extract 5. elderberry tea 6. horsetail tablets / tea 7. raw garlic

Good morning! The best rule of thumb is not to combine medications with herbs. Herbs have a great influence on the effectiveness of hormonal contraception. All types of herbal preparations contain many different non-standardized substances, hence their interactions are difficult to predict. Herbs that can weaken its effects include St. John's wort, angelica or black cohosh, chasteberry, saw palmetto, licorice, hops, wild yam. Chromium, which is part of, among others, slimming preparations, has the ability to maintain an appropriate level of glucose in the blood, which regulates the appetite. However, it may impair the absorption of the hormones given with the pill. Nettle, elderberry, field horsetail and garlic used by Mrs. should not affect the contraceptive effect. Regards

Remember that our expert's answer is informative and will not replace a visit to the doctor.

Alina Krychowska-Ćwikła, MD, PhD

Specialist-obstetrician at the Ursynów Surgical Center and Gynecology and Obstetrics Clinic SPZOZ Warszawa-Ursynów, assistant professor at the Department of Gynecology and Obstetrics at the Faculty of He alth Sciences at the Medical University of Warsaw, editor of the Science and Didactics section of the quarterly "Obstetrician. Science and practice ”PZWL. I see at the Polmed Medical Center.

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