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CLINICIAN REFERENCE

Dietary supplements / herbal products

Medication reconciliation includes supplements and herbal products, their ingredients and doses. Ayurvedic, bodybuilding and weight-loss products, as well as vitamins, are relevant to this review.

Potential effects on bleeding, haemodynamics, sedation, glucose control and prescribed medicines inform the assessment. Multi-ingredient products require particular attention because their contents may be uncertain.

Decisions about interruption depend on product-specific evidence and local guidance. There is no single evidence-based stop interval that can safely be applied to every supplement.