- With Mayo Clinic psychiatrist
David Mrazek, M.D.
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David Mrazek, M.D.
David Mrazek, M.D.
Dr. David A. Mrazek is chair of the Department of Psychiatry and Psychology at Mayo Clinic, Rochester, Minn., and a professor of psychiatry at College of Medicine, Mayo Clinic. Dr. Mrazek has developed a federally funded psychiatric pharmacogenomics research program and implemented clinical psychiatric pharmacogenomics services at Mayo Clinic.
He has received numerous awards including the Award for Creativity in Psychiatric Education from the American College of Psychiatrists and the Agnes Purcell McGavin Award for Distinguished Career Achievement in Child and Adolescent Psychiatry from the American Psychiatric Association. He currently serves as chairman of the board of the American Board of Psychiatry and Neurology.
Dr. Mrazek has focused his current efforts on using pharmacogenomics testing to improve clinical care. One of his specific goals is to decrease the risks of taking psychiatric medications.
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Depression blog
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May 2, 2009
Watch for alternative medicine side effects during depression treatment
By David Mrazek, M.D.
This is the first in a series that will briefly highlight some alternative medicine (also referred to as complementary medicine) therapies, especially alternative medicine side effects or interactions.
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A lot of people think of herbs or supplements when alternative or complementary medicine is mentioned. These are just one kind of a whole host of alternative therapies. I'll be focusing on depression at this time in relationship to herbs or supplements.
Always tell your provider about everything that you take, prescribed or not. Multivitamins are generally safe; ask your provider if you're unsure. Watch for vitamins or supplements that contain herbs such as St. John's Wort, ginseng, ginkgo, etc. These substances can cause side effects or interact with other medications.
For example, St. John's Wort can interfere with the effectiveness of the birth control pill. Ginseng may raise blood pressure and estrogen levels in women. Ginkgo can also interfere with clotting, so don't take it when you're on blood thinners, including aspirin.
Ginkgo can increase blood pressure when on a thiazide diuretic (water pill). This is a small list, but shows there are some potentially dangerous side effects. Make sure to talk with your health care provider about any supplements, herbs, etc. you are considering taking. Share with the group your experience in using alternative medical treatments for depression, especially the use of herbs or supplements.
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