Suggested Dosing
Cut or Powdered Root
0.6-3 g PO qDay-TID
Brewed Root Tea
3 g PO qDay-TID
Erectile Dysfunction
900 mg PO TID
Topically cream applied 1 hour prior to intercouse and washed off before intercourse has been used
Diabetes
200 mg PO qDay
Other Information
100-300 mg extract TID for 3-4 weeks
Extract standardized to 7% ginsenosides
Suggested Uses
Adaptogen: adapt to internal/external stressors, fight fatigue, increase stamina
Anxiety, athletic/physical stamina enhancement, cognitive function, enhancement, depression, fertility (male), headaches, immunostimulant, menopausal hot-flashes, impotence
Efficacy
Possibly effective in cognitive function, diabetes, erectile dysfunction and premature ejaculation
Possibly ineffective for athletic performance, menopausal symptoms and quality of life
Insufficient reliable evidence to rate breast cancer, bronchitis, cancer, common cold, congestive heart failure and influenza
Interactions
Interaction Checker
No Results

Contraindicated
Serious - Use Alternative
Significant - Monitor Closely
Minor

Contraindicated (0)
Serious - Use Alternative (0)
Monitor Closely (68)
- aceclofenac
aceclofenac and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- acemetacin
acemetacin and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- agrimony
agrimony and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- alfalfa
alfalfa and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- alteplase
alteplase and panax ginseng both increase anticoagulation. Modify Therapy/Monitor Closely.
- American ginseng
American ginseng and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- antithrombin alfa
antithrombin alfa and panax ginseng both increase anticoagulation. Modify Therapy/Monitor Closely.
- antithrombin III
antithrombin III and panax ginseng both increase anticoagulation. Modify Therapy/Monitor Closely.
- argatroban
argatroban and panax ginseng both increase anticoagulation. Modify Therapy/Monitor Closely.
- aspirin
aspirin and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- aspirin rectal
aspirin rectal and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- aspirin/citric acid/sodium bicarbonate
aspirin/citric acid/sodium bicarbonate and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- bemiparin
bemiparin and panax ginseng both increase anticoagulation. Modify Therapy/Monitor Closely.
- bivalirudin
bivalirudin and panax ginseng both increase anticoagulation. Modify Therapy/Monitor Closely.
- celecoxib
celecoxib and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- cinnamon
cinnamon and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- cordyceps
cordyceps and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- dabigatran
dabigatran and panax ginseng both increase anticoagulation. Modify Therapy/Monitor Closely.
- dalteparin
dalteparin and panax ginseng both increase anticoagulation. Modify Therapy/Monitor Closely.
- diclofenac
diclofenac and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- diflunisal
diflunisal and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- dong quai
dong quai and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- enoxaparin
enoxaparin and panax ginseng both increase anticoagulation. Modify Therapy/Monitor Closely.
- epoprostenol
epoprostenol and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- etodolac
etodolac and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- fennel
fennel and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- fenoprofen
fenoprofen and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- feverfew
feverfew and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- flurbiprofen
flurbiprofen and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- fondaparinux
fondaparinux and panax ginseng both increase anticoagulation. Modify Therapy/Monitor Closely.
- forskolin
forskolin and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- garlic
garlic and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- ginger
ginger and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- ginkgo biloba
ginkgo biloba and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- heparin
heparin and panax ginseng both increase anticoagulation. Modify Therapy/Monitor Closely.
- horse chestnut seed
horse chestnut seed and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- ibuprofen
ibuprofen and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- ibuprofen IV
ibuprofen IV and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- indomethacin
indomethacin and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- ketoprofen
ketoprofen and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- ketorolac
ketorolac and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- ketorolac intranasal
ketorolac intranasal and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- lornoxicam
lornoxicam and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- meclofenamate
meclofenamate and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- mefenamic acid
mefenamic acid and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- meloxicam
meloxicam and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- mistletoe
panax ginseng increases and mistletoe decreases anticoagulation. Effect of interaction is not clear, use caution. Use Caution/Monitor.
- nabumetone
nabumetone and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- naproxen
naproxen and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- nettle
panax ginseng increases and nettle decreases anticoagulation. Effect of interaction is not clear, use caution. Use Caution/Monitor.
- oxaprozin
oxaprozin and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- parecoxib
parecoxib and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- pau d'arco
panax ginseng and pau d'arco both increase anticoagulation. Use Caution/Monitor.
- phenindione
phenindione and panax ginseng both increase anticoagulation. Modify Therapy/Monitor Closely.
- phytoestrogens
panax ginseng and phytoestrogens both increase anticoagulation. Use Caution/Monitor.
- piroxicam
piroxicam and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- protamine
protamine and panax ginseng both increase anticoagulation. Modify Therapy/Monitor Closely.
- reishi
panax ginseng and reishi both increase anticoagulation. Use Caution/Monitor.
- reteplase
reteplase and panax ginseng both increase anticoagulation. Modify Therapy/Monitor Closely.
- salicylates (non-asa)
salicylates (non-asa) and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- salsalate
salsalate and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- Siberian ginseng
panax ginseng and Siberian ginseng both increase anticoagulation. Use Caution/Monitor.
- sulfasalazine
sulfasalazine and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- sulindac
sulindac and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- tenecteplase
tenecteplase and panax ginseng both increase anticoagulation. Modify Therapy/Monitor Closely.
- tolfenamic acid
tolfenamic acid and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- tolmetin
tolmetin and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- vitamin K1 (phytonadione)
panax ginseng increases and vitamin K1 (phytonadione) decreases anticoagulation. Effect of interaction is not clear, use caution. Use Caution/Monitor.
Minor (37)
- amitriptyline
panax ginseng increases effects of amitriptyline by pharmacodynamic synergism. Minor/Significance Unknown.
- amoxapine
panax ginseng increases effects of amoxapine by pharmacodynamic synergism. Minor/Significance Unknown.
- anamu
anamu and panax ginseng both increase anticoagulation. Minor/Significance Unknown.
- clomipramine
panax ginseng increases effects of clomipramine by pharmacodynamic synergism. Minor/Significance Unknown.
- danshen
danshen and panax ginseng both increase anticoagulation. Minor/Significance Unknown.
- desipramine
panax ginseng increases effects of desipramine by pharmacodynamic synergism. Minor/Significance Unknown.
- devil's claw
devil's claw and panax ginseng both increase anticoagulation. Minor/Significance Unknown.
- dosulepin
panax ginseng increases effects of dosulepin by pharmacodynamic synergism. Minor/Significance Unknown.
- doxepin
panax ginseng increases effects of doxepin by pharmacodynamic synergism. Minor/Significance Unknown.
- duloxetine
panax ginseng increases effects of duloxetine by pharmacodynamic synergism. Minor/Significance Unknown.
- escitalopram
panax ginseng increases effects of escitalopram by pharmacodynamic synergism. Minor/Significance Unknown.
- fluoxetine
panax ginseng increases effects of fluoxetine by pharmacodynamic synergism. Minor/Significance Unknown.
- green tea
green tea, panax ginseng. Other (see comment). Minor/Significance Unknown. Comment: Use caution when combining green tea with herbs that exhibit antiplatelet effects or anticoagulant activity.
- imipramine
panax ginseng increases effects of imipramine by pharmacodynamic synergism. Minor/Significance Unknown.
- insulin aspart
panax ginseng increases effects of insulin aspart by pharmacodynamic synergism. Minor/Significance Unknown.
- insulin detemir
panax ginseng increases effects of insulin detemir by pharmacodynamic synergism. Minor/Significance Unknown.
- insulin glargine
panax ginseng increases effects of insulin glargine by pharmacodynamic synergism. Minor/Significance Unknown.
- insulin glulisine
panax ginseng increases effects of insulin glulisine by pharmacodynamic synergism. Minor/Significance Unknown.
- insulin lispro
panax ginseng increases effects of insulin lispro by pharmacodynamic synergism. Minor/Significance Unknown.
- insulin NPH
panax ginseng increases effects of insulin NPH by pharmacodynamic synergism. Minor/Significance Unknown.
- insulin regular human
panax ginseng increases effects of insulin regular human by pharmacodynamic synergism. Minor/Significance Unknown.
- isocarboxazid
panax ginseng increases effects of isocarboxazid by pharmacodynamic synergism. Minor/Significance Unknown.
- linezolid
panax ginseng increases effects of linezolid by pharmacodynamic synergism. Minor/Significance Unknown.
- lofepramine
panax ginseng increases effects of lofepramine by pharmacodynamic synergism. Minor/Significance Unknown.
- maprotiline
panax ginseng increases effects of maprotiline by pharmacodynamic synergism. Minor/Significance Unknown.
- milnacipran
panax ginseng increases effects of milnacipran by pharmacodynamic synergism. Minor/Significance Unknown.
- nefazodone
panax ginseng increases effects of nefazodone by pharmacodynamic synergism. Minor/Significance Unknown.
- nortriptyline
panax ginseng increases effects of nortriptyline by pharmacodynamic synergism. Minor/Significance Unknown.
- paroxetine
panax ginseng increases effects of paroxetine by pharmacodynamic synergism. Minor/Significance Unknown.
- phenelzine
panax ginseng increases effects of phenelzine by pharmacodynamic synergism. Minor/Significance Unknown.
- procarbazine
panax ginseng increases effects of procarbazine by pharmacodynamic synergism. Minor/Significance Unknown.
- protriptyline
panax ginseng increases effects of protriptyline by pharmacodynamic synergism. Minor/Significance Unknown.
- sertraline
panax ginseng increases effects of sertraline by pharmacodynamic synergism. Minor/Significance Unknown.
- tranylcypromine
panax ginseng increases effects of tranylcypromine by pharmacodynamic synergism. Minor/Significance Unknown.
- trazodone
panax ginseng increases effects of trazodone by pharmacodynamic synergism. Minor/Significance Unknown.
- trimipramine
panax ginseng increases effects of trimipramine by pharmacodynamic synergism. Minor/Significance Unknown.
- venlafaxine
panax ginseng increases effects of venlafaxine by pharmacodynamic synergism. Minor/Significance Unknown.
Adverse Effects
Frequency Not Defined
Allergic skin reactions
Amenorrhea
Appetite decreased
Cerebral arteritis
Cholestatic hepatitis
Diarrhea
Edema
Euphoria
Headache
Hyperpyrexia
Hypertension
Hypotension
Insomnia
Mania
Mastalgia
Neonatal death
Palpitations
Pruritis
Rose spots
Stevens-Johnson syndrome
Tachycardia
Vaginal bleeding
Vertigo
Warnings
Contraindications
Bleeding disorders, breast cancer, endometrial cancer, endometriosis, estrogen-dependent malignancies, diabetes, hormone sensitive conditions, hypertension, hypersensitivity, neonates, organ transplant recipients, ovarian cancer, pregnancy, thromboembolic disorders, uterine fibroids
Cautions
Cardiovascular disease, concurrent CYP2D6 substrates, diabetes mellitus, insomnia, peds, schizophrenia
Pregnancy & Lactation
Pregnancy Category: X
Lactation: N/A
Pregnancy Categories
A: Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.
B: May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk. C: Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done. D: Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk. X: Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist. NA: Information not available.Pharmacology
Mechanism of Action
Ginsenosides have many different effects, and varying concentrations
Some ADRs caused by contaminants