Ingredients | Amount per Serving |
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(K)
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55 mg |
Proprietary Blend
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1050 mg |
Kelp
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(leaf)
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(root)
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(leaf)
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(herb)
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New Sun Earthzyme Blend
(Alfalfa, Barley, Black Walnut, and Enzyme blend, Kelp, Krebs Cycle Blend, Lactobacillus acidophilus, Plant Derived Trace Minerals, Spirulina)
(New Sun Earthzyme Blend (Form: Spirulina Genus: Spirulina, Plant Derived Trace Minerals, Krebs cycle blend (Form: various mineral salts of Citric Acid, Fumaric Acid, Malic Acid, Succinic Acid, Aspartic Acid, and Glutamic Acid), Barley PlantPart: leaf, Alfalfa PlantPart: leaf, Lactobacillus acidophilus Genus: Lactobacillus Species: acidophilus, Black Walnut PlantPart: hulls, Kelp, and Enzyme blend (Form: Amylase, Lipase, Cellulase, Invertase, and Lactase)) )
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Gelatin, Magnesium Stearate, Cellulose
Below is general information about the effectiveness of the known ingredients contained in the product Herbal Potassium. Some ingredients may not be listed. This information does NOT represent a recommendation for or a test of this specific product as a whole.
INSUFFICIENT RELIABLE EVIDENCE to RATE
INSUFFICIENT RELIABLE EVIDENCE to RATE
INSUFFICIENT RELIABLE EVIDENCE to RATE
INSUFFICIENT RELIABLE EVIDENCE to RATE
INSUFFICIENT RELIABLE EVIDENCE to RATE
There is insufficient reliable information available about the effectiveness of watercress.
Below is general information about the safety of the known ingredients contained in the product Herbal Potassium. Some ingredients may not be listed. This information does NOT represent a recommendation for or a test of this specific product as a whole.
LIKELY SAFE ...when used orally in amounts commonly found in foods.
POSSIBLY SAFE ...when used orally and appropriately in medicinal amounts (18). ...when used topically and appropriately, short-term. Topical application of cabbage leaves has been general well-tolerated in short-term studies (6781,6782,6783,6784,93671,110558). However, pain, itching, and burning with topical use of cabbage leaves have been reported in some patients leaving cabbage leaf wraps in place for 2-4 hours (93671,93675).
PREGNANCY:
There is insufficient reliable information available about using cabbage in medicinal amounts during pregnancy; avoid using.
LACTATION: LIKELY SAFE
when used topically and appropriately, short-term.
Significant adverse effects have not been reported in short-term studies (6781,6782,6783,6784,93673,93677). There is insufficient reliable information available about using cabbage orally in medicinal amounts during lactation; avoid using.
LIKELY SAFE ...when used orally in food amounts. Dulse has a long history of use as a food ingredient in various parts of the world (103315,103317,103321).
POSSIBLY SAFE ...when used topically and appropriately (103322). There is insufficient reliable information available about the safety of dulse when used in amounts greater than those found in foods.
PREGNANCY AND LACTATION:
There is insufficient reliable information available about the safety of dulse when used in medicinal amounts during pregnancy or lactation; avoid amounts greater than those found in foods.
LIKELY SAFE ...when the root is used orally in amounts commonly found in foods. Horseradish has Generally Recognized as Safe (GRAS) status in the US (4912).
POSSIBLY SAFE ...when used orally and appropriately in medicinal amounts (2,4,6,12,18). Horseradish has been used with apparent safety at a dose of 480 mg daily for 12 weeks (96309). ...when topical preparations containing no more than 2% mustard oil, a constituent of horseradish, are used (2).
CHILDREN: LIKELY UNSAFE
when used orally in children less than 4 years of age because it can cause gastrointestinal problems (2,12,19).
PREGNANCY AND:
CHILDREN: LIKELY SAFE
when the root is used orally in amounts commonly found in foods.
Horseradish has Generally Recognized as Safe (GRAS) status in the US (4912).
CHILDREN: LIKELY UNSAFE
when the tincture is used regularly and in large amounts, as it is considered an abortifacient (19).
LACTATION: LIKELY SAFE
when the root is used orally in amounts commonly found in foods.
Horseradish has Generally Recognized as Safe (GRAS) status in the US (4912).
LACTATION: LIKELY UNSAFE
when used orally in large amounts.
The mustard oils produced by glucosinolates from horseradish are considered toxins that can be excreted through breast milk (33031).
POSSIBLY UNSAFE ...when horsetail products containing thiaminase are used orally, long-term. Thiaminase is an enzyme that destroys thiamine, which could theoretically lead to thiamine deficiency. In Canada, horsetail products are required to be thiaminase-free (105301).
PREGNANCY AND LACTATION:
Insufficient reliable information available; avoid using.
LIKELY SAFE ...when used orally in doses up to 100 mEq total potassium daily, not to exceed 200 mEq in a 24-hour period (95010,107989). Oral potassium chloride and potassium citrate are FDA-approved prescription products (95010,107989). Larger doses increase the risk of hyperkalemia (15). ...when administered intravenously (IV) at appropriate infusion rates (95011). Parenteral potassium is an FDA-approved prescription product (15,95011). A tolerable upper intake level (UL) for potassium has not been established; however, potassium levels should be monitored in individuals at increased risk for hyperkalemia, such as those with kidney disease, heart failure, and adrenal insufficiency (100310,107966).
CHILDREN: LIKELY SAFE
when used orally and appropriately in dietary amounts.
A tolerable upper intake level (UL) has not been established for healthy individuals (6243,100310).
PREGNANCY AND LACTATION: LIKELY SAFE
when used orally in dietary amounts of 40-80 mEq daily (15).
A tolerable upper intake level (UL) has not been established for healthy individuals (100310).
LIKELY SAFE ...when consumed in amounts commonly found in foods.
POSSIBLY SAFE ...when used orally in medicinal amounts, short-term. Watercress extract 750 mg/kg daily has been used with apparent safety for up to 5 weeks (103891).
POSSIBLY UNSAFE ...when used orally in excessive amounts or long-term (8,12,19). Watercress can cause gastric mucosal irritation (8,12,85599) or damage (19).
CHILDREN: LIKELY UNSAFE
when used orally in medicinal amounts; avoid using in children younger than 4 years old (12,19).
PREGNANCY: LIKELY UNSAFE
when used in medicinal amounts.
Watercress might stimulate menstruation or have abortifacient effects (19).
LACTATION:
Insufficient reliable information available; avoid using.
Below is general information about the interactions of the known ingredients contained in the product Herbal Potassium. Some ingredients may not be listed. This information does NOT represent a recommendation for or a test of this specific product as a whole.
Cabbage might increase clearance and reduce the effects of acetaminophen.
Details
A small clinical study shows that daily consumption of cabbage and Brussels sprout decreases acetaminophen levels by as much as 16%, with some evidence suggesting that this effect is due to increased elimination through glucuronide conjugation (3952).
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Theoretically, cabbage might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Details
Animal and in vivo research suggests that cabbage might have hypoglycemic effects (25424).
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Theoretically, cabbage might decrease levels of drugs metabolized by CYP1A2.
Details
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Theoretically, cabbage might increase clearance and decrease the effects of drugs metabolized through glucuronide conjugation.
Details
A small clinical study shows that daily consumption of cabbage and Brussels sprout decreases levels of some drugs metabolized through glucuronide conjugation (3952).
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Cabbage might increase clearance and reduce the effects of oxazepam.
Details
A small clinical study shows that daily consumption of cabbage and brussels sprout decreases oxazepam levels by as much as 17%, with some evidence suggesting that this effect is due to increased elimination through glucuronide conjugation (3952).
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Theoretically, cabbage might decrease the anticoagulant effects of warfarin.
Details
Cabbage contains vitamin K. If consumed in large quantities, cabbage might decrease the anticoagulant effects of warfarin (19).
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Dulse is rich in potassium (103317). ACEIs block the actions of the renin-angiotensin-aldosterone system and reduce potassium excretion (95628). Concomitant use of these drugs with moderate dietary potassium intake (about 3775-5200 mg daily) does not increase serum potassium levels (95628). However, using these drugs while consuming dulse in quantities that provide larger amounts of potassium daily might increase the risk of hyperkalemia. Additionally, in vitro research suggests that dulse protein hydrolysates inhibit the activity of ACE (103319). Theoretically, concomitant use of these drugs with dulse might increase their effects and side effects. However, these effects have not been demonstrated in humans.
Details
The ACE inhibitors include benazepril (Lotensin), captopril (Capoten), enalapril (Vasotec), fosinopril (Monopril), lisinopril (Prinivil, Zestril), moexipril (Univasc), perindopril (Aceon), quinapril (Accupril), ramipril (Altace), and trandolapril (Mavik).
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Dulse is rich in potassium (103317). ARBs block the actions of the renin-angiotensin-aldosterone system and reduce potassium excretion (95628). Concomitant use of these drugs with moderate dietary potassium intake (about 3775-5200 mg daily) does not increase serum potassium levels (95628). However, using these drugs while consuming dulse in quantities that provide higher amounts of potassium daily might increase the risk of hyperkalemia. Additionally, in vitro research suggests that dulse protein hydrolysates inhibit the activity of angiotensin converting enzyme (ACE) (103319). Theoretically, concomitant use of ARBs with dulse might increase their effects and side effects. However, these effects have not been demonstrated in humans.
Details
Some ARBs include losartan (Cozaar), valsartan (Diovan), irbesartan (Avapro), candesartan (Atacand), telmisartan (Micardis), eprosartan (Teveten), and others.
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Dulse is rich in potassium (103317). Therefore, concomitant use of digoxin with dulse might increase the risk of hyperkalemia. This has not been demonstrated in humans.
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Dulse is rich in potassium (103317). Therefore, concomitant use of potassium-sparing diuretics with dulse may increase the risk of hyperkalemia. This has not been shown in humans.
Details
Some potassium-sparing diuretics include amiloride (Midamor), spironolactone (Aldactone), and triamterene (Dyrenium), and others.
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Dulse is rich in iodine (103315,103323). Although dulse has been associated with a statistically significant increase in thyroid stimulating hormone (TSH) levels in clinical research, clinically significant increases have not been documented (103315,103323). Theoretically, dulse might interfere with drugs used to treat thyroid dysfunction.
Details
Some thyroid hormones include levothyroxine (Synthroid, Levoxyl, Levothroid), liothyronine sodium (Cytomel), desiccated thyroid (Armor Thyroid), and others.
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Theoretically, horseradish might interfere with the effects of thyroid hormone.
Details
Horseradish and other members of the cabbage and mustard family are associated with depressed thyroid function (4).
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Theoretically, taking horsetail with antidiabetes drugs might increase the risk of hypoglycemia.
Details
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Theoretically, taking horsetail with diuretic drugs might increase potassium loss and the risk of hypokalemia.
Details
Laboratory research shows that various species of horsetail have diuretic properties (13574,13575). Due to its diuretic effects, there has been concern that taking horsetail along with potassium-depleting diuretics might increase the risk for hypokalemia. However, pharmacokinetic research in humans shows that taking horsetail 900 mg daily for 4 days does not affect urinary excretion of electrolytes, including potassium and sodium, despite having a diuretic effect similar to taking hydrochlorothiazide 25 mg daily (92288). It is unclear if taking horsetail for a longer duration would affect electrolyte levels. Until more is known, use with caution.
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Theoretically, horsetail might decrease the levels and clinical effects of efavirenz.
Details
In two case reports, patients were found to have detectable viral loads when taking horsetail-containing supplements along with an antiretroviral regimen that included efavirenz. In one case, the antiretroviral regimen included zidovudine, lamivudine, and efavirenz; in the other case, the regimen consisted of emtricitabine, tenofovir disoproxil fumarate, and efavirenz. One month after discontinuing horsetail, the viral loads became undetectable in both cases. The exact mechanism of this interaction is unknown (97573). It is also unclear if this interaction is specific to efavirenz or if it is related to various components of antiretroviral therapy.
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Theoretically, horsetail might increase the levels and adverse effects of lithium.
Details
Animal research suggests that horsetail has diuretic properties (13574). Theoretically, due to these potential diuretic effects, horsetail might reduce excretion and increase levels of lithium. The dose of lithium might need to be decreased.
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Theoretically, horsetail might decrease the levels and clinical effects of NRTIs.
Details
In two case reports, patients were found to have detectable viral loads when taking horsetail-containing supplements along with an antiretroviral therapy. In one case, the antiretroviral regimen included zidovudine, lamivudine, and efavirenz; in the other case, the regimen consisted of emtricitabine, tenofovir disoproxil fumarate, and efavirenz. One month after discontinuing the supplement, the viral loads became undetectable in both cases. The exact mechanism of these interactions is unknown (97573). It is also unclear if these interactions are specific to NRTIs or if they are related to various components of antiretroviral therapy.
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Using ACEIs with high doses of potassium increases the risk of hyperkalemia.
Details
ACEIs block the actions of the renin-angiotensin-aldosterone system and reduce potassium excretion (95628). Concomitant use of these drugs with potassium supplements increases the risk of hyperkalemia (15,23207). However, concomitant use of these drugs with moderate dietary potassium intake (about 3775-5200 mg daily) does not increase serum potassium levels (95628).
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Using ARBs with high doses of potassium increases the risk of hyperkalemia.
Details
ARBs block the actions of the renin-angiotensin-aldosterone system and reduce potassium excretion (95628). Concomitant use of these drugs with potassium supplements increases the risk of hyperkalemia (15,23207). However, concomitant use of these drugs with moderate dietary potassium intake (about 3775-5200 mg daily) does not increase serum potassium levels (95628).
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Concomitant use increases the risk of hyperkalemia.
Details
Using potassium-sparing diuretics with potassium supplements increases the risk of hyperkalemia (15).
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Watercress might reduce the metabolism of chlorzoxazone and increase its effects and side effects. Clinical research in healthy volunteers shows that a single ingestion of watercress 50 grams increases the chlorzoxazone plasma concentration-time curve by about 56% and increases its half-life by about 53% (4018).
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Watercress is thought to have diuretic properties (18). Theoretically, due to these potential diuretic effects, watercress might reduce excretion and increase levels of lithium.
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Watercress contains vitamin K. Consuming large amounts of watercress might antagonize the anticoagulant effects of warfarin (11285).
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Below is general information about the adverse effects of the known ingredients contained in the product Herbal Potassium. Some ingredients may not be listed. This information does NOT represent a recommendation for or a test of this specific product as a whole.
General ...Topically, cabbage leaf seems to be well-tolerated.
Dermatologic ...Some preliminary clinical research shows that application of cabbage leaf wraps to knee joints for at least 2 hours daily for 4 weeks is generally well-tolerated. Of the 27 patients using cabbage leaf wraps in this study, one patient reported an itching and burning sensation during the application. This patient was later found to have shingles, which may explain the adverse event (93671). However, in another case, a patient applying fresh Savoy cabbage leaves on his knee to reduce joint pain reported pain and burning after 4 hours of use. Skin patch and prick tests did not indicate an allergic reaction, and the patient's lesion improved with wet dressings, topical antibiotics, and oral antibiotics (93675).
Immunologic ...Topically, cabbage may cause contact dermatitis (93675). Allergic reactions to cabbage-related vegetables are rare. However, anaphylactic reactions to broccoli and cauliflower have been reported. Because the surface proteins believed to cause allergic reactions to brocolli are also found in cabbage, some patients allergic to brocolli or other vegetables in the Brassicaceae family may also be allergic to cabbage (92516).
Other ...Topical application of cabbage leaves to the breasts has been reported to stain clothes and put off an unpleasant smell (6781,6782).
General ...Orally, dulse seems to be well tolerated. No adverse effects have been reported. However, a thorough evaluation of safety outcomes has not been conducted.
General
...Orally, horseradish is generally well tolerated when consumed in amounts commonly used with foods.
But consuming large amounts of horseradish can cause various adverse effects.
Most Common Adverse Effects:
Orally: When consumed in large amounts, bloody vomiting, diarrhea, gastrointestinal upset.
Topically: Fresh horseradish can cause irritation or allergic reaction.
Serious Adverse Effects (Rare):
Orally: Transient vasovagal syncope.
Dermatologic ...Topically, skin contact with fresh horseradish can cause irritation (4,19) or allergic reaction (4).
Endocrine ...Orally, horseradish and other members of the cabbage and mustard family are associated with depressed thyroid function (4).
Gastrointestinal ...Orally, consuming large amounts of horseradish can cause gastrointestinal upset, bloody vomiting and diarrhea (2,6), and irritation of mucous membranes (2,4).
Genitourinary ...Orally, consuming large amounts of horseradish can cause irritation of the urinary tract (19).
Neurologic/CNS ...Orally, consuming large amounts of horseradish can cause vasovagal syncope in rare cases. At least two cases of vasovagal syncope associated with horseradish consumption have been reported. In one case, a 56-year-old male experienced a sharp burning sensation in his stomach followed by tachycardia, weakness, and excessive perspiration after consuming an oyster topped with an olive-sized dollop of fresh horseradish. He experienced vasovagal syncope within 5 minutes of horseradish ingestion but regained consciousness moments later, with few residual symptoms and no medical intervention required. Researchers theorize that the vapors from horseradish can irritate the gastric or respiratory tract mucosa triggering the vaso-vagal response. Horseradish-induced vasovagal syncope has also been referred to as Seder syncope due to the tradition of consuming bitter herbs, including horseradish, during the Jewish Passover holiday dinner. To reduce the potential for this reaction, researchers suggest that freshly prepared horseradish rest before consumption, allowing some of the active vapor ingredient, thought to be isothiocyanate, to evaporate before ingestion (111724).
General
...There is limited clinical research evaluating the safety of horsetail.
Most Common Adverse Effects:
Orally: Abdominal distension, increased bowel movements, and nausea.
Dermatologic ...In one case report, a patient developed seborrheic dermatitis after topical application of horsetail, requiring treatment with local epinephrine and oral antihistamines. The nicotine component of horsetail was determined to be the likely cause of this reaction (13563).
Gastrointestinal ...Orally, horsetail has been associated with mild gastrointestinal side effects including abdominal distension, increased frequency of bowel movements, and nausea (55576). Orally, chronic consumption of horsetail infusion has been associated with acute pancreatitis. In a case report, a 56-year-old female presenting with recurrent mild acute pancreatitis every 6-7 months, previously thought to be drug-induced, discontinued ingesting horsetail infusions. The patient had a history of bilateral adrenal gland removal and was being treated for hypertension, dyslipidemia, and hormone replacement, and then self-medicated with horsetail infusions. After discontinuing horsetail infusions, there were no further recurrences of pancreatitis during a 14-month follow-up (97574).
Hepatic ...In one case report, a patient with asymptomatic hepatitis B developed symptomatic liver failure following consumption of boiled horsetail juice 500 mL daily for 2 weeks. Liver enzymes returned to normal following discontinuation of the juice (92291). It is not known if the horsetail juice was contaminated or mixed with other ingredients.
Immunologic ...Horsetail has been associated with cross-allergenicity with carrots (13577).
Renal ...There are at least 4 case reports of hyponatremia thought to be at least partially associated with horsetail consumption. In one case report, an elderly patient who had taken oral horsetail 15 mg daily for 10 years presented with hyponatremia and syndrome of inappropriate secretion of antidiuretic hormone (SIADH) secondary to reduced oral intake and nausea for the previous 2 days. Horsetail was thought to be a contributing factor. The patient's symptoms resolved after 5 days of treatment with oral sodium chloride and fluid restriction (108851).
Other ...Crude horsetail contains thiaminase, which can cause thiamine deficiency with prolonged consumption. Canadian Equisetum arvense products are required to be certified as free from thiaminase-like activity (55579,105301). In one case report, the development of autism in a child exposed to both horsetail and alcohol during pregnancy was thought to be caused by thiamine deficiency attributed to this combination (92292). However, it is not known if other genetic or environmental factors were involved in the development of this condition in utero.
General
...Orally or intravenously, potassium is generally well-tolerated.
Most Common Adverse Effects:
Orally: Abdominal pain, belching, diarrhea, flatulence, nausea, and vomiting.
Serious Adverse Effects (Rare):
All ROAs: High potassium levels can cause arrhythmia, heart block, hypotension, and mental confusion.
Cardiovascular ...Orally or intravenously, high potassium levels can cause hypotension, cardiac arrhythmias, heart block, or cardiac arrest (15,16,3385,95011,95626,95630).
Gastrointestinal ...Orally or intravenously, high doses of potassium can cause, nausea, vomiting, abdominal pain, diarrhea, and flatulence (95010,95011). Bleeding duodenal ulcers have also been associated with ingestion of slow-release potassium tablets (69625,69672).
Neurologic/CNS ...Orally or intravenously, high potassium levels can cause paresthesia, generalized weakness, flaccid paralysis, listlessness, vertigo, or mental confusion (15,16,3385,95011).
General
...Orally, watercress is well-tolerated when consumed in food amounts.
There is limited reliable information available about the adverse effects of watercress when used in medicinal amounts. When excessive doses are used, watercress can cause gastrointestinal irritation (85599). Consuming raw watercress has been associated with the development of fascioliasis, a parasitic fluke disease of the liver (85575,85574,85573,85567,85564,85582,85563,85562,85580,85561,85560)(85554,85558,85596,85579,85571,85569,85583,85586,85584,85588)(85585,85590,85592,85591).
Topically, watercress can cause contact dermatitis (85594,85587).
Dermatologic ...Topically, watercress can cause contact dermatitis, resulting in hives, rash, itching, or swollen skin (85594,85587).
Gastrointestinal ...Orally, large quantities of watercress may cause gastrointestinal irritation (85599).
Hepatic ...Raw, wild watercress can be contaminated with parasitic flukes which, when ingested, cause the liver disease fascioliasis. Symptoms include abdominal pain, fever, vomiting, diarrhea, urticaria, eosinophilia, and hepatomegaly (85575,85574,85573,85567,85564,85582,85563,85562,85580,85561)(85560,85554,85558,85596,85579,85571,85569,85583,85586,85584)(85588,85585,85590,85592,85591). Clinical research shows that taking a standardized extract of watercress orally 750 mg/kg daily for 5 weeks is not associated with increases in liver function enzymes (109666).
Renal ...Orally, excessive or prolonged use of watercress may theoretically cause kidney damage (85598). However, in overweight adults with physical disabilities, taking a watercress extract 750 mg/kg daily for 5 weeks does not cause any change in levels of creatinine or urea (109666).