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Herbal medicines are increasingly popular globally, but can interact dangerously with prescription drugs. When taken together, herbs and drugs may alter each other's effects in the body through kinetic and dynamic interactions. An estimated 5-20% of people regularly combine herbs with therapies like anticancer drugs. Herbs are believed to be natural and economical, but can inhibit or induce the cytochrome P450 system and P-glycoprotein, changing how drugs are absorbed, distributed, metabolized and excreted from the body. Examples like St. John's wort, kava, ginkgo and garlic have been shown to interact adversely with medications through animal and clinical studies as well as case reports. Close monitoring is needed when consuming












