Q I am currently taking anti-inflammatory painkillers prescribed by an orthopedic doctor. Is it okay to take herbal medicine at the same time?
A While the combined use of NSAIDs (anti-inflammatory painkillers) and herbal medicine is generally safe, certain medicinal herbs may overlap with gastrointestinal irritation or liver metabolic burdens. Therefore, you must inform your attending Korean medicine doctor of the medications you are currently taking. Generally, it is recommended to schedule the herbal medicine intake 1 to 2 hours apart from NSAIDs and to use gastrointestinal protection concurrently. If you visit with your diagnosis and prescription history, we can establish a safe plan for combining the two.
Detailed Answer
NSAIDs produce anti-inflammatory effects by inhibiting COX enzymes, but they have side effects such as gastric mucosal damage and reduced renal blood flow. Some herbal medicines (such as licorice and dried ginger) have a protective effect on the gastric mucosa and are complementary; however, when used in combination with anticoagulants (aspirin or warfarin), the increased risk of bleeding associated with blood-activating herbs must be considered.
Korean Medicine Clinic Perspective
In Korean medicine, long-term use of pain relievers and anti-inflammatory drugs impairs digestive function, creating an environment where waste products and dampness easily accumulate in the body, and can also affect kidney function. At Dongjedang, we identify the patient's current medications and safely conduct concurrent treatment by formulating prescriptions and adjusting administration times to minimize the burden on the gastrointestinal tract. We also design a treatment plan that begins primarily with topical or procedural external treatments to gradually reduce dependence on oral medications.
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