Changes

* Use of American ginseng may lead to a number of side effects, including insomnia, nervousness, rapid heart rate, headache, and low blood sugar. In addition, American ginseng may * May produce harmful effects when combined with certain medications (such as blood thinners and drugs used to treat high blood pressure). Individuals requiring anti-coagulant therapy such as warfarin should avoid use of American ginseng. * Not recommended for individuals with impaired liver or renal function. * Other adverse effects include: headaches, anxiety, trouble sleeping and an upset stomach.