Precautions:
The use of herbs is a time-honored
approach to strengthening the body and treating disease. However, herbs contain
active substances that can trigger side effects and interact with other herbs,
supplements, or medications. For these reasons, people should take herbs with
care, under the supervision of a practitioner knowledgeable in the field of
botanical medicine.
People with heart problems, kidney
disorders, stomach ulcers, and psychological disorders (particularly anxiety)
should not take green tea. Pregnant and breastfeeding women should also avoid green
tea.
People who drink excessive amounts
of caffeine (including caffeine from green tea) for prolonged periods of time
may experience irritability, insomnia, heart palpitations, and dizziness.
Caffeine overdose can cause nausea, vomiting, diarrhea, headaches, and loss of
appetite. If you are drinking a lot of tea and start to vomit or have abdominal
spasms, you may have caffeine poisoning. If your symptoms are severe, lower
your caffeine intake and see your health care provider.
Possible Interactions:
If you are being treated with any of
the following medications, you should not drink green tea or take green tea
extract without first talking to your health care provider:
Adenosine -- Green tea may inhibit the actions of adenosine, a
medication given in the hospital for an irregular (and usually unstable) heart
rhythm.
Antibiotics, Beta-lactam -- Green tea may increase the effectiveness of beta-lactam
antibiotics by reducing bacterial resistance to treatment.
Benzodiazepines -- Caffeine (including caffeine from green tea) has been
shown to reduce the sedative effects of benzodiazepines (medications commonly
used to treat anxiety, such as diazepam and lorazepam).
Beta-blockers, Propranolol, and
Metoprolol -- Caffeine (including caffeine
from green tea) may increase blood pressure in people taking propranolol and
metoprolol (medications used to treat high blood pressure and heart disease).
Blood Thinning Medications
(Including Aspirin) -- People who take warfarin, a
blood thinning medication, should not drink green tea. Since green tea contains
vitamin K, it can make warfarin ineffective. Meanwhile, you should not mix
green tea and aspirin because they both prevent platelets from clotting. Using
the two together may increase your risk of bleeding.
Chemotherapy -- The combination of green tea and chemotherapy
medications, specifically doxorubicin and tamoxifen, increased the
effectiveness of these medications in laboratory tests. However, these results
have not yet been demonstrated in studies on people. On the other hand, there
have been reports of both green and black tea extracts stimulating a gene in
prostate cancer cells that may cause them to be less sensitive to chemotherapy
drugs. Given this potential interaction, people should not drink black and green
tea (as well as extracts of these teas) while receiving chemotherapy for
prostate cancer in particular.
Clozapine -- The antipsychotic effects of the medication clozapine
may be reduced if taken fewer than 40 minutes after drinking green tea.
Ephedrine -- When taken together with ephedrine, green tea may cause
agitation, tremors, insomnia, and weight loss.
Lithium -- Green tea has been shown to reduce blood levels of
lithium (a medication used to treat manic/depression).
Monoamine Oxidase Inhibitors (MAOIs) -- Green tea may cause a severe increase in blood pressure
(called a "hypertensive crisis") when taken together with MAOIs,
which are used to treat depression. Examples of MAOIs include phenelzine and
tranylcypromine.
Oral Contraceptives -- Oral contraceptives can prolong the amount of time
caffeine stays in the body and may increase its stimulating effects.
Phenylpropanolamine -- A combination of caffeine (including caffeine from green
tea) and phenylpropanolamine (an ingredient used in many over-the-counter and
prescription cough and cold medications and weight loss products) can cause
mania and a severe increase in blood pressure. The FDA issued a public health
advisory in November 2000 to warn people of the risk of bleeding in the brain
from use of this medication and has strongly urged all manufacturers of this
drug to remove it from the market.
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