Tricyclic antidepressants are an older class of antidepressant medications. These drugs, which include amitriptyline (Elavil) and nortriptyline (Pamelor), may be used to treat depression or pain in people with MS. When using these antidepressants, one should avoid St. John's wort, belladonna, henbane, jimson weed, mandrake, and scopolia. St. John's wort also should be avoided when taking the antidepressants known as SSRIs, which include fluoxetine (Prozac), sertraline (Zoloft), and paroxetine (Paxil).
TABLE 23.5. Herbs That May Interact with Steroids
Bayberry Ginseng, Asian
Buckthorn Gotu kola (hydrocotyle)
Cascara sagrada Licorice
Devil's claw Lily-of-the-valley
Elecampine Pheasant's eye
Ephedra (ma huang) Senna
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