Herb & supplement monograph

Acupuncture Drug Interactions, Uses, Effectiveness, Safety & More

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Interaction report

Drugs that interact with Acupuncture

0 medications have a known interaction with Acupuncture, graded by severity. Select any drug for the full evidence-based detail.

We don’t currently list any known drug interactions for Acupuncture. This doesn’t guarantee none exist — always confirm with your pharmacist before combining supplements with your medications.

Read The List Like a Pharmacist

What Severity, Likelihood & Evidence Mean

Severity — How Serious It Can Be

  • Major. Clinically significant; generally best avoided, or used only under direct professional supervision.
  • Moderate. May need monitoring, a dose adjustment, or separating the times you take each one.
  • Minor. Generally not clinically significant, but still worth noting and mentioning to your pharmacist.
  • No known interaction. Checked against our sources with nothing documented — not the same as proven safety.

Likelihood — How Well It’s Documented

  • Likely. Well-controlled human studies have demonstrated the likely existence of this interaction
  • Probable. Interaction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • Possible. Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists
  • Unlikely. Interaction has been demonstrated in animal or in lab research but has been shown not to occur in humans.

Where This Data Comes From

  • Interaction records are evidence-graded and sourced from the Natural Medicines database (TRC Healthcare), the same reference used by pharmacists and hospitals.
  • Each drug listed above links to the full report for that exact Acupuncture combination — clinical detail, likelihood, evidence level, and citations.
  • Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
Monograph

Acupuncture: Uses, Safety & Side Effects

The bottom line

Acupuncture is a traditional Chinese medicine practice that involves inserting thin needles into specific points on the body. There is moderate evidence it may help certain types of chronic pain and nausea, while evidence for many other uses is weak or unclear. When done by a licensed, trained practitioner using sterile, single-use needles, it is generally considered safe for most people.

Part used
Not applicable (a physical therapy, not an herb or supplement)
Common forms
Manual needling, electroacupuncture, ear (auricular) acupuncture, acupressure, laser acupuncture
People commonly use it for
  • Chronic pain
  • Low back and neck pain
  • Osteoarthritis (especially knee)
  • Headache and migraine
  • Nausea and vomiting
  • Stress and well-being

Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.

Safety at a glance
OverallUse caution

Generally safe when performed by a licensed practitioner with sterile, single-use needles.

PregnancyPossibly Safe

When used appropriately at most acupoints and performed with sterile needles. Some clinical research shows that acupuncture has been used during pregn...

Read the full pregnancy detail
BreastfeedingPossibly Safe

When used appropriately at most acupoints and performed with sterile needles. Some clinical research shows that acupuncture has been used during pregn...

Read the full breastfeeding detail

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

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Overview

Acupuncture is a healing practice that comes from traditional Chinese medicine and has been used for thousands of years. It is not an herb or a supplement that you swallow. Instead, a trained practitioner inserts very thin, sterile needles into specific points on the body. The needles are usually left in place for a short time and may be gently moved, warmed, or connected to a mild electric current (called electroacupuncture).

In traditional thinking, acupuncture is meant to balance the flow of energy, sometimes called qi, along pathways in the body. Today, acupuncture is offered in many countries as part of "integrative" or complementary care, often alongside standard medical treatment. People most commonly seek it out for pain and for general wellness.

How it works

Researchers are still working out exactly how acupuncture might produce effects. In traditional terms, it is meant to restore balance in the body's energy flow. In modern scientific terms, several ideas have been proposed.

Studies (mostly in the lab and in animals, plus some in people) suggest that needling may stimulate nerves and trigger the release of natural pain-relieving chemicals, such as endorphins. It may also affect signals in the spinal cord and brain that control how we sense pain. Some of the benefit people feel may come from relaxation, attention from a caring practitioner, and expectation — what scientists call the placebo response. These mechanisms are not fully proven, and the exact way acupuncture works remains uncertain.

Effectiveness

Does Acupuncture work?

Evidence overview · 138 uses evaluated
13 Possibly effective 3 Leans ineffective 122 Insufficient evidence
How to read these evidence grades

Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.

1EffectiveStrong, consistent evidence it works.
2Likely EffectiveGood evidence, though not yet conclusive.
3Possibly EffectiveSome evidence suggests a benefit.
4Possibly IneffectiveSome evidence it may not help.
5Likely IneffectiveFairly strong evidence it doesn’t help.
6IneffectiveStrong evidence it doesn’t work.
7Insufficient Reliable Evidence to RateToo little research to say either way.
Possibly Effective Aromatase inhibitor-induced arthralgia
Rating & evidence shown verbatim from Natural Medicines

Most research shows that acupuncture seems to reduce aromatase inhibitor-induced joint pain.

Possibly Effective Back pain
Rating & evidence shown verbatim from Natural Medicines

Most research shows that acupuncture seems to reduce back pain more than no treatment. However, it is unclear if acupuncture is more effective than sham acupuncture. Receiving more than 5 treatments with deep acupuncture seems to offer the most long-term benefit.

Possibly Effective Cancer-related fatigue
Rating & evidence shown verbatim from Natural Medicines

Low quality studies suggest that acupuncture may modestly improve symptoms in patients with cancer-related fatigue. Guidelines from multiple oncology associations include acupuncture and electroacupuncture as a potential treatment option for reducing post-cancer fatigue.

Possibly Effective Cancer-related pain
Rating & evidence shown verbatim from Natural Medicines

Acupuncture is conditionally recommended by The National Comprehensive Cancer Network for cancer-related pain in certain patient populations and The Society for Integrative Oncology-American Society of Clinical Oncology guideline indicates that benefits of acupuncture outweigh harm. However, research is generally of low quality.

Possibly Effective Chemotherapy-induced nausea and vomiting (CINV)
Rating & evidence shown verbatim from Natural Medicines

Most low-quality research shows that acupuncture reduces vomiting associated with chemotherapy when used with antiemetics. However, it is unclear whether acupuncture is beneficial for nausea associated with chemotherapy or whether acupuncture is more beneficial than sham acupuncture.

Possibly Effective Chronic prostatitis and chronic pelvic pain syndrome (CP/CPPS)
Rating & evidence shown verbatim from Natural Medicines

When used alone or in combination with traditional Chinese medicine or conventional treatments, most research suggests manual acupuncture or electroacupuncture is beneficial in patients with CP/CPPS.

Possibly Effective Dyspepsia
Rating & evidence shown verbatim from Natural Medicines

Most research shows that acupuncture seems to reduce symptoms of dyspepsia.

Possibly Effective Fibromyalgia
Rating & evidence shown verbatim from Natural Medicines

Most research shows that acupuncture seems to reduce pain and stiffness in patients with fibromyalgia.

Possibly Effective Labor pain
Rating & evidence shown verbatim from Natural Medicines

Most research shows that acupuncture seems to reduce labor pain and the need for epidural analgesia.

Possibly Effective Migraine headache
Rating & evidence shown verbatim from Natural Medicines

Most research shows that acupuncture seems to reduce the frequency of migraine headaches and may be as effective as conventional prophylactic strategies.

Possibly Effective Neck pain
Rating & evidence shown verbatim from Natural Medicines

When used alone or in addition to routine treatment, most research shows that acupuncture seems to modestly reduce neck pain.

Possibly Effective Osteoarthritis
Rating & evidence shown verbatim from Natural Medicines

Most research shows that acupuncture seems to reduce pain and improve function in patients with osteoarthritis. Acupuncture is conditionally recommended by The American College of Rheumatology (ACR) for any form of osteoarthritis.

Possibly Effective Postoperative nausea and vomiting (PONV)
Rating & evidence shown verbatim from Natural Medicines

Most research shows that acupuncture, usually at the P6 acupoint, reduces PONV in adults and children.

Possibly Ineffective Asthma
Rating & evidence shown verbatim from Natural Medicines

Most research shows that acupuncture does not improve symptoms of asthma.

Possibly Ineffective HIV/AIDS-related peripheral neuropathy
Rating & evidence shown verbatim from Natural Medicines

Some research shows that acupuncture does not improve peripheral neuropathy in patients with this condition.

Possibly Ineffective Tobacco and nicotine dependence
Rating & evidence shown verbatim from Natural Medicines

Most research shows that acupuncture does not improve long-term rates of smoking cessation, although some data suggest it may help reduce withdrawal or cravings.

Also studied for 122 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Age-related macular degeneration (AMD)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial for AMD.

Insufficient Reliable Evidence To Rate Alcohol use disorder
Rating & evidence shown verbatim from Natural Medicines

Low quality studies suggest that acupuncture may be modestly beneficial in adults with alcohol use disorder.

Insufficient Reliable Evidence To Rate Allergic rhinitis (hay fever)
Rating & evidence shown verbatim from Natural Medicines

Low quality studies suggest that acupuncture may modestly reduce symptoms of allergic rhinitis.

Insufficient Reliable Evidence To Rate Alzheimer disease
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial for this condition.

Insufficient Reliable Evidence To Rate Angina
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with angina.

Insufficient Reliable Evidence To Rate Ankylosing spondylitis
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with ankylosing spondylitis.

Insufficient Reliable Evidence To Rate Antidepressant-induced sexual dysfunction
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with sexual dysfunction due to antidepressant use.

Insufficient Reliable Evidence To Rate Anxiety
Rating & evidence shown verbatim from Natural Medicines

Some research suggests that acupuncture or electroacupuncture, alone or in combination with other treatments, is beneficial in patients with anxiety.

Insufficient Reliable Evidence To Rate Arrhythmia
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with arrhythmia.

Insufficient Reliable Evidence To Rate Atopic dermatitis (eczema)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with eczema.

Insufficient Reliable Evidence To Rate Atrial fibrillation
Rating & evidence shown verbatim from Natural Medicines

Early research suggests that acupuncture might be beneficial for atrial fibrillation. However, some research suggests acupuncture does not improve persistent atrial fibrillation.

Insufficient Reliable Evidence To Rate Attention deficit-hyperactivity disorder (ADHD)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with ADHD.

Insufficient Reliable Evidence To Rate Autism spectrum disorder
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial for children with autism.

Insufficient Reliable Evidence To Rate Autoimmune thyroiditis
Rating & evidence shown verbatim from Natural Medicines

Small clinical studies suggest that acupuncture may modestly improve thyroid function in adults with Hashimoto thyroiditis.

Insufficient Reliable Evidence To Rate Bell palsy
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial for this condition.

Insufficient Reliable Evidence To Rate Benign prostatic hyperplasia (BPH)
Rating & evidence shown verbatim from Natural Medicines

Electroacupuncture has only been evaluated in combination with electromoxibustion; its effect when used alone is unclear.

Insufficient Reliable Evidence To Rate Bipolar disorder
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with bipolar disorder.

Insufficient Reliable Evidence To Rate Breast cancer-related hot flashes
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with hot flashes related to breast cancer.

Insufficient Reliable Evidence To Rate Breast engorgement
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with breast engorgement.

Insufficient Reliable Evidence To Rate Bruxism
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in children with bruxism.

Insufficient Reliable Evidence To Rate Carpal tunnel syndrome
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with carpal tunnel syndrome.

Insufficient Reliable Evidence To Rate Cerebral palsy
Rating & evidence shown verbatim from Natural Medicines

Low quality studies suggest that acupuncture may modestly improve symptoms in children with cerebral palsy.

Insufficient Reliable Evidence To Rate Chemotherapy-induced leukopenia
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with leukopenia following treatment with chemotherapy.

Insufficient Reliable Evidence To Rate Chemotherapy-induced peripheral neuropathy
Rating & evidence shown verbatim from Natural Medicines

Low quality studies suggest that acupuncture modestly improves pain in patients with neuropathy following treatment with chemotherapy.

Insufficient Reliable Evidence To Rate Chemotherapy-related fatigue
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with chemotherapy-related fatigue.

Insufficient Reliable Evidence To Rate Chronic fatigue syndrome (CFS)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with CFS.

Insufficient Reliable Evidence To Rate Chronic kidney disease (CKD)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in adults with CKD.

Insufficient Reliable Evidence To Rate Chronic obstructive pulmonary disease (COPD)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with COPD.

Insufficient Reliable Evidence To Rate Cocaine dependence
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial for cocaine dependence.

Insufficient Reliable Evidence To Rate Cognitive impairment
Rating & evidence shown verbatim from Natural Medicines

Low quality studies suggest that acupuncture may modestly improve cognitive function in patients with cognitive impairment.

Insufficient Reliable Evidence To Rate Colic
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in infants with colic.

Insufficient Reliable Evidence To Rate Constipation
Rating & evidence shown verbatim from Natural Medicines

Low quality studies suggest that acupuncture may increase bowel movements by a small amount in patients with constipation.

Insufficient Reliable Evidence To Rate Diabetes
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with type 2 diabetes.

Insufficient Reliable Evidence To Rate Diabetic nephropathy
Rating & evidence shown verbatim from Natural Medicines

It is unclear whether acupuncture is beneficial in adults with diabetes and kidney disease.

Insufficient Reliable Evidence To Rate Diabetic neuropathy
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with diabetic neuropathy.

Insufficient Reliable Evidence To Rate Dry eye
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial for improving symptoms of dry eye; the available research is conflicting.

Insufficient Reliable Evidence To Rate Dry mouth
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with dry mouth.

Insufficient Reliable Evidence To Rate Dysmenorrhea
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial for dysmenorrhea.

Insufficient Reliable Evidence To Rate Emergence delirium
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial for the prevention or treatment of emergence delirium in children.

Insufficient Reliable Evidence To Rate Endometriosis
Rating & evidence shown verbatim from Natural Medicines

Low quality studies suggest that acupuncture may reduce pain associated with endometriosis.

Insufficient Reliable Evidence To Rate Epilepsy
Rating & evidence shown verbatim from Natural Medicines

Low quality studies suggest that acupuncture may not reduce seizures.

Insufficient Reliable Evidence To Rate Erectile dysfunction (ED)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with ED.

Insufficient Reliable Evidence To Rate Exercise-induced muscle soreness
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial for exercise-induced muscle soreness.

Insufficient Reliable Evidence To Rate Fecal incontinence
Rating & evidence shown verbatim from Natural Medicines

Although there has been interest in using acupuncture for fecal incontinence, there is insufficient reliable information about the clinical effects of acupuncture for this condition.

Insufficient Reliable Evidence To Rate Gastroparesis
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial for gastroparesis.

Insufficient Reliable Evidence To Rate Generalized anxiety disorder (GAD)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with GAD.

Insufficient Reliable Evidence To Rate Glaucoma
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with glaucoma.

Insufficient Reliable Evidence To Rate Hearing loss
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial for hearing loss.

Insufficient Reliable Evidence To Rate Heart failure
Rating & evidence shown verbatim from Natural Medicines

Acupuncture has only been evaluated in combination with other therapies; its effect when used alone is unclear.

Insufficient Reliable Evidence To Rate Hemiplegic shoulder pain
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial for hemiplegic shoulder pain.

Insufficient Reliable Evidence To Rate Herpes zoster (shingles)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with this condition.

Insufficient Reliable Evidence To Rate HIV/AIDS
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with this condition.

Insufficient Reliable Evidence To Rate Hypertension
Rating & evidence shown verbatim from Natural Medicines

Most research suggests that acupuncture may reduce blood pressure by a small amount in patients with hypertension. However, it is unclear if changes are sustainable or clinically relevant.

Insufficient Reliable Evidence To Rate Infertility
Rating & evidence shown verbatim from Natural Medicines

Most research shows that acupuncture does not improve fertility in patients undergoing intracytoplasmic sperm injection (ICSI) or in vitro fertilization (IVF). It is unclear if acupuncture is beneficial for improving fertility in patients not undergoing IVF or ICSI, or if patients with certain forms of infertility might be more likely to benefit.

Insufficient Reliable Evidence To Rate Irritable bowel syndrome (IBS)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with IBS.

Insufficient Reliable Evidence To Rate Kidney stones (nephrolithiasis)
Rating & evidence shown verbatim from Natural Medicines

A single session of acupuncture may be beneficial for acute pain from kidney stones. It is unclear if acupuncture improves chronic pain from kidney stones.

Insufficient Reliable Evidence To Rate Lactation
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial for postpartum hypogalactia.

Insufficient Reliable Evidence To Rate Lung cancer
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial for improving quality of life or treatment response in adults receiving chemotherapy for lung cancer.

Insufficient Reliable Evidence To Rate Lymphedema
Rating & evidence shown verbatim from Natural Medicines

Early research suggests that acupuncture may reduce pain and swelling in patients with lymphedema.

Insufficient Reliable Evidence To Rate Malnutrition
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial for improving appetite in children with malnutrition related to inadequate or selective food intake.

Insufficient Reliable Evidence To Rate Melasma
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial for melasma.

Insufficient Reliable Evidence To Rate Menopausal symptoms
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial for menopause-associated symptoms, including hot flashes and insomnia.

Insufficient Reliable Evidence To Rate Multiple sclerosis (MS)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with MS.

Insufficient Reliable Evidence To Rate Myasthenia gravis
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with myasthenia gravis.

Insufficient Reliable Evidence To Rate Myofascial pain syndrome
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with myofascial pain syndrome.

Insufficient Reliable Evidence To Rate Neurodermatitis
Rating & evidence shown verbatim from Natural Medicines

Although there has been interest in using acupuncture for neurodermatitis, there is insufficient reliable information about the clinical effects of acupuncture for this condition.

Insufficient Reliable Evidence To Rate Neurogenic bladder
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with neurogenic bladder.

Insufficient Reliable Evidence To Rate Neuropathic pain
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with neuropathic pain.

Insufficient Reliable Evidence To Rate Nocturnal enuresis
Rating & evidence shown verbatim from Natural Medicines

Early research suggests that acupuncture may reduce nocturnal enuresis in children.

Insufficient Reliable Evidence To Rate Nonalcoholic fatty liver disease (NAFLD)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with NAFLD.

Insufficient Reliable Evidence To Rate Obesity
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial for weight loss.

Insufficient Reliable Evidence To Rate Ophthalmoplegia
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with ophthalmoplegia.

Insufficient Reliable Evidence To Rate Opioid withdrawal
Rating & evidence shown verbatim from Natural Medicines

Early research suggests that acupuncture is beneficial in adults receiving treatment for opioid withdrawal or opioid use disorder.

Insufficient Reliable Evidence To Rate Oral mucositis
Rating & evidence shown verbatim from Natural Medicines

Although there has been interest in using acupuncture for radiation-induced oral mucositis, there is insufficient reliable information about the clinical effects of acupuncture for this purpose.

Insufficient Reliable Evidence To Rate Osteoporosis
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with osteoporosis.

Insufficient Reliable Evidence To Rate Overactive bladder
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with overactive bladder.

Insufficient Reliable Evidence To Rate Parkinson disease
Rating & evidence shown verbatim from Natural Medicines

Some clinical research shows that acupuncture might improve motor function when used as an adjunct to levodopa and might modestly improve some other symptoms of Parkinson disease.

Insufficient Reliable Evidence To Rate Paroxysmal supraventricular tachycardia
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with paroxysmal supraventricular tachycardia.

Insufficient Reliable Evidence To Rate Parturition
Rating & evidence shown verbatim from Natural Medicines

Early research suggests that acupuncture is not beneficial for preventing caesarean section.

Insufficient Reliable Evidence To Rate Pelvic pain
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with pelvic pain.

Insufficient Reliable Evidence To Rate Peptic ulcers
Rating & evidence shown verbatim from Natural Medicines

Although there has been interest in using acupuncture for peptic ulcers, there is insufficient reliable information about the clinical effects of acupuncture for this condition.

Insufficient Reliable Evidence To Rate Polycystic ovary syndrome (PCOS)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture improves fertility or metabolic indices in patients with PCOS; the available research is conflicting.

Insufficient Reliable Evidence To Rate Post-stroke fatigue
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial for improving post-stroke fatigue.

Insufficient Reliable Evidence To Rate Post-traumatic stress disorder (PTSD)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with PTSD.

Insufficient Reliable Evidence To Rate Postherpetic neuralgia
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with postherpetic neuralgia.

Insufficient Reliable Evidence To Rate Postoperative ileus
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with postoperative ileus.

Insufficient Reliable Evidence To Rate Postoperative pain
Rating & evidence shown verbatim from Natural Medicines

Clinical research suggests that acupuncture modestly reduces postoperative pain; however these findings are limited by the low quality of available evidence.

Insufficient Reliable Evidence To Rate Postoperative recovery
Rating & evidence shown verbatim from Natural Medicines

Early research suggests that acupuncture is beneficial for preventing postoperative cognitive dysfunction and bladder dysfunction.

Insufficient Reliable Evidence To Rate Postoperative sore throat
Rating & evidence shown verbatim from Natural Medicines

Although there has been interest in using acupuncture for postoperative sore throat prevention, there is insufficient reliable information about the clinical effects of acupuncture for this purpose.

Insufficient Reliable Evidence To Rate Postpartum complications
Rating & evidence shown verbatim from Natural Medicines

Acupuncture has only been evaluated in combination with other therapies; its effect when used alone is unclear.

Insufficient Reliable Evidence To Rate Postpartum depression
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with postpartum depression.

Insufficient Reliable Evidence To Rate Pre-procedural anxiety
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial for reducing pre-procedural anxiety.

Insufficient Reliable Evidence To Rate Pregnancy-induced nausea and vomiting
Rating & evidence shown verbatim from Natural Medicines

Some clinical research shows that the addition of acupuncture to Western medicine slightly reduces pregnancy-induced nausea and vomiting.

Insufficient Reliable Evidence To Rate Pregnancy-related pain
Rating & evidence shown verbatim from Natural Medicines

Early research suggests that acupuncture is modestly beneficial for pregnancy-related pain.

Insufficient Reliable Evidence To Rate Premature ejaculation
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with premature ejaculation.

Insufficient Reliable Evidence To Rate Premature rupture of membranes (PROM)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with PROM.

Insufficient Reliable Evidence To Rate Premenstrual syndrome (PMS)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with PMS.

Insufficient Reliable Evidence To Rate Pruritus
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with pruritus.

Insufficient Reliable Evidence To Rate Psoriasis
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with psoriasis.

Insufficient Reliable Evidence To Rate Radiation-induced nausea and vomiting
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with radiation-induced nausea and vomiting (RINV).

Insufficient Reliable Evidence To Rate Raynaud syndrome
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with Raynaud syndrome.

Insufficient Reliable Evidence To Rate Restless legs syndrome (RLS)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with RLS.

Insufficient Reliable Evidence To Rate Rheumatoid arthritis (RA)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with RA.

Insufficient Reliable Evidence To Rate Rhinosinusitis
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with rhinosinusitis.

Insufficient Reliable Evidence To Rate Schizophrenia
Rating & evidence shown verbatim from Natural Medicines

Early research suggests that acupuncture is beneficial for reducing symptoms of schizophrenia.

Insufficient Reliable Evidence To Rate Sciatica
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with sciatica.

Insufficient Reliable Evidence To Rate Sexual dysfunction
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in females with sexual dysfunction.

Insufficient Reliable Evidence To Rate Shoulder pain
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with shoulder pain.

Insufficient Reliable Evidence To Rate Sleep apnea
Rating & evidence shown verbatim from Natural Medicines

Early research suggests that acupuncture is beneficial for improving symptoms of sleep apnea.

Insufficient Reliable Evidence To Rate Systemic lupus erythematosus (SLE)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial for SLE.

Insufficient Reliable Evidence To Rate Temporomandibular disorders (TMD)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with TMD.

Insufficient Reliable Evidence To Rate Tendinopathy
Rating & evidence shown verbatim from Natural Medicines

Some clinical research suggests that acupuncture modestly reduces pain associated with tendinopathy in the shoulder, elbow, and wrist; however, findings are limited by study size and quality.

Insufficient Reliable Evidence To Rate Tinnitus
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with tinnitus.

Insufficient Reliable Evidence To Rate Tourette syndrome
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with this condition.

Insufficient Reliable Evidence To Rate Traumatic brain injury (TBI)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with TBI.

Insufficient Reliable Evidence To Rate Ulcerative colitis
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with ulcerative colitis.

Insufficient Reliable Evidence To Rate Urinary retention
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial for urinary retention.

Insufficient Reliable Evidence To Rate Urinary tract infections (UTIs)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial for UTI prevention or recurrence.

Insufficient Reliable Evidence To Rate Urticaria
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with urticaria.

Insufficient Reliable Evidence To Rate Vascular dementia
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with vascular dementia.

Insufficient Reliable Evidence To Rate Vertigo
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial in patients with vertigo.

Insufficient Reliable Evidence To Rate Vocal cord dysfunction
Rating & evidence shown verbatim from Natural Medicines

It is unclear if acupuncture is beneficial for vocal nodules.

Source & disclaimer. Effectiveness ratings and evidence summaries are provided by Natural Medicines (Therapeutic Research Center) and shown as licensed. Where Natural Medicines hasn’t rated a use, HelloPharmacist’s pharmacists may add their own reviewed rating and evidence (each such entry is labeled). This is educational information, not medical advice — talk with your pharmacist or doctor before starting, stopping, or changing a supplement.

Safety & precautions

When performed by a licensed, well-trained practitioner using sterile, single-use needles, acupuncture is generally considered safe for most people. Serious problems are rare but possible, so choosing a qualified provider matters.

Use extra caution or talk to your doctor first if you have a bleeding disorder, take blood thinners, have a pacemaker or other implanted electrical device (electroacupuncture may interfere with it), have a weakened immune system, or have skin infections or open wounds.

Pregnancy: Some acupuncture points are traditionally believed to stimulate the uterus and are usually avoided during pregnancy. If you are pregnant, only see a practitioner experienced in treating pregnant patients, and check with your obstetric provider first. Breastfeeding: Acupuncture is likely low risk while nursing, but it is still wise to discuss it with your provider and choose a licensed practitioner.

Side effects

Most side effects are mild and short-lived. They can include soreness, minor bleeding, or bruising at the needle sites, temporary tiredness, lightheadedness, or feeling faint.

Serious complications are uncommon but have been reported, usually linked to poor technique or non-sterile equipment. These can include infections, and very rarely a punctured lung (pneumothorax) or injury to internal organs or nerves. Choosing a licensed practitioner who uses sterile, disposable needles greatly lowers these risks. Tell your practitioner right away if you feel chest pain, trouble breathing, or signs of infection after treatment.

Acupuncture: Reported Adverse Effects

Documented safety reports on Acupuncture from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.

Acupuncture, when used appropriately, is generally well-tolerated.

Most Common Adverse Effects:

Bruising, pain, and swelling.

Serious Adverse Effects (Rare):

Some case reports raise concerns about acute respiratory failure, circulatory failure, hemothorax, infection at the needle site, pneumocranium, pneumothorax, kidney laceration, and death.

Reports by condition
Back pain Other

Minor pain, swelling, and bruising have been reported with acupuncture in clinical trials.

Mishandling acupuncture needles can cause traumatic damage to the body. There have been case reports of epidural and subdural hematomas from improper acupuncture, resulting in paresthesia, hemiparesis, quadriparesis, and sensory deficit. Inappropriate acupuncture practices have also been associated with trauma to internal organs, resulting in serious sequelae such as pneumocranium, pneumothorax, hemothorax, kidney laceration, liver injury, hematoma-mediated colon obstruction, acute respiratory and circulatory failure, and death. Acupuncture in the eyes can cause trauma to the eyes such as perforation and traumatic cataract.

Acupuncture needles that are not removed after treatment might embolize and cause damage to internal organs. An acupuncture needle that has embolized to the heart can cause hemothorax. In one case, a 50-year-old female presented to the emergency department with chest pain due to a calcified 5 cm acupuncture needle in the heart from acupuncture performed 10 years prior. In addition, there are case reports of lung abscess following migration of acupuncture needles into the lung, including one case involving a 38-year-old male.

In the case of a female in her early 50s, worsening lower back pain was determined to be caused by 3 acupuncture needles which had been embedded 32 years previously.

  1. Hou W, Pei L, Song Y, et al. Acupuncture therapy for breast cancer-related lymphedema: A systematic review and meta-analysis. J Obstet Gynaecol Res. 2019;45(12):2307-2317.
  2. Yu S, Zhu L, Xie P, et al. Effects of acupuncture on breast cancer-related lymphoedema: A systematic review and meta-analysis. Explore (NY). 2020;16(2):97-102.
  3. He Y, Guo X, May BH, et al. Clinical evidence for association of acupuncture and acupressure with improved cancer pain: A systematic review and meta-analysis. JAMA Oncol. 2019;6(2):271-8.
  4. Hwang MS, Lee HY, Choi TY, et al. A systematic review and meta-analysis of the efficacy of acupuncture and electroacupuncture against chemotherapy-induced peripheral neuropathy. Medicine (Baltimore). 2020;99(17):e19837.
  5. Wang L, Xu J, Zhan Y, Pei J. Acupuncture for obstructive sleep apnea (OSA) in adults: A systematic review and meta-analysis. Biomed Res Int. 2020;2020:6972327.
  6. Zhang J, Liu Y, Huang X, et al. Efficacy comparison of different acupuncture treatments for functional dyspepsia: A systematic review with network meta-analysis. Evid Based Complement Alternat Med. 2020;2020:3872919.
  7. Huang Z, Liu S, Zhou J, Yao Q, Liu Z. Efficacy and safety of acupuncture for chronic discogenic sciatica, a randomized controlled sham acupuncture trial. Pain Med. 2019;20(11):2303-2310.
  8. Garland SN, Xie SX, DuHamel K, et al. Acupuncture versus cognitive behavioral therapy for insomnia in cancer survivors: A randomized clinical trial. J Natl Cancer Inst. 2019;111(12):1323-1331.
  9. Garcia MK, Meng Z, Rosenthal DI, et al. Effect of true and sham acupuncture on radiation-induced xerostomia among patients with head and neck cancer: A randomized clinical trial. JAMA Netw Open. 2019;2(12):e1916910.
  10. Zhang L, Tang Y, Hui R, et al. The effects of active acupuncture and placebo acupuncture on insomnia patients: a randomized controlled trial. Psychol Health Med. 2020:1-15.
  11. Mak TC, Chen HY, Cho WC. Acupuncture for overactive bladder in adults: a systematic review and meta-analysis. Acupunct Med. 2019;37(6):321-331.
  12. Foroughinia S, Hessami K, Asadi N, et al. Effect of acupuncture on pregnancy-related insomnia and melatonin: A single-blinded, randomized, placebo-controlled trial. Nat Sci Sleep. 2020;12:271-278.
  13. Pei L, Geng H, Guo J, et al. Effect of acupuncture in patients with irritable bowel syndrome: A randomized controlled trial. Mayo Clin Proc. 2020;95(8):1671-1683.
  14. Jang A, Brown C, Lamoury G, et al. The effects of acupuncture on cancer-related fatigue: updated systematic review and meta-analysis. Integr Cancer Ther. 2020;19:1534735420949679.
  15. Zhong L, Wang J, Li F, Bao X, Liu H, Wang P. The effectiveness of acupuncture for dysphagia after stroke: A systematic review and meta-analysis. Evid Based Complement Alternat Med. 2021;2021:8837625.
  16. Yang XY, Yang NB, Huang FF, Ren S, Li ZJ. Effectiveness of acupuncture on anxiety disorder: a systematic review and meta-analysis of randomised controlled trials. Ann Gen Psychiatry. 2021;20(1):9.
  17. Tu JF, Yang JW, Shi GX, et al. Efficacy of intensive acupuncture versus sham acupuncture in knee osteoarthritis: A randomized controlled trial. Arthritis Rheumatol. 2021;73(3):448-458.
  18. Bäumler P, Zhang W, Stübinger T, Irnich D. Acupuncture-related adverse events: systematic review and meta-analyses of prospective clinical studies. BMJ Open 2021;11(9):e045961.
  19. He M, Qin W, Qin Z, Zhao C. Acupuncture for allergic rhinitis: a systematic review and meta-analysis. Eur J Med Res 2022;27(1):58.
  20. Zhang J, Zhang Z, Huang S, et al. Acupuncture for cancer-related insomnia: A systematic review and meta-analysis. Phytomedicine 2022;102:154160.
  21. Wan OYK, Cheung RYK, Law MPM, Lee LL, Wang RCC, Chan SSC. Effect of additional acupuncture to pelvic floor exercise on urinary incontinence: A randomized controlled trial. Neurourol Urodyn 2022;41(5):1097-1108.
  22. Fan JQ, Lu WJ, Tan WQ, et al. Effectiveness of Acupuncture for Anxiety Among Patients With Parkinson Disease: A Randomized Clinical Trial. JAMA Netw Open 2022;5(9):e2232133.
  23. Rotter G, Ahnert MW, Geue AV, et al. Acupuncture and osteopathic medicine for atopic dermatitis: a three-armed, randomized controlled explorative clinical trial. Clin Exp Dermatol 2022;47(12):2166-2175.
  24. Stringer J, Ryder WD, Mackereth PA, Misra V, Wardley AM. A randomised, pragmatic clinical trial of ACUpuncture plus standard care versus standard care alone FOr Chemotherapy Induced peripheral Neuropathy (ACUFOCIN). Eur J Oncol Nurs 2022;60:102171.
  25. Qi LY, Yang JW, Yan SY, et al. Acupuncture for the treatment of diarrhea-predominant irritable bowel syndrome: A pilot randomized clinical trial. JAMA Netw Open. 2022;5(12):e2248817.
  26. Pan J, Jin S, Xie Q, et al. Acupuncture for chronic prostatitis or chronic pelvic pain syndrome: An updated systematic review and meta-analysis. Pain Res Manag 2023;2023:7754876.
  27. Lun T, Lin S, Chen Y, et al. Acupuncture for children with autism spectrum disorder: A systematic review and meta-analysis. Medicine (Baltimore) 2023;102(8):e33079.
  28. Jianyu Y, Haiyan LI, Dingyi X, Mingren C, Rixin C. Efficacy of acupuncture therapy for post-stroke fatigue: a systematic review and Meta-analysis. J Tradit Chin Med 2023;43(1):27-33.
  29. Kwak SG, Kwon JB, Seo YW, Choi WK. The effectiveness of acupuncture as an adjunctive therapy to oral pharmacological medication in patient with knee osteoarthritis: A systematic review and meta-analysis. Medicine (Baltimore) 2023;102(11):e33262.
  30. Wang Z, Wang Y, Wang C, et al. Systematic review and network meta-analysis of acupuncture combined with massage in treating knee osteoarthritis. Biomed Res Int. 2022;2022:4048550.
  31. Wu XK, Gao JS, Ma HL, et al. Acupuncture and doxylamine-pyridoxine for nausea and vomiting in pregnancy : A randomized, controlled, 2?×?2 factorial trial. Ann Intern Med 2023;176(7):922-933.
  32. Wang J, Wu B, Li Y, Wang X, Lu Z, Wang W. Acupuncture in the treatment of post-stroke hiccup: A systematic Review and meta-analysis. Libyan J Med 2023;18(1):2251640.
  33. Zhan J, Luo Y, Mao W, et al. Efficacy of acupuncture versus rehabilitation therapy on post-stroke shoulder pain: A systematic review and meta-analysis of randomized controlled trials. Medicine (Baltimore) 2023;102(29):e34266.
  34. Li N, Li O, Sha Z, et al. Efficacy and safety of acupuncture combined with yishen granule in elderly adults with mild cognitive impairment: A multicenter, randomized controlled trial. Altern Ther Health Med 2023;29(6):340-349.
  35. Yan S, Xu M, Zou X, et al. Acupuncture combined with ondansetron for prevention of postoperative nausea and vomiting in high-risk patients undergoing laparoscopic gynaecological surgery: A randomised controlled trial. United European Gastroenterol J 2023;
  36. Lagerstedt K, Efverman A. A randomized sham-controlled mixed methods pilot study of the feasibility of acupuncture for chemotherapy-induced neuropathy: Lessons learned from patient experiences in integrative cancer care. Integr Cancer Ther 2023;22:1534735
  37. Pang J, Shergis JL, Zheng L, et al. Clinical evidence for acupuncture for adult asthma: Systematic review and meta-analysis of randomised sham/placebo-controlled trials. Complement Ther Med 2023;75:102956.
  38. Yan Y, López-Alcalde J, Zhang L, Siebenhüner AR, Witt CM, Barth J. Acupuncture for the prevention of chemotherapy-induced nausea and vomiting in cancer patients: A systematic review and meta-analysis. Cancer Med 2023;12(11):12504-12517.
  39. Park EY, Cho JH, Lee SH, Kim KW, Ha IH, Lee YJ. Is acupuncture an effective treatment for temporomandibular disorder?: A systematic review and meta-analysis of randomized controlled trials. Medicine (Baltimore) 2023;102(38):e34950.
  40. Lin J, Kong Y, Chen H, Ding X, Zhou W. Effects of acupuncture on sleep quality in patients with Parkinson's disease: A systematic review and meta-analysis. Clin Rehabil 2024;38(4):478-496.
  41. Yu Y, Hu G, Yang X, Yin Y, Tong K, Yu R. A strategic study of acupuncture for diabetic kidney disease based on meta-analysis and data mining. Front Endocrinol (Lausanne) 2024;15:1273265.
  42. Wang Y, Peng J, Xiao L, et al. Effectiveness of acupuncture combined with artificial tears in managing dry eye syndrome: A systematic review and meta-analysis. Medicine (Baltimore) 2024;103(1):e36374.
  43. Su Q, Wang L, Yu H, Li H, Zou D, Ni X. Chinese herbal medicine and acupuncture for insomnia in stroke patients: A systematic review and meta-analysis of randomised controlled trials. Sleep Med 2024;120:65-84.
  44. Yeh ML, Liao RW, Yeh PH, Lin CJ, Wang YJ. Acupuncture-related interventions improve chemotherapy-induced peripheral neuropathy: A systematic review and network meta-analysis. BMC Complement Med Ther 2024;24(1):310.
  45. Cao H, Li H, Lin G, et al. The clinical value of acupuncture for women with premature ovarian insufficiency: a systematic review and meta-analysis of randomized controlled trials. Front Endocrinol (Lausanne) 2024;15:1361573.
  46. Lu L, Chen C, Chen Y, et al. Effect of acupuncture for methadone reduction : A randomized clinical trial. Ann Intern Med 2024;177(8):1039-1047.
  47. Liu L, Chen Q, Zhao L, et al. Acupuncture plus topiramate placebo versus topiramate plus sham acupuncture for the preventive treatment of chronic migraine: A single-blind, double-dummy, randomized controlled trial. Cephalalgia 2024;44(6):3331024241261080.
  48. Liu Y, Wang Y, Mi C, Wang Z, Han Y, Qi X, Ding X. Efficacy of acupuncture-related therapy for migraine: A systematic review and network meta-analysis. J Pain Res. 2024 Mar 15;17:1107-1132.
  49. Domenicucci M, Marruzzo D, Pesce A, Raco A, Missori P. Acute Spinal Epidural Hematoma After Acupuncture: Personal Case and Literature Review. World Neurosurg. 2017;102:695.e11-695.e14.
  50. Eghbal K, Ghaffarpasand F. An Acute Cervical Subdural Hematoma as the Complication of Acupuncture: Case Report and Literature Review. World Neurosurg. 2016 Nov;95:616.e11-616.e13.
  51. Jian J, Shao Y, Wan L, et al. Autopsy diagnosis of acupuncture-induced bilateral tension pneumothorax using whole-body postmortem computed tomography: A case report. Medicine (Baltimore). 2018;97(44):e13059.
  52. Narasimhalu K, Ting SKS, Lim SH. Post-acupuncture headache: an unfortunate case of an inadvertent lumbar puncture. Singapore Med J. 2018;59(10):557-558.
  53. Oskarsson P, Walker CA, Leigh-Smith S. Bilateral pneumothoraces following acupuncture. BMJ Case Rep. 2017. pii: bcr-2017-221310.
  54. Wigger O, Stortecky S, Most H, Englberger L. Cardiac perforation as a rare complication of acupuncture. Eur Heart J. 2016;37(17):1383.
  55. Weagle K, Henneberry RJ, Atkinson P. Pneumothorax Following Acupuncture. Cureus 2021;13(3):e14207.
  56. Yamaguchi R, Makino Y, Torimitsu S, Chiba F, Kihara Y, Iwase H. Fatal bilateral pneumothoraces after electroacupuncture treatment: A case report and literature review. J Forensic Sci 2021.
  57. Lee SS. Acupuncture-induced hemopneumothorax: a case report. Acupunct Med 2022;40(6):559-560.
  58. Cheng TY, Chiu AW, Chen M. Kidney laceration after acupuncture and Tuina: A case report. Asian J Surg 2023;46(4):1667-1668.
  59. Xu L, Tan X, Chen X, Du S, Yue X, Qiao D. Rare, fatal pulmonary fat embolism after acupuncture therapy: A case report and literature review. Forensic Sci Int 2023;345:111619.
  60. Chiu WS, Lu YW, Lien TH. Iatrogenic pneumothorax during acupuncture: Case report. Medicina (Kaunas) 2023;59(6):1100.
  61. Ghanad E, Reissfelder C, Yang C. Acupuncture-induced hemothorax with hypovolemic shock: A case report. J Integr Complement Med 2024;30(3):310-312.
  62. Li S, Sun S, Wang G. Endoscopic treatment for a hematoma-mediated colon obstruction caused by acupuncture: A rare case report. Endoscopy. 2023;55(S 01):E713-E714.
  63. Seah EZ. Traditional Chinese acupuncture causing acute hemoperitoneum from direct liver injury. J Radiol Case Rep. 2023 Aug 31;17(8):15-20. doi: 10.3941/jrcr.v17i8.5100.
  64. Shuang H, Yichun K. A case of perforating injury of eyeball and traumatic cataract caused by acupuncture. Indian J Ophthalmol. 2016;64(4):326-7.
  65. Sanchez DR, Bradfield JS, Traina MI, Wachsner RY. Acupuncture Needle in the Heart. Tex Heart Inst J. 2017;44(6):426-428.
  66. Chon SH. Intrathoracic migration of an acupuncture needle causing chronic empyema: a case report. Acupunct Med 2024;42(1):54-55.
  67. Shirota S, Oka S, Terasawa Y, Nishioka H. Multiple embedded acupuncture needles removed using image-guided percutaneous approach. BMJ Case Rep 2024;17(6):e260303.
Constipation Gastrointestinal
Hepatitis Immunologic

Nonsterile conditions during acupuncture or the use of nonsterile acupuncture needles can lead to infection. There have been case reports of mycobacterial infection, hepatitis B, necrotizing fasciitis, fatal acute peritonitis, fungal spinal infection, bilateral facet joint septic arthritis, skin infections with gordonia species, and subcutaneous or paravertebral abscesses following treatments which included acupuncture. These cases may be related to nonsterile conditions during acupuncture and/or the immunocompetence of the patient, There is also a case report of pyoderma gangrenosum exacerbated by acupuncture in a 49-year-old female patient previously undiagnosed with this pre-existing condition. Population research has found that acupuncture use is associated with an increased rate of hepatitis C transmission.

  1. Choi ME, Jung CJ, Won CH, et al. Case report of cutaneous nodule caused by Gordonia bronchialis in an immunocompetent patient after receiving acupuncture. J Dermatol. 2019;46(4):343-346.
  2. Glas AW, Jüttner AM, Kooter AJ. Necrotising fasciitis after acupuncture treatment in an immunocompetent patient. BMJ Case Rep. 2016;2016. pii: bcr2016216405.
  3. Kim D, Lee S. An autopsy case of fatal acute peritonitis complicated by illegal acupuncture therapy. Forensic Sci Int. 2017;276:e13-e15.
  4. Hyun MH, Kim JH, Jang JW, et al. Risk of Hepatitis C Virus Transmission through acupuncture: A systematic review and meta-analysis. Korean J Gastroenterol 2023;82(3):127-136.
  5. Yuan J, Goh AGW, Mohamed Shah MTB. Bilateral facet joint septic arthritis induced by acupuncture: A case report highlighting diagnostic challenges and the importance of early intervention. Am J Case Rep 2024;25:e944596.
  6. Yang R, Hu Y, Liu S, Wang H. Subcutaneous and paravertebral abscess following massage and acupuncture with cupping: A case report and literature review. Asian J Surg. 2024 Jun;47(6):2632-2634. doi: 10.1016/j.asjsur.2023.08.210. Epub 2023 Sep 7.
  7. Lyu J, Wang S, Zhang H, Liu S. Acupuncture-exacerbated pyoderma gangrenosum associated with IgG multiple myeloma. Wounds 2022;34(11):E108-E111.
Minor bleeding Hematologic

Minor bleeding has been reported rarely with acupuncture in clinical trials.

  1. Jang A, Brown C, Lamoury G, et al. The effects of acupuncture on cancer-related fatigue: updated systematic review and meta-analysis. Integr Cancer Ther. 2020;19:1534735420949679.
  2. Zhong L, Wang J, Li F, Bao X, Liu H, Wang P. The effectiveness of acupuncture for dysphagia after stroke: A systematic review and meta-analysis. Evid Based Complement Alternat Med. 2021;2021:8837625.
  3. Yang XY, Yang NB, Huang FF, Ren S, Li ZJ. Effectiveness of acupuncture on anxiety disorder: a systematic review and meta-analysis of randomised controlled trials. Ann Gen Psychiatry. 2021;20(1):9.
  4. Tu JF, Yang JW, Shi GX, et al. Efficacy of intensive acupuncture versus sham acupuncture in knee osteoarthritis: A randomized controlled trial. Arthritis Rheumatol. 2021;73(3):448-458.
  5. Lee B, Lee J, Cheon JH, Sung HK, Cho SH, Chang GT. The efficacy and safety of acupuncture for the treatment of children with autism spectrum disorder: A systematic review and meta-analysis. Evid Based Complement Alternat Med. 2018;2018:1057539.
  6. He M, Qin W, Qin Z, Zhao C. Acupuncture for allergic rhinitis: a systematic review and meta-analysis. Eur J Med Res 2022;27(1):58.
  7. Zhang J, Zhang Z, Huang S, et al. Acupuncture for cancer-related insomnia: A systematic review and meta-analysis. Phytomedicine 2022;102:154160.
  8. Fan JQ, Lu WJ, Tan WQ, et al. Effectiveness of Acupuncture for Anxiety Among Patients With Parkinson Disease: A Randomized Clinical Trial. JAMA Netw Open 2022;5(9):e2232133.
  9. Han KH, Cho KH, Han C, et al. The effectiveness and safety of acupuncture treatment on sciatica: A systematic review and meta-analysis. Complement Ther Med 2022;71:102872.
  10. Stringer J, Ryder WD, Mackereth PA, Misra V, Wardley AM. A randomised, pragmatic clinical trial of ACUpuncture plus standard care versus standard care alone FOr Chemotherapy Induced peripheral Neuropathy (ACUFOCIN). Eur J Oncol Nurs 2022;60:102171.
  11. Chen M, Xu Y, Fu X, Xie J, Cao X, Xu Y. Wrist-ankle acupuncture for the treatment of acute orthopedic pain after surgery: a meta-analysis. J Orthop Surg Res 2023;18(1):106.
  12. Sun W, Zhao Y, Liao L, et al. Effects of acupuncture on age-related macular degeneration: A systematic review and meta-analysis of randomized controlled trials. PLoS One 2023;18(3):e0283375.
  13. Wang Z, Wang Y, Wang C, et al. Systematic review and network meta-analysis of acupuncture combined with massage in treating knee osteoarthritis. Biomed Res Int. 2022;2022:4048550.
  14. Wang J, Wu B, Li Y, Wang X, Lu Z, Wang W. Acupuncture in the treatment of post-stroke hiccup: A systematic Review and meta-analysis. Libyan J Med 2023;18(1):2251640.
  15. Yeh ML, Liao RW, Yeh PH, Lin CJ, Wang YJ. Acupuncture-related interventions improve chemotherapy-induced peripheral neuropathy: A systematic review and network meta-analysis. BMC Complement Med Ther 2024;24(1):310.
Pruritus Dermatologic

Redness, blisters, and itching have been reported rarely.

  1. Zhang Q, Gong J, Dong H, Xu S, Wang W, Huang G. Acupuncture for chronic fatigue syndrome: a systematic review and meta-analysis. Acupunct Med. 2019;37(4):211-222.
  2. He M, Qin W, Qin Z, Zhao C. Acupuncture for allergic rhinitis: a systematic review and meta-analysis. Eur J Med Res 2022;27(1):58.
  3. Hullender Rubin LE, Smith CA, Schnyer RN, Tahir P, Pasch LA. Effect of acupuncture on IVF-related anxiety: a systematic review and meta-analysis. Reprod Biomed Online 2022;45(1):69-80.
  4. Lun T, Lin S, Chen Y, et al. Acupuncture for children with autism spectrum disorder: A systematic review and meta-analysis. Medicine (Baltimore) 2023;102(8):e33079.
  5. Wu XK, Gao JS, Ma HL, et al. Acupuncture and doxylamine-pyridoxine for nausea and vomiting in pregnancy : A randomized, controlled, 2?×?2 factorial trial. Ann Intern Med 2023;176(7):922-933.
  6. Wang J, Wu B, Li Y, Wang X, Lu Z, Wang W. Acupuncture in the treatment of post-stroke hiccup: A systematic Review and meta-analysis. Libyan J Med 2023;18(1):2251640.
  7. Pang J, Shergis JL, Zheng L, et al. Clinical evidence for acupuncture for adult asthma: Systematic review and meta-analysis of randomised sham/placebo-controlled trials. Complement Ther Med 2023;75:102956.
  8. Bao QN, Yin ZH, Zhou YF, et al. Efficacy and safety of acupuncture for postpartum hypogalactia: A systematic review and meta-analysis of randomized controlled trials. PLoS One 2024;19(6):e0303948.
  9. Liu Y, Wang Y, Mi C, Wang Z, Han Y, Qi X, Ding X. Efficacy of acupuncture-related therapy for migraine: A systematic review and network meta-analysis. J Pain Res. 2024 Mar 15;17:1107-1132.
Stress Pulmonary/Respiratory
Vertigo Neurologic/CNS

Fainting and dizziness have been reported rarely. Tiredness, transient sedation, and vasovagal shock have also been reported rarely. Numbness has been reported rarely. Crying and irritability have been reported.

  1. Fan W, Kuang X, Hu J, et al. Acupuncture therapy for poststroke spastic hemiplegia: A systematic review and meta-analysis of randomized controlled trials. Complement Ther Clin Pract. 2020;40:101176.
  2. Zhang L, Tang Y, Hui R, et al. The effects of active acupuncture and placebo acupuncture on insomnia patients: a randomized controlled trial. Psychol Health Med. 2020:1-15.
  3. Qin X, Coyle ME, Yang L, et al. Acupuncture for recurrent urinary tract infection in women: a systematic review and meta-analysis. BJOG. 2020.
  4. Fan SQ, Jin S, Tang TC, Chen M, Zheng H. Efficacy of acupuncture for migraine prophylaxis: a trial sequential meta-analysis. J Neurol. 2020.
  5. Jang A, Brown C, Lamoury G, et al. The effects of acupuncture on cancer-related fatigue: updated systematic review and meta-analysis. Integr Cancer Ther. 2020;19:1534735420949679.
  6. Yang XY, Yang NB, Huang FF, Ren S, Li ZJ. Effectiveness of acupuncture on anxiety disorder: a systematic review and meta-analysis of randomised controlled trials. Ann Gen Psychiatry. 2021;20(1):9.
  7. Zhang J, Zhang Z, Huang S, et al. Acupuncture for cancer-related insomnia: A systematic review and meta-analysis. Phytomedicine 2022;102:154160.
  8. Lee B, Ko MM, Lee SH, Chang GT. Acupuncture for the treatment of childhood anorexia: A systematic review and meta-analysis. Complement Ther Med 2022;71:102893.
  9. Zhu C, Xia W, Huang J, et al. Effects of acupuncture on the pregnancy outcomes of frozen-thawed embryo transfer: A systematic review and meta-analysis. Front Public Health 2022;10:987276.
  10. Lin J, Kong Y, Chen H, Ding X, Zhou W. Effects of acupuncture on sleep quality in patients with Parkinson's disease: A systematic review and meta-analysis. Clin Rehabil 2024;38(4):478-496.
  11. Wang Y, Peng J, Xiao L, et al. Effectiveness of acupuncture combined with artificial tears in managing dry eye syndrome: A systematic review and meta-analysis. Medicine (Baltimore) 2024;103(1):e36374.
  12. Yeh ML, Liao RW, Yeh PH, Lin CJ, Wang YJ. Acupuncture-related interventions improve chemotherapy-induced peripheral neuropathy: A systematic review and network meta-analysis. BMC Complement Med Ther 2024;24(1):310.
  13. Bao QN, Yin ZH, Zhou YF, et al. Efficacy and safety of acupuncture for postpartum hypogalactia: A systematic review and meta-analysis of randomized controlled trials. PLoS One 2024;19(6):e0303948.
  14. Liu Y, Wang Y, Mi C, Wang Z, Han Y, Qi X, Ding X. Efficacy of acupuncture-related therapy for migraine: A systematic review and network meta-analysis. J Pain Res. 2024 Mar 15;17:1107-1132.
  15. Huang K, Liang S, Chen L, Grellet A. Acupuncture for tinnitus: a systematic review and meta-analysis of randomized controlled trials. Acupunct Med. 2020:964528420938380.
  16. Hargreaves E, Baker K, Barry G, et al. Acupuncture for treating overactive bladder in adults. Cochrane Database Syst Rev 2022;9(9):CD013519.
  17. Wan OYK, Cheung RYK, Law MPM, Lee LL, Wang RCC, Chan SSC. Effect of additional acupuncture to pelvic floor exercise on urinary incontinence: A randomized controlled trial. Neurourol Urodyn 2022;41(5):1097-1108.
  18. Liu L, Chen Q, Zhao L, et al. Acupuncture plus topiramate placebo versus topiramate plus sham acupuncture for the preventive treatment of chronic migraine: A single-blind, double-dummy, randomized controlled trial. Cephalalgia 2024;44(6):3331024241261080.
  19. Lee B, Lee J, Cheon JH, Sung HK, Cho SH, Chang GT. The efficacy and safety of acupuncture for the treatment of children with autism spectrum disorder: A systematic review and meta-analysis. Evid Based Complement Alternat Med. 2018;2018:1057539.
  20. Park EY, Cho JH, Lee SH, Kim KW, Ha IH, Lee YJ. Is acupuncture an effective treatment for temporomandibular disorder?: A systematic review and meta-analysis of randomized controlled trials. Medicine (Baltimore) 2023;102(38):e34950.
DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.

Adverse-effects data: Natural Medicines, Therapeutic Research Center

Dosing

There is no standard "dose" for acupuncture the way there is for a pill. Treatment plans differ by practitioner and condition. A typical course might involve a series of sessions (often weekly) over several weeks, with the number and frequency tailored to you.

Because there is no single proven schedule, follow the plan recommended by a qualified, licensed practitioner, and check in with your doctor or pharmacist — especially if you have a medical condition or are using acupuncture alongside other treatments. If you are not seeing benefit after a reasonable trial, discuss whether to continue.

Pregnancy & Breastfeeding

Acupuncture & Pregnancy

Possibly Safe

When used appropriately at most acupoints and performed with sterile needles. Some clinical research shows that acupuncture has been used during pregnancy and labor without reports of significant adverse effects. POSSIBLY UNSAFE...when acupuncture at the SP6 acupoint is used. There is some concern that this acupoint can increase the risk of early contractions and miscarriage. Most evidence also suggests that acupuncture is safe for patients undergoing in vitro fertilization (IVF). One large clinical study and a meta-analysis show that receiving acupuncture one or more times between follicle stimulation and pregnancy testing does not affect the pregnancy or live birth rate when compared with sham acupuncture or no intervention. However, a smaller study shows that acupuncture performed off-site immediately before and after IVF embryo transfer reduces the pregnancy rate by 21% when compared to no additional intervention. Use caution until more is known about the safety of acupuncture during IVF. There is insufficient reliable information available about the use of electroacupuncture or laser acupuncture during pregnancy; avoid using.

  1. Smith CA, Collins CT, Cyna AM, Crowther CA. Complementary and alternative therapies for pain management in labour. Cochrane Database Syst Rev 2006;(4):CD003521.
  2. Smith, C., Crowther, C., and Beilby, J. Acupuncture to treat nausea and vomiting in early pregnancy: a randomized controlled trial. Birth 2002;29(1):1-9.
  3. Helmreich, R. J., Shiao, S. Y., and Dune, L. S. Meta-analysis of acustimulation effects on nausea and vomiting in pregnant women. Explore (NY) 2006;2(5):412-421.
  4. Carlsson, C. P., Axemo, P., Bodin, A., Carstensen, H., Ehrenroth, B., Madegard-Lind, I., and Navander, C. Manual acupuncture reduces hyperemesis gravidarum: a placebo- controlled, randomized, single-blind, crossover study. J Pain Symptom Manage 2000;20(4)
  5. Habek, D., Barbir, A., Habek, J. C., Janculiak, D., and Bobic-Vukovic, M. Success of acupuncture and acupressure of the Pc 6 acupoint in the treatment of hyperemesis gravidarum. Forsch Komplementarmed Klass Naturheilkd 2004;11(1):20-23.
  6. Guerreiro da Silva, J. B., Nakamura, M. U., Cordeiro, J. A., and Kulay, L., Jr. Acupuncture for low back pain in pregnancy--a prospective, quasi-randomised, controlled study. Acupunct Med 2004;22(2):60-67.
  7. Hantoushzadeh, S., Alhusseini, N., and Lebaschi, A. H. The effects of acupuncture during labour on nulliparous women: a randomised controlled trial. Aust N Z J Obstet Gynaecol 2007;47(1):26-30.
  8. Selmer-Olsen, T., Lydersen, S., and Morkved, S. Does acupuncture used in nulliparous women reduce time from prelabour rupture of membranes at term to active phase of labour? A randomised controlled trial. Acta Obstet Gynecol Scand 2007;86(12):1447-1452.
  9. Foroughinia S, Hessami K, Asadi N, et al. Effect of acupuncture on pregnancy-related insomnia and melatonin: A single-blinded, randomized, placebo-controlled trial. Nat Sci Sleep. 2020;12:271-278.
  10. Wu XK, Gao JS, Ma HL, et al. Acupuncture and doxylamine-pyridoxine for nausea and vomiting in pregnancy : A randomized, controlled, 2?×?2 factorial trial. Ann Intern Med 2023;176(7):922-933.
  11. Pakravan F, Salehabad NH, Karimi F, Isfahani MN. Comparative Study of the Effect of Licorice Muco-adhesive Film on Radiotherapy Induced Oral Mucositis, A Randomized Controlled Clinical Trial. Gulf J Oncolog 2021;1(37):42-47.
  12. Smith CA, de Lacey S, Chapman M, et al. Effect of Acupuncture vs Sham Acupuncture on Live Births Among Women Undergoing In Vitro Fertilization: A Randomized Clinical Trial. JAMA. 2018;319(19):1990-1998.
  13. Hullender Rubin LE, Smith CA, Schnyer RN, Tahir P, Pasch LA. Effect of acupuncture on IVF-related anxiety: a systematic review and meta-analysis. Reprod Biomed Online 2022;45(1):69-80.
  14. Craig LB, Rubin LE, Peck JD, Anderson M, Marshall LA, Soules MR. Acupuncture performed before and after embryo transfer: a randomized controlled trial. J Reprod Med. 2014;59(5-6):313-20.

Acupuncture & Breastfeeding

Possibly Safe

When used appropriately at most acupoints and performed with sterile needles. Some clinical research shows that acupuncture has been used during pregnancy and labor without reports of significant adverse effects. POSSIBLY UNSAFE...when acupuncture at the SP6 acupoint is used. There is some concern that this acupoint can increase the risk of early contractions and miscarriage. Most evidence also suggests that acupuncture is safe for patients undergoing in vitro fertilization (IVF). One large clinical study and a meta-analysis show that receiving acupuncture one or more times between follicle stimulation and pregnancy testing does not affect the pregnancy or live birth rate when compared with sham acupuncture or no intervention. However, a smaller study shows that acupuncture performed off-site immediately before and after IVF embryo transfer reduces the pregnancy rate by 21% when compared to no additional intervention. Use caution until more is known about the safety of acupuncture during IVF. There is insufficient reliable information available about the use of electroacupuncture or laser acupuncture during pregnancy; avoid using.

  1. Smith CA, Collins CT, Cyna AM, Crowther CA. Complementary and alternative therapies for pain management in labour. Cochrane Database Syst Rev 2006;(4):CD003521.
  2. Smith, C., Crowther, C., and Beilby, J. Acupuncture to treat nausea and vomiting in early pregnancy: a randomized controlled trial. Birth 2002;29(1):1-9.
  3. Helmreich, R. J., Shiao, S. Y., and Dune, L. S. Meta-analysis of acustimulation effects on nausea and vomiting in pregnant women. Explore (NY) 2006;2(5):412-421.
  4. Carlsson, C. P., Axemo, P., Bodin, A., Carstensen, H., Ehrenroth, B., Madegard-Lind, I., and Navander, C. Manual acupuncture reduces hyperemesis gravidarum: a placebo- controlled, randomized, single-blind, crossover study. J Pain Symptom Manage 2000;20(4)
  5. Habek, D., Barbir, A., Habek, J. C., Janculiak, D., and Bobic-Vukovic, M. Success of acupuncture and acupressure of the Pc 6 acupoint in the treatment of hyperemesis gravidarum. Forsch Komplementarmed Klass Naturheilkd 2004;11(1):20-23.
  6. Guerreiro da Silva, J. B., Nakamura, M. U., Cordeiro, J. A., and Kulay, L., Jr. Acupuncture for low back pain in pregnancy--a prospective, quasi-randomised, controlled study. Acupunct Med 2004;22(2):60-67.
  7. Hantoushzadeh, S., Alhusseini, N., and Lebaschi, A. H. The effects of acupuncture during labour on nulliparous women: a randomised controlled trial. Aust N Z J Obstet Gynaecol 2007;47(1):26-30.
  8. Selmer-Olsen, T., Lydersen, S., and Morkved, S. Does acupuncture used in nulliparous women reduce time from prelabour rupture of membranes at term to active phase of labour? A randomised controlled trial. Acta Obstet Gynecol Scand 2007;86(12):1447-1452.
  9. Foroughinia S, Hessami K, Asadi N, et al. Effect of acupuncture on pregnancy-related insomnia and melatonin: A single-blinded, randomized, placebo-controlled trial. Nat Sci Sleep. 2020;12:271-278.
  10. Wu XK, Gao JS, Ma HL, et al. Acupuncture and doxylamine-pyridoxine for nausea and vomiting in pregnancy : A randomized, controlled, 2?×?2 factorial trial. Ann Intern Med 2023;176(7):922-933.
  11. Pakravan F, Salehabad NH, Karimi F, Isfahani MN. Comparative Study of the Effect of Licorice Muco-adhesive Film on Radiotherapy Induced Oral Mucositis, A Randomized Controlled Clinical Trial. Gulf J Oncolog 2021;1(37):42-47.
  12. Smith CA, de Lacey S, Chapman M, et al. Effect of Acupuncture vs Sham Acupuncture on Live Births Among Women Undergoing In Vitro Fertilization: A Randomized Clinical Trial. JAMA. 2018;319(19):1990-1998.
  13. Hullender Rubin LE, Smith CA, Schnyer RN, Tahir P, Pasch LA. Effect of acupuncture on IVF-related anxiety: a systematic review and meta-analysis. Reprod Biomed Online 2022;45(1):69-80.
  14. Craig LB, Rubin LE, Peck JD, Anderson M, Marshall LA, Soules MR. Acupuncture performed before and after embryo transfer: a randomized controlled trial. J Reprod Med. 2014;59(5-6):313-20.
DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.

© 2026 Therapeutic Research Center

Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center

References & further reading

The 99 references that drive our Acupuncture monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.

  1. Smith CA, Collins CT, Cyna AM, Crowther CA. Complementary and alternative therapies for pain management in labour. Cochrane Database Syst Rev 2006;(4):CD003521. PubMed
  2. Smith, C., Crowther, C., and Beilby, J. Acupuncture to treat nausea and vomiting in early pregnancy: a randomized controlled trial. Birth 2002;29(1):1-9. PubMed
  3. Helmreich, R. J., Shiao, S. Y., and Dune, L. S. Meta-analysis of acustimulation effects on nausea and vomiting in pregnant women. Explore (NY) 2006;2(5):412-421. PubMed
  4. Carlsson, C. P., Axemo, P., Bodin, A., Carstensen, H., Ehrenroth, B., Madegard-Lind, I., and Navander, C. Manual acupuncture reduces hyperemesis gravidarum: a placebo- controlled, randomized, single-blind, crossover study. J Pain Symptom Manage 2000;20(4) PubMed
  5. Habek, D., Barbir, A., Habek, J. C., Janculiak, D., and Bobic-Vukovic, M. Success of acupuncture and acupressure of the Pc 6 acupoint in the treatment of hyperemesis gravidarum. Forsch Komplementarmed Klass Naturheilkd 2004;11(1):20-23. PubMed
  6. Guerreiro da Silva, J. B., Nakamura, M. U., Cordeiro, J. A., and Kulay, L., Jr. Acupuncture for low back pain in pregnancy--a prospective, quasi-randomised, controlled study. Acupunct Med 2004;22(2):60-67. PubMed
  7. Hantoushzadeh, S., Alhusseini, N., and Lebaschi, A. H. The effects of acupuncture during labour on nulliparous women: a randomised controlled trial. Aust N Z J Obstet Gynaecol 2007;47(1):26-30. PubMed
  8. Selmer-Olsen, T., Lydersen, S., and Morkved, S. Does acupuncture used in nulliparous women reduce time from prelabour rupture of membranes at term to active phase of labour? A randomised controlled trial. Acta Obstet Gynecol Scand 2007;86(12):1447-1452. PubMed
  9. Craig LB, Rubin LE, Peck JD, Anderson M, Marshall LA, Soules MR. Acupuncture performed before and after embryo transfer: a randomized controlled trial. J Reprod Med. 2014;59(5-6):313-20.
  10. Smith CA, de Lacey S, Chapman M, et al. Effect of Acupuncture vs Sham Acupuncture on Live Births Among Women Undergoing In Vitro Fertilization: A Randomized Clinical Trial. JAMA. 2018;319(19):1990-1998. PubMed
  11. Choi ME, Jung CJ, Won CH, et al. Case report of cutaneous nodule caused by Gordonia bronchialis in an immunocompetent patient after receiving acupuncture. J Dermatol. 2019;46(4):343-346.
  12. Domenicucci M, Marruzzo D, Pesce A, Raco A, Missori P. Acute Spinal Epidural Hematoma After Acupuncture: Personal Case and Literature Review. World Neurosurg. 2017;102:695.e11-695.e14. PubMed
  13. Eghbal K, Ghaffarpasand F. An Acute Cervical Subdural Hematoma as the Complication of Acupuncture: Case Report and Literature Review. World Neurosurg. 2016 Nov;95:616.e11-616.e13. PubMed
  14. Glas AW, Jüttner AM, Kooter AJ. Necrotising fasciitis after acupuncture treatment in an immunocompetent patient. BMJ Case Rep. 2016;2016. pii: bcr2016216405. PubMed
  15. Jian J, Shao Y, Wan L, et al. Autopsy diagnosis of acupuncture-induced bilateral tension pneumothorax using whole-body postmortem computed tomography: A case report. Medicine (Baltimore). 2018;97(44):e13059. PubMed
Keep reading

This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

Pharmacist Counseling Corner

Acupuncture: Common Questions

What is Acupuncture used for, and does it work?
People use Acupuncture for many reasons, but the evidence varies by use. According to the Natural Medicines database, there is at least some clinical evidence supporting Acupuncture for Aromatase inhibitor-induced arthralgia, Back pain, Cancer-related fatigue and Cancer-related pain. For most other uses it has been studied for, the evidence is currently insufficient to rate. See the graded list on this page, and always confirm with your pharmacist or doctor.
Does Acupuncture interact with prescription medications?
We do not currently list any known drug interactions for Acupuncture. This does not guarantee that none exist, so always confirm with your pharmacist before combining it with your medications.
How are Acupuncture interactions rated?
Each interaction is graded major, moderate, or minor based on how clinically significant it is and the strength of the evidence behind it. Major interactions are the most serious and are best avoided, or used only under close professional supervision.
Is it safe to take Acupuncture with my medications?
It depends on the specific medication. Some combinations are fine, while others call for monitoring, timing changes, or should be avoided. Check your exact drug above and confirm with your pharmacist or doctor before starting, stopping, or changing anything.
Where does this Acupuncture interaction information come from?
Our interaction data is built on the Natural Medicines database — an evidence-graded reference for vitamins, herbs, and supplements — and is reviewed by licensed HelloPharmacist pharmacists, who may add clinical context.
Does Acupuncture hurt?
Most people feel only a tiny prick or nothing at all when the very thin needles go in. You may notice a dull, heavy, or tingling feeling around the point, which is usually mild and brief.
What is Acupuncture mainly used for?
People most often use it for chronic pain such as back, neck, and knee pain, as well as headaches and nausea. Evidence is strongest for certain pain conditions and weaker or unclear for many other uses.
Is Acupuncture safe?
It is generally considered safe when done by a licensed practitioner using sterile, single-use needles. Mild soreness or bruising is common, while serious problems like infection or a punctured lung are rare.
Can I have Acupuncture during pregnancy?
Possibly, but only with a practitioner experienced in treating pregnant patients, since some points are traditionally avoided in pregnancy. Always check with your obstetric provider first.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

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