Shepherd's Purse Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Shepherd's Purse against your medications. The heart of this page is the interaction checker and the full interaction report — how this product’s ingredients may interact with prescription and over-the-counter medicines you may be taking.
Around that, we add a pharmacist’s high-level view of the product as a whole — what’s inside, the evidence for its stated use, how transparent the label is, and what safety data exists — so you can see the full picture in one place. It’s educational information from our licensed clinical databases and the clinical staff at HelloPharmacist — not medical advice — and we don’t sell or endorse products. Our editorial policy
Shepherd's Purse is a dietary supplement by Herbalist & Alchemist with 1 active ingredient. Its ingredients are commonly taken for heavy or prolonged menstrual bleeding, minor bleeding (nosebleeds, wounds), mild diuretic.Based on those ingredients, 264 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are fresh Shepherd's Purse whole plant extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Shepherd's Purse by Herbalist & Alchemist
Ask about any prescription or over-the-counter medication and we check it for interactions with Shepherd's Purse by Herbalist & Alchemist — and tell you which ingredient is responsible.
AI summaries are generated from our interaction database for education only — always confirm with your pharmacist. How we use AI
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HelloPharmacist Scorecard of Shepherd's Purse by Herbalist & Alchemist
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Full disclosure
This product contains one active ingredient: fresh Shepherd's Purse whole plant extract. The liquid is made with distilled water and ethyl alcohol as inactive ingredients.
Shepherd's Purse is a traditional herb that has been used for certain women's health concerns, though the evidence for its effectiveness is limited.
Does it work?
Not established
The data we hold doesn't establish that Shepherd's Purse reliably works for postpartum bleeding (postpartum complications) or heavy menstrual bleeding (menorrhagia) — both are rated as having insufficient reliable evidence. That doesn't mean it doesn't work; it means the research isn't solid enough yet for us to say it does.
How safe is it?
Well-documented data
Shepherd's Purse seems to be generally well tolerated when you use a small amount short-term, but human safety data are limited. Adverse effects that have been reported historically include sedation, changes in blood pressure, heart palpitations, abnormal thyroid function, and irregular menstruation — though these aren't guaranteed to occur.
During pregnancy, the safety data advise against use because the herb may stimulate the uterus. During breastfeeding, there isn't enough safety information, so avoid it then too.
If you're pregnant, planning to become pregnant, or breastfeeding, talk with your doctor or pharmacist before considering this product.
Meds to double-check
Moderate interaction found
Check with us before adding this product if you take CNS depressants (sedatives, sleep aids, anxiety medications) or thyroid hormone replacement therapy — both carry Moderate-severity interaction risk. These are the main medication types to watch.
The bottom line
Scorecard at a glanceFully disclosed formula with no established evidence rating for its marketed use. Moderate medication interactions have been identified, and safety information is well characterized.
Shepherd's Purse might interest someone exploring traditional herbal support for women's health, but the evidence for it is thin. If you take medications for sleep, anxiety, or thyroid problems, you need to check your exact drugs before starting — and it's off-limits during pregnancy and breastfeeding.
Chat with your pharmacist before you use it.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 1 of 1 active ingredient matched to our full ingredient reviews (monographs). Based on the product label dated Mar 23, 2018.
This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed
General information
Key facts about Shepherd's Purse, straight from the product label.
| Brand | Herbalist & Alchemist |
|---|---|
| Barcode (UPC) | 667056125660 |
| Net contents | 2 fl. Oz.; 60 mL |
| Market status | On market |
| Date entered into DSLD | Mar 23, 2018 |
| DSLD ID | 174623 |
| Product type | Botanical |
| Supplement form | Liquid |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), Kosher, Organic |
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for Shepherd's Purse by Herbalist & Alchemist, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| fresh Shepherd's Purse whole plant extract | 2 mL | -- |
Other ingredients: distilled Water, Ethyl Alcohol
Tap any ingredient to jump to its full detail below.
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Formula
Capsella bursa-pastoris
OK
General Statements
Supports healthy coagulation of blood
Herbal Supplement
Botanical preparation ratio 1:2
Suggested/Recommended/Usage/Directions
Suggested Use: 20-40 drops (1-2 mL) in juice or water. Take 4 times per day. Shake well before using.
Precautions
Contraindications: Do not use during pregnancy unless otherwise directed by a qualified expert.
Use cautiously if you have a history of oxalate kidney stones.
Keep out of children's reach
FDA Disclaimer Statement
This statement has not been evaluated by the FDA. This product is not intended to diagnose, treat, cure or prevent any disease.
General
NO. SHP-2 1738WE
Seals/Symbols
OK
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Shepherd's Purse by Herbalist & Alchemist label
The label scan from the NIH Dietary Supplement Label Database. Tap to enlarge.
Label images are published by the NIH Dietary Supplement Label Database for the version of this product on file. Always read your actual product label.
View the full label (PDF)The Ingredients in Shepherd's Purse by Herbalist & Alchemist
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size1 mL Dosage formLiquid Servings per container30 Amounts shown are per serving.
Fresh Shepherd's Purse whole plant extract
Interacts with264 drugs
Shepherd's purse is a traditional herb most often used to help slow heavy menstrual bleeding and other minor bleeding, but solid human research is ver...
Fresh Shepherd's Purse whole plant extract monograph & interactionsOther (inactive) ingredients: Distilled Water, Ethyl Alcohol. These complete the product’s ingredient list but are not active constituents.
Shepherd's Purse by Herbalist & Alchemist Drug Interactions
HelloPharmacist Interaction Report
Shepherd's Purse by Herbalist & Alchemist is a single-ingredient liquid extract that does interact with medications.
The most serious concern is with CNS depressants — drugs that calm the brain and nervous system, like sedatives, sleep aids, and some anxiety medications. Taking this extract alongside them could add up to stronger drowsiness and side effects than either one alone.
Read the full breakdown — every affected drug type, severity by severity
It also interacts with thyroid hormone replacement therapy (Moderate severity). If you take medication for an underactive thyroid, this extract may interfere with how well that treatment works.
Altogether, these interactions span 264 individual medications. Before you start this product, run your exact prescriptions through the medication checker below — especially if you take anything for sleep, anxiety, or a thyroid condition.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Shepherd's Purse?
Ask about interactions with your drugs in plain English — “Can I take it with lisinopril?” — and we find you the answer in seconds, ingredient by ingredient.
Go to the checkerIngredients driving the most interactions
Individual Drug Interactions
The ingredients in Shepherd's Purse interact with 264 drugs. Click any drug to see the details.
1 of the 1 ingredient in Shepherd's Purse interact with drugs. Each result below shows which ingredient is responsible. fresh Shepherd's Purse whole plant extract
Liotrix, T4/t3Euthroid 2
How Liotrix, T4/t3 interacts with Shepherd's Purse — through 1 ingredient. Tap an ingredient for the detail:
Fresh Shepherd's Purse Whole Plant ExtractThyroid Hormone Moderate
Interaction Summary
Theoretically, concomitant use may interfere with thyroid dysfunction therapy.
Read the full Fresh Shepherd's Purse Whole Plant Extract + Liotrix, T4/t3 interactionLithium Carbonate (prescription Drug)Eskalith, Lithium Carbonate
How Lithium Carbonate (prescription Drug) interacts with Shepherd's Purse — through 1 ingredient. Tap an ingredient for the detail:
Fresh Shepherd's Purse Whole Plant ExtractCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use with drugs with sedative properties may cause additive effects and side effects.
Read the full Fresh Shepherd's Purse Whole Plant Extract + Lithium Carbonate (prescription Drug) interactionLofepramineFeprapax, Gamanil, Lomont, Tymelyt
How Lofepramine interacts with Shepherd's Purse — through 1 ingredient. Tap an ingredient for the detail:
Fresh Shepherd's Purse Whole Plant ExtractCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use with drugs with sedative properties may cause additive effects and side effects.
Read the full Fresh Shepherd's Purse Whole Plant Extract + Lofepramine interactionLorazepamAtivan
How Lorazepam interacts with Shepherd's Purse — through 1 ingredient. Tap an ingredient for the detail:
Fresh Shepherd's Purse Whole Plant ExtractCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use with drugs with sedative properties may cause additive effects and side effects.
Read the full Fresh Shepherd's Purse Whole Plant Extract + Lorazepam interactionLoxapineAdasuve, Loxitane
How Loxapine interacts with Shepherd's Purse — through 1 ingredient. Tap an ingredient for the detail:
Fresh Shepherd's Purse Whole Plant ExtractCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use with drugs with sedative properties may cause additive effects and side effects.
Read the full Fresh Shepherd's Purse Whole Plant Extract + Loxapine interactionMagnesium Sulfate (prescription Drug)Bilagog, Magnesium Sulfate
How Magnesium Sulfate (prescription Drug) interacts with Shepherd's Purse — through 1 ingredient. Tap an ingredient for the detail:
Fresh Shepherd's Purse Whole Plant ExtractCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use with drugs with sedative properties may cause additive effects and side effects.
Read the full Fresh Shepherd's Purse Whole Plant Extract + Magnesium Sulfate (prescription Drug) interactionMenotropinsMenopur, Repronex
How Menotropins interacts with Shepherd's Purse — through 1 ingredient. Tap an ingredient for the detail:
Fresh Shepherd's Purse Whole Plant ExtractThyroid Hormone Moderate
Interaction Summary
Theoretically, concomitant use may interfere with thyroid dysfunction therapy.
Read the full Fresh Shepherd's Purse Whole Plant Extract + Menotropins interactionMeperidineCytospaz, Pethadol
How Meperidine interacts with Shepherd's Purse — through 1 ingredient. Tap an ingredient for the detail:
Fresh Shepherd's Purse Whole Plant ExtractCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use with drugs with sedative properties may cause additive effects and side effects.
Read the full Fresh Shepherd's Purse Whole Plant Extract + Meperidine interactionMeperidine, PromethazineMepergan, Meprozine
How Meperidine, Promethazine interacts with Shepherd's Purse — through 1 ingredient. Tap an ingredient for the detail:
Fresh Shepherd's Purse Whole Plant ExtractCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use with drugs with sedative properties may cause additive effects and side effects.
Read the full Fresh Shepherd's Purse Whole Plant Extract + Meperidine, Promethazine interactionMephenytoinMesantoin
How Mephenytoin interacts with Shepherd's Purse — through 1 ingredient. Tap an ingredient for the detail:
Fresh Shepherd's Purse Whole Plant ExtractCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use with drugs with sedative properties may cause additive effects and side effects.
Read the full Fresh Shepherd's Purse Whole Plant Extract + Mephenytoin interactionMephobarbitalMebaral
How Mephobarbital interacts with Shepherd's Purse — through 1 ingredient. Tap an ingredient for the detail:
Fresh Shepherd's Purse Whole Plant ExtractCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use with drugs with sedative properties may cause additive effects and side effects.
Read the full Fresh Shepherd's Purse Whole Plant Extract + Mephobarbital interactionMeprobamateEquanil, Meprospan, Miltown, Neuramate
How Meprobamate interacts with Shepherd's Purse — through 1 ingredient. Tap an ingredient for the detail:
Fresh Shepherd's Purse Whole Plant ExtractCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use with drugs with sedative properties may cause additive effects and side effects.
Read the full Fresh Shepherd's Purse Whole Plant Extract + Meprobamate interactionMethadoneDolophine
How Methadone interacts with Shepherd's Purse — through 1 ingredient. Tap an ingredient for the detail:
Fresh Shepherd's Purse Whole Plant ExtractCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use with drugs with sedative properties may cause additive effects and side effects.
Read the full Fresh Shepherd's Purse Whole Plant Extract + Methadone interactionMethaqualoneQuaalude
How Methaqualone interacts with Shepherd's Purse — through 1 ingredient. Tap an ingredient for the detail:
Fresh Shepherd's Purse Whole Plant ExtractCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use with drugs with sedative properties may cause additive effects and side effects.
Read the full Fresh Shepherd's Purse Whole Plant Extract + Methaqualone interactionMetharbitalGemonil
How Metharbital interacts with Shepherd's Purse — through 1 ingredient. Tap an ingredient for the detail:
Fresh Shepherd's Purse Whole Plant ExtractCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use with drugs with sedative properties may cause additive effects and side effects.
Read the full Fresh Shepherd's Purse Whole Plant Extract + Metharbital interactionMethsuximideCelontin
How Methsuximide interacts with Shepherd's Purse — through 1 ingredient. Tap an ingredient for the detail:
Fresh Shepherd's Purse Whole Plant ExtractCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use with drugs with sedative properties may cause additive effects and side effects.
Read the full Fresh Shepherd's Purse Whole Plant Extract + Methsuximide interactionMetoclopramideMetoclopramide Injection, Octamide, Reglan
How Metoclopramide interacts with Shepherd's Purse — through 1 ingredient. Tap an ingredient for the detail:
Fresh Shepherd's Purse Whole Plant ExtractCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use with drugs with sedative properties may cause additive effects and side effects.
Read the full Fresh Shepherd's Purse Whole Plant Extract + Metoclopramide interactionMetoclopramide HydrochlorideGimoti
How Metoclopramide Hydrochloride interacts with Shepherd's Purse — through 1 ingredient. Tap an ingredient for the detail:
Fresh Shepherd's Purse Whole Plant ExtractCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use with drugs with sedative properties may cause additive effects and side effects.
Read the full Fresh Shepherd's Purse Whole Plant Extract + Metoclopramide Hydrochloride interactionMidazolamNayzilam, Seizalam, Versed
How Midazolam interacts with Shepherd's Purse — through 1 ingredient. Tap an ingredient for the detail:
Fresh Shepherd's Purse Whole Plant ExtractCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use with drugs with sedative properties may cause additive effects and side effects.
Read the full Fresh Shepherd's Purse Whole Plant Extract + Midazolam interactionMorphine SulfateArymo ER, Avinza, Kadian, Morphabond, MS Contin
How Morphine Sulfate interacts with Shepherd's Purse — through 1 ingredient. Tap an ingredient for the detail:
Fresh Shepherd's Purse Whole Plant ExtractCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use with drugs with sedative properties may cause additive effects and side effects.
Read the full Fresh Shepherd's Purse Whole Plant Extract + Morphine Sulfate interactionNalbuphineNubain
How Nalbuphine interacts with Shepherd's Purse — through 1 ingredient. Tap an ingredient for the detail:
Fresh Shepherd's Purse Whole Plant ExtractCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use with drugs with sedative properties may cause additive effects and side effects.
Read the full Fresh Shepherd's Purse Whole Plant Extract + Nalbuphine interactionNaloxone, PentazocineTalwin Nx
How Naloxone, Pentazocine interacts with Shepherd's Purse — through 1 ingredient. Tap an ingredient for the detail:
Fresh Shepherd's Purse Whole Plant ExtractCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use with drugs with sedative properties may cause additive effects and side effects.
Read the full Fresh Shepherd's Purse Whole Plant Extract + Naloxone, Pentazocine interactionNaltrexone Hydrochloride, Oxycodone HydrochlorideTroxyca ER
How Naltrexone Hydrochloride, Oxycodone Hydrochloride interacts with Shepherd's Purse — through 1 ingredient. Tap an ingredient for the detail:
Fresh Shepherd's Purse Whole Plant ExtractCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use with drugs with sedative properties may cause additive effects and side effects.
Read the full Fresh Shepherd's Purse Whole Plant Extract + Naltrexone Hydrochloride, Oxycodone Hydrochloride interactionNelarabineAtriance
How Nelarabine interacts with Shepherd's Purse — through 1 ingredient. Tap an ingredient for the detail:
Fresh Shepherd's Purse Whole Plant ExtractCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use with drugs with sedative properties may cause additive effects and side effects.
Read the full Fresh Shepherd's Purse Whole Plant Extract + Nelarabine interactionNitrazepamApo-Nitrazepam, Mogadon, Nitrazadon, Rho-Nitrazepam, Rhoxal-Nitrazepam
How Nitrazepam interacts with Shepherd's Purse — through 1 ingredient. Tap an ingredient for the detail:
Fresh Shepherd's Purse Whole Plant ExtractCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use with drugs with sedative properties may cause additive effects and side effects.
Read the full Fresh Shepherd's Purse Whole Plant Extract + Nitrazepam interactionOpium TinctureParegoric
How Opium Tincture interacts with Shepherd's Purse — through 1 ingredient. Tap an ingredient for the detail:
Fresh Shepherd's Purse Whole Plant ExtractCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use with drugs with sedative properties may cause additive effects and side effects.
Read the full Fresh Shepherd's Purse Whole Plant Extract + Opium Tincture interactionOspemifeneOsphena
How Ospemifene interacts with Shepherd's Purse — through 1 ingredient. Tap an ingredient for the detail:
Fresh Shepherd's Purse Whole Plant ExtractThyroid Hormone Moderate
Interaction Summary
Theoretically, concomitant use may interfere with thyroid dysfunction therapy.
Read the full Fresh Shepherd's Purse Whole Plant Extract + Ospemifene interactionOxazepamSerax
How Oxazepam interacts with Shepherd's Purse — through 1 ingredient. Tap an ingredient for the detail:
Fresh Shepherd's Purse Whole Plant ExtractCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use with drugs with sedative properties may cause additive effects and side effects.
Read the full Fresh Shepherd's Purse Whole Plant Extract + Oxazepam interactionOxcarbazepineOxtellar XR, Trileptal
How Oxcarbazepine interacts with Shepherd's Purse — through 1 ingredient. Tap an ingredient for the detail:
Fresh Shepherd's Purse Whole Plant ExtractCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use with drugs with sedative properties may cause additive effects and side effects.
Read the full Fresh Shepherd's Purse Whole Plant Extract + Oxcarbazepine interactionOxycodoneOxecta, OxyContin, OxyIR, OxyNeo, Percolone, Roxicodone
How Oxycodone interacts with Shepherd's Purse — through 1 ingredient. Tap an ingredient for the detail:
Fresh Shepherd's Purse Whole Plant ExtractCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use with drugs with sedative properties may cause additive effects and side effects.
Read the full Fresh Shepherd's Purse Whole Plant Extract + Oxycodone interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Shepherd's Purse with known interactions, here are the types of medications it can affect. Open any type for the detail — or search your exact drug in the checker above.
fresh Shepherd's Purse whole plant extract
Cns Depressants
Theoretically, concomitant use with drugs with sedative properties may cause additive effects and side effects.
Thyroid Hormone
Theoretically, concomitant use may interfere with thyroid dysfunction therapy.
Brand information
Manufacturer and brand details for Shepherd's Purse, from the product label.
Herbalist & Alchemist
See all Herbalist & Alchemist products- Name
- Herbalist & Alchemist, Inc.
- City
- Washington
- State
- NJ
- ZipCode
- 07882
- Phone Number
- 800-611-8235
- Web Address
- www.herbalist-alchemist.com
Shepherd's Purse by Herbalist & Alchemist: Common Questions
Does Shepherd's Purse by Herbalist & Alchemist interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Can I take this while pregnant or breastfeeding?
Does Shepherd's Purse actually work for heavy periods?
What side effects might I notice?
Why does this product interact with so many medications?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Shepherd's Purse is safe with your meds?
Our pharmacists answer your medication & supplement questions — free.
Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.
The Full Monographs Behind Shepherd's Purse’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Shepherd's Purse's label data comes from the NIH Dietary Supplement Label Database; the ingredient interaction data is from the Natural Medicines database, reviewed by our pharmacists.
- NIH Dietary Supplement Label Database (DSLD) — The official product label on file for this supplement.
- Natural Medicines (Therapeutic Research Center) — Evidence-graded clinical reference behind the ingredient interaction data.
Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.
The 4 references behind this product’s interaction data
Every citation that drives the interaction findings for this product’s ingredients, from the evidence-graded Natural Medicines (TRC Healthcare) database. Open an ingredient to browse its citations — links open the study on PubMed or the publisher’s site.
Shepherd's Purse 4 references
- Newall CA, Anderson LA, Philpson JD. Herbal Medicine: A Guide for Healthcare Professionals. London, UK: The Pharmaceutical Press, 1996.
- McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
- Naafe M, Kariman N, Keshavarz Z, et al. Effect of hydroalcoholic extracts of Capsella bursa-pastoris on heavy menstrual bleeding: A randomized clinical trial. J Altern Complement Med. 2018;24(7):694-700. PubMed
- Ghalandari S, Kariman N, Sheikhan Z, et al. Effect of hydroalcoholic extract of Capsella bursa pastoris on early postpartum hemorrhage: A clinical trial study. J Altern Complement Med. 2017;23(10):794-799.
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