Class III: Herbs for Anxiety
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Patient Reviews
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Class III Evidence: Opinions of respected authorities, clinical experience of expert committees.

Common/Chinese Names(Botanical Name) Safety Rating Drug Interactions CONTRA & Warnings MH Support
Chinese Peony(Paeonia lactiflora)Supportive Very Safe None Identified None Identified Moderate

Comments from MHs: None.

Recommended Dose: 30-50 drops of 1:5 tincture, up to three times a day (Winston & Maimes, 2007).


Dandelion root (Taraxacum officinale)Supportive

Very Safe None Identified None Identified Moderate

Comments from MHs: Dandelion supports the liver and, because of this, can enhance the liver’s ability to metabolize medications and potentiate the effects of those medications. Additionally, because this herb is a diuretic, patients should be cautious if already using a diuretic.

Recommended Dose: 3-6 ml of 1:2 liquid extract per day; 20-40 ml of 1:2 liquid extract per week (Bone, 2003).


Hops (Humulus lupulus) Anxiolytic Generally Safe None Identified None Identified Very Strong

Comments from MHs: This herb may reportedly potentiate benzodiazepines. Additionally, some chemotherapy drugs (specific drugs where not mentioned) are reportedly effected by Hops; it was hypothesized that this interaction came because Hops effects cytochrome P450 enzymes (a family of enzymes responsible for metabolizing many drugs). However, no details were provided regarding this and no other herbalists confirmed this interaction.

Recommended Dose: 1.5-3.0 ml of 1:2 liquid extract per day; 10-20 ml of 1:2 liquid extract per week (Bone, 2003).


Motherwort(Leonurus cardiaca)Anxiolytic Very Safe Anticoagulant and antiplatelet drugs Pregnancy Very Strong

Comments from MHs: This herb affects the thyroid and should be used with care in patients have hypothyroidism.

Recommended Dose: 2.0-3.5 ml of 1:2 liquid extract per day; 15-25 ml of 1:2 liquid extract per week (Bone, 2003).


Oats (Avena sativa)Anxiolytic Very Safe None Identified None Identified Very Strong

Comments from MHs: None.

Recommended Dose: Oat seed - 3-6 ml of 1:1 liquid extract per day; 20-40 ml of 1:1 liquid extract per week. Green oats – 3-6 ml of 1:2 liquid extract per day; 20-40 ml of 1:2 liquid extract per week (Bone, 2003).


Reishi (Ganodermalucidum) Supportive Very Safe Anticoagulants such as: Lovenox, Heparin,Ogaran, Coumadin,Jantoven, Pradaxa,Iprivask, Acova and Angiomax. Antiplatelets such as: Bayer Asprin, Aspergum, PravigardPAC, Aggrenox, Minoprin, etc. None Identified Very Strong

Comments from MHs: None.

Recommended Dose: Crude raw fungus for decoctions: 2 to 6 grams daily; 1:1 fluid extract: 2 to

10 ml daily; standardized extract 10 to 14 percent polysaccharides, 4 percent triterpenes: 1 to 4 grams daily (Yance, 2013).


Schizandra(Schisandra chinensis) Supportive Very Safe Medications metabolized by the isoenzyme CYP3A such as: Wafarin, Ehinyl,estradiol-containingcontraceptives,Simvastatin, Prednisone, and Buspirone.Medications transported by P-Glycoprotein (P-gp)such as: Digoxin,Amiodarone, Carvedilol, Clarithromycin, Dronedarone,Itraconazole, Lapatinib,Lopinavir and Ritonavir,Propafenone, Quinidine,Ranolazine, Ritonavir,Saquinavir, Telaprevir, Tipranavir andVerapamil. None Identified Moderate

Comments from MHs: None.

Recommended Dose: 3.5-8.5 ml of 1:2 liquid extract per day; 25-60 ml of 1:2 liquid extract per week (Bone, 2003).


Shatavari (Asparagus racemosus) Supportive Very Safe None Identified None Identified Strong

Comments from MHs: None.

Recommended Dose: 4.5-8.5 ml of 1:2 liquid extract per day; 30-60 ml of 1:2 liquid extract per week (Bone, 2003).


Note: Superscript Anxiety following name of herb = Primary action of the herb. Parenthesis surrounding a number, such as (3), indicates the number of master herbalists contributing the statement preceding it.

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Integrated Counseling & Wellness (ICW) is a mental health counseling and wellness center that provides herbal therapy, nutritional interventions, mindfulness therapies, financial counseling, electro-cranial stimulation therapy, education workshops and one-on-one intensive therapy sessions. ICW helps people from all over southeastern Idaho and is located at 101 East Main Street, Suite 210 in Rexburg, ID 83440. Learn more by calling 208-357-3104.

Contact: 101 East Main Street Suite 210, Rexburg, ID 83440
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