SIDE EFFECTS: Trouble sleeping is the most common side effect. Less common effects include headache, agitation, upset stomach, menstrual problems (e.g., unusual vaginal bleeding), breast pain, and dizziness. An increase or decrease in blood pressure may also occur. Siberian ginseng may also cause drowsiness, nervousness, or mood changes. If any of these effects persist or worsen, contact your doctor or pharmacist promptly. Tell your doctor right away if any of these unlikely but serious side effects occur: fast/pounding/irregular heartbeat. A very serious allergic reaction to this product is rare. However, seek immediate medical attention if you notice any of the following symptoms of a serious allergic reaction: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. In the US - Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

PRECAUTIONS: Before taking ginseng, tell your doctor or pharmacist if you are allergic to it; or to any other ingredients listed on the product label; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. People who are allergic to one type of ginseng should also avoid taking other types. If you have any of the following health problems, consult your doctor or pharmacist before using this product: high or low blood pressure, heart problems (e.g., abnormal heart rhythm, rheumatic heart disease), bleeding/clotting problems, a certain mental/mood disorder (schizophrenia), overactive immune system disorders (e.g., lupus, rheumatoid arthritis, multiple sclerosis), conditions that are affected by estrogen (e.g., endometriosis, uterine fibroids, cancer of the breast/uterus/ovary). Ginseng may lower blood sugar levels too much, especially in people with diabetes. Siberian ginseng may lower or raise blood sugar levels. If you have diabetes, monitor your blood sugar more carefully while using this product, and report any unusual results or symptoms to your doctor. Your doctor may need to adjust your diabetes medications. Liquid forms of this product may contain sugar and/or alcohol. Caution is advised if you have diabetes, alcohol dependence, or liver disease. Ask your doctor or pharmacist about using this product safely. This product may make you dizzy or drowsy. Alcohol or marijuana can make you more dizzy or drowsy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Limit alcoholic beverages. Talk to your doctor if you are using marijuana. This product is not recommended for use during pregnancy. Consult your doctor before using this product. It is unknown if this product passes into breast milk. Consult your doctor before breast-feeding.

DRUG INTERACTIONS: Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval. Some products that may interact with this drug include: medications/products that may increase your risk of bleeding (including "blood thinners" such as warfarin and heparin, anti-platelet drugs such as clopidogrel, nonsteroidal anti-inflammatory drugs-NSAIDs such as ibuprofen, herbal products such as danshen/garlic/ginger), MAO inhibitors (isocarboxazid, linezolid, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, tranylcypromine), drugs that weaken the immune system (including corticosteroids such as prednisone, drugs to prevent organ transplant rejection such as cyclosporine), "water pills" (diuretics such as furosemide, bumetanide), other herbal products (such as fenugreek, willow bark). Aspirin may also increase the risk of bleeding when used with this product. If your doctor has prescribed low doses of aspirin to prevent heart attack or stroke (usually at dosages of 81-325 milligrams a day), you should continue to take the aspirin. Consult your doctor or pharmacist for more details. Caffeine can increase the side effects of this product. Avoid drinking large amounts of beverages containing caffeine (coffee, tea, certain soft drinks) and eating large amounts of chocolate. Check the labels on all your medicines (such as cough-and-cold products, diet aids) because they may contain ingredients that could increase the side effects of ginseng. Decongestants (such as pseudoephedrine) and stimulants (such as caffeine, ephedra, ma huang) may worsen trouble sleeping, fast heartbeat, and increased blood pressure. Consult your doctor or pharmacist for more details. If you are taking Siberian ginseng, tell your doctor or pharmacist if you are taking other products that cause drowsiness such as opioid pain or cough relievers (such as codeine, hydrocodone), alcohol, marijuana, drugs for sleep or anxiety (such as alprazolam, lorazepam, zolpidem), muscle relaxants (such as carisoprodol, cyclobenzaprine), or antihistamines (such as cetirizine, diphenhydramine). Do not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first.

OVERDOSE: If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center.