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Can you take Milk Thistle and Dandelion while on azithromycin?

I normally take 500mg of Milk Thistle / Dandelion and was recently prescribed Azithromycin for a possible bacterial infection. Can I continue using milk thistle and dandelion?
Thank you for this interesting question. In order to provide safe and accurate recommendations, I would need to know the full details of your medical history, including a complete list of your medications and supplements. Only after having this information could I make an accurate recommendation. Therefore, I encourage you to contact a primary care physician to discuss this issue. Azithromycin is an antibiotics that inhibits protein synthesis by bacteria. It has several known side effects. Importantly, particularly in patients with a history of cardiac disease, it increases the risk of sudden death likely through QTc prolongation and arrhythmia. Over the counter supplements are not regulated by the FDA in the same manner as medications. Many supplements contain substances other than those advertised, and there have been several instances of supplements leading to severe organ dysfunction or death. Of particular concern is potential interaction between prescription medications and supplements. This could be life threatening depending on your other medications and medical conditions. The side effects of azithromycin could potentially be even more pronounced if there is a dangerous interaction with the supplements or other non-advertised substances in the supplements. Therefore, I strongly encourage you to schedule an appointment with a primary care physician to discuss this.
This answer is for general informational purposes only and is not a substitute for professional medical advice.
If you think you may have a medical emergency, call your doctor or (in the United States) 911 immediately. Always seek the advice of your doctor before starting or changing treatment. Medical professionals who provide responses to health-related questions are intended third party beneficiaries with certain rights under Zocdoc’s Terms of Service.

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