Drug General Information (ID: DDILDA0CR9)
  Drug Name Bumetanide Drug Info Ginseng Drug Info
  Drug Type Small molecule Natural product
  Therapeutic Class Diuretics Herbal Products
  Structure

 Mechanism of Bumetanide-Ginseng Interaction (Severity Level: Moderate)
     Attenuated pharmacological effects (Unspecific) Click to Show/Hide Mechanism Graph
      Drug Name Bumetanide Ginseng
      Mechanism Diuretic Induce diuretic resistance
      Key Mechanism Factor 1
Factor Name Pharmacodynamics
Factor Description Reduced pharmacological effects leading to insufficient efficacy and/or treatment failure.
      Mechanism Description
  • Attenuated pharmacological effects of  Bumetanide when combined with Ginseng 

Recommended Action
      Management Until further data are available, patients treated with furosemide or other loop diuretics should preferably avoid the use of ginseng supplements. The possibility of diuretic resistance should be considered and appropriately monitored if concomitant use is necessary.

References
1 Becker BN, Greene J, Evanson J, Chidsey G, Stone WJ "Ginseng-induced diuretic resistance." JAMA 276 (1996): 606-7