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Cinnamon and diabetes: how to use it to lower your blood sugar level

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Discover how to use Cinnamon for diabetes.
Why and how to use cinnamon to lower the level of sugar and fat in the blood?

Cinnamon, also known as “poor man’s insulin”, has long been known for its action on diabetes and cholesterol. Let’s see here why it is advisable to consume cinnamon when you have diabetes, and how to take cinnamon for an effective effect.

Be aware, however, that under no circumstances should you stop taking the medications prescribed by your doctor, and take advice from him if you want to take cinnamon.

This way to buy cinnamon, the aromatic bark of the cinnamon tree used in cooking and therefore as a natural remedy against diabetes.

What is diabetes?

Diabetes is chronic hyperglycemia, an excess of sugar in the blood causing blood sugar that is too high compared to the average. This excess of sugar is the consequence of poor assimilation, poor use and poor storage of sugars by the body.

Indeed, in a normal organism, the carbohydrates in the diet are transformed into glucose, the pancreas then detects the increase in blood sugar and will produce insulin.

This insulin helps glucose to enter body cells (muscles, organs, etc.) and the liver where it will be processed and stored. Blood sugar levels then decrease in the blood.

For people with diabetes, this regulatory system does not work and must be supported by injections of insulin through injections.

There are mainly two types of diabetes :

  • Type 1 diabetes: or insulin-dependent diabetes, about 6% of diabetics. It is characterized by insufficient production of insulin.
  • Type 2 diabetes: or non-insulin-dependent diabetes, 92% of diabetics. It is characterized by initially an insulin resistance of certain organs which prevent the entry of insulin.

This resistance to the action of insulin leads to an overproduction of insulin by the pancreas to compensate, a pancreas which gets tired and after twenty years, no longer produces enough insulin: this is the insulin deficiency.

You should know that this type of diabetes increases the risk of cardiovascular disease by 2 to 4 times (heart attack, high blood pressure, etc.).

Can cinnamon lower your blood sugar

A simple answer would be: yes! But let’s dig into the subject a bit.

To go further, find out what are the virtues of cinnamon.

For the little story :
It is a happy mistake that led Western researchers to find the effect of cinnamon on blood sugar (although this effect has been known for ages in Asia).

Indeed, we owe this discovery to Dr Richard A. Anderson, who originally studied the properties of chromium. USDA researcher, senior scientist at Beltsville Human Nutrition Research Center, Beltsville, and physician.

He has published over 230 scientific manuscripts and presented over 200 presentations at regional, national and international meetings around the world.

While studying the effects of chromium on diabetes, he realizes that apple pie stimulates insulin activity. No sense, the apple pie contains only a little chromium and a lot of sugar!

Anderson then thinks of the effect of apples, but quickly realizes that this effect is due to another ingredient in the pie… cinnamon!

The scientist will therefore focus his studies on the effects of cinnamon on diabetics. Many other scientists will follow, all convinced that cinnamon is the best hope for a natural cure for diabetes.

What evidence for the effect of cinnamon on diabetes?

Following Dr Anderson’s discovery, hundreds of studies are being conducted on the bark by hundreds of scientists. Finally, it is Dr Anderson who will publish in 2010, a scientific article taking stock of the 16 main studies on cinnamon.

Of these 16 studies, 11 show a significant effect of the spice, and 5 show little or no influence on the drop in blood sugar.

CASES WHERE CINNAMON HAS LITTLE OR NO EFFECT:

Regarding these latest inconclusive or inconclusive studies, patients were taking metformin, one of the most common treatments for type 2 diabetes.

According to Anderson: “Metformin acts like cinnamon, increasing insulin sensitivity. If you take enough metformin to manage blood sugar, cinnamon will not affect”.

The poor or inconclusive studies have shown no effect on young people with type 1 diabetes, a logical result, because people with type 1 diabetes have little or no insulin, and cinnamon is not a substitute for it. insulin.

A study has shown that cinnamon does not lower blood sugar levels in healthy people without any diabetes problem.

There are still studies, conducted on other patients that have not led to conclusive results.

CASES WHERE CINNAMON HAS A SIGNIFICANT EFFECT:

The most significant study was conducted by Dr Anderson with a team of researchers from the Peshawar School of Agriculture.

This study was carried out on 60 middle-aged patients suffering from type 2 diabetes, divided into 6 groups. Group 1 took 2 capsules of cinnamon per day, group 2 took 6 and group 3 took 12. The other groups had the same amounts of capsules, but a placebo.

Treatment was carried out for 40 days in all groups, and the capsules contained 500 mg of cinnamon (approximately 1/4 teaspoon). The patients ate as usual while taking their diabetes medication, but not metformin.

The result: in the groups taking cinnamon, there was a drop in blood sugar levels of 18 to 29%. We also observed a drop in triglycerides from 23 to 30%, in total cholesterol from 13 to 26%, and bad cholesterol (LDL cholesterol) from 10 to 24%.

A study conducted by researchers at the University of Pomona in California (USA) on 543 patients with type 2 diabetes arrived at the same conclusions, showing besides that cinnamon increases the level of good cholesterol (HDL).

How does cinnamon affect blood sugar

The magic compound that comes into play is called: polymer methylhydroxychalcone (MHCP), the most active compound in the bark.

Indeed, studies by Professor Anderson have shown that this substance increases the metabolism of glucose up to 20 times, the process which converts sugar into energy. As such, cinnamon is the ally of diets!

Cinnamon facilitates the work of insulin and therefore helps to get sugar into cells. As such, it would affect comparable to certain drugs such as thiazolidinediones (Actos®, Avandia®, etc.), which reduce insulin resistance.

Also, MHCP is a formidable antioxidant, from a class of polyphenols found in cocoa beans, which also has an impact on diabetes.

Antioxidants prevent the formation of free radicals, which damage the DNA of cells and which therefore lead to chronic diseases, including diabetes. There are many studies on the action of antioxidants on diabetes and cholesterol reduction.

What variety of cinnamon for diabetes?

As I explain in our article on how to lose weight with cinnamon, there are two varieties, which come from the bark of two very similar but different tree species:

  • Cinnamomum Verum, known as Ceylon cinnamon, also known as real cinnamon,
  • Cinnamomum aromaticum or Cinnamomum cassia, known as cinnamon from Indonesia or China, also known as false cinnamon.

Let’s be clear: when it comes to lowering blood sugar and cholesterol, variety doesn’t matter, they have the same effect. That said, for long term use, we still recommend Ceylon cinnamon.

Indeed, their health benefits are the same, with one exception that makes all the difference: coumarin. It is the coumarin concentration that differs in the two species.

Ceylon cinnamon bark (Cinnamomum Verum) hardly contains any, but on the other hand, Chinese cinnamon bark (Cinnamomum cassia) is rich in it.

Except that coumarin is potentially toxic to the liver because it has hepatotoxic properties. So for long term consumption, prefer Ceylon cinnamon.

How to take cinnamon?

The different ways to do it:
It should be consumed daily, whatever the way. We recommend doses between 1 and 4 g (between 1/2 and 1 teaspoon per day) of Ceylon cinnamon per day, even if studies have not made it possible to update an ideal dosage. You can consume it:

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  • For breakfast: in cottage cheese, on your cereals, on a fruit salad, etc.
  • In your savoury dishes: yes, especially in the Maghreb and in the East, it is found in salty dishes: couscous, tagines, etc.
  • In the preparation of your desserts: to add directly to your preparations.
  • Like a drink: in milk ( recipe for cinnamon milk ), in your tea, fruit juice (apple, orangegrape, etc.), smoothies, etc.

You can also just make an infusion of cinnamon, by boiling a cup of water, then infusing a few cinnamon sticks, or a teaspoon of ground cinnamon, covered, for 10 min.

Do not hesitate to sweeten with honey, the benefits of both are very beneficial, discover, on this subject, our article on the virtues of honey with cinnamon.

Cinnamon has a sweet flavour that will replace sugar in all your preparations.

Does cinnamon work quickly?

The first effects on blood sugar are felt after 2 weeks of daily absorption.

The first effects on cholesterol and triglycerides may take months to appear.

Contraindication and side effects:
The consumption of cinnamon is not without risk, we have devoted an article detailing the possible problems associated with the consumption of cinnamon, where you will find the contraindications, drug interactions, side effects, etc.

If using Indonesian cinnamon (Cinnamomum cassia), do not exceed 1/2 teaspoon per day. The coumarin present in this variety is an anticoagulant, be careful if you are on anticoagulant treatment.

Rarer, coumarin, in large amounts and over long term consumption can cause liver damage.

Excessive consumption of cinnamon can cause side effects: increased heart rate increased blood pressure and palpitations.

To sum up “cinnamon and diabetes”:

Should we consult a doctor? Yes, yes, and again yes, never stop treatment and seek the advice of your doctor before embarking on any cure.

Is it effective? Yes, but not for everyone.

For who? People with prediabetes, metabolic syndrome or type 2 diabetes, if you are not taking metformin. It is possible to consult your doctor to see if it is possible to lower the doses of metformin by adding cinnamon to your diet.

How? ‘Or’ What? Add cinnamon (preferably Ceylon) every day to a healthy diet and exercise for 20 minutes per day.

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Serious side effects of metoprolol

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  • Discover the serious side effects of metoprolol.
  • How does this medication work? What are its effects?
  • Metoprolol belongs to the class of medications called beta-blockers. Metoprolol is used to treat high blood pressure and prevent symptoms of certain types of angina ( chest pain). It is also used to reduce the risk of death immediately after a heart attack. It works by reducing the needs of the heart during exercise.
  • People who have had a heart attack take metoprolol to avoid having another heart attack. Metoprolol is often used in combination with other drugs that lower high blood pressure, such as diuretics (pills that increase urine output), when just one agent is not enough to control blood pressure.
  • This medicine is available under various brand names or in different formulations, or both. A specific brand of this medication may not be available in all forms and may not have been approved for all of the conditions discussed here. Also, some forms of this medicine may not be used for all of the conditions mentioned in this article.
  • Your doctor may have suggested this medication for a condition that is not listed in this Medication Information article. If you have not yet discussed this with your doctor, or if you are not sure why you are taking this medicine, consult your doctor. Do not stop taking this medicine without consulting your doctor first.
  • Do not give this medicine to anyone, even someone who has the same symptoms as yours. This medicine could harm people for whom it was not prescribed.
  • What forms does this medication come in?
  • Apo-Metoprolol
  • 25 mg
  • Each white, oval, scored tablet, engraved “ME” over “25” on one side and “APO” on the other, contains 25 mg of metoprolol tartrate. Nonmedicinal ingredients: colloidal silica dioxide, croscarmellose sodium, lactose monohydrate, magnesium stearate, and microcrystalline cellulose.
  • 50 mg
  • Each white, round, scored tablet, engraved “APO” over “M50”, contains 50 mg of metoprolol tartrate. Nonmedicinal ingredients: colloidal silica dioxide, croscarmellose sodium, lactose, magnesium stearate, and microcrystalline cellulose.
  • 100 mg
  • Each white, round, scored tablet, debossed with “APO” over “M100”, contains 100 mg of metoprolol tartrate. Nonmedicinal ingredients: colloidal silica dioxide, croscarmellose sodium, lactose, magnesium stearate, and microcrystalline cellulose.
  • Apo-Metoprolol (Type L)
  • 50 mg
  • Each pink, capsule-shaped, coated tablet, scored on one side and engraved “50” on the other, contains 50 mg of metoprolol. Nonmedicinal ingredients: carnauba wax, colloidal silica dioxide, croscarmellose sodium, D&C aluminum lake red No. 30, sun yellow aluminum lake, hydroxypropyl methylcellulose, lactose, magnesium stearate, microcrystalline cellulose, polyethylene glycol 3350, and sodium dioxide. titanium.
  • 100 mg
  • Each blue, capsule-shaped, coated tablet, scored on one side and engraved “100” on the other, contains 100 mg of metoprolol. Nonmedicinal ingredients: carnauba wax, colloidal silica dioxide, croscarmellose sodium, hydroxypropylmethylcellulose, indigotin aluminum lake (AD & C blue # 2), lactose, magnesium stearate, microcrystalline cellulose, polydextrose, polyethylene glycol 3350, and titanium dioxide.
  • How should this medication be used?
  • The usual maintenance dose of metoprolol ranges from 100 mg to 200 mg per day, however, this dose may be increased to 400 mg per day as needed to achieve symptom control. Immediate-release tablets are taken in 2 divided doses while slow-release tablets are taken once a day.
  • This medication should be taken soon after a meal, but try to take it at the same time every day.
  • Several factors can be taken into account in determining the dose a person needs: their weight, their health, and whether they are taking other medications. If your doctor has recommended a dose other than those listed here, do not change the way you are taking the medicine without consulting your doctor.
  • This medicine must be taken exactly as your doctor has told you. If you miss a dose, take the medicine as soon as you notice the missed dose and resume treatment as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your usual dosing schedule. Do not use a double dose to make up for a missed dose. If you are unsure of what to do after missing a dose, ask your doctor or pharmacist for advice.
  • Store this medication at room temperature, protect it from light and moisture, and keep it out of the reach of children.
  • Do not dispose of medicines in the wastewater (eg not in the sink or in the toilet bowl) or with the household garbage. Ask your pharmacist how to dispose of unused or expired medicines.
  • In which cases is this medication not recommended?
  • Do not use this medicine under the following circumstances:
  • a condition such as right ventricular failure caused by high blood pressure in the lungs;
  • is allergic to metoprolol or any of the ingredients of the medication
  • are allergic to other beta-blockers;
  • anesthesia caused by an agent having a depressant effect on the myocardium (eg ether);
  • a history of heart attack accompanied by:
  • a heart rate of fewer than 45 beats per minute,
  • severe heart block
  • very low blood pressure
  • moderate or severe heart failure.
  • slow heartbeat caused by problems with the heart rhythm;
  • severe heart block;
  • cardiogenic shock;
  • significant circulatory disorders;
  • proven heart failure;
  • the presence of asthma or other obstructive airway conditions (only when it comes to metoprolol in intravenous form);
  • a disorder referred to as “sinus dysfunction syndrome”;
  • have untreated pheochromocytoma (a tumor of the adrenal glands).
  • What are the possible side effects of metoprolol
  • Many medications can cause side effects. A side effect is an unwanted response to a drug when taken in normal doses. It can be mild or severe, temporary or permanent. The side effects listed below are not experienced by everyone who takes this medication. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor.
  • At least 1% of people taking this medicine reported the following side effects. Many of these side effects can be managed and a few may go away on their own over time.
  • Consult your doctor if you experience these side effects and if they are serious or bothersome. Your pharmacist may be able to give you advice on what to do if these side effects appear:
  • changes in libido or sexual ability;
  • constipation;
  • diarrhea;
  • pain or discomfort in the abdomen;
  • dizziness or light-headedness when changing from sitting or lying down to standin
  • fatigue or unusual weakness brought on by activity;
  • fatigue;
  • headaches;
  • nausea;
  • hair loss;
  • weight gain;
  • dreams giving a powerful sensation;
  • dry mouth;
  • increased sensitivity of the skin to solar radiation;
  • increased sweating;
  • sleep disturbances;
  • vomitings.
  • Most of the side effects listed below do not happen very often, but they could cause serious problems if you do not see your doctor or receive medical attention.
  • Check with your doctor as soon as possible if any of the following side effects occur:
  • slow heartbeat (especially less than 40 beats per minute);
  • hearing changes;
  • confusion;
  • difficulty breathing or wheezing;
  • back or joint pain;
  • chest pain;
  • hallucinations (the perception of phenomena that do not exist);
  • tingling in the arms and legs.
  • a feeling of coldness in the hands and feet;
  • signs of depression (eg, lack of concentration, weight fluctuations, trouble sleeping, indifference to many activities, thoughts of suicide);
  • signs of certain heart problems (e.g., increased or irregular heartbeat or pulse, chest pain, difficulty breathing, excessive fatigue, swelling of the feet, ankles, or part lower legs);
  • signs of certain kidney problems (eg increased or reduced urine production, itching, nausea, vomiting, rash);
  • signs of a bleeding disorder (e.g. unusual nosebleeds, bruising, blood in urine, cough with bloody sputum, bleeding gums, cuts that keep bleeding) ;
  • signs of liver problems (eg, nausea, vomiting, diarrhea, loss of appetite, weight loss, yellowing of the skin or whites of the eyes, dark urine, pale stools );
  • a flare-up of psoriasis (eg, red spots the size of a pinhead on the skin; red, scaly, or crusty skin);
  • a feeling of numbness or tingling in the extremities;
  • symptoms of low blood pressure (eg, dizziness, fatigue);
  • vision changes (eg blurred vision, dry eye, eye pain).
  • Stop taking the drug and seek immediate medical attention if there is a response such as :
  • coldness, discoloration, or pain in the fingers or toes;
  • symptoms of a serious allergic reaction (such as swelling of the face or swelling of the throat, hives, or difficulty breathing).
  • Some people may experience side effects other than those listed. See your doctor if you notice any symptom that worries you while you are using this medicine.
  • Are there other precautions or warnings?
  • Before using any medication, be sure to tell your doctor about any medical conditions or allergies you may have, the medications you are using, and any other important facts about your health. Women should mention if they are pregnant or breastfeeding. These factors could influence how you should use this medicine.
  • Respiratory disorders: In general, people with asthma, and certain other lung problems, should generally avoid taking beta-blockers such as metoprolol, as they can cause breathing difficulties. If you have breathing problems, and your doctor has prescribed metoprolol for you, it is probably in lower doses, and they will monitor you regularly while you are using this medicine. If you have breathing problems, talk to your doctor about how this medicine may affect your condition, how your condition affects the administration and effectiveness of this medicine, and whether medical supervision is needed. specific.
  • Severe allergies: If you have allergies severe enough to cause anaphylaxis (a severe allergic reaction in which swelling of the face, lips, and throat makes it very difficult to breathe), talk to your doctor about what to do next. take if you have an allergic reaction. the use of metoprolol may make it more difficult to treat severe allergic reactions with epinephrine.
  • Stopping the drug: People with heart disease who suddenly stop taking this drug may experience chest pain, irregular heartbeat, or a heart attack. If you have heart disease, do not stop taking this medication without consulting your doctor first. When this medication is to be stopped, it should be done gradually, under the supervision of your doctor.
  • Diabetes: The signs associated with low blood sugar may be more difficult to see while you are taking metoprolol. People with diabetes may have a harder time regulating their blood sugar levels when taking this medicine. If you have diabetes, discuss with your doctor how this medication may affect your condition, how your condition affects the administration and effectiveness of this medicine, and whether medical supervision is needed. specific. You will be kept under medical supervision while taking this medicine and your doctor may need to adjust your doses of diabetes medicine.
  • Dizziness or syncope: Metoprolol may cause side effects, including dizziness or fainting, soon after starting treatment. Do not drive a vehicle or do other potentially dangerous tasks until you know how this medicine works for you.
  • Hyperthyroidism (high level of thyroid hormones): Metoprolol may mask the symptoms of a person with hyperthyroidism (high level of thyroid hormones).
  • If you have hyperthyroidism, discuss with your doctor how this medication may affect your condition, how your condition affects the administration and effectiveness of this medicine, and whether it is appropriate to have it. specific medical surveillance. Stopping the medication suddenly could make this condition worse.
  • Liver function: Liver disease or reduced liver function can cause this drug to build up in the body, causing side effects. If you have liver problems, talk to your doctor about how this medicine may affect your condition, how your condition affects the administration and effectiveness of this medicine, and whether medical supervision is needed. specific. Your doctor will monitor your liver function with regular blood tests while you are taking this medicine.
  • If you notice symptoms of liver problems such as fatigue, feeling unwell, loss of appetite, nausea, yellowing of the skin or whites of the eyes, dark urine, pale stools, abdominal pain, or swelling and itching of the skin, contact your doctor immediately.
  • Kidney function: Taking metoprolol may affect kidney function. Your doctor will take this into account in his monitoring and will adjust your dose as needed. If you have reduced kidney function or kidney disease, talk to your doctor about how this medicine may affect your condition, how your condition affects the administration, and how well this medicine works. , and the relevance of specific medical surveillance. If you notice swelling in your hands, feet, or face, an increase in your blood pressure, unusual muscle cramps, or a dark appearance of your urine, this medicine may be interfering with the proper function of your blood. kidneys.
  • If you notice any of these symptoms, contact your doctor as soon as possible.
  • Heart disease: Beta-blockers like metoprolol can worsen already present heart failure. It is essential to use metoprolol as prescribed by your doctor to reduce this risk. If you have a history of heart disease, discuss with your doctor how this medication may affect your condition, how your condition affects the administration and effectiveness of this medicine, and whether it is appropriate to use it. specific medical surveillance.
  • Pheochromocytoma: This medicine may worsen the symptoms of pheochromocytoma (a tumor of the adrenal gland) if taken alone Talk to your doctor about how this medicine might affect your condition, how your condition affects your condition. administration and efficacy of this medicinal product, and the relevance of specific medical supervision.
  • Surgery: If you are about to have surgery, tell all healthcare professionals who treat you that you are using metoprolol.
  • Pregnancy: This medication should not be used during pregnancy unless the benefits outweigh the risks. If pregnancy occurs while you are using this medicine, contact your doctor immediately.
  • Breast-feeding: This medicine passes into breast milk. If you use metoprolol while you are breastfeeding your baby may feel the effects. Check with your doctor to see if you should continue breastfeeding.
  • Children: The safety and effectiveness of this medicine have not been established in children
  • Seniors: Normal doses of metoprolol for adults may lower blood pressure more than expected. Lower doses may be necessary for the elderly.
  • Can other agents interact with this medication?
  • There may be an interaction between metoprolol and any of the following:
  • abiraterone acetate;
  • acetylcholine;
  • anesthetic agents;
  • alpha agonists (eg, clonidine, methyldopa);
  • alcohol;
  • aldesleukin;
  • aliskiren;
  • alpha1-blockers (eg doxazosin, prazosin, tamsulosin);
  • amifostine;
  • amiodarone;
  • amphetamines (eg, dextroamphetamine, lisdexamfetamine);
  • serotonin antagonists (antiemetic drugs; eg dolasetron, granisetron, ondansetron);
  • tricyclic antidepressants (eg amitriptyline, clomipramine, desipramine, trimipramine);
  • antihistamines (eg, cetirizine, doxylamine, diphenhydramine, hydroxyzine, loratadine, diphenhydramine);
  • nonsteroidal anti-inflammatory drugs (NSAIDs) eg. ibuprofen, indomethacin, naproxen);
  • antimalarials (e.g. chloroquine, hydroxychloroquine, mefloquine, quinine);
  • antipsychotics (eg, chlorpromazine, clozapine, haloperidol, olanzapine, quetiapine, risperidone);
  • asunaprevir;
  • atomoxetine;
  • other beta-blockers (eg, atenolol, pindolol, propranolol);
  • azelastine;
  • barbiturates (eg, butalbital, pentobarbital, phenobarbital);
  • beta-agonists (anti-asthma medicines, eg salbutamol, salmeterol, formoterol);
  • calcium channel blockers (eg, verapamil, diltiazem, nifedipine, amlodipine);
  • angiotensin II receptor blockers (ARBs) eg. irbesartan, losartan);
  • bortezomib;
  • brimonidine;
  • buprenorphine;
  • bupropion;
  • celecoxib;
  • ceritinib;
  • milk thistle;
  • cholecalciferol;
  • cimetidine;
  • cinacalcet;
  • clobazam;
  • clotrimazole;
  • cobicistat;
  • cocaine;
  • cyproterone;
  • darifenacin;
  • delavirdine;
  • rye ergot derivatives (eg bromocriptine, ergotamine, methylergonovine);
  • nitro derivatives (eg nitroglycerin, isosorbide dinitrate, isosorbide mononitrate);
  • dextromethorphan;
  • digoxin;
  • dipyridamole;
  • disopyramide;
  • disulfiram;
  • diuretics (pills to remove water; eg furosemide, hydrochlorothiazide);
  • donepezil;
  • doxorubicin;
  • dronedarone;
  • entacapone;
  • epinephrine;
  • grass pollen allergen extract;
  • fentanyl;
  • fingolimod;
  • flecainide;
  • floctafenine;
  • galantamine;
  • ginger;
  • ginseng;
  • guanfacine;
  • imatinib;
  • phosphodiesterase type 5 inhibitors (eg, sildenafil, tadalafil);
  • proton pump inhibitors (eg, lansoprazole, omeprazole, rabeprazole);
  • Angiotensin-Converting Enzyme Inhibitors (ACEIs) eg. captopril, ramipril);
  • selective serotonin reuptake inhibitors (eg fluoxetine, paroxetine, sertraline);
  • selective serotonin-norepinephrine reuptake inhibitors or SNRIs (eg, desvenlafaxine, duloxetine, venlafaxine);
  • insulin;
  • isoniazid;
  • ketoconazole;
  • lacosamide;
  • lanreotide;
  • levodopa;
  • lidocaine;
  • lomustine;
  • cholesterol “statin” drugs (eg pravastatin, simvastatin);
  • methacholine;
  • methadone;
  • methimazole;
  • methoxsalen;
  • methylphenidate;
  • metoclopramide;
  • midodrine;
  • mifepristone;
  • mirabegron;
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  • moclobemide;
  • nefazodone;
  • nevirapine;
  • nilotinib;
  • noradrenaline;
  • octreotide;
  • orphenadrine;
  • oxybutynin;
  • pasireotide;
  • pazopanib;
  • peginterferon alfa-2b;
  • pentoxifylline;
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  • sodium phenylbutyrate;
  • pilocarpine;
  • pimozide;
  • praziquantel;
  • propafenone;
  • quinidine;
  • quinine;
  • ranitidine;
  • regorafenib;
  • rifabutin;
  • rifampin;
  • rituximab;
  • rivastigmine;
  • ropinirole;
  • sulfonylureas (eg gliclazide, glyburide, tolbutamide);
  • temsirolimus;
  • terbinafine;
  • theophyllines (eg aminophylline, oxtriphylline, theophylline);
  • ticagrelor;
  • ticlopidine;
  • tizanidine;
  • tofacitinib;
  • tolcapone;
  • tranylcypromine;
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  • yohimbine.
  • If you are taking any of the above medicines, please tell your doctor or pharmacist.  In your case, your doctor may ask you to:
  • stop taking any of the medications;
  • replace one of the drugs with another;
  • change the way you take one or both of the medicines.
  • do not change anything at all.
  • Interference of one medicine with another does not always mean that you stop taking one of them. Ask your doctor what to do with drug interactions.
  • Drugs other than those listed above may interact with this drug. Tell your doctor everything you take, whether it is prescription or over-the-counter drugs and herbal remedies. Do not forget to mention any supplements you take. If you consume caffeine, alcohol, nicotine, or street drugs, you should tell your prescribing doctor since these substances can affect the way many drugs work
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Side effects of too much cinnamon

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