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Mucuna pruriens
Cowhage/Drug Interactions:
Anticholinergics
Anticholinergics: Cowhage seeds contain levodopa, which may interact with anticholinergics (
4
).
Anticoagulants and antiplatelets
Anticoagulants and antiplatelets: Based on an in vitro study, the leaves of Mucuna pruriens may dose-dependently prolong blood clotting (
9
).
Antidepressant agents, dopamine reuptake inhibitors
Antidepressant agents, dopamine reuptake inhibitors: Based on a clinical study in Parkinson's disease patients, cowhage may increase serum levodopa concentrations (
4
).
Antidiabetic agents
Antidiabetic agents: Based on ethnopharmacologic study, use cautiously in patients taking diabetes medications due to the potential for additive effects (
10
).
Antidepressant agents, monoamine oxidase inhibitors (MAOIs)
Antidepressant agents, monoamine oxidase inhibitors (MAOIs): Cowhage seeds contain levodopa, which may cause high blood pressure when taken with MAO inhibitors (
6
).
Antiparkinsonian agents
Antiparkinsonian agents: Cowhage seeds contain levodopa, which may interact with Parkinson's disease treatments (
4
).
Antipsychotic agents
Antipsychotic agents: In a case report, cowhage caused an outbreak of acute toxic psychosis (
14
).
Dopamine
Dopamine: Based on a clinical study in Parkinson's disease patients, cowhage may increase serum levodopa concentrations (
4
).
Dopamine agonists
Dopamine agonists: Based on a clinical study in Parkinson's disease patients, cowhage may increase serum levodopa concentrations (
4
).
Dopamine antagonists
Dopamine antagonists: Based on a clinical study in Parkinson's disease patients, cowhage may increase serum levodopa concentrations (
4
).
Levodopa
Levodopa: Based on a clinical study in Parkinson's disease patients, cowhage may increase serum levodopa concentrations (
4
).
Cowhage/Herb/Supplement Interactions:
Anticholinergic herbs
Anticholinergic herbs: Cowhage seeds contain levodopa, which may interact with anticholinergics (
4
).
Anticoagulants and antiplatelets
Anticoagulants and antiplatelets: Based on an in vitro study, the leaves of Mucuna pruriens may dose-dependently prolong blood clotting (
9
).
Antidepressant agents, monoamine oxidase inhibitors (MAOIs)
Antidepressant agents, monoamine oxidase inhibitors (MAOIs): Cowhage seeds contain levodopa, which may cause high blood pressure when taken with MAO inhibitors (
6
).
Antipsychotics
Antipsychotics: In a case report, cowhage caused an outbreak of acute toxic psychosis (
14
).
Ayahuasca(Banisteriopsiscaapi)
Ayahuasca(Banisteriopsiscaapi): Banisteriopsiscaapi is a known MAO inhibitor; cowhage seeds contain levodopa, which may cause high blood pressure when taken with MAO inhibitors (
6
).
Ergot(Claviceps purpura)
Ergot(Claviceps purpura): Claviceps purpura has known dopamine agonist activity; cowhage seeds contain levodopa, which is a precursor to dopamine (
6
).
Jimson weed (Datura stramonium)
Jimson weed (Datura stramonium): Datura stramonium is a known anticholinergic; cowhage seeds contain levodopa, which may interact with anticholinergics (
6
).
Fava beans (Vicia faba)
Fava beans (Vicia faba): Vicia faba contains levodopa, as do cowhage seeds (
6
).
Hypoglycemics
Hypoglycemics: Based on ethnopharmacologic study, use cautiously in patients taking agents that may alter blood glucose or insulin due to the potential for additive effects (
10
).
Cowhage/Food Interactions:
Fava beans (Vicia faba)
Fava beans (Vicia faba): Vicia faba contains levodopa, as do cowhage seeds (
6
).
Monoamine oxidase inhibitors (MAOIs)
Monoamine oxidase inhibitors (MAOIs): Cowhage seeds contain levodopa, which may cause high blood pressure when taken with MAO inhibitors (
6
).
Cowhage/Lab Interactions:
Coagulation panel
Coagulation panel: Based on an in vitro study, the leaves of Mucuna pruriens may dose-dependently prolong blood clotting (
9
).
Glucose levels
Glucose levels: Cowhage may alter glucose levels (
10
).
Prolactin levels
Prolactin levels: Two early studies indicate that cowhage may inhibit prolactin secretion (
15
;
12
).