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Telling Your Doctor About TCM Use: A Practical Guide

A practical guide to telling your doctor and pharmacist about Chinese medicine use, what to bring, what to say, and why herbs and some medicines need checking together.

Content last updated . This page has not been medically reviewed.

Why tell them

Your doctor can only keep you safe if they know everything you use. NCCIH says that when patients tell their providers about complementary practices, they can better stay in control and manage their health. [1] Some complementary approaches can have an effect on conventional medicine, so your provider needs to know. [1] This page is information only.

What to include

Do not leave out anything because it seems small. NCCIH suggests listing everything you use, from acupuncture to zinc. [1] For Chinese medicine, that means:
  • Herbal formulas, teas, patent medicines, granules and tinctures, and what the label says
  • Supplements and vitamins
  • Acupuncture, cupping, moxibustion, gua sha, tui na or other treatments
  • Prescription and over-the-counter medicines you take

Bring a written list of everything you take, how often, and the amounts. [2] Bring the product packaging or take photos of the labels if you can.

How to start the conversation

NCCIH gives four tips. List your complementary practices on the patient history form. Tell providers at each visit, including over-the-counter and prescription medicines and dietary and herbal supplements. Ask questions when you are considering something new. Do not wait to be asked. [1]

Some phrases you can use:


  • "I am seeing a Chinese medicine practitioner. I would like to tell you what I take so we can check it together."

  • "Here is my list. Could any of it interact with my medicines?"

  • "I am thinking about starting an herbal formula. What should I check first?"

  • "Please tell me what I should watch for."

Your doctor may not know much about TCM. That is common. You can still ask them to look at the ingredients and your medicines and test results.

Before surgery or when starting cancer treatment

Tell the surgical and anesthesia team and your cancer team about every herb and supplement. See Chinese herbs before and after surgery and Chinese herbs during cancer treatment.

Keeping care coordinated

For safe, coordinated care, all the professionals involved should communicate and cooperate. [5] Ask your TCM practitioner whether they will speak with your doctor, and with your permission share what each has recommended. The integrative approach is covered in integrative Chinese medicine.

Never stop a prescribed medicine without first talking to your doctor. [3] Do not use TCM to replace or delay conventional care. [4]

If a doctor reacts negatively

Some people worry about being judged. Explain that you want a full picture to be safe. If you feel dismissed, you can ask a pharmacist, or ask your doctor for a second opinion.

Frequently asked questions

Do I have to tell my doctor about acupuncture or herbs?

You are not required to, but NCCIH advises you to tell all your providers so they have a full picture and care stays coordinated. [1]

What if my doctor does not ask?

Start the conversation yourself. NCCIH says not to wait for providers to ask. [1]

Should I stop my herbs before a visit?

Do not stop or start things on a guess. Bring them and ask. Ask your doctor or pharmacist what to do about timing.

What should I bring?

A written list of everything you take, how often, and the doses, plus labels or packaging. [2]

Can herbs change how my medicine works?

Yes, some can raise or lower medicine effects, and for many combinations there is little information. [2]

More details: evidence, limits and cautions

The details behind this page: cautions, limits of the evidence and where sources disagree. Open any note to read it.

Why it matters for safety
NCCIH says herbs can interact with medicines in harmful ways: some decrease the effects of a medicine, while others increase them, and for many there is little interaction information. [2] People taking medicines with a narrow therapeutic index, such as digoxin, cyclosporine and warfarin, should take special care to tell their providers about herbal supplements. [2] The NHS lists statins, antidepressants, diabetes medicines, blood pressure medicines, blood thinners and hormonal contraception among those that may not mix well with herbal medicines. [3] The NHS also says not to take herbal medicines if you are pregnant or breastfeeding or have kidney or liver problems. [3] Some Chinese herbal products have also been found contaminated with undeclared drugs such as warfarin and diclofenac, or with heavy metals. [4]

Pharmacists can help too. The NHS says to check with a pharmacist before taking an herbal medicine if you are already taking other medicine, including those bought without a prescription. [3]

More: Chinese herbs and prescription medicines and interactions by drug class.

References
Education, not medical advice. This page is for general information. It does not diagnose or treat any condition and is not a substitute for care from a qualified health professional. Natural does not automatically mean safe. Ask a clinician or pharmacist before changing your care, especially if you take medication, are pregnant or breastfeeding, or have a health condition.