Cooked Aconite Slices — Safety & Interactions
Shou Fu Pian · Aconiti Lateralis Radix Praeparata
Contraindicated / High risk. Use only under practitioner supervision.
Contraindications
- Pregnancy
- Heat patterns, Yin deficiency with heat, or clear internal heat without cold
- Raw or inadequately processed aconite for internal use
- Unsupervised use in children, frail patients, or patients with significant arrhythmia risk
Cautions
- Shou Fu Pian is cooked but still toxic; it needs authenticated sourcing, careful dosing, and pre-decoction rather than casual self-use.
- Toxicity can begin with oral numbness, tingling, nausea, vomiting, diarrhea, weakness, and hypotension before progressing to dangerous arrhythmias.
- Traditional incompatibility cautions remain for Ban Xia, the Gua Lou group, Tian Hua Fen, Bai Ji, Bai Lian, and the Bei Mu group.
- MSK page not found - drug interaction data not available from Memorial Sloan Kettering integrative medicine database
Drug Interactions
| Drug Class / Substrate | Mechanism | Severity | Source |
|---|---|---|---|
| Cardiac glycosides such as digoxin - additive arrhythmogenic risk | |||
| Class I and III antiarrhythmic drugs - unpredictable electrophysiologic interaction | |||
| Beta-blockers or other rate-slowing agents - may worsen bradycardia or mask early toxicity | |||
| QT-prolonging medications - additive risk of malignant ventricular arrhythmia | |||
Pregnancy
Not recommended during pregnancy. Consult a qualified practitioner before any use.
This information is for educational purposes only and does not constitute medical advice. Always consult a qualified healthcare provider before using herbal medicines, especially if you take prescription medications.