Prepared Aconite Slices — Safety & Interactions
Fu Pian · Aconiti Lateralis Radix Praeparata
Contraindicated / High risk. Use only under practitioner supervision.
Contraindications
- Pregnancy
- Heat syndromes, Yin deficiency with heat, or true fluid depletion without cold
- Raw, under-processed, or under-decocted aconite for internal use
- Known ventricular arrhythmia or unstable severe cardiac disease without expert supervision
Cautions
- Fu Pian remains toxic even after processing; it should be sourced as an authenticated prepared product and typically pre-decocted 30-60 minutes or according to product instructions before the rest of the formula is added.
- Early aconite poisoning can present with lip or tongue numbness, tingling, nausea, vomiting, diarrhea, weakness, hypotension, and dangerous ventricular arrhythmias; suspected toxicity requires emergency care.
- Traditional incompatibility cautions remain for Ban Xia, Gua Lou and its seed or peel, Tian Hua Fen, Bai Ji, Bai Lian, and the various Bei Mu species.
- 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.