For practitioner dispensing and professionally guided use.
Always read the label and follow the directions for use.
Caution is required with pre-existing cholestasis. Consult your healthcare practitioner before use if you have reduced or obstructed bile flow, gallbladder disease, liver disease, jaundice or abnormal liver-function results. This caution appears on the current GhamaHealth product page and should remain unless the current Australian label states otherwise.
Consult your healthcare practitioner before use if you take warfarin, apixaban, rivaroxaban, dabigatran, aspirin, clopidogrel or another anticoagulant or antiplatelet medicine.
European assessment information notes a theoretical possibility that aescin could increase anticoagulant effects, although confirmed case reports were not identified. The warning should therefore be precautionary rather than presented as a proven interaction.
Consult your healthcare practitioner before use if you have a bleeding disorder, bruise easily, have an upcoming operation or regularly use anti-inflammatory medicines.
Do not use this product as a substitute for medical assessment of unexplained leg swelling, varicose-vein complications, rectal bleeding or persistent bruising.
Seek immediate medical assessment for sudden pain and swelling in one leg, particularly when the skin becomes red, warm or discoloured. These may be signs of deep vein thrombosis.
Call triple zero for chest pain, sudden breathlessness, fainting or coughing up blood because these symptoms may occur with a pulmonary embolism.
See a doctor for leg sores, ulcers, worsening skin changes, significant pain, infection or wounds that are not healing.
Do not assume that rectal bleeding is caused by haemorrhoids. Blood in the stool or bleeding from the rectum should be medically assessed, particularly when accompanied by altered bowel habits, abdominal pain, weakness or weight loss.
Possible adverse effects of oral Horsechestnut preparations include digestive upset, nausea, headache, dizziness, itching and allergic reactions.
Use during pregnancy or breastfeeding is not recommended unless specifically directed by a qualified healthcare practitioner. Available evidence is insufficient to establish safety in these groups.
The recognised oral use is for adults. Do not give this practitioner extract to a child or adolescent unless an age-appropriate amount has been individually prescribed.
Discontinue use at least seven days before general anaesthesia, surgery or an invasive procedure unless otherwise directed by your treating healthcare professional.
Tell your surgeon, anaesthetist and dentist that you use Horsechestnut.
Contains ethanol.
Keep out of reach of children.