Roasted Aconite Lateral Root … Safety & Interactions
Pao Fu Zi · 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
- Pao Fu Zi remains highly toxic despite processing and should only be used as an authenticated prepared product under experienced supervision.
- Pre-decoction is standard because inadequate cooking leaves dangerous diester alkaloids active.
- Early poisoning can present with oral numbness, tingling, nausea, vomiting, diarrhea, weakness, hypotension, and life-threatening ventricular arrhythmias.
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.