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  • Our Travel Feeding Pillow provides a snug resting place for baby’s head with comfortable positioning to support baby’s posture. Adjustable and easy to slip on and off your arm
. Convenient size for traveling. Non-allergenic hollow-fibre filling.
  • Protect your nipples for comfortable breastfeeding 100% Cotton, soft brushed flannel for “baby-soft” gentle comfort. Designed to stay in position without uncomfortable shifting. The highly absorbent cotton microfiber lining helps to prevent leakage and keep your breasts dry to reduce the possibility of cracked nipples. 2 Pairs
  • ALVEGA-3 capsules

    R289,00 incl VAT
    FLORA FORCE® ALVEGA-3 capsules contain vegan friendly, non-GMO, high quality purified DHA Omega-3 oil, sourced straight from the origin - marine algae. Because it’s high in DHA, this vegan friendly soft gel capsule is essential to a healthy brain and nervous system. FLORA FORCE® Alvega-3 capsules are 100% free from:
    • Added sugar or lactose
    • Artificial colourants or flavourants
  • We obtain our organic wheatgrass powder from young shoots of wheat. It is harvested when the plant has the highest concentration of vitamins, minerals and chlorophyll. Wheatgrass has a high concentration of proteins and is rich in vitamins and minerals. The entire process of making this powder, from growing the plant, its extraction and up until its packaging, is carried out under environmentally friendly conditions.
  • Spirulina powder is from a type of algae that is fast becoming one of the most fashionable food supplements, although it dates back to the Aztecs. It is rich in proteins (more than 50% of its composition), which provide eight essential amino acids of the type that the body cannot synthesise. Its unique composition has inspired the UN to declare Spirulina algae as “Basic food for cases of malnutrition”.
  • The Shiitake mushroom is originally from East Asia. It has been cultivated for over 1,000 years, but there are earlier references to its consumption. In their place of origin these mushrooms grow on a tree called Shii. They are recognized by their brown hat with gray specks and aroma. Currently, the Shiitake is one of the main sources of protein in the diet of people in several Eastern countries, especially in Japan and China.
  • Reishi mushroom is difficult to find in nature. It is known for over three thousand years in Eastern culture and grown in trees such as oak, beech and maple in mild and tropical areas. The name "ganoderma" comes from the Greek words "ganos", meaning shine and "dermos", meaning skin, and the name of the species "Lucidum" comes from the Latin word "Lucidum", meaning shining. This mushroom is considered to be a Superfood because of its characteristic nutritional values.
  • Pea originated in the East, where people have been cultivating and consuming it for more than 8,000 years. Drasanvi’s Pea Protein powder is a high quality, organic supplement. It is concentrated, has neutral flavor and provides an interesting option to add extra protein into a healthy diet. Pea protein is easy to digest and is rich in essential amino acids.
  • Maca is a root that only grows in the Peruvian Andes, at an altitude of 4000 meters above sea level. Being rich in carbohydrates and in vitamin B3 (Niacin), it helps reduce tiredness and fatigue. It was used by the Inca culture for centuries and the etymology of the word tells us a lot about the plant itself: “ma” means “sourced at high altitudes” and “ca” means “good food that strengthens the body”.
  • Organic Coconut sugar is obtained from the nectar of the flowers that grow on coconut trees. This substance has been commonly used in Asian countries since ancient times. In recent years the use of coconut sugar has become increasingly popular, due to its low glycaemic index and its delicious caramel-like flavour. Coconut sugar is an organic sugar: it is produced and processed from sustainable sources and is thought to be one of the world’s most environmentally friendly and sustainable sugars.
  • Chlorella is known to help… strengthen the immune system, flush toxins and remove heavy metals, enhance skin regeneration, lower cholesterol and blood sugar, mop up free radicals to prevent disease, cleanse the digestive tract, keep the brain sharp Chlorella is an excellent source of… protein, iron, vitamin B12, vitamin C, zinc See Nutrition Facts for more detail
  • Although Chia seeds is one of the trendy superfoods, its use as staple food goes back to the ancient Mayan and Aztec civilizations. And with good reason, since Chia seeds are very rich in nutrients and are full of vitamins, minerals and Omega 3 fatty acids, 6 and 9. In addition, they have a high fiber content. Another advantage is that they are very easy to digest and mix with other foods. It is characterized by a pleasant taste, slightly soft and similar to the walnut. Chia seeds, when combined with liquid, absorb between 10 and 12 times their weight in water, forming a bulky gel. In this way, it becomes a very versatile ingredient to enrich your recipes, and as a thickener for sauces or soups.
  • Organic hemp seeds have high levels of proteins, providing all the essential amino acids, and omega 3, 6 and 9. Drasanvi’s hemp seeds are selected by hand to ensure we pick only the top quality seeds. Once they have been selected, they are cleaned with water to remove the outer shells, which makes them easier to digest. This entire process follows the quality standards of organic farming.
  • Drasanvi’s Broccoli Powder is prepared from certified organic plants newly harvested. Stems and flower buds are washed, dried and pulverized, yielding a high quality fine powder. Drasanvi’s Broccoli Superfood is high in fiber (27,64g of fiber per 100g of product). It is a rich source of protein, specifically 43% of its energetic value, which makes Broccoli Superfood an excellent addition to any healthy protein shake. It contains Vitamin C, which contributes to the normal function of the immune system and to the protection of cells from oxidative stress.
  • Birch sugar, also known as xylitol, is a delicious sugar substitute. It is sourced from birch bark but it can also be extracted from other plants. It has a refreshing taste very similar to sucrose. The difference between this and sugar is that it has 40% fewer calories and glycaemic index of around 7, over 9 times lower than the 64 for sugar. In addition to its pleasant taste and low glycaemic index, it also helps maintain healthy teeth and contributes to their mineralisation.
  • Green barley grass is harvested from young barley plants no taller than 25cm. By using these young plants, we ensure that optimal minerals and vitamins are retained in the plant’s leaves. Of particular note are the high levels of chlorophyll present in green barley (chlorophyll is the plant equivalent of haemoglobin in humans). There are some differences between barley kernels (as cooked in cereal or other dishes) and green barley grass, the most notable of which is the presence of chlorophyll in the latter.
  • FLORA FORCE® SLEEP capsules are used traditionally to support natural sleep patterns. Vege caps. Free from additives, sugar and lactose.

    PATIENT INFORMATION LEAFLET

    Information for the Patient about FLORA FORCE® SLEEP Capsules

    UNDERGOING REVISION, please contact us for information.
    FLORA FORCE® SLEEP Capsules UNDERGOING REVISION, please contact us for information.

    Herb Library

    Explore our Herb Library for additional information on traditional uses of herbs.

    Related blog articles

    Read more about sleep in our blog 'Sleep: do you get enough sleep to leap out of bed and keep you healthy?'.
  • Treatment to relieve the symptoms of all sinus-related conditions: acute and chronic sinusitis, post-nasal drip with associated headache, throat and cough symptoms. Congestion of the mucous membranes, pain and inflammation are all relieved through the synergistic action of the herbal anti-inflammatory constituents in the formula. Infection is reduced by anti-microbial and anti-catarrhal action together with immune stimulation to resist infection. 50ml herbal tinctures. Ingredients: Each 3ml contains the equivalent of: 60mg Hydrastis canadensis, 60mg Sambucus nigra, 60mg Euphrasia officinalis, 60mg Inula helenium, 30mg Foeniculum vulgare, 30mg Phytolacca decandra.
  • Treatment to rid body of intestinal parasites and nematode worms. Relieves symptoms associated with parasitic infestation. The synergistic combination acts as an anti-inflammatory, relieving abdominal pain, bloating and discomfort. Improves peristalsis and digestion. 350mg, 60 capsules. Ingredients: Each capsule contains: 100mg Artimisia africana powder, 70mg Foeniculum vulgare powder, 100mg Larrea mexicana powder, 30mg Syzygium aromatica powder, 30mg Picrasma excelsa powder, 20mg Rhamnus purshiana powder.
  • Supports lymphatic system. Anti-inflammatory action relieves congestion of lymphatic system and glands (swollen lymph nodes). Eases oedema and water retention. Lessens recurring infections. Improves energy levels and recovery after infections. Useful after tonsillitis, glandular fever, lymphangitis and cystitis. Important adjunct in treatment of ulcers resulting from congestive circulatory stasis. Useful support to relieve psoriasis. 50ml herbal tinctures. Ingredients: Each 3ml contains the equivalent of 50mg Echinacea spp., 100mg Hydrastis canadensis, 50mg Galium aperine, 100mg Phytolacca decandra.
  • An effective liver and digestive detoxifier. Relieves sluggishness, bloating and atonic constipation. Helps the body in waste clearance of accumulated by-products. Improves digestive, liver and kidney function. Liver FlushTM has a hepato-protective action, preventing damage from harmful chemicals and alcohol and aiding recovery of the liver. Constituents act as free radical scavengers and clear heavy metals. Acts as a blood purifier and improves circulation. It also has anti-fungal and anti-parasitic actions. 400mg, 60 capsules. Ingredients: Each capsule contains: 78mg Cinnamonium zeylenium powder, 78mg Centaurium erythraea powder, 78mg Rhamnus purshiana powder, 78mg Zingiber officinalis powder, 78mg Cynara scolymus.
  • An all-natural laxative to encourage healthy bowel functioning, lessen bloating and improve lazy bowel syndrome. 400mg, 60 capsules. Ingredients: Each capsule contains: 240mg Cassia angustifolia powder, 32mg Rhamnus purshiana powder, 32mg Sambucus nigra powder, 64mg Foeniculum vulgare powder, 32mg Ilex paraguariensis powder.
  • Eases coughing, relieves congestion and irritation of air passages. Loosens mucus. Now contains Pelargonium sidoides (Umckaloabo), which reduces infection and inflammation in air passages. Contains no additives – free from sugar, preservatives and colourants. Safe for children, diabetics and when participating in sport. 100ml herbal tinctures. Ingredients: Each 5ml contains the equivalent of: 26mg Pimpinella anisum, 1490mg Glycorrhiza glabra aqueous, 52mg Inula helenium, 52mg Marrubium vulgare, 52mg Prunus serotina, 52mg Pulmonaria officinalis, 52mg Pelargonium sidoides, 15mg Thymus vulgaris, 52mg Lobelia inflata. 30% Alcohol v/v.
  • FLORA FORCE® EAR CANDLES are used to relieve outer ear irritation and help ease the sensation of blocked ears. As the candle burns, the warmth, sound and aroma of the smoke are extremely relaxing, and the user may feel that the ear canal is less blocked. The candles contain tea tree and calming sage. 1 pair.
  • FLORA FORCE® DANDELION capsules traditionally used to support the body’s elimination functions. Vege caps. Free from additives, sugar and lactose.

    PATIENT INFORMATION LEAFLET

    Information currently undergoing revision, please return within the next 24 to 48 hours.
    Information currently undergoing revision, please return within the next 24 to 48 hours.

    Herb Library

    Explore our Herb Library for additional information on traditional uses of herbs.

    Related blog articles

    Read more about dandelion in our blog 'Looking after your bladder & kindeys.'.
  • Reduces inflammation, itching and swelling associated with thrush and symptoms associated with fungal infections. Lessens recurrence of fungal infections. 50ml herbal tinctures. Ingredients: Each 3ml contains the equivalent of: Hydrastis canadensis 60mg; Agathosma betulina 56mg; Hamamelis virginiana 21mg; Tabebuia impetiginosus 45mg; Commiphora mol-mol 21mg; Juniperus communis 10mg; Echinacea spp.; Baptisia tinctoria 21mg; Olea europea 21mg.
  • Relieves symptoms of colds and flu, congestion, fever, inflammation, headaches and swollen glands. Supports the immune system, helping to overcome infections and inflammation. The action is anti-inflammatory, decongestive, analgesic and immune stimulatory. The anti-hyaluronidase action inhibits the virus’s ability to enter cells. The action on the circulation stimulates removal of toxins and reduces congestion. 50ml herbal tinctures. Ingredients: Each 3ml contains the equivalent of: 66mg Sambucus nigra, 6mg Zingiber officinalis, 96mg Eupatorium perfoliatum, 33mg Phytolacca decandra, 33mg Echinacea spp., 51mg Fillipendula ulmaria, 15mg Capsicum minimum.
  • A complete, naturally occurring, balanced nutritional multi-mineral from the ocean. Improves function of thyroid, metabolism and provides minerals needed in mineral deficiency conditions. Anti-oxidant protective function. Aids digestion, laxative action, strengthens the immune system, provides essential minerals required for blood cell function. The demulcent action soothes mucous membrane irritation in the digestive and the respiratory systems. 500mg, 60 tablets.

    CAUTION

    West coast kelp contains high amounts of organic iodine and may cause over stimulation of the thyroid. Indicated dosage is for short-term slimming purposes. Avoid in cases of iodine sensitivity and thyroid conditions. Do not use this product long-term or on a continuous daily basis at the indicated dosage.
  • FLORA FORCE® TURMERIC capsules contain turmeric (Curcuma longa) root powder. Preliminary research suggests that turmeric and its constituent curcumin may have antioxidant effects. Our herbal capsules provide the true herb, dried and powdered, not standardised extracts or concentrations of single biochemicals extracted from the herbs. We use only Vege caps because we believe everyone should have access to true natural products, regardless of their religious requirements or nutritional preferences. FLORA FORCE® TURMERIC capsules are 100% free from:
    • Added sugar or lactose
    • Colourants or flavourants
    • Chemical inactives / additives (e.g. flow agents, exipients, fillers, etc.)
  • Supports treatment and relief of stress depression, anxiety syndromes, menopausal depression, pain syndromes such as neuralgia, fibrositis, fibromyalgia and sciatica. Aids treatment of enuresis, insomnia, vitilligo, burns and skin injuries. The anti-depressant action has its effect on three major neurotransmitters: serotonin, dopamine and nor-epinephrine. It lowers stress hormone levels (cortisol) and enhances GABA – a natural tranquiliser in the brain. 300mg, 60 capsules.
  • Adaptogenic tonic herb used in treating low energy states and fatigue. Improves vitality, restores normal sleep patterns, improves heart function. Helps recovery from long-term over-exertion from sport and physical stress. Supports recovery after chemotherapy and radiotherapy and during convalescence. May relieve hypertension, rheumatism, fibromyalgia, depression and Alzheimer’s. Supports recovery from drug addiction. Acts as hormonal regulator – useful in weight management. Siberian ginseng’s action is circulatory and as an immune stimulant. It has a detoxifying anti-inflammatory action. 400mg, 60 capsules.
  • FLORA FORCE® MILK THISTLE capsules has been traditionally used to to support liver health. Vege caps. Free from additives, sugar and lactose.

    PATIENT INFORMATION LEAFLET

    Information for the Patient about FLORA FORCE® MILK THISTLE Capsules

    Western herbal medicine This medicine has not been evaluated by the Medicines Control Council. This medicine is not intended to diagnose, treat, cure or prevent any disease. SCHEDULING STATUS: Not Scheduled PROPRIETARY NAME, STRENGTH AND PHARMACEUTICAL FORM: FLORA FORCE® MILK THISTLE Capsules
    Read all of this leaflet carefully because it contains important information for you. FLORA FORCE® MILK THISTLE capsules are available without a doctor’s prescription, for you to treat a mild illness. Nevertheless, you still need to use FLORA FORCE® MILK THISTLE capsules carefully to get the best results from it.
    • Keep this leaflet. You may need to read it again.
    • Do not share FLORA FORCE® MILK THISTLE capsules with any other person.
    • Ask your pharmacist if you need more information or advice.
    • You must see a registered healthcare practitioner if your symptoms worsen or do not improve.
    WHAT FLORA FORCE® MILK THISTLE CAPSULES CONTAIN: Each FLORA FORCE® MILK THISTLE capsule contains:
    ACTIVE INGREDIENT QUANTITY
    Silybum marianum seed powder 400 mg
    Inactive ingredients are vegetable capsules. FLORA FORCE® MILK THISTLE capsules are free from sugar and lactose.
    WHAT FLORA FORCE® MILK THISTLE CAPSULES ARE USED FOR: FLORA FORCE® MILK THISTLE capsules capsules are used traditionally to support liver health. BEFORE YOU TAKE FLORA FORCE® MILK THISTLE CAPSULES: Do NOT take FLORA FORCE® MILK THISTLE capsules:
    • If you have a hypersensitivity to plants from the Asteraceae family (see “Take special care with FLORA FORCE® MILK THISTLE capsules”).
    • If you have a hormone-sensitive condition or cancer (see “Take special care with FLORA FORCE® MILK THISTLE capsules”).
    • If you have diabetes (see “Take special care with FLORA FORCE® MILK THISTLE capsules”).
    • Surgery (see “Take special care with FLORA FORCE® MILK THISTLE capsules”).
    • Pregnancy and lactation (see “Pregnancy and breastfeeding”).
    Take special care with FLORA FORCE® MILK THISTLE capsules: Please discuss the use of FLORA FORCE® MILK THISTLE capsules with your pharmacist or registered healthcare practitioner if you:
    • Have a hypersensitivity to plants from the Asteraceae family. Members of this family include sunflowers, chrysanthemums, marigolds and daisies (see “Do NOT take FLORA FORCE® MILK THISTLE capsules”).
    • Suffer from Diabetes. You may have to arrange increased monitoring of your blood sugar levels (see “Do NOT take FLORA FORCE® MILK THISTLE capsules”).
    • Suffer from a hormone sensitive condition or cancer. Milk thistle might act like oestrogen. Until more is known, avoid using milk thistle. (see “Do NOT take FLORA FORCE® MILK THISTLE capsules”).
    • Are undergoing surgery, discontinue use at least 2 weeks prior to the procedure (see “Do NOT take FLORA FORCE® MILK THISTLE capsules”).
    • Take warfarin or other blood thinning medicines. You may have to arrange increased monitoring of your INR (International Normalised Ratio) levels when starting or stopping treatment with FLORA FORCE® MILK THISTLE capsules (see “Taking other medicines with FLORA FORCE® MILK THISTLE capsules”).
    The use of FLORA FORCE® MILK THISTLE capsules in children and adolescents under 18 years of age is not recommended due to lack of adequate data (see “HOW TO TAKE FLORA FORCE® MILK THISTLE capsules”). Taking FLORA FORCE® MILK THISTLE capsules with food and drink: FLORA FORCE® MILK THISTLE capsules should be taken after meals with water. Pregnancy and breastfeeding: Safety of FLORA FORCE® MILK THISTLE capsules during pregnancy and breastfeeding has not been established. Avoid taking FLORA FORCE® MILK THISTLE capsules if you are pregnant or breastfeeding.
    If you are pregnant or breastfeeding your baby, please consult your doctor, pharmacist or registered healthcare practitioner for advice before taking FLORA FORCE® MILK THISTLE capsules.
    Driving and using machinery: No studies on the effect on the ability to drive and use machinery have been performed.  It is unlikely that FLORA FORCE® MILK THISTLE capsules will impair your ability to drive or use machines. However, please exercise care when driving or operating machinery until you know how FLORA FORCE® MILK THISTLE capsules affects you. Important information about some of the ingredients of FLORA FORCE® MILK THISTLE capsules: FLORA FORCE® MILK THISTLE capsules are sugar free. Taking other medicines with FLORA FORCE® MILK THISTLE capsules:
    Always tell your pharmacist or registered healthcare practitioner if you are taking any other medicine (this includes complementary or traditional medicines).
    Discuss the use of the following medicines in combination with FLORA FORCE® MILK THISTLE capsules with your pharmacist or registered healthcare practitioner:
    • Anti-diabetic medicines as FLORA FORCE® MILK THISTLE may further lower blood sugar levels. Monitor you blood sugar levels regularly if you are using FLORA FORCE® MILK THISTLE capsules and anti-diabetic medicines in combination
    • Medicines changed and broken down by the liver (Cytochrome P450 2C9 (CYP2C9) substrates) (such as amitriptyline, diazepam, verapamil, warfarin and zileuton), as FLORA FORCE® MILK THISTLE capsules could increase effects and side effects of these medicines.
    • Medicines changed and broken down by the liver (Cytochrome P450 2D6 (CYP2D6) substrates) (such as tricyclic antidepressants imipramine, amitriptyline; antipsychotics haloperidol, risperidone, chlorpromazine; beta-blockers propranolol, metoprolol and carvedilol; tamoxifen and others) as FLORA FORCE® MILK THISTLE capsules could increase effects and side effects of these medicines.
    • Medicines changed and broken down by the liver (Cytochrome P450 (CYP3A4) substrates) (such as tamoxifen, alprazolam, amlodipine, clarithromycin, cyclosporine, erythromycin, lovastatin, ketoconazole, itraconazole, fexofenadine, triazolam, verapamil and others) as FLORA FORCE® MILK THISTLE capsules could increase or decrease effects of these medicines.
    • Medications changed and broken down by the liver (glucuronidated medication) (such as acetaminophen, oxazepam, haloperidol, lamotrigine, morphine, zidovudine, raloxifene and estrogen) as FLORA FORCE® MILK THISTLE capsules could increase or decrease effectiveness of these medicines.
    • Medications activated by cell plasma membrane systems (P-Glycoprotein Substrates) (such as chemotherapeutic agents, anti-fungals, protease inhibitors, H2 agonists, calcium channel blockers, digoxin, corticosteroids, erythromycin, cisapride, fexofenadine, cyclosporine, loperamide and quinidine) as FLORA FORCE® MILK THISTLE capsules may affect the activity of these systems and increase how much of some medications get absorbed.
    • Warfarin or other blood thinning medicines. FLORA FORCE® MILK THISTLE capsules may potentially increase the effect of blood thinning medicines (see “Take special care with FLORA FORCE® MILK THISTLE capsules”).
    HOW TO TAKE FLORA FORCE® MILK THISTLE CAPSULES: Do not share medicines prescribed to you with any other person. Always take FLORA FORCE® MILK THISTLE capsules exactly as directed. You should check with your pharmacist or registered healthcare practitioner if you are unsure. DO NOT EXCEED THE RECOMMENDED DAILY DOSAGE. Adults (18 years and older): Take 1 - 2 capsules daily with meals or as directed by your pharmacist or registered healthcare professional. Children (under 18 years of age): Not recommended for use (see “Take special care with FLORA FORCE® MILK THISTLE capsules”). FLORA FORCE® MILK THISTLE capsules may be taken for a period of up to 12 weeks followed by an interval of 1 week after which the next 12-week cycle can commence. However, should you experience any adverse effects or any of the side effects indicated below please consult your pharmacist or registered healthcare practitioner. If you take more FLORA FORCE® MILK THISTLE capsules than you should: In the event of over dosage, consult your pharmacist or registered healthcare practitioner. If neither is available, contact the nearest hospital or poison control centre. If you forget to take FLORA FORCE® MILK THISTLE capsules: Always take FLORA FORCE® MILK THISTLE capsules as directed.  If you miss a dose, take it as soon as you remember.  If you do not remember the missed dose till the next dose is due, skip the missed dose and go back to your regular dosing schedule of 1-2 capsules twice daily. Do not take a double dose to make up for forgotten individual doses. POSSIBLE SIDE-EFFECTS: FLORA FORCE® MILK THISTLE capsules may have side-effects. Not all side-effects reported for FLORA FORCE® MILK THISTLE capsules are included in this leaflet. Should your general health worsen or if you experience any untoward effects while taking FLORA FORCE® MILK THISTLE capsules, please consult your pharmacist or registered healthcare practitioner for advice. Serious side-effects that you (or a family member if you are unable to) should report to your pharmacist or registered healthcare practitioner immediately include:
    • An allergic reaction which may present with shortness of breath, difficulty breathing, wheezing, hives, or itching, swelling of the face, tongue or whole body.
    Side-effects that you should report to your pharmacist or registered healthcare practitioner as soon as possible:
    • Joint pain and swelling, involuntary muscle contractions.
    Side-effects that you should report to your pharmacist or registered healthcare practitioner if they continue or become bothersome include:
    • Gastrointestinal disturbances, such as:
      • Nausea, vomiting, bloating, heartburn, stomach discomfort, diarrhoea, pain, wind, constipation and appetite loss.
    • Nasal congestion, runny nose, post-nasal drip, sneezing, red eyes, itching of nose and eyes.
    If you notice any side-effects not mentioned in this leaflet, please inform your pharmacist or registered healthcare practitioner. STORING AND DISPOSING OF FLORA FORCE® MILK THISTLE capsules: Store at or below 25ºC in a dry place. Protect from light / moisture. Do not take the capsules after the expiry date stated on the packaging material. Return all unused capsules to your pharmacist. Do not dispose of unused capsules in drains or sewerage systems (e.g. toilets). STORE ALL MEDICINE OUT OF THE REACH OF CHILDREN. PRESENTATION OF FLORA FORCE® MILK THISTLE capsules: 60 Capsules packed into 125ml amber glass bottle with light green screw cap and safety seal insert, packed in a box. IDENTIFICATION: Clear size 0 all vegetable capsule containing pale green herbal powder. REGISTRATION NUMBER/REFERENCE NUMBER: To be allocated. NAME AND BUSINESS ADDRESS OF THE HOLDER OF THE CERTIFICATE OF REGISTRATION: Flora Force Heath Products (Pty) Ltd. Unit 3 Regent Park Bell Crescent Westlake Cape Town South Africa DATE OF PUBLICATION: 14/05/2018
    FLORA FORCE® MILK THISTLE Capsules Western herbal medicine This medicine has not been evaluated by the Medicines Control Council. This medicine is not intended to diagnose, treat, cure or prevent any disease. SCHEDULING STATUS: Not Scheduled PROPRIETARY NAME (AND DOSAGE FORM): FLORA FORCE® MILK THISTLE Capsules COMPOSITION: Each FLORA FORCE® MILK THISTLE capsule contains:
    ACTIVE INGREDIENT QUANTITY
    Silybum marianum seed powder 400 mg
    Inactive ingredients: vegetable capsules FLORA FORCE® MILK THISTLE capsules are free from sugar and lactose. PHARMACOLOGICAL CLASSIFICATION: D 33.6 Complementary Medicines: Discipline-specific Traditional Claims. Western Herbal Medicine. PHARMACOLOGICAL ACTION: Pharmacodynamic properties: Silybum marinaum seeds contain silymarin, which is a mixture of flavolignans including silybin A, silybin B, isosilybin A, isosilybin B, silydianin, silychristin and silibinin. The therapeutic activity of silymarin is based on two sites or mechanisms of action. Firstly, silymarin seems to alter outer hepatocyte cell membranes, stabilizing them and inhibiting binding and penetration of toxins. Secondly, silymarin, silibinin and silybin stimulate DNA polymerase in hepatocytes, increasing ribosomal RNA and protein synthesis, which can simulate liver cell regeneration. INDICATIONS: FLORA FORCE® MILK THISTLE capsules are used traditionally to support liver health. CONTRA-INDICATIONS: FLORA FORCE® MILK THISTLE capsules are contra-indicated in patients with:
    • A hypersensitivity to plants from the Asteraceae family (see “WARNINGS AND SPECIAL PRECAUTIONS”).
    • Diabetes (see “WARNING AND SPECIAL PRECAUTIONS”).
    • Hormone-sensitive conditions or cancers (see “WARNINGS AND SPECIAL PRECAUTIONS”).
    • Surgery (see “WARNINGS AND SPECIAL PRECAUTIONS”).
    • Pregnancy and lactation (see “PREGNANCY AND LACTATION”).
    WARNINGS AND SPECIAL PRECAUTIONS: Silybum marianum seed may cause an allergic reaction in individuals sensitive to plants from the Asteraceae family. Members of this family include sunflowers, chrysanthemums, marigolds and daisies (see “CONTRA-INDICATIONS”). FLORA FORCE® MILK THISTLE capsules should be used with care in patients with diabetes as Silybum marianum constituents may decrease blood sugar levels. Diabetic patients should monitor their blood sugar levels when taking FLORA FORCE® MILK THISTLE capsules (see “CONTRA-INDICATIONS”). FLORA FORCE® MILK THISTLE capsules should be used with care in patients with hormone-sensitive conditions or cancers. Theoretically, silymarin might have mild estrogenic effects. Until more is known, advise women with hormone-sensitive conditions to avoid using milk thistle (see “CONTRA-INDICATIONS”). FLORA FORCE® MILK THISTLE capsules should be used with care in patients undergoing surgery. Patients should discontinue use at least 2 weeks before elective surgical procedures (see “CONTRA-INDICATIONS”). When starting, or stopping treatment with Silybum marianum containing products, including FLORA FORCE® MILK THISTLE capsules, patients taking warfarin (or other coumarin anti-coagulants) should have increased monitoring of their INR (International Normalised Ratio) levels (see “INTERACTIONS”). The use of FLORA FORCE® MILK THISTLE capsules in children and adolescents under 18 years of age is not recommended due to lack of adequate data (see “DOSAGE AND DIRECTIONS FOR USE”). Effects on the ability to drive or use machinery: No studies on the effect of FLORA FORCE® MILK THISTLE capsules on the ability to drive or operate machines have been performed. It is unlikely that FLORA FORCE® MILK THISTLE capsules will affect the ability to drive or operate machines. INTERACTIONS: Theoretically, Silybum marianum, as in FLORA FORCE® MILK THISTLE capsules, may enhance the blood glucose lowering effects of anti-diabetic medicines. Patients on anti-diabetic medicines should monitor their glucose levels closely when taking FLORA FORCE® MILK THISTLE capsules. There is preliminary evidence that Silybum marianum constituents might inhibit CYP2C9 and CYP2D6 enzymes and increase bio-availability of medicines metabolised by cytochrome P450 2C9 (CYP2C9) and P450 2D6 (CYP2D6). Patients taking medicines metabolised by these enzymes should use FLORA FORCE® MILK THISTLE capsules cautiously and watch for increase in levels of drugs metabolized by CYP2PC9 and CYP2D6. Some medicine metabolized by CYP2C9 include amitriptyline, diazepam, verapamil, warfarin, zileuton and others. Some medicine metabolized by CYP2D6 include tricyclic antidepressants such as imipramine and amitriptyline; antipsychotics such as haloperidol, risperidone and chlorpromazine; beta-blockers such as propranolol, metoprolol and carvedilol; tamoxifen and others. There is contradictory evidence that Silybum marianum may inhibit CYP3A4 enzymes and increase bioavailability of medicines metabolised by cytochrome P450 isoenzymes CYP3A4. Until more is known patients taking medicines metabolised by these enzymes should use FLORA FORCE® MILK THISTLE capsules cautiously. These medicines include alprazolam, amlodipine, clarithromycin, cyclosporine, erythromycin, lovastatin, ketoconazole, itraconazole, fexofenadine, triazolam, verapamil and others. Theoretically, Silybum marianum constituents might affect the clearance of medication that undergo glucuronidation. Until more is known patients taking medication that undergo glucuronidation should use FLORA FORCE® MILK THISTLE capsules cautiously. These medicines include acetaminophen, oxazepam, haloperidol, lamotrigine, morphine, raloxifene, zidovudine and estrogen. Theoretically, Silybum marianum might increase levels of p-glycoprotein substrates.  Some of these medicines include chemotherapeutic agents, anti-fungals, protease inhibitors, H2 agonists, calcium channel blockers, digoxin, corticosteroids, erythromycin, cisapride, fexofenadine, cyclosporine, loperamide and quinidine. Silybum marianum, FLORA FORCE® MILK THISTLE capsules, may potentially increase the effect of warfarin when taken concomitantly. Patients taking warfarin should have their INR levels monitored more frequently when taking FLORA FORCE® MILK THISTLE capsules (see “WARNINGS AND SPECIAL PRECAUTIONS”). PREGNANCY AND LACTATION: The safety and efficacy of FLORA FORCE® MILK THISTLE ® capsules during pregnancy and lactation have not been established. Capsules should therefore not be taken during pregnancy and lactation. DOSAGE AND DIRECTIONS FOR USE: The recommended daily dose should not be exceeded. Do not tamper with capsule. Adults (18 years and older): Take 1-2 capsules twice daily with meals or as prescribed. Children (under 18 years of age): Not recommended for use (see “WARNINGS AND SPECIAL PRECAUTIONS”). SIDE-EFFECS: The following side-effects may occur with the use of FLORA FORCE® MILK THISTLE capsules. Skin and subcutaneous disorders: Frequency unknown:         Pruritis and skin rash. Musculoskeletal, connective tissue and bone disorders: Frequency unknown:         Arthralgia and tremor. Respiratory, thoracic and mediastinal disorders Frequency unknown:         Allergy and anaphylaxis. Gastro-intestinal disorders: Frequency unknown:         Nausea, vomiting, bloating, heartburn, dyspepsia, dysgeusia, diarrhoea, pain, flatulence, constipation and appetite loss. KNOWN SYMPTOMS OF OVERDOSAGE AND PARTICULARS OF ITS TREATMENTS: None known. Contact a poison control centre in area. IDENTIFICATION: Clear size 0 all vegetable capsule containing pale green herbal powder. PRESENTATION: 60 Capsules packed in a 125ml amber glass bottle with light green screw cap and safety seal insert, in a box. STORAGE INSTRUCTIONS: Store at or below 25 ºC in a dry place. Protect from light. KEEP OUT OF REACH OF CHILDREN. REGISTRATION NUMBER: To be allocated. NAME AND BUSINESS ADDRESS OF THE HOLDER OF THE CERTIFICATE OF REGISTRATION: Flora Force Heath Products (Pty) Ltd. Unit 3 Regent Park Bell Crescent Westlake Cape Town South Africa DATE OF PUBLICATION: To be allocated.

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  • FLORA FORCE® GOTU KOLA capsules are used traditionally to support peripheral circulation. Vege caps. Free from additives, sugar and lactose.

    PATIENT INFORMATION LEAFLET

    Information for the Patient about FLORA FORCE® GOTU KOLA Capsules

    Western herbal medicine This medicine has not been evaluated by the Medicines Control Council. This medicine is not intended to diagnose, treat, cure or prevent any disease. SCHEDULING STATUS: Not Scheduled PROPRIETARY NAME, STRENGTH AND PHARMACEUTICAL FORM: FLORA FORCE® GOTU KOLA Capsules
    Read all of this leaflet carefully because it contains important information for you. FLORA FORCE® GOTU KOLA capsules are available without a doctor’s prescription, for you to treat a mild illness. Nevertheless, you still need to use FLORA FORCE® GOTU KOLA capsules carefully to get the best results from it.
    • Keep this leaflet. You may need to read it again.
    • Do not share FLORA FORCE® GOTU KOLA capsules with any other person.
    • Ask your pharmacist if you need more information or advice.
    • You must see a registered healthcare practitioner if your symptoms worsen or do not improve.
    WHAT FLORA FORCE® GOTU KOLA CAPSULES CONTAIN: Each FLORA FORCE® GOTU KOLA capsule contains:
    ACTIVE INGREDIENT QUANTITY
    Centella asiatica seed powder 400 mg
    Inactive ingredients are vegetable capsules. FLORA FORCE® GOTU KOLA capsules are free from sugar and lactose.
    WHAT FLORA FORCE® GOTU KOLA CAPSULES ARE USED FOR: FLORA FORCE® GOTU KOLA capsules is a traditional herbal medicine indicated to support peripheral circulation. BEFORE YOU TAKE FLORA FORCE® GOTU KOLA CAPSULES: Do NOT take FLORA FORCE® GOTU KOLA capsules:
    • If you are allergic to any of the ingredients in FLORA FORCE® GOTU KOLA capsules.
    • If you have a liver disease (see “Take special care with FLORA FORCE® GOTU KOLA capsules”).
    • If you are undergoing surgery (see “Take special care with FLORA FORCE® GOTU KOLA capsules”).
    • If you are pregnant and breastfeeding (see “Pregnancy and breastfeeding”)
    Take special care with FLORA FORCE® GOTU KOLA capsules: Please discuss the use of FLORA FORCE® GOTU KOLA capsules with your pharmacist or registered healthcare practitioner if you:
    • Suffer from liver disease. Gotu Kola, as in FLORA FORCE® GOTU KOLA capsules, may worsen liver disease such as hepatitis or cholestasis. You should avoid taking FLORA FORCE® GOTU KOLA capsules if you have liver disease (see “Do NOT take FLORA FORCE® GOTU KOLA capsules”).
    • Are undergoing surgery, discontinue use at least 2 weeks prior to the procedure (see “Do NOT take FLORA FORCE® GOTU KOLA capsules”).
    • Take sedatives or other CNS depressant medicines as FLORA FORCE® GOTU KOLA capsules may increase its effects.  You should avoid taking FLORA FORCE® GOTU KOLA capsules in conjunction with CNS depressants (see “Taking other medicines with FLORA FORCE® GOTU KOLA capsules”).
    • Take hepatotoxic medication.  FLORA FORCE® GOTU KOLA capsules may increase the risk of liver damage if taken with other potentially hepatotoxic medication (see “Taking other medicines with FLORA FORCE® GOTU KOLA capsules”).
    The use of FLORA FORCE® GOTU KOLA capsules in children and adolescents under 18 years of age is not recommended due to lack of adequate data (see “HOW TO TAKE FLORA FORCE® GOTU KOLA capsules”). Taking FLORA FORCE® GOTU KOLA capsules with food and drink: FLORA FORCE® GOTU KOLA capsules should be taken after meals with water. Pregnancy and breastfeeding: Safety of FLORA FORCE® GOTU KOLA capsules during pregnancy and breastfeeding has not been established. Avoid taking FLORA FORCE® GOTU KOLA capsules if you are pregnant or breastfeeding.
    If you are pregnant or breastfeeding your baby, please consult your doctor, pharmacist or registered healthcare practitioner for advice before taking FLORA FORCE® GOTU KOLA capsules.
    Driving and using machinery: No studies on the effect on the ability to drive and use machinery have been performed. It is unlikely that FLORA FORCE® GOTU KOLA capsules will impair your ability to drive or use machines. However, please exercise care when driving or operating machinery until you know how FLORA FORCE® GOTU KOLA capsules affects you. Important information about some of the ingredients of FLORA FORCE® GOTU KOLA capsules: FLORA FORCE® GOTU KOLA capsules are sugar free. Taking other medicines with FLORA FORCE® GOTU KOLA capsules:
    Always tell your pharmacist or registered healthcare practitioner if you are taking any other medicine (this includes complementary or traditional medicines).
    Discuss the use of the following medicines in combination with FLORA FORCE® GOTU KOLA capsules with your pharmacist or registered healthcare practitioner:
    • CNS depressants as FLORA FORCE® GOTU KOLA capsules may increase its effects and side effects (see “Take special care with FLORA FORCE® GOTU KOLA capsules).
    • Hepatotoxic medication as FLORA FORCE® GOTU KOLA capsules may increase their potential to cause liver damage (see “Take special care with FLORA FORCE® GOTU KOLA capsules”).
    HOW TO TAKE FLORA FORCE® GOTU KOLA CAPSULES: Do not share medicines prescribed to you with any other person. Always take FLORA FORCE® GOTU KOLA capsules exactly as directed. You should check with your pharmacist or registered healthcare practitioner if you are unsure. DO NOT EXCEED THE RECOMMENDED DAILY DOSAGE. Adults (18 years and older): Take 1 - 2 capsules twice daily with meals or as directed by your pharmacist or registered healthcare professional. Children (under 18 years of age): Not recommended for use (see “Take special care with FLORA FORCE® GOTU KOLA capsules”). FLORA FORCE® GOTU KOLA capsules may be taken for a period of up to 12 weeks followed by an interval of 1 week after which the next 12-week cycle can commence. However, should you experience any adverse effects or any of the side effects indicated below please consult your pharmacist or registered healthcare practitioner. If you take more FLORA FORCE® GOTU KOLA capsules than you should: In the event of over dosage, consult your pharmacist or registered healthcare practitioner. If neither is available, contact the nearest hospital or poison control centre. If you forget to take FLORA FORCE® GOTU KOLA capsules: Always take FLORA FORCE® GOTU KOLA capsules as directed. If you miss a dose, take it as soon as you remember. If you do not remember the missed dose till the next dose is due, skip the missed dose and go back to your regular dosing schedule of 1-2 capsules twice daily. Do not take a double dose to make up for forgotten individual doses. POSSIBLE SIDE-EFFECTS: FLORA FORCE® GOTU KOLA capsules may have side-effects. Not all side-effects reported for FLORA FORCE® GOTU KOLA capsules are included in this leaflet. Should your general health worsen or if you experience any untoward effects while taking FLORA FORCE® GOTU KOLA capsules, please consult your pharmacist or registered healthcare practitioner for advice. Serious side-effects that you (or a family member if you are unable to) should report to your pharmacist or registered healthcare practitioner immediately include:
    • An allergic reaction which may present with shortness of breath, difficulty breathing, wheezing, hives, or itching, swelling of the face, tongue or whole body.
    • Stomach pain, stomach irritation and nausea.
    • Signs of decreased blood sugar such as light headedness, blurred vision and confusion.
    • Sedation
    Side-effects that you should report to your pharmacist or registered healthcare practitioner as soon as possible:
    • Increased light sensitivity.
    If you notice any side-effects not mentioned in this leaflet, please inform your pharmacist or registered healthcare practitioner. STORING AND DISPOSING OF FLORA FORCE® GOTU KOLA capsules: Store at or below 25ºC in a dry place. Protect from light / moisture. Do not take the capsules after the expiry date stated on the packaging material. Return all unused capsules to your pharmacist. Do not dispose of unused capsules in drains or sewerage systems (e.g. toilets). STORE ALL MEDICINE OUT OF THE REACH OF CHILDREN. PRESENTATION OF FLORA FORCE® GOTU KOLA capsules: 60 Capsules packed into 125ml amber glass bottle with light green screw cap and safety seal insert, packed in a box. IDENTIFICATION: Clear size 0 all vegetable capsule containing pale brown powder. REGISTRATION NUMBER/REFERENCE NUMBER: To be allocated. NAME AND BUSINESS ADDRESS OF THE HOLDER OF THE CERTIFICATE OF REGISTRATION: Flora Force Heath Products (Pty) Ltd. Unit 3 Regent Park Bell Crescent Westlake Cape Town South Africa DATE OF PUBLICATION: To be allocated
    FLORA FORCE® GOTU KOLA Capsules Western herbal medicine This medicine has not been evaluated by the Medicines Control Council. This medicine is not intended to diagnose, treat, cure or prevent any disease. SCHEDULING STATUS: Not Scheduled PROPRIETARY NAME (AND DOSAGE FORM): FLORA FORCE® GOTU KOLA Capsules COMPOSITION: Each FLORA FORCE® GOTU KOLA capsule contains:
    ACTIVE INGREDIENT QUANTITY
    Centella asiatica herb powder 400 mg
    Inactive ingredients: vegetable capsules FLORA FORCE® GOTU KOLA capsules are free from sugar and lactose. PHARMACOLOGICAL CLASSIFICATION: D 7.6 Vascular medicine – Other. PHARMACOLOGICAL ACTION: Pharmacodynamic properties: The major principles in Centella asiatica are the triterpenes, asiatic acid and madecassic acid, and their derived triterpene ester glycosides, asiaticoside and madecassoside.  The total triterpenic fraction of Centella asiatica (TTFCA) has been noted to reduce ankle edema, foot swelling, and capillary filtration rate, as well as to improve micro-circulatory parameters in subjects with reported venous insufficiency of the lower extremities. INDICATIONS: FLORA FORCE ® GOTU KOLA capsules is a traditional herbal medicine indicated to support peripheral circulation. CONTRA-INDICATIONS: FLORA FORCE® GOTU KOLA capsules are contra-indicated in patients with:
    • A hypersensitivity to any of the ingredients in FLORA FORCE® GOTU KOLA capsules.
    • Liver disease (see “WARNING AND SPECIAL PRECAUTIONS”).
    • Surgery (see “WARNINGS AND SPECIAL PRECAUTIONS”).
    • Pregnancy and lactation (see “PREGNANCY AND LACTATION”).
    WARNINGS AND SPECIAL PRECAUTIONS: FLORA FORCE® GOTU KOLA capsules should be used with care in patients with liver disease.  Theoretically, Centella asiatica as in FLORA FORCE® GOTU KOLA capsules, might exacerbate liver problems in patients with existing liver disease such as hepatitis and cholestasis.  Advise these patients to avoid taking FLORA FORCE® GOTU KOLA capsules (see “CONTRAINDICATIONS”). FLORA FORCE® GOTU KOLA capsules should be used with care in patients undergoing surgery.  Theoretically, Centella asiatica as in FLORA FORCE® GOTU KOLA capsules, might cause additive CNS depression when combined with anaesthesia and other medications during and after surgical procedures.  Patients should discontinue use at least 2 weeks before elective surgical procedures (see “CONTRAINDICATIONS”). Centella asiatica, as in FLORA FORCE® GOTU KOLA capsules, may increase the effect and side effects of CNS depressant and sedative medications when taken in simultaneously  Patients taking these medications should use FLORA FORCE® GOTU KOLA capsules with caution and be monitored closely (see “INTERACTIONS”). The use of FLORA FORCE ® GOTU KOLA capsules in children and adolescents under 18 years of age is not recommended due to lack of adequate data (see “DOSAGE AND DIRECTIONS FOR USE”). Effects on the ability to drive or use machinery: No studies on the effect of FLORA FORCE® GOTU KOLA capsules on the ability to drive or operate machines have been performed.  It is unlikely that FLORA FORCE® GOTU KOLA capsules will affect the ability to drive or operate machines. INTERACTIONS: Theoretically, Centella asiatica, as in FLORA FORCE® GOTU KOLA capsules, if taken with CNS depressants and sedative medication might cause additive effects and side effects Some of these medications include clonazepam, lorazepam, phenobarbital, zolpidem, and others (see “WARNINGS AND SPECIAL PRECAUTIONS”). There is some concern that Centella asiatica, as in FLORA FORCE® GOTU KOLA capsules, might cause hepatotoxicity in some patients.  Theoretically, concomitant use with other potentially hepatotoxic medications might increase the risk of liver damage.  Some of these medications acarbose, amiodarone, atorvastatin, azathioprine, carbamazepine, cerivastatin, diclofenac, felbamate, fenofibrate, fluvastatin, gemfibrozil, isoniazid, itraconazol, ketoconazole, leflunomide, lovastatin, methotrexate, nevirapine, niacin, nitrofurantoin, pioglitazone, pravastatin, pyrazinamide, rifampin, ritonavir, rosiglitazone, simvastatin, tacrine, tamoxifen, terbinafine, valproic acid, and zileuton (see “WARNINGS AND SPECIAL PRECAUTIONS”). PREGNANCY AND LACTATION: The safety and efficacy of FLORA FORCE ® GOTU KOLA capsules during pregnancy and lactation have not been established.   Capsules should therefore not be taken during pregnancy and lactation. DOSAGE AND DIRECTIONS FOR USE: The recommended daily dose should not be exceeded. Do not tamper with capsule. Adults (18 years and older): Take 1-2 capsules twice daily with meals or as prescribed. Children (under 18 years of age): Not recommended for use (see “WARNINGS AND SPECIAL PRECAUTIONS”). SIDE-EFFECS: The following side-effects may occur with the use of FLORA FORCE® GOTU KOLA capsules. Endocrine disorders: Frequency unknown:         Hyperglycemia. Nervous system disorders: Frequency unknown:                           Sedation. Vascular disorders: Frequency unknown:                           Cholesterol elevation. Gastrointestinal disorders: Frequency unknown:                           Gastro-intestinal irritation, nausea and reflux. Skin and subcutaneous disorders: Frequency unknown:                           Allergic contact dermatitis and photosensitisation. KNOWN SYMPTOMS OF OVERDOSAGE AND PARTICULARS OF ITS TREATMENTS: The following symptoms may be experienced in the event of an overdose: Headache, vertigo and drowsiness. Contact a poison control centre in area. IDENTIFICATION: Clear size 0 all vegetable capsule containing a brown herbal powder. PRESENTATION: 60 Capsules packed in a 125ml amber glass bottle with light green screw cap and safety seal insert, in a box. STORAGE INSTRUCTIONS: Store at or below 25 ºC in a dry place. Protect from light. KEEP OUT OF REACH OF CHILDREN. REGISTRATION NUMBER: To be allocated. NAME AND BUSINESS ADDRESS OF THE HOLDER OF THE CERTIFICATE OF REGISTRATION: Flora Force Heath Products (Pty) Ltd. Unit 3 Regent Park Bell Crescent Westlake Cape Town South Africa DATE OF PUBLICATION: 12/02/2018

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    Read more about gotu kola in our blog 'Gotu Kola may help Memory, Mood, Circulation and more'.
  • FLORA FORCE® GINKGO BILOBA capsules contain Ginkgo biloba, one of the most important herbs for the management of conditions related to disorders of the central and peripheral circulation, such as: difficulty in, or lack of, concentration; poor memory and forgetfulness; and poor peripheral circulation. Our herbal capsules provide the true herb, dried and powdered, not standardised extracts or concentrations of single biochemicals extracted from the herbs. We use only Vege caps because we believe everyone should have access to true natural products, regardless of their religious requirements or nutritional preferences. FLORA FORCE® GINKGO BILOBA capsules are 100% free from:
    • Added sugar or lactose
    • Colourants or flavourants
    • Chemical inactives / additives (e.g. flow agents, exipients, fillers, etc.)
  • FLORA FORCE® GINGER capsules are traditionally used to relieve digestive disturbances and nausea. Vege caps. Free from additives, sugar and lactose.

    PATIENT INFORMATION LEAFLET

    Information for the Patient about FLORA FORCE® GINGER Capsules

    Western herbal medicine This medicine has not been evaluated by the Medicines Control Council. This medicine is not intended to diagnose, treat, cure or prevent any disease. SCHEDULING STATUS: Not Scheduled PROPRIETARY NAME, STRENGTH AND PHARMACEUTICAL FORM: FLORA FORCE® GINGER Capsules
    Read all of this leaflet carefully because it contains important information for you. FLORA FORCE® GINGER capsules are available without a doctor’s prescription, for you to treat a mild illness. Nevertheless, you still need to use FLORA FORCE® GINGER capsules carefully to get the best results from it.
    • Keep this leaflet. You may need to read it again.
    • Do not share FLORA FORCE® GINGER capsules with any other person.
    • Ask your pharmacist if you need more information or advice.
    • You must see a registered healthcare practitioner if your symptoms worsen or do not improve.
    WHAT FLORA FORCE® GINGER CAPSULES CONTAIN: Each FLORA FORCE® GINGER capsule contains:
    ACTIVE INGREDIENT QUANTITY
    Zingiber officinale rhizome powder 500 mg
    Inactive ingredients are vegetable capsules. FLORA FORCE® GINGER capsules are free from sugar and lactose.
    WHAT FLORA FORCE® GINGER CAPSULES ARE USED FOR: FLORA FORCE® GINGER capsules are traditionally used to relieve digestive disturbances and nausea. BEFORE YOU TAKE FLORA FORCE® GINGER CAPSULES: Do NOT take FLORA FORCE® GINGER capsules:
    • If you have a bleeding disorder (see “Take special care with FLORA FORCE® GINGER capsules”).
    • If you have diabetes (see “Take special care with FLORA FORCE® GINGER capsules”)
    • If you have a heart condition (see “Take special care with FLORA FORCE® GINGER capsules”).
    • Surgery (see “Take special care with FLORA FORCE® GINGER capsules”).
    • Pregnancy and lactation (see “Pregnancy and breastfeeding”)
    Take special care with FLORA FORCE® GINGER capsules: Please discuss the use of FLORA FORCE® GINGER capsules with your pharmacist or registered healthcare practitioner if you:
    • Suffer from a bleeding disorder. You may have to arrange increased monitoring of your blood levels when starting or stopping treatment with FLORA FORCE® GINGER capsules (see “Do NOT take FLORA FORCE® GINGER capsules”).
    • Suffer from diabetes. You may have to arrange increased monitoring of your blood sugar levels (see “Do NOT take FLORA FORCE® GINGER capsules”).
    • Suffer from a heart condition. (see “Do NOT take FLORA FORCE® GINGER capsules”).
    • Are undergoing surgery, discontinue use at least 2 weeks prior to the procedure (see “Do NOT take FLORA FORCE® GINGER capsules”).
    • Take warfarin, other blood thinning or anti-platelet medicines.  You may have to arrange increased monitoring or your INR (International Normalised Ratio) levels when starting or stopping treatment with FLORA FORCE® GINGER capsules (see “Taking other medicines with FLORA FORCE® GINGER capsules”).
    The use of FLORA FORCE® GINGER capsules in children and adolescents under 18 years of age is not recommended due to lack of adequate data (see “HOW TO TAKE FLORA FORCE® GINGER capsules”). Taking FLORA FORCE® GINGER capsules with food and drink: FLORA FORCE® GINGER capsules should be taken after meals with water. Pregnancy and breastfeeding: Safety of FLORA FORCE® GINGER capsules during pregnancy and breastfeeding has not been established.  Avoid taking FLORA FORCE® GINGER capsules if you are pregnant or breastfeeding.
    If you are pregnant or breastfeeding your baby, please consult your doctor, pharmacist or registered healthcare practitioner for advice before taking FLORA FORCE® GINGER capsules.
    Driving and using machinery: No studies on the effect on the ability to drive and use machinery have been performed. It is unlikely that FLORA FORCE® GINGER capsules will impair your ability to drive or use machines. However, please exercise care when driving or operating machinery until you know how FLORA FORCE® GINGER capsules affects you. Important information about some of the ingredients of FLORA FORCE® GINGER capsules: FLORA FORCE® GINGER capsules are sugar free. Taking other medicines with FLORA FORCE® GINGER capsules:
    Always tell your pharmacist or registered healthcare practitioner if you are taking any other medicine (this includes complementary or traditional medicines).
    Please discuss the use of the following medicines in combination with FLORA FORCE® GINGER capsules with your pharmacist or registered healthcare practitioner.
    • Metronidazole for the treatment of bipolar disorder.
    The dose of the above medications may need to be adjusted when taken in conjunction with FLORA FORCE® GINGER capsules. Also, discuss the use of the following medicines in combination with FLORA FORCE® GINGER capsules with your pharmacist or registered healthcare practitioner:
    • Warfarin, other blood thinning or anti-platelet medicines. FLORA FORCE® GINGER capsules may potentially increase the effect of blood thinning medicines.  You may have to arrange increased monitoring of your INR levels when taking FLORA FORCE® GINGER capsules (see “Take special care with FLORA FORCE® GINGER capsules”).
    • Anti-diabetic medicines as FLORA FORCE® GINGER may further lower blood sugar levels. Monitor your blood glucose / sugar levels regularly if you are using FLORA FORCE® GINGER capsules and anti-diabetic medicines in combination.
    • Cyclosporine as FLORA FORCE® GINGER may decrease the absorption of these medicines. Please discuss the use of FLORA FORCE® GINGER capsules in combination with any other medicines with your doctor or pharmacist.
    • Calcium channel blockers as FLORA FORCE® GINGER may have hypotensive and calcium channel-blocking effectsThis might cause an additive effect with calcium channel blockers.  Please discuss the use of FLORA FORCE® GINGER capsules in combination with any other medicines with your pharmacist or registered healthcare practitioner.
    HOW TO TAKE FLORA FORCE® GINGER CAPSULES: Do not share medicines prescribed to you with any other person. Always take FLORA FORCE® GINGER capsules exactly as directed. You should check with your pharmacist or registered healthcare practitioner if you are unsure. DO NOT EXCEED THE RECOMMENDED DAILY DOSAGE. Adults (18 years and older): Take 1 - 2 capsules daily with meals or as directed by your pharmacist or registered healthcare professional. Children (under 18 years of age): Not recommended for use (see “Take special care with FLORA FORCE® GINGER capsules”). FLORA FORCE® GINGER capsules may be taken for a period of up to 12 weeks followed by an interval of 1 week after which the next 12-week cycle can commence.  However, should you experience any adverse effects or any of the side effects indicated below please consult your pharmacist or registered healthcare practitioner. If you take more FLORA FORCE® GINGER capsules than you should: In the event of over dosage, consult your pharmacist or registered healthcare practitioner.  If neither is available, contact the nearest hospital or poison control centre.  If you forget to take FLORA FORCE® GINGER capsules: Always take FLORA FORCE® GINGER capsules as directed.  If you miss a dose, take it as soon as you remember.  If you do not remember the missed dose till the next dose is due, skip the missed dose and go back to your regular dosing schedule of 2 capsules twice daily.  Do not take a double dose to make up for forgotten individual doses. POSSIBLE SIDE-EFFECTS: FLORA FORCE® GINGER capsules may have side-effects. Not all side-effects reported for FLORA FORCE® GINGER capsules are included in this leaflet.  Should your general health worsen or if you experience any untoward effects while taking FLORA FORCE® GINGER capsules, please consult your pharmacist or registered healthcare practitioner for advice. Serious side-effects that you (or a family member if you are unable to) should report to your pharmacist or registered healthcare practitioner immediately include:
    • Irregular heartbeat.
    • Increased urge to urinate.
    • State of sleep or calm, sleepy, lethargic and dizziness.
    Side-effects that you should report to your pharmacist or registered healthcare practitioner as soon as possible:
    • Skin rash, bruising and skin redness.
    • Increased menstrual bleeding.
    Side-effects that you should report to your pharmacist or registered healthcare practitioner if they continue or become bothersome include:
    • Gastrointestinal disturbances, such as:
      • Stomach discomfort, diarrhoea, constipation, nausea, vomiting and heartburn.
      • Burning, irritation and numbness in mouth, tongue and throat.
    If you notice any side-effects not mentioned in this leaflet, please inform your pharmacist or registered healthcare practitioner. STORING AND DISPOSING OF FLORA FORCE® GINGER capsules: Store at or below 25ºC in a dry place. Protect from light / moisture. Do not take the capsules after the expiry date stated on the packaging material. Return all unused capsules to your pharmacist. Do not dispose of unused capsules in drains or sewerage systems (e.g. toilets). STORE ALL MEDICINE OUT OF THE REACH OF CHILDREN. PRESENTATION OF FLORA FORCE® GINGER capsules: 60 Capsules in 125ml amber glass bottle with light green screw cap and safety seal insert. IDENTIFICATION: Clear size 0 all vegetable capsule containing a cream coloured herbal powder. REGISTRATION NUMBER/REFERENCE NUMBER: To be allocated. NAME AND BUSINESS ADDRESS OF THE HOLDER OF THE CERTIFICATE OF REGISTRATION: Flora Force Heath Products (Pty) Ltd. Unit 3 Regent Park Bell Crescent Westlake Cape Town South Africa DATE OF PUBLICATION: 13/02/2018
    FLORA FORCE® GINGER Capsules Western herbal medicine This medicine has not been evaluated by the Medicines Control Council. This medicine is not intended to diagnose, treat, cure or prevent any disease. SCHEDULING STATUS: Not Scheduled PROPRIETARY NAME (AND DOSAGE FORM): FLORA FORCE® GINGER Capsules COMPOSITION: Each FLORA FORCE® GINGER capsule contains:
    ACTIVE INGREDIENT QUANTITY
    Zingiber officinale rhizome powder 500 mg
    Inactive ingredients: vegetable capsules FLORA FORCE® GINGER capsules are free from sugar and lactose. PHARMACOLOGICAL CLASSIFICATION: D 11.10, Gastro-intestinal tract, Other. PHARMACOLOGICAL ACTION: Pharmacodynamic properties: Preliminary research suggests the gastro-intestinal effects of ginger might be due to increases in levels of protective prostaglandins in the gut wall. Gastro-intestinal motility is enhanced by 6-shoagaol. The anti-nausea activity of Zingiber officinale may be due to the active constituents such as gingerols, shogaols and galano-lactone.  These seem to act primarily on the 5-HT3 receptors of the ileum.  The predominant anti-emetic action of ginger is localized in the GI tract, but there is some evidence that ginger constituents may also have central nervous system (CNS)activity. INDICATIONS: FLORA FORCE® GINGER capsules are traditionally used to relieve digestive disturbances and nausea. CONTRA-INDICATIONS: FLORA FORCE® GINGER capsules are contra-indicated in patients with:
    • Bleeding disorders (see “WARNINGS AND SPECIAL PRECAUTIONS”).
    • Diabetes (see “WARNINGS AND SPECIAL PRECAUTIONS”).
    • Heart conditions (see “WARNINGS AND SPECIAL PRECAUTIONS”).
    • Surgery (see “WARNINGS AND SPECIAL PRECAUTIONS”).
    • Pregnancy and lactation (see “PREGNANCY AND LACTATION”).
    WARNINGS AND SPECIAL PRECAUTIONS: When starting, or stopping treatment with Zingiber officinale containing products, including FLORA FORCE® GINGER capsules, patients with bleeding disorders should have increased monitoring of their INR (International Normalised Ratio) levels (see “CONTRA-INDICATIONS”). FLORA FORCE® GINGER capsules should be used with care in patients with diabetes.  Theoretically, Zingiber officinale may decrease blood sugar levels.  Diabetic patients should monitor their blood sugar levels when taking FLORA FORCE® GINGER capsules (see “CONTRA-INDICATIONS”). FLORA FORCE® GINGER capsules should be used with care in patients with heart conditions.  Theoretically, excessive doses of ginger might worsen some heart conditions (see “CONTRA-INDICATIONS”). FLORA FORCE® GINGER capsules should be used with care in patients undergoing surgery.  Patients should discontinue use at least 2 weeks before elective surgical procedures (see “CONTRA-INDICATIONS”). When starting, or stopping treatment with Zingiber officinale containing products, including FLORA FORCE® GINGER capsules, patients taking oral anti-coagulants or anti-platelet drugs) should have increased monitoring of their INR (International Normalised Ratio) levels (see “INTERACTIONS”). The use of FLORA FORCE® GINGER capsules in children and adolescents under 18 years of age is not recommended due to lack of adequate data (see “DOSAGE AND DIRECTIONS FOR USE”). Effects on the ability to drive or use machinery: No studies on the effect of FLORA FORCE® GINGER capsules on the ability to drive or operate machines have been performed.  It is unlikely that FLORA FORCE® GINGER capsules will affect the ability to drive or operate machines. INTERACTIONS: The herbs in FLORA FORCE® GINGER capsules may interact with the following medicines:
    • Metronidazole: Zingiber officinale may increase levels of metronidazole.
    The dose of the above medications may need to be adjusted when taken in conjunction with FLORA FORCE® GINGER capsules. Zingiber officinale, as in FLORA FORCE® GINGER capsules, may potentially increase the effect of oral anti-coagulants and anti-platelet drugs (e.g. warfarin, phenprocoumon, heparin, aspirin, clopidogrel, enoxaparin, dalteparin, ticlopidine, enoxaparin, heparin) when taken concomitantly.  Patients taking anti-coagulants or anti-platelet medicines should have their INR levels monitored more frequently when taking FLORA FORCE® GINGER capsules (see “WARNINGS AND SPECIAL PRECAUTIONS”). Theoretically, Zingiber officinale as in FLORA FORCE® GINGER capsules, may enhance the blood glucose lowering effects of anti-diabetic medicines.  Patients on anti-diabetic medicines should monitor their glucose levels closely when taking FLORA FORCE® GINGER capsules. In an animal model, Zingiber officinale taken 2 hours prior to cyclosporine administration reduced the maximum concentration.  This effect was not observed when Zingiber officinale and cyclosporine were administered at the same time.  Patients taking cyclosporine should use FLORA FORCE® GINGER capsules with care. Preliminary research suggests Zinger officinale might have hypotensive and calcium channel-blocking effects.  Theoretically Zingiber officinale might have an additive effect with calcium channel blockers.  These include nifedipine, verapamil, diltiazem, isradipine, felodipine and amlodipine.  Patients taking calcium channel-blockers should use FLORA FORCE® GINGER capsules with care PREGNANCY AND LACTATION: The safety and efficacy of FLORA FORCE® GINGER capsules during pregnancy and lactation have not been established.  Capsules should therefore not be taken during pregnancy and lactation. DOSAGE AND DIRECTIONS FOR USE: The recommended daily dose should not be exceeded. Do not tamper with capsule. Adults (18 years and older): Take 2 capsules twice daily with meals or as prescribed. Children (under 18 years of age): Not recommended for use (see “WARNINGS AND SPECIAL PRECAUTIONS”). SIDE-EFFECS: The following side-effects may occur with the use of FLORA FORCE® GINGER capsules. Nervous system disorders: Frequency unknown:         Sedation, drowsiness and dizziness. Vascular disorders: Frequency unknown:         Mild arrhythmia. Gastrointestinal disorders: Frequency unknown:         Abdominal discomfort, heartburn, burning pepper-like irritation in mouth, nausea, belching, dry retching, vomiting, burning sensation in tongue and throat and oral numbness. Skin and subcutaneous disorders: Frequency unknown:         Hives, bruising and flushing. Renal and urinary disorders: Frequency unknown:         Urinary urgency. Reproductive system and breast disorders: Frequency unknown:         Increased menstrual bleeding. KNOWN SYMPTOMS OF OVERDOSAGE AND PARTICULARS OF ITS TREATMENTS: None known. Contact a poison control centre in area. IDENTIFICATION: Clear size 0 all vegetable capsule containing cream coloured herbal powder. PRESENTATION: 60 Capsules packed into 125ml amber glass bottle with light green screw cap and safety seal insert. STORAGE INSTRUCTIONS: Store at or below 25 ºC in a dry place. Protect from light. KEEP OUT OF REACH OF CHILDREN. REGISTRATION NUMBER: To be allocated. NAME AND BUSINESS ADDRESS OF THE HOLDER OF THE CERTIFICATE OF REGISTRATION: Flora Force Heath Products (Pty) Ltd. Unit 3 Regent Park Bell Crescent Westlake Cape Town South Africa DATE OF PUBLICATION: 13/02/2018

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  • FLORA FORCE® FENUGREEK capsules are traditionally used to promote lactation and enhance milk secretion. Use fenugreek after birth, or when milk supply slows down - such as when you return to work. Free from sugar and lactose. Avoid taking FLORA FORCE® FENUGREEK capsules if you are pregnant.

    PATIENT INFORMATION LEAFLET

    Information for the Patient about FLORA FORCE® FENUGREEK Capsules

    Western herbal medicine This medicine has not been evaluated by the Medicines Control Council. This medicine is not intended to diagnose, treat, cure or prevent any disease. SCHEDULING STATUS: Not Scheduled PROPRIETARY NAME, STRENGTH AND PHARMACEUTICAL FORM: FLORA FORCE® FENUGREEK Capsules
    Read all of this leaflet carefully because it contains important information for you. FLORA FORCE® FENUGREEK capsules are available without a doctor’s prescription, for you to treat a mild illness. Nevertheless, you still need to use FLORA FORCE® FENUGREEK capsules carefully to get the best results from it.
    • Keep this leaflet. You may need to read it again.
    • Do not share FLORA FORCE® FENUGREEK capsules with any other person.
    • Ask your pharmacist if you need more information or advice.
    • You must see a registered healthcare practitioner if your symptoms worsen or do not improve.
    WHAT FLORA FORCE® FENUGREEK CAPSULES CONTAIN: Each FLORA FORCE® FENUGREEK capsule contains:
    ACTIVE INGREDIENT QUANTITY
    Trigonella foenum-graecum seed powder 500 mg
    Inactive ingredients are vegetable capsules. FLORA FORCE® FENUGREEK capsules are free from sugar and lactose.
    WHAT FLORA FORCE® FENUGREEK CAPSULES ARE USED FOR: FLORA FORCE® FENUGREEK capsules are traditionally used to promote lactation. BEFORE YOU TAKE FLORA FORCE® FENUGREEK CAPSULES: Do NOT take FLORA FORCE® FENUGREEK capsules:
    • If you are allergic to any of the ingredients in FLORA FORCE® FENUGREEK capsules.
    • If you have a bleeding disorder (see “Take special care with FLORA FORCE® FENUGREEK capsules”).
    • If you have diabetes (see “Take special care with FLORA FORCE® FENUGREEK capsules”).
    • Surgery (see “Take special care with FLORA FORCE® FENUGREEK capsules”).
    • Pregnancy and lactation (see “Pregnancy and breastfeeding”).
    Take special care with FLORA FORCE® FENUGREEK capsules: Please discuss the use of FLORA FORCE® FENUGREEK capsules with your doctor if you:
    • Suffer from a bleeding disorder. You may have to arrange increased monitoring of your blood levels when starting or stopping treatment with FLORA FORCE® FENUGREEK capsules (see “Do NOT take FLORA FORCE® FENUGREEK capsules”).
    • Suffer from Diabetes. You may have to arrange increased monitoring of your blood sugar levels (see “Do NOT take FLORA FORCE® FENUGREEK capsules”).
    • If you are undergoing surgery discontinue use at least 2 weeks prior to the procedure (see “Do NOT take FLORA FORCE® FENUGREEK capsules”).
    • Take iron, as it may decrease the bio-availability of iron. You may have to arrange increased monitoring of your iron levels when starting or stopping treatment with FLORA FORCE® FENUGREEK capsules” (see “Taking other medicines with FLORA FORCE® FENUGREEK capsules”).
    • Take warfarin or other blood thinning medicines. You may have to arrange increased monitoring of your INR (International Normalised Ratio) levels when starting or stopping treatment with FLORA FORCE® FENUGREEK capsules” (see “Taking other medicines with FLORA FORCE® FENUGREEK capsules”).
    • Take anti-diabetic medicines.  You may have to arrange increased monitoring or your blood glucose / sugar levels when starting or stopping treatment with FLORA FORCE® FENUGREEK capsules (see “Taking other medicines with FLORA FORCE® FENUGREEK capsules”).
    The use of FLORA FORCE® FENUGREEK capsules in children and adolescents under 18 years of age is not recommended due to lack of adequate data (see “HOW TO TAKE FLORA FORCE® FENUGREEK capsules”). Taking FLORA FORCE® FENUGREEK capsules with food and drink: FLORA FORCE® FENUGREEK capsules should be taken after meals with water. Pregnancy and breastfeeding: Safety of FLORA FORCE® FENUGREEK capsules during pregnancy has not been established. Avoid taking FLORA FORCE® FENUGREEK capsules if you are pregnant.
    If you are pregnant or breastfeeding your baby, please consult your pharmacist or registered healthcare practitioner for advice before taking FLORA FORCE® FENUGREEK capsules.
    Driving and using machinery: No studies on the effect on the ability to drive and use machinery have been performed. It is unlikely that FLORA FORCE® FENUGREEK capsules will impair your ability to drive or use machines. However, please exercise care when driving or operating machinery until you know how FLORA FORCE® FENUGREEK capsules affects you. Important information about some of the ingredients of FLORA FORCE® FENUGREEK capsules: FLORA FORCE® FENUGREEK capsules are sugar free. Taking other medicines with FLORA FORCE® FENUGREEK capsules:
    Always tell your pharmacist or registered healthcare practitioner if you are taking any other medicine (this includes complementary or traditional medicines).
    Please discuss the use of the following medicines in combination with FLORA FORCE® FENUGREEK capsules with your doctor or pharmacist.
    • Theophylline for the treatment of respiratory diseases such as COPD (chronic obstructive pulmonary disease) and asthma.
    The dose of the above medications may need to be adjusted when taken in conjunction with FLORA FORCE® FENUGREEK capsules. Taking the above-mentioned medicines at the same time as FLORA FORCE® FENUGREEK capsules can lower or increase their effectiveness.  These medicines must be taken at least 2 hours before or after FLORA FORCE® FENUGREEK capsules. Also, discuss the use of the following medicines in combination with FLORA FORCE® FENUGREEK capsules with your doctor or pharmacist:
    • Warfarin or other blood thinning medicines. FLORA FORCE® FENUGREEK capsules may potentially increase the effect of blood thinning medicines. You may have to arrange increased monitoring of your INR levels when taking FLORA FORCE® FENUGREEK capsules (see “Take special care with FLORA FORCE® FENUGREEK capsules”).Antidiabetic medicines as FLORA FORCE® FENUGREEK may further lower blood sugar levels.  Monitor you blood glucose / sugar levels regularly if you are using FLORA FORCE® FENUGREEK capsules and antidiabetic medicines in combination (see “Take special care with FLORA FORCE® FENUGREEK capsules”).
    HOW TO TAKE FLORA FORCE® FENUGREEK CAPSULES: Do not share medicines prescribed to you with any other person. Always take FLORA FORCE® FENUGREEK capsules exactly as directed. You should check with your pharmacist if you are unsure. DO NOT EXCEED THE RECOMMENDED DAILY DOSAGE. Adults (18 years and older): Take 2 capsules twice daily with meals or as directed by your doctor, pharmacist or healthcare professional. Children (under 18 years of age): Not recommended for use (see “Take special care with FLORA FORCE® FENUGREEK capsules”). FLORA FORCE® FENUGREEK capsules may be taken for a period of up to 12 weeks followed by an interval of 1 week after which the next 12-week period can commence. However, should you experience any adverse effects or any of the side effects indicated below please consult your healthcare practitioner. If you take more FLORA FORCE® FENUGREEK capsules than you should: If you take more FLORA FORCE® FENUGREEK capsules than you should, you may experience an increased heart rate, high blood pressure and chest pain. In the event of over dosage, consult your doctor or pharmacist. If neither is available, contact the nearest hospital or poison control centre. If you forget to take FLORA FORCE® FENUGREEK capsules: Always take FLORA FORCE® FENUGREEK capsules as directed. If you miss a dose, take it as soon as you remember. If you do not remember the missed dose till the next dose is due, skip the missed dose and go back to your regular dosing schedule of two capsule twice daily. Do not take a double dose to make up for forgotten individual doses. POSSIBLE SIDE-EFFECTS: FLORA FORCE® FENUGREEK capsules may have side-effects. Not all side-effects reported for FLORA FORCE® FENUGREEK capsules are included in this leaflet. Should your general health worsen or if you experience any untoward effects while taking FLORA FORCE® FENUGREEK capsules, please consult your doctor, pharmacist or other health care professional for advice. Serious side-effects that you (or a family member if you are unable to) should report to your doctor immediately include:
    • An allergic reaction which may present with nasal congestion, hoarseness, persistent coughing, wheezing, swelling of the face, tongue or whole body.
    • Signs of shock such as low blood pressure, rapid shallow breathing, cold and clammy skin, rapid weak pulse, dizziness, fainting or weakness.
    • Signs of decreased blood sugar such as light headedness, blurred vision and confusion.
    Side-effects that you should report to your doctor as soon as possible:
    • More urine than is normal for you.
    Side-effects that you should report to your doctor or pharmacist if they continue or become bothersome include:
    • Gastrointestinal disturbances, such as:
      • Heartburn, stomach discomfort and pain, diarrhoea, bloated stomach, flatulence.
    • Sweet urine odour..
    If you notice any side-effects not mentioned in this leaflet, please inform your doctor or pharmacist. STORING AND DISPOSING OF FLORA FORCE® FENUGREEK capsules: Store at or below 25ºC in a dry place. Protect from light / moisture. Do not take the capsules after the expiry date stated on the packaging material. Return all unused capsules to your pharmacist. Do not dispose of unused capsules in drains or sewerage systems (e.g. toilets). STORE ALL MEDICINE OUT OF THE REACH OF CHILDREN. PRESENTATION OF FLORA FORCE® FENUGREEK capsules: 60 Capsules in 125ml amber glass bottle with light green screw cap and safety seal insert, in a box. IDENTIFICATION: Clear size 0 all vegetable capsule containing green herbal powder. REGISTRATION NUMBER/REFERENCE NUMBER: To be allocated. NAME AND BUSINESS ADDRESS OF THE HOLDER OF THE CERTIFICATE OF REGISTRATION: Flora Force Heath Products (Pty) Ltd. Unit 3 Regent Park Bell Crescent Westlake Cape Town South Africa DATE OF PUBLICATION: To be allocated
    FLORA FORCE® FENUGREEK Capsules Western herbal medicine This medicine has not been evaluated by the Medicines Control Council. This medicine is not intended to diagnose, treat, cure or prevent any disease. SCHEDULING STATUS: Not Scheduled PROPRIETARY NAME (AND DOSAGE FORM): FLORA FORCE® FENUGREEK Capsules COMPOSITION: Each FLORA FORCE® FENUGREEK capsule contains:
    ACTIVE INGREDIENT QUANTITY
    Trigonella foenum-graecum seed powder 500 mg
    Inactive ingredients: vegetable capsules FLORA FORCE® FENUGREEK capsules are free from sugar and lactose. PHARMACOLOGICAL CLASSIFICATION: D 40.1 Complementary medicine not otherwise specified - Discipline specific traditional claim PHARMACOLOGICAL ACTION: Pharmacodynamic properties:

    Trigonella foenum-graecum seed is thought to act via stimulation of sweat production, thereby enhancing milk secretion (the breast is a modified sweat gland).

    INDICATIONS:

    FLORA FORCE® FENUGREEK capsules are traditionally used to promote lactation.

    CONTRA-INDICATIONS:

    FLORA FORCE® FENUGREEK capsules are contra-indicated in patients with:

    • A hypersensitivity to the Fabaceae family including soybeans, peanuts, chick peas and green peas. Theoretically, patients who are allergic to other Fabaceae plants, might also be allergic to fenugreek, as in, FLORA FORCE® FENUGREEK capsules.
    • Bleeding disorders (see "WARNINGS AND SPECIAL PRECAUTIONS")
    • Diabetes (see "WARNINGS AND SPECIAL PRECAUTIONS").
    • Surgery (see <"strong>WARNING AND SPECIAL PRECAUTIONS").
    • Pregnancy (see "PREGNANCY AND LACTATION")
    WARNINGS AND SPECIAL PRECAUTIONS:

    When starting, or stopping treatment with Trigonella foenum-graecum containing products, including FLORA FORCE® FENUGREEK capsules, patients with bleeding disorders should have increased monitoring of their INR (International Normalised Ratio) levels (see "CONTRA-INDICATIONS").

    FLORA FORCE® FENUGREEK capsules should be used with care in patients with diabetes as curcumin may decrease blood sugar levels. Diabetic patients should monitor their blood sugar levels when taking FLORA FORCE® FENUGREEK capsules (see "CONTRA-INDICATIONS").

    FLORA FORCE® FENUGREEK capsules should be used with caution in patients with iron deficiency. Patient should monitor their iron levels (see "CONTRAINDICATIONS").

    FLORA FORCE® FENUGREEK capsules should be used with care in patients undergoing surgery. Patients should discontinue use at least 2 weeks before elective surgical procedures (see "CONTRAINDICATIONS")

    When starting, or stopping treatment with FENUGREEK containing products, including FLORA FORCE® FENUGREEK capsules, patients taking warfarin (or other coumarin anticoagulants) should have increased monitoring of their INR (International Normalised Ratio) levels (see "INTERACTIONS").

    FLORA FORCE® FENUGREEK capsules should be used with care in patients taking sedative medications, including Midazolam, as it may increase its sedative effects (see "INTERACTIONS").

    Vitamins and minerals obtained from other sources should be taken into consideration when taking FLORA FORCE® FENUGREEK capsules.

    Effects on the ability to drive or use machinery: No studies on the effect of FLORA FORCE® FENUGREEK capsules on the ability to drive or operate machines have been performed. It is unlikely that FLORA FORCE® FENUGREEK capsules capsules will affect the ability to drive or operate machines.

    INTERACTIONS:

    FLORA FORCE® FENUGREEK capsules may interact with the following medicines:.

    • Beta blockers: curcumin may decrease the absorption of talinolol and may increase the absorption of celiprolol.
    • Sulfasalazine: Curcuma longa might increase absorption of sulfasalazine.
    • Oestrogen: Curcuma longa might decrease the effects of oestrogen
    • Norfloxacin: Curcuma longa might increase levels

    The dose of the above medications may need to be adjusted when taken in conjunction with FLORA FORCE® FENUGREEK capsules.

    Advise patients to take any of the above-mentioned medicines at least 2 hours before or after FLORA FORCE® FENUGREEK capsules.

    Curcuma longa, as in FLORA FORCE® FENUGREEK capsules, may potentially increase the effect of oral anti-coagulants and anti-platelet drugs (e.g. warfarin, aspirin, clopidogrel, dalteparin, enoxaparin, heparin, ticlopidine) when taken in conjunction. Patients taking anti-coagulants or antiplatelet medicines should have their INR levels monitored more frequently when taking FLORA FORCE® FENUGREEK capsules (see "WARNINGS AND SPECIAL PRECAUTIONS").

    Theoretically, Curcuma longa, as in FLORA FORCE® FENUGREEK capsules, may enhance the blood glucose lowering effects of antidiabetic medicines. Patients on antidiabetic medicines should monitor their glucose levels closely when taking FLORA FORCE® FENUGREEK capsules (see "WARNINGS AND SPECIAL PRECAUTIONS")

    `Theoretically, Curcuma longa, as in FLORA FORCE® FENUGREEK capsules, might increase levels of p-glycoprotein substrates. Some of these medicines include chemotherapeutic agents, antifungals, protease inhibitors, H2 agonists, calcium channel blockers, digoxin, corticosteroids, erythromycin, cisapride, fexofenadine, cyclosporine, loperamide and quinidine.

    Curcuma longa, as in FLORA FORCE® FENUGREEK capsules, may increase the sedative effects of Midazolam. Patients taking Midazolam should use FLORA FORCE® FENUGREEK capsules with caution (see "WARNINGS AND SPECIAL PRECAUTIONS").

    There is some evidence that Curcuma longa and/or curcumin may interact with CYP3A4 enzymes and increase bioavailability of medicines metabolised by cytochrome P450 isoenzymes CYP3A4. Patients taking medicines metabolised by these enzymes should use FLORA FORCE® FENUGREEK capsules cautiously. Some of these medicines include calcium channel blockers, chemotherapeutic agents, antifungals, glucocorticoids, alfentanil, cisapride, fentanyl, lidocaine, losartan, fluoxetine, omeprazole, ondansetron and fexofenadine.

    There is some evidence that Curcuma longa may interact with CYP1A2 enzymes and increase the bioavailability of medicines metabolised by cytochrome P450 1A2 isoenzymes CYP1A2. Patients taking medicines metabolised by these enzymes should use FLORA FORCE® FENUGREEK capsules cautiously. Some of these medicines include clozapine, fluvoxamine, haloperidol, imipramine, olanzapine, pentazocine, propranolol and zolmitriptan.

    There is some evidence that Curcuma longa as in FLORA FORCE® FENUGREEK capsules, may increase levels of certain antineoplastic agents. Some of these include docetaxel, paclitaxel, etoposide, vinblastine, vincristine and vindesine. Theoretically, Curcuma longa may decrease the absorption of iron. Patients taking iron should monitor their iron levels when taking FLORA FORCE® FENUGREEK capsules.

    PREGNANCY AND LACTATION:

    The safety and efficacy of FLORA FORCE® FENUGREEK capsules during pregnancy and lactation have not been established. FLORA FORCE® FENUGREEK capsules should therefore not be taken during pregnancy and lactation.

    DOSAGE AND DIRECTIONS FOR USE:

    The recommended daily dose should not be exceeded.

    Adults (18 years and older): Take 2 capsules twice daily with meals or as prescribed.

    Children (under 18 years of age): Not recommended for use (see “WARNINGS AND SPECIAL PRECAUTIONS”).

    SIDE-EFFECS:

    The following side-effects may occur with the use of FLORA FORCE® FENUGREEKcapsules.

    Psychiatric disorders: Frequency unknown: Giddiness

    Nervous system disorders: Frequency unknown: Vertigo

    Gastrointestinal disorders: Frequency unknown: Constipation, flatulence and yellow, hard stools, nausea and vomiting, diarrhoea or loose stool, dyspepsia, gastritis, distension and gastroesophageal reflux disease, abdominal fullness and pain, epigastric burning and tongue staining.

    Skin and subcutaneous disorders: Frequency unknown: Pruritus, pitting oedema, photosensitivity.

    Renal and urinary disorders: Frequency unknown: Diuresis

    Reproductive system and breast disorders: Frequency unknown: Increased menstrual bleeding

    KNOWN SYMPTOMS OF OVERDOSAGE AND PARTICULARS OF ITS TREATMENTS:

    None known. Contact a poison control centre in area.

    IDENTIFICATION:

    Clear size 0 all vegetable capsule containing dark yellow herbal powder.

    PRESENTATION:

    60 Capsules packed into 125ml amber glass bottle with light green screw cap and safety seal insert

    STORAGE INSTRUCTIONS:

    Store at or below 25 ºC in a dry place. Protect from light. KEEP OUT OF REACH OF CHILDREN.

    REGISTRATION NUMBER:

    To be allocated.

    NAME AND BUSINESS ADDRESS OF THE HOLDER OF THE CERTIFICATE OF REGISTRATION:

    Flora Force Heath Products (Pty) Ltd. Unit 3 Regent Park, Bell Crescent, Westlake, Cape Town

    DATE OF PUBLICATION:

    21/11/2016

    Herb Library

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