Flora Force Circulation Formula Package Insert

Scheduling status: C0

Proprietary name (and dosage form): Flora Force Circulation Formula.

Composition: Each 3ml of Circulation contains 120mg Ginkgo biloba EQUIV, 30mg Achillea millefolium EQUIV, 24mg Melissa officinalis EQUIV, 24mg Mentha piperita EQUIV, Arnica montana 3cH, 12mg Viscum album EQUIV, 9mg Hypericum perforatum EQUIV, 12mg Ruscus aculeatus EQUIV, 15mg Capsicum minimum EQUIV, 15mg Astragalus membranaceus EQUIV, 15mg Vaccinium myrtillus EQUIV, Alc 60% v/v.

Pharmacological classification: Category D Western Herbal Medicine

Pharmacological action: 7.6 Vascular medicines, Others

Indications: Herbal medicine for the support of the circulatory system.

Contra-indications: Do not use during pregnancy.

Circulation formula contains Melissa officinalis and should not be use by persons with low thyroid activity due to its anti-thyrotropic effect.

Arnica montana homeopathic 3cH may have a possible blood thinning action; avoid Circulation formula for 3 days before surgery. Circulation formula is contraindicated for persons on SSRI drugs and anti-coagulant drugs.

Warnings: Not to be used by persons on anti-coagulant medication.

Not to be used during pregnancy.

Do not use continuously without consulting a healthcare practitioner. Arnica monta: homeopathic 3cH may have a possible blood thinning action avoid Circulation formula for 3 days before surgery.

Drug Interaction:

The individual constituent interactions from literature are:

Ginkgo: Anti-coagulant medication, warfarin, Ticlopidine and Aspirin.

Mentha piperita:  interferes with action of propulsid and closure of oesophageal sphincter

Hypericum perforatum: persons on SSRI drugs should not take Circulation formula.

Capsicum minimum the active ingredient capsaicin is an ACE inhibitor: There is a theoretical concern because capsaicin depletes substance P. It is a very low risk level however the Patient should be monitored.

Theophylline: Cayenne increase absorption and bio-availability as per clinical study.  Risk level is low patient should be monitored.

Vaccinium myrtillus: Warfarin. Anti-platelet activity has been observed with high doses of herb.

Pregnancy and Lactation: Not do be used during pregnancy and breastfeeding.

Dosage and directions for use: Take 20 drops in 25ml water three times daily, or as prescribed.

Side-effects and special precautions: Not to be used by persons on anti-coagulant medication.

Hypersensitivity with known plant allergy.

Known symptoms of over dosage and particulars of its treatment: None known. Consult a practitioner or nearest poison care centre.

Identification: Pale to bright yellow liquid, sharp in smell and bitter, sharp in taste.

Presentation: 50ml amber glass dropper bottle with white tamper evident screw cap within a product box.

500ml amber glass bottle with white tamper evident screw cap.

Storage instructions: Store in a cool dark place below 25ºC. KEEP OUT OF REACH OF CHILDREN.

Registration number: To be allocated.

Applicant: Flora Force Health Products (Pty) Ltd., PO Box 426, Rondebosch, 7701, Cape Town

Date of publication: 17/11/2014