A patient taking finasteride (Proscar) informs the nurse that he is also taking the herbal supplement saw palmetto. What is the nurse's best response?
a. "You should not take finasteride and saw palmetto at the same time."
b. "Finasteride and saw palmetto taken together increase your risk of bleeding."
c. "Be sure to notify your prescriber if you notice any unusual side effects."
d. "Avoid people with viral infections while taking these two substances."
C
Some common herbal preparations, including saw palmetto and soy isoflavones, have an action similar to DHT inhibitors. It is possible that a man taking a DHT inhibitor such as finasteride with one of these herbs could increase effects, including increased side effects.
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