Pregnancy Use

Contralndlcated In pregnancy.

PRACTICE POINTS/PATIENT COUNSELLING

• Myrrh has been used since ancient times in a variety of forms as an antiseptic, antiinflammatory and analgesic medicine.

• It has been used as a topical preparation to reduce inflammation and enhance wound healing — in vivo evidence suggests the anti-inflammatory activity of one of the main constituents is stronger than hydrocortisone and local anaesthetic activity is likely.

• Preliminary evidence suggests that it may be a useful treatment in gingivitis and periodontal disease.

• The preparation known as guggulipid, which comes from Commiphora species, may have lipid-lowering effects according to clinical studies; however, evidence is contradictory and further research is required to confirm this.

• Myrrh is not to be used in pregnancy and may interact with a number of medications when used orally.

ANSWERS TO PATIENTS' FREQUENTLY ASKED QUESTIONS

What will this herb do for me?

Traditionally, the herb has been used as a mouthwash or topical paint to relieve symptoms of mouth ulcers, sore throats and gum disease. It has also been used as a topical application for inflamed skin conditions and wounds. Scientific research confirms antiseptic, anti-inflammatory and local anaesthetic effects and significant antiparasitic effects. The preparation known as guggulipid, which comes from Commiphora species, may lower total cholesterol levels. When will it start to work?

A mouthwash or paint should provide rapid symptom relief.

Antiparasitic activity has been reported within 3 days' use in some parasitic infestations.

The lipid-lowering effects of guggulipid have been reported within 12 weeks. Are there any safety issues?

The herb should not be taken during pregnancy and may interact with some medications. Myrrh 872

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