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Upset stomach, nausea, or ringing in the ears may result. Lower the dosage or stop using white willow; call your doctor if symptoms persist.
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Children under the age of 16 should not use white willow if they have a cold, influenza, or other viral illness. Using salicylates may cause Reye’s syndrome, a potentially fatal condition. – Ann Pharmacother. 2005 Jul-Aug;39(7-8):1234-7. Epub 2005 May 31.
Evaluation of presence of aspirin-related warnings with willow bark.
Clauson KA, Santamarina ML, Buettner CM, Cauffield JS.
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Individuals with ulcers or other stomach problems should use white willow with caution, because it can worsen stomach ills.
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Do not mix white willow with other salicylates, such as aspirin or wintergreen oil, because of the potential for additive side effects.
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May interfere with absorption of iron and other minerals when taken internally.
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Incidences of hepatotoxicity and nephrotoxicity may be augmented by acetaminophen when concomitantly used with the potentially hepatotoxic herbs Echinacea and kava, and with herbs containing salicylate (willow, meadowsweet), respectively. – J Clin Pharm Ther 2002 Dec;27(6):391-401 — Herbal medication: potential for adverse interactions with analgesic drugs. — Abebe W.
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A case of anaphylaxis resulting from the use of a willow bark-containing dietary supplement in a patient with a history of an aspirin allergy.
The use of any willow bark-containing dietary supplement may present a risk of anaphylactic reaction to patients with a history of allergy to salicylates. – Ann Pharmacother. 2003 Jun;37(6):832-5. — Anaphylactic reaction to a dietary supplement containing willow bark. — Boullata JI, McDonnell PJ, Oliva CD.
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