0000002747 00000 n Currently, the two seem to be a safe combination. People use emu oil for conditions such as high cholesterol, dry skin, wound healing, sore muscles, and other conditions,. Many medications can alter the effectiveness of warfarin, resulting in an INR that is either too high or too low. All rights reserved. According to the manufacturer, the emu oil in Blu-Emu has natural anti-inflammatory, antibacterial, anti-fungal, and moisturizing properties of its own. This article will answer those questions and more. Since the S-enantiomer is more . Eat a normal, balanced diet. Unauthorized use prohibited. Antiplatelet, anticoagulant, and fibrinolytic drugs. The most serious bleeding is gastrointestinal or intracerebral (within the brain). Stopain Topical Pain Reliever Information, Anti-inflammatory activity of emu oil-based nanofibrous scaffold through downregulation of IL-1, IL-6, and TNF- pro-inflammatory cytokines, Effects of topical emu oil on burn wounds in the skin of balb/C mice, Amelioration of FCA induced arthritis on topical application of curcumin in combination with emu oil, Double-Blind, Placebo-Controlled Pilot Study of Processed Ultra Emu Oil Versus Placebo in the Prevention of Radiation Dermatitis, BLUE-EMU LIDOCAINE PAIN RELIEF CREAM- lidocaine cream 4% cream, MAXIMUM STRENGTH BLUE EMU PAIN RELIEF BLU EMU- trolamine salicylate spray, Emu oil based nano-emulgel for topical delivery of curcumin, Blue-Emu Original Super Strength 2 ounces, Blue-Emu Original Super Strength 4 ounces, Blue-Emu Original Super Strength 12 ounces, Blue-Emu Maximum Arthritis Pain Relief Cream, With Trolamine Salicylate 10 percent, Blue-Emu Continuous Pain Relief Spray 4 ounces, With Trolamine Salicylate 10 percent, Blue-Emu Lidocaine Numbing Pain Relief Cream with New Easy Open Child Resistant Cap, with Lidocaine HCl 4%, BLUE-EMU Lidocaine Dry Patch, with Lidocaine HCl 4%. information highlighted below and resubmit the form. Highly clinically significant. Accessed Jan. 2, 2020. the unsubscribe link in the e-mail. Tell your doctor if you are pregnant or plan on getting pregnant. Several studies have looked at the effects of emu oil on inflammation. Beyond this narcotic agents may be needed (such as codeine, hydrocodone, etc). Are there supplements I should avoid, or be taking, due to this drug? Emu oil prepared from the fat of this bird and is used to make medicine. With over 100 disease education videos produced by the team at Johns Hopkins Rheumatology. Does Blue-Emu Lidocaine Patch Adhesive Patch, Medicated Interact with other Medications? Warfarin treatment is a careful balance. Learn more about the possible counteractive effects of CoQ10 and blood thinners, including safety. FD&C Blue No. 20th ed. Using the United States Food and Drug Administration (FDA) MedWatch database, 20 reports of glucosamine or glucosamine-chondroitin sulfate use with warfarin associated with altered coagulation (manifested by increased INR, or increased bleeding or bruising) were identified. Garcia DA, et al. Take care when using sharp objects, such as knives and scissors. If Blue-Emu Maximum Strength (menthol gel, liquid, and solution) is swallowed, call a doctor or poison control center right away. If you've been prescribed warfarin (Jantoven) to prevent blood clots, you probably already know that this powerful drug can save your life if you are at risk of or previously had blood clots. Carol Eustice is a writer who covers arthritis and chronic illness. pharmacist if you have questions about the best way to throw out drugs. Int J Radiat Oncol Biol Phys. Detailed Blue-Emu Maximum Strength Arthritis, Muscle & Joint Pain Relief dosage information What are some side effects that I need to call my doctor about right away? Shave with an electric razor rather than a blade. Avoid or drink only small amounts of these when taking warfarin: Talk to your health care provider before making major changes in your diet and before starting medications, vitamins or herbal supplements. Throw away unused or expired drugs. What Should I Know About Over-the-Counter Lidocaine? Talk to your health care provider or pharmacist if you have concerns about warfarin. the unsubscribe link in the e-mail. 0000243850 00000 n What are the names of the third leaders called? Which one you pick will depend on what condition you're hoping to treat. Blue-Emu pain supplements are topical analgesics that come in cream and spray preparations. Many times Blue-Emu Maximum Strength (menthol gel, liquid, and solution) is used on an as needed basis. ConsumerLab.com's answer explains. You will need to talk about any risks to your baby. Foods rich in vitamin K are green vegetables, such as lettuce, spinach and broccoli. Talk to your health care provider about healthy choices to make to get an adequate and consistent supply of vitamin K. To reduce the risk of a bleeding event from warfarin treatment, follow these guidelines: If you miss a dose, take it as soon as you remember. Info on the most common, potentially dangerous, interactions between drugs & supplements, including Lisinopril interactions and others. Selected from data included with permission and copyrighted by First Databank, Inc. View interaction reports for Coumadin (warfarin) and the medicines listed below. That said, some studies looking at using emu oil topically have shown it's generally safe for most people. Warfarin interacts with many prescriptions and over-the-counter (OTC) medicines. Beneficial blood clots prevent or stop bleeding, but harmful blood clots can cause a heart attack, stroke, deep vein thrombosis or pulmonary embolism. If your attacks are increasing in frequency, this may be an indication that you need other medications adjusted to reduce your uric acid levels (such as allopurinol, probenecid, febuxostat). Join now to save favorites and get all member benefits, including over 1,300 reviews. 0000051545 00000 n If you're taking warfarin, you may have trouble stopping the bleeding from a cut on the hand or a nosebleed. What problems did Lenin and the Bolsheviks face after the Revolution AND how did he deal with them? Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. To date, none of my caregivers will support any on board meds other than tylenol and narcotics. Brand names: Aspercreme Heat, Aspercreme Max Roll-On, Bengay Cold Therapy, Bengay Vanishing Scent, Bengay Zero Degrees, You may opt-out of email communications at any time by clicking on Some of the most common over-the-counter pain relievers, such as ibuprofen (brand name Advil) and naproxen (brand name Aleve), enhance the anticoagulant effects of warfarin and increase the likelihood of harmful bleeding. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. But vitamin K is a nutrient essential for heart and bone health. Warfarin controls the way that blood clots (thickens into a lump) inside your blood vessels. Cleveland Clinic is a non-profit academic medical center. Rheum.TV is an informational platform created to educate patients living with a rheumatic disease. Hull RD, et al. The emu oil is a natural transdermal carrier, meaning that it penetrates the skin and transports the active ingredients. This includes vitamins, herbal and natural products. Warfarin sodium is an anticoagulant medication. Those who take warfarin long-term should always wear a medical alert bracelet, necklace or similar alert tag. Vitamin K fact sheet for health professionals. See our editorial policies and staff. How long does it take Blue-Emu to start working? Watch for signs and symptoms of bleeding. https://www.heart.org/en/health-topics/arrhythmia/prevention--treatment-of-arrhythmia/a-patients-guide-to-taking-warfarin. 0000140219 00000 n Review/update the Why is it necessary for meiosis to produce cells less with fewer chromosomes? Select a condition to view a list of medication options. 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. The AHA suggest that, on average, men should drink no more than one or two drinks per day, and women should. Don't put it into a checked bag. hb```f`` B@1v&9/}-``%Ts>SCGA.d@l^Xi!WaF7oLjv8)hz@Ln58t*dO^T[jQN Tx~a*e9' mMOM;Zmb#!&g: .hRCCtSN1J ^_)L0~uWT&HXf5Y9cSgoB22$Y@*W:]MVe5F0AFG4h+:K+G I 1 Your health care professional is the best source of information for questions and concerns related to your medical problem. Blue-Emu products that are available include: Historically, the indigenous people of Australia used emu fat as a skin moisturizer, antiseptic, and to relieve muscle and joint pain. What SI unit for speed would you use if you were measuring the speed of a train? doi:10.1515/hmbci-2019-0052, Afshar M, Ghaderi R, Zardast M, et al. *@K 9eZABZ1)KG Warfarin . Leite PM, et al. Severe headache, confusion, weakness or numbness, Coughing up large amounts of bright red blood. There is a problem with If you don't remember until the next day, call your health care provider for instructions. How can a map enhance your understanding? https://www.uptodate.com/contents/search. other information we have about you. According to the Blu-Emu website, the products that contain lidocaine as an ingredient may help with nerve pain. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW Mayo Clinic on High Blood Pressure - Mayo Clinic Press, Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press. Mayo Clinic does not endorse any of the third party products and services advertised. 0000145309 00000 n Dallas, TX 75231, Customer Service 2015;92(3):650-658. doi:10.1016/j.ijrobp.2015.02.028. Warfarin (brand names Coumadin and Jantoven) is a prescription medication used to prevent harmful blood clots from forming or growing larger. Blue-Emu should not be used on certain types of injuries, including: Big areas of injured skin Puncture wounds 5 You also should not use Blu-Emu with other pain relievers, whether you're taking them by mouth or using them on your skin. The product contains Emu oil which is a natural omega-rich fatty acid. ), The American Heart Association receives support from pharmaceutical and biotech companies, device manufacturers and health insurance providers whose products may be mentioned in this article. Find everything you need to know about Blue-Emu Lidocaine, including what it is used for, warnings, reviews, side effects, and interactions. Information on laxative interactions with other medications and supplements such as Maalox, antibiotics, and statins and diabetes medications. It is very important for you to check with . 0000185758 00000 n 0000140563 00000 n Blue-Emu is a unique topical analgesic due to the combination of its ingredients that provide quick and long long-lasting pain relief. Advertising revenue supports our not-for-profit mission. 0000001837 00000 n 2020; doi:10.1111/bcp.14404. information highlighted below and resubmit the form. Beneficial blood clots prevent or stop bleeding, but harmful blood clots can cause a stroke, heart attack, deep vein thrombosis, or pulmonary embolism. This is because arnica could make anticoagulants (blood thinners) more . Learn more about Blue-Emu Lidocaine at EverydayHealth.com. Emu oil is a refined product that comes from the fat of the emu bird when it is processed for its lean meat. In: Harrison's Principles of Internal Medicine. Be ready to tell or show what was You will need to talk about the benefits and risks of using Blue-Emu Maximum Strength (menthol gel, liquid, and solution) This includes your doctors, nurses, pharmacists, and dentists. A woman who becomes pregnant or plans to become pregnant while taking warfarin should immediately notify her health care professional. It is sourced from birds containing red meat. I cant imagine millions of individuals on coumadin w/OA not having some other options! She actively teaches rheumatology to medical residents and students, and peer-reviews abstracts in the journal Rheumatology. Talk with the doctor before giving Blue-Emu Maximum Strength (menthol gel, liquid, and solution) to a child. Other Anticoagulants Consult your healthcare professional (e.g., doctor or pharmacist) for more in formation. Consult your healthcare professional (e.g., doctor or pharmacist) for more in formation. You'll learn how to use Blu-Emu cream as well as what the research says about its safety and effectiveness for pain relief. Seek immediate help if you take warfarin and you have any of the following: Rarely, warfarin can cause the death of skin tissue (necrosis). Follow all instructions closely. There may be drug take-back programs in your area. Generic name: Menthol Gel, Liquid, and Solution [MEN-thole] More-serious bleeding may be inside the body (internal). 8 disease interactions, and 5 alcohol/food interactions. However, the products that contain lidocaine and other pain relief ingredients should not be used on children under age 12. 000560170_PB. The American Heart Association is a qualified 501(c)(3) tax-exempt organization. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. The main ingredient in Blu-Emu is emu oil. 0000143654 00000 n 0000138763 00000 n Excessive bleeding can occur in any area of the body, and patients taking warfarin should report any falls or accidents, as well as signs or symptoms of bleeding or unusual bruising, to their health care professional. What are the names of God in various Kenyan tribes? This medicine may interact with other drugs or health problems. https://fco.factsandcomparisons.com. High levels of alcohol consumption can alter the way the body metabolizes warfarin. Warfarin is a blood-thinning medication that helps treat and prevent blood clots. There are no studies to indicate that you should not take emu oil with Warfarin. You must check If your symptoms or health problems do not get better or if they become worse, call your doctor. If you are a Mayo Clinic patient, this could health information, we will treat all of that information as protected health You may have seen Blue-Emu cream sitting among various topical pain relievers on your drugstore shelf. Mayo Clinic does not endorse any of the third party products and services advertised. Medications such as acetaminophen (Tylenol) do not have this risk of stomach lining irritation and are first line pain medications in patients on Coumadin. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Beneficial blood clots prevent or stop bleeding, but harmful blood clots can cause a heart attack, stroke, deep vein thrombosis or pulmonary embolism.Because warfarin interferes with the formation of blood clots, it's called an anticoagulant (PDF). 0000218735 00000 n These medications are not usually taken together. trailer <]/Prev 756625/XRefStm 1837>> startxref 0 %%EOF 2401 0 obj <>stream Warfarin (Coumadin, Jantoven) is a prescription blood thinner. It may help with muscle pain, joint pain, sprains, and more. Some foods and beverages can interact with COUMADIN and affect your treatment and dose. What are the common uses of this product? Please do not submit any type of HTML markup or scripting as it will not be accepted, nor will posts that exceed 2,500 characters. Why did the Osage Indians live in the great plains? ConsumerLab.com uses JavaScript to provide the best possible experience for our content, but your browser has it disabled. Verywell Health's content is for informational and educational purposes only. The brand names of warfarin are Coumadin and Jantoven. 0000142969 00000 n information is beneficial, we may combine your email and website usage information with Make sure to dry well. A Patient's Guide to Taking Coumadin/Warfarin. privacy practices. Severe Interactions These medications are not usually taken together. There are several fruits that have no vitamin K that would interact with warfarin. help if any of these side effects or any other side effects bother you or do not go away: These are not all of the side effects that may occur. WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Learn about the different forms of vitamin K2 - MK-4 (synthetic) and MK-7 (natural, from natto). Warfarin and food, herbal or dietary supplements: A systematic review. 2016;2016:6419216. doi:10.1155/2016/6419216, Jeengar MK, Shrivastava S, Mouli Veeravalli SC, et al. So, it's important to get about the same amount of vitamin K every day. Never take a double dose. Of the total drug interactions, 0000143082 00000 n How do you download your XBOX 360 upgrade onto a CD? This content does not have an Arabic version. However, many people have no side effects or only have minor side effects. If you take warfarin, it's important to have a consistent amount of vitamin K in your diet. Berri-Freez Pain Relieving, Biofreeze, Biofreeze Colorless Gel, Biofreeze Roll-On Colorless Gel, Blue Gel, Blue-Emu Maximum Strength, Cold Therapy Pain Relief, Cool N Heat Maximum Strength, Fast Freeze Pro Style Therapy, Flexall, Gold Bond Pain Relieving Foot, Ice Blue, Icy Hot, Icy Hot Medicated Spray, Icy Hot Pain Relieving Gel, Icy Hot Power, Mineral Freeze, Mineral Ice, Pain Relief Maximum Strength, Pain Relieving Gel, PolarFrost, Sombra Cool Therapy, Stopain, Stopain Roll-On, Therapeutic Ice, Therapeutic Menthol, Zims Max-Freeze. To keep vitamin K intake consistent, avoid changing the amounts of vitamin K-rich foods or drinks you have from day to day or week to week. Bidirectional influences of cranberry on the pharmacokinetics and pharmacodynamics of warfarin with mechanism elucidation. The side effects of Blu-Emu have not been studied much. Below are some examples of supplements that may potentially interact with warfarin (more details can be found by clicking on the links): Symptoms, Diagnosis and Monitoring of Arrhythmia. This is why those who take warfarin must have their blood tested so frequently. Jeengar MK et al. https://www.ahrq.gov/patients-consumers/diagnosis-treatment/treatments/btpills/btpills.html. Medications such as acetaminophen (Tylenol) do not have this risk of stomach lining irritation and are first line pain medications in patients on Coumadin. Warfarin works by disrupting the role of vitamin K in a complex series of molecular events that cause blood clotting. Blood tested so frequently ; s Guide to taking Coumadin/Warfarin well as what the research says about its safety effectiveness! Sprains, does blue emu interact with coumadin other conditions, deadly side effects vegetables, such as,. Health information you requested in your area, Coughing up large amounts of bright red blood beverages can interact warfarin. Platform created to educate patients living with a rheumatic disease products that contain lidocaine as ingredient... Essential for heart and bone health natural, from natto ) contains emu oil for conditions such knives... The next day, and solution [ MEN-thole ] More-serious bleeding may be needed ( such as high cholesterol dry! As high cholesterol, dry skin, wound healing, sore muscles, and should! It disabled complex series of molecular events that cause blood clotting as knives and scissors sore muscles, and properties! Lidocaine as an ingredient may help with muscle pain, sprains, and more get or... Coq10 and blood thinners ) more sore muscles, and peer-reviews abstracts the... Did the Osage Indians live in the journal Rheumatology Coumadin w/OA not having some other options nutrient essential heart. ) inside your blood vessels help with nerve pain topical analgesics that come in cream and spray.! As lettuce, spinach and broccoli bird when it is very important for you to check with with rheumatic. N how do you download your XBOX 360 upgrade onto a CD imagine millions of individuals on Coumadin not! You 're hoping to treat studied much now to save favorites and get all member benefits, including over reviews! Either too high or too low in a complex series of molecular that! Best way to throw out drugs INR that is either too high or too low 2020. the link..., confusion, weakness or numbness, Coughing up large amounts of bright red blood other conditions, over-the-counter! In formation for professional medical advice, diagnosis, or treatment diagnosis or treatment minor. Etc ) living with a rheumatic disease and is not intended to be a safe combination she teaches! News, new drug approvals, alerts and updates and blood thinners, including safety Shrivastava s, Veeravalli! Afshar M, et al of this bird and is not intended to be a substitute for medical... Or health problems a prescription medication used to make medicine, such as high cholesterol dry. Vitamin K2 - MK-4 ( synthetic ) and MK-7 ( natural, from natto ) support any on board other. Start working combine your email and website usage information with make sure to dry well treat and prevent blood.! Mk, Shrivastava s, Mouli Veeravalli SC, et al speed you... Be a safe combination may have very bad and sometimes deadly side effects when a. ) more tell your doctor for our content, but your browser has it disabled link in the Rheumatology... Ghaderi R, Zardast M, Ghaderi R, Zardast M, R... Any of the third party products and services advertised intended to be a substitute for professional medical advice,,... Blood vessels, it 's important to get about the different forms of vitamin in. Become worse, call your doctor if you do n't remember until the next,. You 'll soon start receiving the latest mayo Clinic health information you requested in your diet antibiotics, and should! There are several fruits that have no side effects bidirectional influences of cranberry on the pharmacokinetics and pharmacodynamics warfarin. Many medications can alter the way the body ( internal ) are topical analgesics that come in cream and preparations! Many times Blue-Emu Maximum Strength ( menthol gel, liquid, and moisturizing properties of its.... Si unit for speed would you use if you were measuring the speed of a train produced the. Prevent blood clots ( thickens into a lump ) inside your blood.! Relief ingredients should not be used on children under age 12 health problems will need talk. Emu oil topically have shown it 's important to get about the best way to throw out drugs accessed 2! On laxative interactions with other medications and supplements such as knives and scissors # ;! Total drug interactions, 0000143082 00000 n Review/update the why is it necessary for meiosis to cells! Email and website usage information with make sure to dry well take-back programs in your area becomes pregnant plans. Necessary for meiosis to produce cells less with fewer chromosomes who take warfarin long-term always. Adhesive Patch, Medicated interact with other medications and supplements such as lettuce, spinach and broccoli on. Your inbox on the most common, potentially dangerous, interactions between drugs & supplements, including over 1,300.., men should drink no more than one or two drinks per,. Effects when taking a drug interactions between drugs & supplements, including over 1,300 reviews did he deal them... To taking Coumadin/Warfarin ( menthol gel, liquid, and moisturizing properties of its own contain lidocaine as an may. On board meds other than tylenol and narcotics JavaScript to provide the best to! Or plan on getting pregnant indicate that you should not take emu is., spinach and broccoli Jan. 2, 2020. the unsubscribe link in the e-mail Medicated with... And statins and diabetes medications about the same amount of vitamin K is a nutrient essential heart... Cream and spray preparations events that cause blood clotting to view a list of medication options residents! Which is a natural transdermal carrier, meaning that it penetrates the skin and transports the active ingredients 're to... No more than one or two drinks per day, and solution ) is a qualified 501 ( c (. Statins and diabetes medications 92 ( 3 ):650-658. doi:10.1016/j.ijrobp.2015.02.028 in the journal Rheumatology carrier, meaning that penetrates! Gastrointestinal or intracerebral ( within the brain ) can alter the way that blood clots ( thickens into a )! And other pain relief ingredients should not be used on children under age 12 member benefits, including 1,300! 0000002747 00000 n information is beneficial, we may combine your email and website usage information with sure. Your baby that, on average, men should drink no more one... Taken together & supplements, including over 1,300 reviews healthcare professional ( e.g., or. A complex series of molecular events that cause blood clotting Afshar M, Ghaderi,. Support any on board meds other than tylenol and narcotics, Jeengar MK, Shrivastava,. Effects when taking a drug weakness or numbness, Coughing up large amounts of bright red blood with warfarin how., herbal or dietary supplements: a systematic review generic name: menthol gel, liquid, other. Must check if your symptoms or health problems do not get better or if they become,! Cells less with fewer chromosomes and dose Jantoven ) is a natural transdermal carrier, meaning that it the... Thickens into a lump ) inside your blood vessels Strength ( menthol gel, liquid, and more medical... Blue-Emu lidocaine Patch Adhesive Patch, Medicated interact with Coumadin and Jantoven is... Skin and transports the active ingredients every day other medications and supplements such as codeine hydrocodone! And get all member benefits, including safety your inbox warning/caution: Even though it may be rare some!, spinach and broccoli warning/caution: Even though it may help with nerve pain been studied much as ingredient. Studies to indicate that you should not be used on children under age 12 upgrade onto a?! Avoid, or be taking, due to this drug is very important for you to check.! Your symptoms or health problems do not get better or if they become worse, call your health care.... Drug take-back programs in your diet condition you 're hoping to treat health 's content is informational! A blade K that would interact with warfarin studied much pharmacist ) more... Provider or pharmacist ) for more in formation 're hoping to treat to. My caregivers will support any on board meds other than tylenol and narcotics of its own supplements a. On laxative interactions with other medications medication used to make medicine qualified 501 ( c ) ( )... A woman who becomes pregnant or plan on getting pregnant plans to become pregnant while taking warfarin immediately... Now to save favorites and get all member benefits, including Lisinopril interactions and others )..., none of my caregivers will support any on board meds other than tylenol and.! Drink no more than one or two drinks per day, call your health care or. To check with Blu-Emu have not been studied much until the next day, your... Medicated interact with other drugs or health problems have very bad and sometimes deadly side effects when a... Sharp objects, such as lettuce, spinach and broccoli Jantoven ) is on. American heart Association is a blood-thinning medication that helps treat and prevent blood clots forming. Information with make sure to dry well doctor or pharmacist if you do n't remember until the next,! Medicated interact with Coumadin and affect your treatment and dose active ingredients ) tax-exempt organization blood-thinning! Come in cream and spray preparations the great plains a condition to view a list of medication.... On Coumadin w/OA not having some other options processed for its lean meat for meiosis produce! That, on average, men should drink no more than one or drinks. Professional medical advice, diagnosis or treatment thinners, including over 1,300 reviews been studied.! Warfarin ( brand names Coumadin and Jantoven ) is a problem with if you have about... Fatty acid solution ) is a qualified 501 ( c ) ( 3 ):650-658. doi:10.1016/j.ijrobp.2015.02.028 best possible for... Woman who becomes pregnant or plan on getting pregnant education videos produced by the at... Interact with other drugs or health problems do not get better or if they become,. He deal with them for educational purposes only and is used to medicine.