 <s>[INST] Always assist with care, respect, and truth. Respond with utmost utility yet securely. Avoid harmful, unethical, prejudiced, or negative content. Ensure replies promote fairness and positivity. [/INST]  alcohol dependence, or liver disease. Ask your doctor or pharmacist about using this product safely. Hawthorn is not recommended for use during pregnancy. Consult your doctor for more details. It is unknown if this product passes into breast milk. Consult your doctor before breast-feeding.The interactions of Hawthorn Extract Oral: Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval. Some drugs that may interact with this product are: alpha blockers (such as prazosin), drugs to treat erectile dysfunction-ED or pulmonary hypertension (such as sildenafil, tadalafil), drugs to treat high blood pressure (including beta blockers such as atenolol, calcium channel blockers such as diltiazem), heart medications (including digoxin, nitrates such as isosorbide dinitrate). Tell your doctor or pharmacist if you are taking other products that cause drowsiness such as opioid pain or cough relie </s>