Do not use if you are pregnant or breastfeeding. Do not use if you are allergic to bees, bee products, or prone to allergic reactions. Do not use with Trogopterus xanthipes (wu ling zhi) or Veratrum nigrum (li lu). Do not use if you have hormone-sensitive conditions or diseases, or if you are a candidate for an organ transplant. Do not use if you have blood disorders, insomnia, or schizophrenia. Do not use if you are taking health products that affect blood clotting (e.g., anticoagulants, clotting factor substitutes, aspirin, ibuprofen, fish oil, vitamin E) as this can increase the risk of spontaneous bleeding.
Do not use if you have a history of systemic lupus erythematosus, if you have asthma or allergies, if you are allergic to plants from the Asteraceae/Compositae/Daisy family, if you are sensitive to nicotine, or if you have swelling caused by heart or kidney disease.