Have kidney disease
Have liver disease
Are pregnant
Are breastfeeding
In addition, anyone taking one of the following medicines should not use red yeast rice:
Statins to control cholesterol such as rosuvastatin (Crestor), fluvastatin (Lescol), atorvastatin (Lipitor), pravastatin (Pravachol), and simvastatin (Zocor)
Other cholesterol drugs such as gemfibrozil (Lopid) and fenofibrate (TriCor)
Drugs to suppress the immune system, like cyclosporine
Antifungal drugs such as fluconazole (Diflucan), ketoconazole (Nizoral), and itraconazole (Sporanox)
The antibiotics erythromycin and clarithromycin (Biaxin)
Serzone, an antidepressant
Protease inhibitors, used to treat HIV
People who have allergies to fungus or yeast should also be wary of using red yeast rice.
Red yeast rice may also interact with other drugs for blood pressure and thyroid problems and interact with other herbs and supplements you may be taking.
Those using red rice products should supplement with Coenzyme Q10 (Co-Q10), because Red Yeast Rice can interfere with the normal production of this important liver metabolite.
Whatever the state of your health, always talk to your doctor before you start using red yeast rice or any other supplement.
REFERENCES:
MedicineNet web site: "Red Yeast Rice and Cholesterol: A Critical Review." Alternative Medicine Review, 2004.
Nies, L., Annals of Pharmacotherapy, November, 2006; vol 40: pp 1984-1992.
FDA web site: "FDA Warns Consumers to Avoid Red Yeast products Promoted on Internet as Treatments for High Cholesterol."
PDR health web site: "Red Yeast Rice."
NIH web site: "Red Yeast Rice."