Use with caution when driving an automobile or operating heavy machinery and in individuals with hormone-sensitive conditions, such as breast, uterine, cervical, or prostate cancer, or endometriosis, due to presence of phytoestrogens in hops which may exert estrogen receptor agonist or antagonist properties. Use with extreme caution in children under 2 years of age and in pregnancy or lactation. Use with caution in individuals on medication and with pre-existing medical conditions. Large and prolonged doses may increase potential for adverse effects. Herbs may cause transient adverse effects such as nausea, vomiting, and GI distress due to a variety of chemical constituents. Use caution in known allergies to plants.