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Massage and Pharmacology

Massage and Pharmacology
4 CE Hours
$49.00

Cost includes all materials. Shipping, if applicable, is a flat rate.


Newly Updated in 2026! Medications and supplements can affect factors that are important to safe and effective massage therapy, including blood pressure, heart rate, alertness, sensation, bleeding and bruising, blood glucose, skin integrity, and fatigue. This 4-hour continuing education course provides massage therapists with a practical foundation in pharmacology and explores how commonly used medications and supplements may affect massage therapy.

Rather than memorizing medications, you will learn how to review medication histories, recognize relevant effects and precautions, and make appropriate massage therapy decisions. Topics include nervous system, cardiovascular, pain, endocrine, respiratory, gastrointestinal, immune-related, and cancer treatments, along with blood-thinning medications, herbs, supplements, and drug interactions. Client scenarios help you apply pharmacology concepts to realistic massage therapy situations while staying within your professional scope of practice.

In this course, you will learn:

  • Basic pharmacology terminology, medication routes, and medication categories relevant to massage therapy.
  • How medications and supplements may affect common factors such as blood pressure, heart rate, alertness, sensation, bleeding, blood glucose, skin integrity, and fatigue.
  • How to obtain and review a relevant medication and supplement history.
  • How to consider medications, underlying conditions, and current symptoms when planning massage therapy.
  • Massage therapy considerations for cardiovascular, nervous system, pain, endocrine, respiratory, gastrointestinal, immune-related, and cancer treatments.
  • Potential concerns related to blood-thinning medications, herbs, supplements, and drug interactions.
  • How to recognize medication-related red flags, when massage may need to be modified or postponed, and when medical referral may be appropriate.
  • How to apply the Medication → Effect → Observation → Modification → Referral framework to realistic client scenarios.

Why take this course?

Massage therapists frequently work with clients who take prescription medications, over-the-counter medications, herbs, vitamins, and dietary supplements. Understanding how these substances may affect a client's presentation can help therapists recognize potential concerns and make informed decisions about massage techniques, pressure, positioning, treatment areas, and referrals.

This course emphasizes practical application rather than memorizing long medication lists. You will learn a repeatable approach for connecting medication use, underlying conditions, symptoms, and potential risks to massage therapy decisions while remaining within your professional scope of practice.

  • Explain basic pharmacology terminology and identify medication routes and categories relevant to massage therapy.
  • Identify medication-related effects that may influence massage therapy, including changes in blood pressure, alertness, sensation, bleeding risk, blood glucose, skin integrity, fatigue, and immune function.
  • Obtain and review relevant medication and supplement information while remaining within the massage therapist's scope of practice.
  • Apply a medication-to-massage framework to determine when treatment should proceed, be modified, postponed, or referred for additional medical guidance.
  • Recognize massage therapy considerations associated with nervous system, cardiovascular, pain, endocrine, respiratory, gastrointestinal, immune-related, and cancer treatments.
  • Identify potential concerns related to herbs, dietary supplements, and medication interactions.
  • Recognize signs and symptoms that may require postponement of massage or referral to an appropriate healthcare professional.
  • Apply pharmacology concepts to realistic client scenarios and make informed massage therapy decisions within scope of practice.
  • Text: Massage and Pharmacology, by Corrine Rubida, BS, LMT, 186 pages 
  • Guide with instructions
  • Multiple choice exam of 20 questions
  • Course evaluation
  • Certificate of achievement for 4 CE hours upon completion
  • Unlimited phone and email support for any of your questions

The Center for Massage Therapy Continuing Education, LLC is an Approved Provider through the National Certification Board for Therapeutic Massage and Bodywork (NCBTMB); Approved Provider number 409296-00.

Our massage online continuing education courses are also accepted by the American Massage Therapy Association (AMTA), Associated Bodywork and Massage Professionals (ABMP), and most state boards.

For more information on individual state requirements and approvals, please visit our Approvals page and click on your state.

I am working on all kinds of people taking all kinds of meds. It is crucial to understand the effects of these meds. - Kathleen, Schaedler, LMT

I like the simple easy content. - Miyuki Dunn, LMT

I loved the information on how different medications affect teh body systems. I also liked reading about how medication can affect the results of massage strokes. - James Mercer, LMT

Why is asking a client why they take a medication particularly important?
A. It allows the massage therapist to determine the correct dosage.
B. The underlying condition may be just as relevant to massage therapy as the medication itself.
C. It allows the therapist to determine whether the medication is working.
D. The therapist can recommend a different medication if necessary.

What is the most important consideration when a client takes a blood thinner?
A. Blood thinners always prohibit massage.
B. Increased bleeding and bruising risk
C. The client must avoid all massage for life.
D. Deep massage is always prohibited.

A client taking a beta-blocker and another antihypertensive medication becomes dizzy after quickly sitting up from the massage table. What should the therapist do?
A. Have the client stand immediately.
B. Keep the client safely positioned and allow time for recovery.
C. Tell the client to stop taking their medication.
D. Continue the massage without addressing the dizziness.

Course Authors

About the Instructors

Corrine Rubida

Corrine Rubida, BS, LMT

Corrine completed her massage therapy training at Gateway College of Massage Therapy in 1997 and earned a Bachelor of Science degree in Healthcare Administration in 2012. She has been practicing and teaching massage therapy since 1997 and currently holds a massage therapy license in South Dakota. She is also a member of the ABMP. In 2002, Corrine founded the Center for Massage Therapy CE to make professional massage continuing education courses available both online and by mail. Since then, she has developed more than 100 home-study massage continuing education courses and has taught live courses for AMTA and the Gateway College of Massage Therapy.

Cindy Hummel

Cindy Hummel, LMT, LPN

Cindy began her career as a licensed practical nurse in 1990 and then attended massage school in 1998. She has been a licensed massage therapist since 1999. After teaching for 5 years at a local massage school, she practiced massage in a chiropractic setting for over 20 years before retiring in 2023.