07 - Herbal Medications

Question 0

Many people consider plant based substances to be natural but there is no

Answer 0

Guarantee of safety

Question 1

Herbal or botanical medication are available without a ___ and eliminate proof for

Answer 1

Prescription

Efficacy and safety

Question 2

FDA requires that herbal medication be evaluated by manufacturers for

Answer 2

Identity
Purity
Strength
Composition

Question 3

The is lack of adequate testing for ____ with herbal medications and they may contain hundreds of ____ ingredients

Answer 3

Drug interactions

Active and inactive

Question 4

Many common drugs are plant based:

Answer 4

Atropine, caffeine, cocaine, digoxin, ephedrine, morphine, salicylates, scopolamine, taxol

Question 5

Which drugs should be used with caution with anticoagulant/anti platelet drugs?

Answer 5

Ginger
Ginkgo
Ginseng
Saw palmetto
Vitamin E

Question 6

Which drugs have possibility of dependence and potentiate other sedatives?

Answer 6

Kava

Valerian

Question 7

I am depressed and take antidepressants and sometimes cocaine. What herbal should I avoid?

Answer 7

St. John’s Wort

Can cause hypomania, inhibits serotonin, norepi, and dopamine reuptake

Question 8

Which drugs should be stopped 24 hours before surgery?

Answer 8

Ephedra

Kava

Question 9

I am grossly overweight and order this dietary supplement to lose weight. But I have to get it from China because the FDA has banned it in the US. It also helps with my asthma somehow.

Answer 9

Ephedra

Question 10

I drink this for cardiovascular health but it always seems to make my Xanax last way longer than usual. What is it inhibiting?

Answer 10

Grapefruit juice
Inhibits CYP34 (antihistamines, Ca channel blockers, benzos)

Question 11

Which drugs may increase warfarin activity?

Answer 11

Coenzyme Q10 (similar to vitamin K)
Garlic?