7. Dietary Supplements and Cannabis Flashcards

1
Q

complementary

A

used with traditional medicine

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2
Q

alternative

A

in place of traditional medicien

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3
Q

FDA regulations for dietary supps

A

not authorized to review supps before market
responisble for taking action against misbranded products after on market

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4
Q

supp manufacturers are prohibited from

A

marketing products that are adulterated or misbranded

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5
Q

antiplts/anticoag supps

A

ginkgo
ginseng
garlic
chamomile
fever few

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6
Q

CNS depression supps

A

valerian
kava

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7
Q

BP/HR supps

A

ephedra
yohimbine
serotoneergic effects

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8
Q

hypoglycemia supps

A

gingensg

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9
Q

sertogenic effect supps

A

st john wort

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10
Q

stimulant effects supps

A

serotogenic interactions

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11
Q

which drugs inhibit CYP450

A

garlic

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12
Q

which drug potentiates CYP450

A

st john wort

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13
Q

fish oil HOLD

A

continue

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14
Q

chondroitin HOLD

A

48 hrs

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15
Q

glucosamine HOLD

A

48 hrs

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16
Q

yohimbine HOLD

A

2 weeks

17
Q

cannabis HOLD

A

discontinue unless for epilepsy

18
Q

L-tryptophan HOLD

A

24 hrs

19
Q

melatonin HOLD

A

continue

20
Q

Marijuana HOLD

A

discontinue

21
Q

st johns wort HOLD

A

2 weeks

22
Q

garlic hold

A

2 weeks

23
Q

ephedra hold

A

discontinue

24
Q

caffeeine hold

A

2 weeks or wean

25
Q

fish oil SE

A

decr plt agregation

26
Q

chondoitin SE

A

antiplatelet
potentiates warfarin

27
Q

glucosamine SE

A

interaction w/warfarin
decr plt aggregation

28
Q

yohimbine SE

A

a2 blocker
hyperternsio
hypotension

29
Q

cannabis se

A

antiplt

30
Q

l tryptophan se

A

serotonin syndrome
post op delerium

31
Q

melatonin SE

A

decr anxiety
may decr delerium

32
Q

marijuana SE

A

inhibits plt aggregation
incr anesthetic reqs

33
Q

st john wort SE

A

serotonin syndrom
strong CYP inducer
inhibits reuptake of serotonin, NE, dopa
decr plt aggregation

34
Q

garlic SE

A

antiplt
incr PT

35
Q

ephedra SE

A

sympathomimetic
reentrant arrythmias
strokes/seizures

36
Q

caffeine SE

A

incr BP/HR
arrythmias
BG control