7. Dietary Supplements and Cannabis

Question 1

complementary

Answer 1

used with traditional medicine

Question 2

alternative

Answer 2

in place of traditional medicien

Question 3

FDA regulations for dietary supps

Answer 3

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

Question 4

supp manufacturers are prohibited from

Answer 4

marketing products that are adulterated or misbranded

Question 5

antiplts/anticoag supps

Answer 5

ginkgo
ginseng
garlic
chamomile
fever few

Question 6

CNS depression supps

Answer 6

valerian
kava

Question 7

BP/HR supps

Answer 7

ephedra
yohimbine
serotoneergic effects

Question 8

hypoglycemia supps

Answer 8

gingensg

Question 9

sertogenic effect supps

Answer 9

st john wort

Question 10

stimulant effects supps

Answer 10

serotogenic interactions

Question 11

which drugs inhibit CYP450

Answer 11

garlic

Question 12

which drug potentiates CYP450

Answer 12

st john wort

Question 13

fish oil HOLD

Answer 13

continue

Question 14

chondroitin HOLD

Answer 14

48 hrs

Question 15

glucosamine HOLD

Answer 15

48 hrs

Question 16

yohimbine HOLD

Answer 16

2 weeks

Question 17

cannabis HOLD

Answer 17

discontinue unless for epilepsy

Question 18

L-tryptophan HOLD

Answer 18

24 hrs

Question 19

melatonin HOLD

Answer 19

continue

Question 20

Marijuana HOLD

Answer 20

discontinue

Question 21

st johns wort HOLD

Answer 21

2 weeks

Question 22

garlic hold

Answer 22

2 weeks

Question 23

ephedra hold

Answer 23

discontinue

Question 24

caffeeine hold

Answer 24

2 weeks or wean

Question 25

fish oil SE

Answer 25

decr plt agregation

Question 26

chondoitin SE

Answer 26

antiplatelet potentiates warfarin

Question 27

glucosamine SE

Answer 27

interaction w/warfarin decr plt aggregation

Question 28

yohimbine SE

Answer 28

a2 blocker hyperternsio hypotension

Question 29

cannabis se

Answer 29

antiplt

Question 30

l tryptophan se

Answer 30

serotonin syndrome post op delerium

Question 31

melatonin SE

Answer 31

decr anxiety may decr delerium

Question 32

marijuana SE

Answer 32

inhibits plt aggregation incr anesthetic reqs

Question 33

st john wort SE

Answer 33

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

Question 34

garlic SE

Answer 34

antiplt incr PT

Question 35

ephedra SE

Answer 35

sympathomimetic reentrant arrythmias strokes/seizures

Question 36

caffeine SE

Answer 36

incr BP/HR arrythmias BG control