all herbs Flashcards
- : contraindications ! : adverse reactions / toxicity <> : interactions
! baptisia tinctoria
anorexia hypersalivation tachypnea tachycardia respiratory paralysis death
! , <> cineraria martima
contains pyrrolizidine alkaloids
! nausea, hepato veno occlusive dz, hepatic failure, death
<> synergist with hepatotoxic drugs
! achillea millefolium
contains thujone: emmenagogue, abortifacient, convulsions
! aconitum napellus
narrow therapeutic window
OD similar to parasympatholytics
! actea racemosa
nausea
OD: sedative, bradycardia, hypotension
! allium cepa / sativum
increased bleeding time
may worsen colicky baby through breast milk
! aloe vera latex, rhamnus purshiana, Ricinus communis (internal), Rumex crispus
GI cramping
red feces
pseudomelanosis coli
diarrhea
! artemisia absinthum
thujone: emmenagogue, abortifacient, convulsions
vomiting, impotence, disturbed sleep, convulsion, death
! artemisia vulgaris
thujone: emmenagogue, abortifacient, convulsions
! astragalus membranaceus
may increase fibrin formation
! atropa belladonna
“hot as a hare, red as a beet, dry as a bone, blind as a bat, mad as a hatter”
! bacopa monierri
palpitations
nausea
dry mouth
thirst and fatigue
! berberis aquifolium
dz’s affected by bitter digestive stimulation
late pregnancy
! berberis vulgaris and berberis aquifolium
nausea vomiting mucous membrane irritation hypotension heart failure convulsions parathesias
! camellia sinensis
potentially hepatotoxic
! ceanothus americanus
may increase clotting
! centella asiatic
HTN
hematochezia
pruritus
photosensitivity
! chelidonium majus
nausea vomiting burning in mouth abdominal pain diarrhea stupor coma death
! cinnamomum zelyanicum
OD of essential oil: nausea, vomiting, convulsions, pulmonary edema, liver damage, kidney damage, coma
! coleus forskohlii
GI stimulation
nausea
! convallaria majalis
yellow/green halo around objects
bradycardia
death
! datura stramonium
hot as a hare, red as a beet, dry as a bone, blind as a bat, mad as a hatter
! digitalis purpurea
yellow/green halo around objects
bradycardia
death
! ephedra sinica
mild agitation, increased alertness, myocardial infarct
OD: sympathomimetic (nausea, vomitting, vertigo, diaphoresis, tremor, headache, agitation, tachycardia, palpitaions,seizure, death)
! equisteum arvense
long term use depletes B1
! fucus vesiculosus
decreased absorption of K, Fe, Na
abrnomal CBC
diarrhea
heavy metal poisoning
! glycyrrhiza glabra
pseudoaldosteronism
reduces thyroid activity
! grindelia robusta
hypermagnesemia
hyperselenemia
bradycardia
! hydrastis canadensis
nausea dysbiosis berberine displaces bilirubin from albumin bradycardia spasms paralysis delirium
! hyoscyamus niger
hot as a hare, red as a beet, dry as a bone, blind as a bat, mad as a hatter
! hypericum perforatum
photosensitive rash
elevated liver enzymes
! juglans nigras
nausea
carcinogenic
mutagenic
! juniperus communis
thujone: emmenagogue, abortifacient, convulsions
! larrea tridentata
n/v
anorexia
jaundice
hepatotoxicity
! lobelia inflata
n/v to death
! melaleuca alternifolia
neurotoxic if ingested
! panax ginseng
ginseng abuse syndrome (euphoria, diarrhea, nervousness, insomnia, HTN, skin eruptions)
mastalgia
post-menopausal bleeding
! passiflora incarnata
CNS depressions
cardiac depression
respiratory depression
! pausinystalia yohimbe
cardiac, respiratory paralysis
- , <> gentian lutea
- dz’s affected by bitter digestive stimulation
<> antagonistic effect with PPI
<> bitter: decrease drug absorption
- , <> leptandra virginica
- dzs common to bitter digestive stimulation
<> antagonistic effect with PPI, doxycylcine
<> reduces B vitamin absorption
<> antatgonizes podophyllum<> bitter: decrease drug absorption
- , ! , <> eupatorium perfoliatum
contains unsaturated pyrrolizidine alkaloids, see commonalities.
! nausea, hepato veno occlusive dz, hepatic failure, death
<> synergist with hepatotoxic drugs
- , ! , <> eupatorium purpureum
contains unsaturated pyrrolizidine alkaloids, see commonalities.
! nausea, hepato veno occlusive dz, hepatic failure, death
<> synergist with hepatotoxic drugs
- , ! , <> gymnema sylvestre
- GERD
! aggravates reflux
<> decrease insulin requirement, potentiate hypoglycemic drugs, potentiate atorvastatin
- , ! aesculus hippocastanum
- high doses
! nausea, unprocessed fruit toxic
! IM injection: hepatitis, renal failure
- , ! lomatium dissectum
- pregnancy
- concurrent UV therapy
! whole body rash
- achillea millefolium
dz’s affected by bitter digestive stimulationlarge doses, pregnancy
- aconitum napellus
pregnancy
lactation
high doses
- actea racemosa
1st trimester
lactation
estrogen dependent tumors
- allium cepa / sativum
bleeding d/o
anticoagulant therapy
thyroid dz
- aloe vera latex, rhamnus purshiana, Ricinus communis (internal), Rumex crispus
> 10 day use intestinal obstruction unknown abdominal pain bulimia pregnant lactating
- althaea officinalis
wet cough
- angelica sinesis
menorrhagia
bleeding diathesis
- arnica montana
internal use
! gastroenteritis, headache, altered heart rate, HTN, dyspnea, cardiovascular collapse, coma, death
- artemisia absinthum
dz’s affected by bitter digestive stimulation
large doses
pregnancy lactation
- artemisia annua
pregnancy
lactation
- artemisia vulgaris
dz’s affected by bitter digestive stimulation
pregnancy
lactation
- articum lappa
pregnancy at high doses
dz’s affected by bitter digestive stimulation
- aspidosperma quebracho
dry cough pregnancy lactation infants long term use
- astragalus membranaceus
may exacerbate alzheimers disease and acute infections
- atropa belladona
long term use or high dose BPH urinary retention prostate cancer tachycardia arrhytmia closed angle glaucoma acute pulmonary edema GI stenosis megacolon pregnancy lactation children
- baptisia tinctoria
long term use
high dose
pregnancy
lactation
- berberis vulgaris
dz's affected by bitter digestive stimulation hyperbilirubinemia kidney disease acute hepatitis cirrhosis liver cancer pregnancy lactation
- bryonia alba
internal use
pregnancy
lactation
- camellia sinensis
children beri beri CVD kidney disease duodenal ulcer psychological d/o pregnancy
- capsella bursa-pastoris
major bleed
pregnancy
- caulophylum thalictroides
early pregnancy
! 2 cases of fetal harm
- chamaleirium luteum
early pregnancy
GI irritation
- chelidonium majus
common cholagogue CI( biliary obstruction, hepatic failure, acute diarrhea, acute cholelithiasis, cholecystitis, unconjugated hyper bilirubinemia)
pregnancy
lactation
children
- chionanthus virginicus
common cholagogue CI( biliary obstruction, hepatic failure, acute diarrhea, acute cholelithiasis, cholecystitis, unconjugated hyper bilirubinemia)
- cineraria maritima
internal use
over broken skin
pregnancy
lactation
- cinnamomum zelyanicum
GERD gastritis biliary obstruction acute cholelithiasis high doses of essential oil during pregnancy
- coleus forskohlii
PUD
pregnancy
lactation
children
- commiphora mukul
IBD
pregnancy
lactation
coagulation D/O
- commiphora myrrha
high doses in pregnancy
- convallaria majalis
hypokalemia hypomagnesemia hypocalcemia hypercalcemia ventricular arrhythmia kidney failure severe carditis pregnancy lactation
- corydalis spp
pregnancy
lactation
- curcuma longa
biliary obstruction
acute cholelithiasis
hyperchlorhydria
pregnancy
- cynara scolymus
dz’s affected by bitter digestive stimulation
- datura stramonium
same as atropa belladonna, hysocamus niger
BPH urinary retention prostate cancer tachycardia arrhytmia closed angle glaucoma acute pulmonary edema GI stenosis megacolon pregnancy lactation children
- digitalis purpurea
hypokalemia hypomagnesemia hypocalcemia hypercalcemia ventricular arrhythmia kidney failure severe carditis pregnancy lactation
- dioscorea villosa
biliary obstruction cholecystitis biliary cancer pancreatic cancer hepatitis cirrhoiss
- eleutherococcus senticosus
long term use
acute infections
HTN
- ephedra sinica
HTN hyperthyroidism BPH glaucoma CAD anorexia pregnancy lactation
- equisteum arvense
HTN
hypokalemia
coagulation D/O
- foeniculum vulgare
pregnancy
biliary obstruction
GERD
- fucus vesiculosus
hyperthyroidism
pregnancylactation
long term consumption of iodine
- ganoderma lucidum
mold sensitivity
organ transplant
- gingko biloba
bleeding diathesis
hx of hemorrhagic stroke
- harpagophytum procumbens
dz’s common to bitter digestive stimulation
- humulus lupulus
dz’s common to bitter digestive stimulation
- hydrastis canadensis
dz’s common to bitter digestive stimulation
- hyoscyamus niger
long term use or high dose BPHurinary retention prostate cancer tachycardia arrhytmia closed angle glaucoma acute pulmonary edema GI stenosis megacolon pregnancy lactation children
- hypericum perforatum
SI
high doses in pregnancy
- iris versicolor
GERD PUD gastritis biliary obstruction acute cholelithiasis diarrhea acute hepatitis acute cholecystitis pregnancy lactation
- juniperus communis
dz’s common to digestive bitter stimulation
- larrea tridentata
liver dz
topically on broken skin
pregnancy
lactation
- lobelia inflata
cardiac hypertrophy heart block weak constitution pregnancy lactation infants
- lycopus virginicus
infertility pregnancy lactation children euthyroid hypothyroid
- medicago sativa
high doses in pregnancy
lactation
- melissa officinalis
GERD
hypothyroidism
- mentha piperita
hiatal hernia GERD G6PD pregnancy cholelithiasis
- mitchella repens
early pregnancy
- momordica charantia
pregnancy
- olea europa
hyper active gut
large gall stones
- panax ginseng
HTN pregnancy mental health (anxiety / depression) hemorrhage psoriasis
- passiflora incarnata
pregnancy
- pausinystalia yohimbe
schizophrenia PTSD panic attacks CAD angina HTN pregnancy lactation
-, !, <> arctostaphylos uva ursi
- pregnancy, use > 10 days
! nausea, chronic use may be carcinogenic
! OD: tinnitus, vomiting, delirium, convulsion, death
<> vitamin C + cranberry acidify urine
<> achillea millefolium
antagonist effect with PPI
bitter: decrease drug absorption
<> actea racemosa
HRT therapy leading to estrogen excess
decrease hot flushes with tamoxifen
<> allium cepa / sativum
potentiate warfarin
potentiate insulin and hypoglycemic drugs
allium cepa / sativum indications
atherosclerosis
hypercoagulative states
dyslipidemia
<> aloe vera gel
additive hypoglycemic effect with glyburide
polysac. effect: reduce absorption of drugs
<> aloe vera latex, rhamnus purshiana, Ricinus communis (internal), Rumex crispus
avoid hypokalemic drugs
- diuretics
- corticosteroids
- cardiac glycosides
- anti arrhytmics
- pseudoephedrine
- glycyrrhiza
reduce absorption of drugs due to increased transit time
<> althaea officinalis
polysac. effect: reduce absorption of drugs
<> angelica sinesis
potentiates warfarin
<> artemisia absinthum
antagonist effect with PPI
bitter: decreased drug absorption
artemisia absinthum indications
poor digestion, roundworms
artemisia annua indication
malaria
<> artemisia vulgaris
antagonistic with PPI
potentiate hypoglycemic drugs
BItter: decrease drug absorption
artemisia vulgaris indications
poor digestion
depressiona
menorrhea
optimize by combining with Iron
<> articum lappa
antagonist effect with PPI
additive hypoglycemic effect with insulin
bitter: decreased drug absorption
articum lappa actions
alterative, bitter, hepatoprotective
<> asclepias tuberosa
cardiac glycosides
- digoxin
- convallaria
- digitalis
- leonurus
aspidosperma quebracho indications
dyspnea
wet cough
<> astragalus membranaceus
potentiates acyclovir
potentiates IFN 1 and 2
antagonize corticosteroids
polysac.effect: decrease absorption of drugs
astragalus membranaceus indications
depressed immune system infection viral cardiomyopathy pharyngitis tonsillitis cancer male infertility
<> atropa belladona
potentiates anticholinergic drugs
- atropine
- bupropion
- dextromethorphan
- dicyclomine
- diphenhydramine
- tiotropium bromide
- tolterodine
- TCA (amitryptyline)
- amantadine
avena sativa actions
generally safe
nervine, anxiolytic, hypolipidemic, nutritive
<> bacopa monierri
CYP450 induction
potentiate Ca blockers Potentiate sedatives potentiate barbituates Potentiate benzodiazepines potentiate opiates potentiate trazodone potentiate zolpidem
bacopa monierri indications
cognition
poor memory
anxiety
baptisia tinctoria indications
upper respiratory infections pharyngitis tonsilitis mastitis delirium with fever chronic fatigue
<> berberis aquifolium
antagonist effect with PPI
bitter: decrease drug absorption
may cause intestinal or vaginal dysbiosis
berberis aquifolium indications
poor digestion
chronic skin disease
<> berberis vulgaris
antagonistic effect on PPI
potentiates barbituates
bitter: decrease drug absorption
berberis vulgaris indications
poor digestion
chronic hepatitis
liver disease
gall stones
<> boswellia serrata
enhances NSAIDS
boswellia serrata indications
inflammatory conditions asthma crohn's UC OA RA Chronic prostatitis
<> bryonia alba
GI sxs hypothermia bronchial irritation mydriasis headache tachycardia paralysis death
bryonia alba indications
used topically for pain
rheumatism
PUD
calendula officinalis actions
generally safe
vulnerary
camellia sinensis indications
asthma cancer prevention infection cavity prevention weight loss memory enhancement stimulant
<> camellia sinesis
many interactions, high likelihood that it would not be indicated if pharmaceutical is being used
reduce iron absorption
<> cannabis sativum
potentiates opiates
potentiates barbituates
<> capsella bursa-pastoris
potentiate anticoagulants
capsella bursa-pastoris indications
styptic mild menorrhagia metrorrhagia post partum hemorrhage hemorrhoids
<> capsicum frutescens
anticoagulants
inhibits CYP450
may aggravate cough from ACEi
capsicum frutesecens indications
internal:
* hypochlorhydria
* h pylori
* maldigestion
* dyspepsia
* biliary insufficiency
* atherosclerosis
* hypercoagulation
* capillary atony
external
- diabetic neuropathy
- pruritis
- psoriasis
- OA
- RA
<> cassia spp
avoid hypokalemic drugs
- diuretics
- corticosteroids
- cardiac glycosides
- anti arrhytmics
- pseudoephedrine
- glycyrrhiza
cassia spp special time of use different from most cathartics
may be used while lactating
<> caulophylum thalictroides
interferes with angina treatment (nitroglycerin)
caulophylum thalictroides actions
“blue cohosh”
uterine tonic
<> ceanothus americanus
antagonize warfarin
ceanothus americanus actions
splenoprotective
hepatoprotective
lymphatic
alterative
centella asiatic indications
insomnia
dementia
poor memory
chronic venous insufficiency
<> chamaleirium luteum
may potentiate anticoagulants
Chamaleirium luteum actions
uterine tonic
Chelidonium majus actions / indications
alterative, bitter, cholagogue
topical:
* warts
* eczema
* corns
internal:
* prevent gallstones
* biliary insufficiency
* whooping cough
Chionanthus virginicus actions / indications
cholagogue, alterative, bitter
liver gallbladder dysfunction jaundice hepatomegaly biliary insufficiency gall stones chronic skin conditions constipation dyspepsia typhoid fever malaria