Apex- Herbal supplements Flashcards
4G drugs that increase bleeding tendency
do they increas the risk of spinal hematoma?
are they contraindications to regional?
Garlic
Ginger
Ginseng
Ginko Biloba
no
no, as long as they arent on other OACs
2 supplements known to reduce MAC due to their increased GABA actions
kava kava & valerian
St. John’s Wort is considered an SSRI
SSRI’s are generally considered enzyme inhibitors
how is St. John’s Wort different?
it INDUCES CYP 3A4
3A4 inducers = “ERS has TB, C!” ; inhibitors = “CAGES”
3A4=
Opioids: fent, su, al; methadone
Locals: **Lido, BPV, **Ropi
Benzos: Midaz & Diaz
Bold= high hepatic extraction ratios (blood flow dependent)
italic = low ERs (enzyme depdendent)
What is Saw Palmetto used for and what’s the risk
BPH, increased bleeding
no data on how long to stop it before surgery
How long to stop St. Johns Wort prior to surgery
5 days
T/F: there are no currentguidelines that say surgery must be postponed in the patient taking an herbal supplmement
True
Match the following supplements with their beneifit:
Garlic, Ginger, Ginseng, Gingko Biloba
Anti-aging, poor circulation
Antioxidant
Nausea
Anti-platelet, HTN, HLD
Anti-aging, poor circulation → Ginko Biloba
Antioxidant → Ginseng
Nausea→ Ginger
Anti-platelet, HTN, HLD → Garlic
Match the following supplements with their benefit:
Kava Kava, Licorice, Saw Palmetto, St. John’s wort
Depression
BPH
Anxiety
Gastric and duodenal ulcers
Depression → St. Johns Wort
BPH → Saw Palmetto
Anxiety → Kava Kava (and Valerian)
Gastric and duodenal ulcers → Licorice
Ingestion of what supplement can mimic conns syndrome
Licorice
mimics aldosterone
increased sodium and water retention
decreased K and hydrogen