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Nplex II > Bot Med Contraindications and Adverse effects > Flashcards

Bot Med Contraindications and Adverse effects Flashcards

1
Q

Achillea Millefolium

A

CI in ulcer.

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2
Q

Aconitum

A

TOXIC at high or sustained dose

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3
Q

Actaea racemosa

A

CI in estrogen dependent tumors

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4
Q

Aesculus Hippocastanum

A

Safe, but may cause nausea.

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5
Q

Allium Cepa/Sativum

A

CI in bleeding

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6
Q

Aloe Vera

A

Super safe if not the latex

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7
Q

Althaea

A

CI in wet cough

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8
Q

Angelica Sinensis

A

Blood builder and mover - might worsen bleeding

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9
Q

Arctium Lappa

A

Might cause hypoglycemia

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10
Q

Arctostaphylos Uva-ursi

A

Nausea

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11
Q

Arnica Montana

A

Not internal

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12
Q

Artemisia annua

A

NOT IN HIGH DOSES. neurotoxic. Thujone. Asteraceae allergy

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13
Q

Artemisia absinthe

A

NOT IN HIGH DOSES. neurotoxic. Asteraceae allergy

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14
Q

Artemisia Vulgaris

A

Has thujone (emmenagogue, abortifacient, convulsions). ASTERACEAE

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15
Q

Asclepius Tuberosa

A

Toxic in large doses for several days

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16
Q

Aspidosperma Quebracho

A

Don’t use in children or lactation or dry cough

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17
Q

Astragalus Membranaceus

A

SAFE

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18
Q

Atropa Belladonna

A

Do not use in BPH, SM relaxation, glaucoma

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19
Q

Avena Sativa

A

SAFE

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20
Q

Bacopa Monnieri

A

SAFE

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21
Q

Baptisia Tincotra

A

Can cause tachy’s

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22
Q

Berberis aquifolium

A

CI in the usual conditions for bitters

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23
Q

Berberis Vulgaris

A

The usual bitter problems. not in GERD, ulcers, diarrhea, cholelithiasis.

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24
Q

Boswellia Serrata

A

SAFE

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25
Q

Bryonia Alba

A

Abd pain, n/v, diarrhea. Pretty toxic.

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26
Q

Calendula officinalis

A

SAFE… but will make you pee a lot

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27
Q

Camellia sinensis

A

SAFE

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28
Q

Cannabis Sativa

A

CI in psych issues

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29
Q

Capsella Bursa-Pastoris

A

CI in major bleeding, pregnancy

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30
Q

Capsicum Frutescens

A

Burning

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31
Q

Cassia Senna

A

Not for use in obstruction, acute gi inflammation, under 12

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32
Q

Ceanothus Americanus

A

SAFE

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33
Q

Centella Asiatica

A

Photosensitivity

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34
Q

Chamaelirium Luteum

A

Anti-platelet effects so caution with bleeders

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35
Q

Chelidonium Majus

A

Not for use in lr failure, biliary obstruction, diarrhea, hemolysis. not for use in children.

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36
Q

Chionanthus virginicus

A

SAFE. But don’t use in bile duct obstruction

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37
Q

Cineraria Maritima

A

Not safe internally, asteraceae allergy

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38
Q

Cinnamomum

A

CI in GERD, severe gastritis

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39
Q

Coleus Forskohli

A

Active peptic ulcer. Don’t use with kids.

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40
Q

Commiphora Mukul

A

CI in IBD

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41
Q

Commiphora molmol`

A

SAFE

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42
Q

Convallaria Majalis

A

Green/yellow halo around objects, bradycardia, gynecomastia, DEATH

CI in: hypokalemia, hypomagnesemia, hypo/hypercalcemia. arrhythmias. kidney failure. severe carditis.

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43
Q

Cordyceps

A

Not in Autoimmunity

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44
Q

Corydalis

A

May cause headache and fatigue.

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45
Q

Crataegus

A

SAFE

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46
Q

Curcuma Longa

A

SAFE

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47
Q

Cynara Scolymus

A

Asteracea allergy.

The typical Bitter CI’s

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48
Q

Datura stramonium

A

CI in BPH. Potentiates anticholinergics

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49
Q

digitalis

A

Not safe CI in partial heart block, angina, arrhythmias, bradycardias, cardiac hypertrophy

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50
Q

Dioscorea villosa

A

Biliary obstructions

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51
Q

Echinacea augustifolia

A

Not for long term use. CI in AI. Asteraceae.

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52
Q

Eleutherococcus Senticosus

A

Not for long term use, acute infections bc it won’t help, in HTN because it’s stimulating

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53
Q

Ephedra Sinica

A

Agitation, HTN, MI, vasculitis, stroke. Sympathomimetic signs.

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54
Q

Equisetum Arvense

A

Depletes thiamine long term. May cause beri beri. CI with HTN, hypokalemia, coagulation disorders

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55
Q

Eschscholzia California

A

addictive

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56
Q

Eucalyptus Globulus

A

Diarrhea, mydriasis, hypothyroidism, death

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57
Q

Eupatorium Perfoliatum

A

Must have pyrrolizidine alkaloids removed. ASTERACEAE FAMILY. May cause hepatic failure.

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58
Q

Eupatorium Purpureum

A

Must have pyrrolizidine alkaloids removed. ASTERACEAE FAMILY. May cause hepatic failure.

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59
Q

Euphrasia Officinalis

A

SAFE

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60
Q

Foeniculum Vulgare

A

CNS toxicity

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61
Q

Galium Aparine

A

SAFE

62
Q

Fucus Vesiculosis

A

Not long term. May cause urine arsenic/heavy metal poisoning. may cause decreased mineral absorption.

63
Q

Ganoderma Lucidum

A

Dark stool, diarrhea side effects

64
Q

Gelsemium sempervirens

A

CI in myasthenia gravis, hypotension. Pretty toxic. NOT SAFE.

65
Q

Gentian Lutea

A

Bitter stimulation side effects

66
Q

Geranium Maculatum

A

Not for long term use. Nausea SE

67
Q

Ginkgo Biloba

A

Rash, bleeding, headache

68
Q

Glycyrrhiza Glabra

A

Pseudoaldosteronism (fatigue, edema, weight loss, HTN, rhabdo, kidney failure, hypokalemia).

69
Q

Grindelia Robusta

A

Asteracea allergy. Might cause hypermagnesemia (does this help with bronchospasm and headache?)

70
Q

Hamamelis Virginiana

A

Skin rx

71
Q

Harpagophytum Procumbens

A

Bitter SE’s

72
Q

Humulus Lupulus

A

Gynecomastia (beer belly and titties in beer drinking men), Bitter stimulation

73
Q

Hydrangea Arborescens

A

May cause vertigo, chest oppression

74
Q

Hydrastis Canadensis

A

Jaundice? Dyspnea, bradycardia, spasms, paralysis, hallucinations

75
Q

Hyoscyamus Niger

A

CI in. BPH, urinary retention, tachycardias, closed angle glaucoma. Hot, red, dry, blind, mad.

76
Q

Hypericum Perforatum

A

Watch out for photosensitivity rash, diarrhea, indigestion, fatigue, elevated ALT/AST

77
Q

Iris Versicolor

A

CI in GERD, diarrhea, acute hepatitis, acute cholecystitis/ithiasis. May cause n/v/death in high doses. There are safer ones to use.

78
Q

Jugulars Nigra

A

CI in long term use as it is carcinogenic

79
Q

Juniperus Communis

A

CI in the classic bitter things. It has thujone in it so it is emmenagogue and neurotoxic

80
Q

Larrea Tridentata

A

Really intense herb and not super safe. Might be carcinogenic. not for high dose or long-term. will cause hepatotoxicity and cancer.

81
Q

Leonurus Cardiaca

A

SAFE

82
Q

Leptandra Virginica

A

CI when we don’t want bitter digestive stimulation

83
Q

Ligusticum Porteri

A

May cause a WHOLE BODY RASH

84
Q

Ligustrum Lucidum

A

SAFE

85
Q

Linum Usitassitum

A

CI in GI obstruction. Not in iron deficiency anemia or osteoporosis

86
Q

Lobelia Inflata

A

CI in cardiac hypertrophy, heart block, dry cough LOW DOSE HERB

87
Q

Lomatium Dissectum

A

Will cause a full body pruritic rash. Only for short term use.

88
Q

Lycopus Virginicus

A

Not for use in euthyroid, hypothyroid, infertility or long term.

89
Q

Matricaria Camomila

A

ASTERACEA allergy. May cause contact dermatitis

90
Q

Medicago Sativa

A

SPOILED sprouts can cause a lupus-like reaction

91
Q

Melaleuca alternifolia

A

Don’t use over large areas of broken skin or internally

92
Q

Melissa Officinali

A

CI in GERD, maybe in hypothyroidism

93
Q

Mentha X Piperita

A

Not for use in G6PD deficiency, CI in cholelithiasis except that’s also an indication so… indicated but not safe.

94
Q

Momordica Charantia

A

Possible intolerance

95
Q

Olea Europa

A

CI in hyperactive gut

96
Q

Panax ginseng

A

CI in HTN, hemorrhage, asthma, anxiety, psoriasis. Don’t use long term.

May cause mastalgia, signs of ginseng abuse (mania+rash)

97
Q

Passiflora Incarnata

A

SAFE (but AE of convulsion, paralysis, hypothermia, hypotension in OD)

98
Q

Pausinystalia Yohimbe

A

Can cause insomnia, anxiety, mania, mydriasis, hypertension

99
Q

Phytolacca Americana

A

CI in high doses. Can cause n/v/resp depression, tingling weakness, bradycardia, death

100
Q

Piper methysticum

A

CI at long term dose bc it may cause hepatotoxicity/be addictive. May cause exfoliative dermatitis.

101
Q

Piscidia erythrina

A

High doses. Hepatotoxic. Bradycardia and mydriasis. Muscarininc receptors cause bradycardia, respiratory depression.

102
Q

Plantago major

A

CI in wet cough

103
Q

Podophyllum

A

Topical rash and death. Catharsis. Oliguria, neuropathy, tachycardia, hypotension, lethargy, hallucinations, death

104
Q

Prunus Serotina

A

Cyanide (Cyanogenic glycosides) - dyspnea, spasms, vocal cord paralysis, coma

105
Q

Prunus Pygeum

A

GI upset

106
Q

Pulsatilla vulgaris

A

Hypersalivation, mydriasis, bradycardia, sedation, paralysis, convulsions, stupor

107
Q

Quercus Rubra

A

CI in heart failure, constipation, iron deficiency

108
Q

Rauwolfia serpentina

A

Nasal congestion, loose stool, sodium retention, edema. Severe catecholamine depletion causing nightmares, bradycardia, depression

109
Q

Rhamnus

A

May cause RED URINE/FECES. Pseudomelanosis coli, diarrhea

110
Q

Rhodiola Rosea

A

Dizziness, dry mouth, htn, palpitations, tachycardia

111
Q

Rosmarinus officinalis

A

Neurotoxicity and death in high doses. Stimulating so it’s a CI with epileptics

112
Q

Rubus Idaeus

A

nausea

113
Q

Rumex crispus

A

Not for use over 10 days. For acute GI inflammation, not in spastic constipation, not in kids

114
Q

Salix alba

A

CI in viral exanthema, G6PD deficiency

115
Q

Salvia officinalis

A

CI in large doses bc of the thujone

116
Q

Sambucus nigra

A

CI in high fever

117
Q

Sanguinaria Canadensis

A

CI for any cough, not safe in glaucoma

118
Q

Schizandra chinensis

A

GERD, restlessness, insomnia, dyspnea

119
Q

Scutelleria Baicalensis

A

Hepatotoxicity, sedation, hypotension

120
Q

Scutellaria lateriflora

A

May cause tremors

121
Q

Selenicereus grandiflorus

A

N/V, arrhythmias, tachycardia, HF

122
Q

Serenoa Repens

A

Do not use prior to surgery (risk of bleed)

123
Q

Silybum Marianum

A

Asteracea allergy

124
Q

Smilax spp

A

CI in GERD,

125
Q

Solidago spp

A

Asteracea allergy

126
Q

Symphytum officinale

A

Internal use bc of the pyrrolizidine alkaloids. Don’t use in wet cough

127
Q

Tanacetum parthenium

A

Asteraceae allergy

128
Q

Tanacetum Vulgare

A

Has lots of thujone and will cause aboritons. Asteracea allergy

129
Q

Taraxacum official

A

CI in the classic bitter things. Allergy to asteraceae

130
Q

Theobroma Cacao

A

Theoretically bad in ht dz. Might cause migraine or eczema

131
Q

Thuja occidnetalis

A

N/V. Impotence. Fatty liver, insomnia, nightmares. Emmenagogue, aboritfacient. carcinogenic

132
Q

Thymus vulgaris

A

N/V, stupor, neurotoxic, lethal

133
Q

Tilea europa

A

Urticaria, allergic rhinitis

134
Q

Tribulus terrestris

A

CI in GERD, cholestasis, BPH,

135
Q

Trifolium Pratense

A

CI in Bleeding disorders. May cause rash

136
Q

Tussilago farfara

A

Has PA’s so internal use without removal is bad. Allergy to asteraceae.

137
Q

Ulmus Rubra

A

CI in wet cough.

138
Q

Urtica dioica

A

Safe

139
Q

Usnea Barbata

A

Hepatotoxic with isolated usnic acid.

140
Q

Vaccinium Myrtillus

A

Long term use of leaf may cause damage to the liver

141
Q

Valerian officinalis

A

CNS depression

142
Q

Veratrum album

A

Not safe

143
Q

Verbascum thapsus

A

Safe but DONT SMOKE IT WITH DATURA and KNO3 because you might get dizzy (wtf?)

144
Q

Verbena officinalis

A

nausea

145
Q

Viburnum opulus

A

Don’t eat the fruit raw. UTI is a contraindication. DONT USE IN SALICYLATE HYPERSENSITIVITY

146
Q

Vinca Major

A

Not for use in hypotension. May cause sympathomimetic effects.

147
Q

Viscum album

A

CI in migraines and at high doses. Can cause hemorrhage, thymus damage, convulsions, mydriasis, anemia

148
Q

Vitex agnus castus

A

Impotence is a CI

149
Q

Withania Somnifera

A

CI in AI

150
Q

Zingiber officinalis

A

CI in active Peptic ulcer, gastritis. CI in raynauds. CI in acute cholelithiasis

Nplex II (10 decks)

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