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NPLEX2 Botanicals > Botanicals genitourinary system > Flashcards

Botanicals genitourinary system Flashcards

1
Q

how many Genito-urinary botanical categories? Name them.

A

There are 3.
Renal
Female
Male

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2
Q

How many genito-urinary botanicals all together? Name them.

A

Renal:
Arctostaphylos uva-ursi
Equisetum arvense
Eupatorium purpureum
Hydrangea arborescens
Juniperus communis
Solidago spp.
Thuja occidentalis
Urtica dioica

Female:
Actea racemosa
Angelica sinensis
Caulophyllum thalictroides
Chamaelirium luteum
Dioscorea villosa
Medicago sativa
Mitchella repens
Piscidia erythrina
Rubus idaeus
Viburnum prunifolium
Vitex agnus-castus

Male:
Pausinystalia yohimbe
Pygeum africanum
Serenoa repens
Smilax spp.
Tribulus terrestris

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3
Q

Arctostaphylos uva-ursi (Uva-ursi, Bearberry) indications

A

Alkali UTIs, chronic bladder irritation with pain, tenesmus, blood, mucus

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4
Q

Arctostaphylos uva-ursi CI

A

Pregnancy, use beyond 10 days. Kidney disorders

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5
Q

Arctostaphylos uva-ursi s/e’s

A

Individuals with gastric sensitivity may experience nausea, vomiting, and/or stomach ache due to its high tannin content. Liver damage may happen over use of extended periods, particularly with children due to possible hepatotoxicity of the hydroquinones being released

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6
Q

Arctostaphylos uva-ursi Interactions

A

Tannin content may complex with concomitantly administered iron resulting in nonabsorbable insoluble complexes and may result an adverse sequele on blood components. administer iron in separate administration times of these compounds by 1 to 2 hours. Avoid concurrent use of uva ursi preparations; should not be administered with any substance that causes acidic urine since this reduces the antibacterial effect. The urine disinfecting effect of the hydroquinones released in the urinary tract only occurs in an alkali environment, therefore the simultaneous administration of medication or food that increases your acid levels in the bladder is to be avoided. For example vitamin C and cranberry acidify urine, so should be avoided with Uva-ursi

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7
Q

Arctostaphylos uva-ursi constituents

A

Glycosides (hydroxyquinone), favonoid: quercetin, resins, tannins

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8
Q

Arctostaphylos uva-ursi actions

A

Renal antiseptic, It is not a diuretic

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9
Q

Equisetum arvense (Horsetail) Constituents

A

Flavonoids, caffeic acid ester, silicic acid, pyridine alkaloids

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10
Q

Equisetum arvense (Horsetail) pharmacology

A

Horsetail has a mild diuretic and spasmolytic action in animal tests. The flavonoids and silicic acid contribute to the astringent effect. This herb increases diuresis and reduces uric acid content in the blood by increasing uric acid clearing and the rate of excretion.

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11
Q

Equisetum arvense (Horsetail) actions

A

Diuretic, astringent

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12
Q

Equisetum arvense (Horsetail) Indications

A

Infections of the urinary tract, kidney and bladder stones, nocturnal enuresis

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13
Q

Equisetum arvense (Horsetail) Side effects

A

None

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14
Q

Equisetum arvense (Horsetail) CI

A

Edema due to impaired heart or kidney function hypokalemia, coagulation disorders

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15
Q

Equisetum arvense (Horsetail) Interactions

A

Avoid hypokalemic drugs: diuretics (furosemide hydrochlorothiazide), corticosteroids (hydrocortisone, prednisone, dexamethasone), cardiac glycosides (digoxin, convallaria, digitalis, Leonurus), antiarrhythmics (atenolol, propranolol, amiodarone), pseudoephedrine, glycyrrhiza
May antagonize anticoagulants (warfarin)

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16
Q

Eupatorium purpureum (Grave root, Joe pye weed) Constituents

A

Oleoresins: euparin, eupurpurin

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17
Q

Eupatorium purpureum (Grave root, Joe pye weed) actions

A

anti-lithic, diuretic

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18
Q

Eupatorium purpureum (Grave root, Joe pye weed) indications

A

Urolithiasis, dysuria, hematuria from prostatitis, gout

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19
Q

Eupatorium purpureum (Grave root, Joe pye weed) s/e

A

None

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20
Q

Eupatorium purpureum (Grave root, Joe pye weed) CI

A

None

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21
Q

Eupatorium purpureum (Grave root, Joe pye weed) Interactions

A

None

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22
Q

Hydrangea arborescens (seven barks) Constituents

A

Saponins, flavonoids, volatile oil, isocoumarin derivatives

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23
Q

Hydrangea arborescens (seven barks) actions

A

Diuretic, anti-lithic

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24
Q

Hydrangea arborescens (seven barks) Indications

A

Prostatitis, BPH, urolithiasis, dysuria, cystitis, urethritis, acute nephritis, acute pyelonephritis

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25
Q

Hydrangea arborescens (seven barks) s/e

A

If taken in high doses, it can cause vertigo, and feelings of constriction in the chest

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26
Q

Hydrangea arborescens (seven barks) CI

A

None

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27
Q

Hydrangea arborescens (seven barks) Interactions

A

None

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28
Q

Juniperus communis (Juniper) Constituents

A

Volatile oil, diterpenes, sesquiterpene lactones: thujone. Flavonoids, monosaccharides, oligomeric proanthocyanidins

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29
Q

Juniperus communis (Juniper) actions

A

Diuretics, bacteriostatic, anti-septic. Urinary sedative, digestive stimulant (bitter)

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30
Q

Juniperus communis (Juniper) indications

A

Hypochlorhydria, dyspepsia, maldigestion, biliary insufficiency, dyskinesia (uncontrolled movements), anorexia, atomic constipation, gas. Lower UTI, renal atonia (lack of mm tone)

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31
Q

Juniperus communis (Juniper) s/e

A

Thujone: emmenagogue, abortifacient, convulsions

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32
Q

Juniperus communis (Juniper) CI

A

Pregnancy, breast-feeding. Contraindicated in inflammatory renal diseases.

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33
Q

Juniperus communis (Juniper) Interactions

A

No human drug interaction data available

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34
Q

Solidago odora (Goldenrod) Consituents

A

Volatile oils, saponins, flavonoids

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35
Q

Solidago odora (Goldenrod) Actions

A

Anti-catarrhal (mucus), anti-inflammatory, diabetic, carminative, expectorant

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36
Q

Solidago odora (Goldenrod) Indications

A

Upper respiratory tract infection with catarrh (sinusitis, pharyngitis, hay fever), influenza, flatulent dyspepsia. Cystitis, urethritis, dysuria, and anuria failure of kidneys to produce urine

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37
Q

Solidago odora (Goldenrod) s/e

A

None

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38
Q

Solidago odora (Goldenrod) CI

A

High doses, allergy to Asteraceae family

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39
Q

Solidago odora (Goldenrod) Interactions

A

None

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40
Q

Thuja occidentialis (Thuja) Constituents

A

Water soluble immuno stimulating polysaccharides and glycoproteins, sesquiterpene lactones (thujone,) tannins, volatile oil

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41
Q

Thuja occidentialis (Thuja) Actions

A

Genitourinary anti-septic, diarrhetic

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42
Q

Thuja occidentialis (Thuja) Indications:

A

Topical: warts, leukorrhea, anal fissures, chancre, and ulcers

Internal: Pharyngitis, tonsillitis, bronchitis, incontinence, enuresis, GU catarrh

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43
Q

Thuja occidentialis (Thuja) S/e’s

A

At high doses: nausea, vomiting, impotence, fatty liver, insomnia, nightmares, hallucinations, convulsions

Thujone: emmenagogue, abortifacient, convulsions, possible carcinogen

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44
Q

Thuja occidentialis (Thuja) CI

A

Large doses (thujone), pregnancy (abortifacient) and lactation

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45
Q

Thuja occidentialis (Thuja) interactions

A

None

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46
Q

Urtica dioca (stinging nettle) Constituents

A

Leaf: flavonoids, resin, volatile acids, histamine, 5-HT (serotonin)

Root: tannins, lignans.

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47
Q

Urtica dioca (stinging nettle) Pharmacology

A

BPH: symptomatic relief for urinary symptoms through lignins binding to sex hormone binding globulin (SHBG) of prostate tissue, inhibiting prostate cell metabolism and growth

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48
Q

Urtica dioca (stinging nettle) Actions

A

Astringent, diuretic

Rubefacient, counter-irritant (fresh herb)

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49
Q

Urtica dioca (stinging nettle) Indications

A

Stinging nettle flowering plant topical: Rubefacient for rheumatic aliments

Stinging nettle flowering plant internal: infections of the urinary tract, kidney and bladder stones also used as irrigation therapy for prevention and treatment of kidney stones

Stinging nettle root: prostate complaints, irritable bladder. → Preparation of the root are used for my micturition disorders in prostate adenoma stages one and two.

→ This herb only relieves the symptoms of an enlarged prostate without eliminating the enlargement itself. It reduces residual urine and increases urinary flow

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50
Q

Urtica dioca (stinging nettle) s/e

A

Stinging from fresh leaf

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51
Q

Urtica dioca (stinging nettle) CI

A

Pregnancy (potent diuretic). Not to be used when there is fluid retention resulting from reduced cardiac or renal function

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52
Q

Urtica dioca (stinging nettle) Interactions

A

Nettle contains an unspecified amount of tannins that may complex with concomitantly administered iron, resulting in nonabsorbable insoluble complexes and may result an adverse sequela on blood components

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53
Q

Genito-urinary female Actea racemosa (Black Cohosh) Constituents

A

Triterpenes: actein, cimifugoside. Quinolizidine alkaloids: cytisine. Phenylpropane derivattives: isoferulic acid.

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54
Q

Genito-urinary female Actea racemosa (Black Cohosh) Actions

A

Uterine tonic, pituitary/estrogen mimetic, parturifacient, anti-rheumatic, spasmolytic, antitussive, nervine.

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55
Q

Genito-urinary female Actea racemosa (Black Cohosh) Indications

A

Dysmenorrhea, PMS, menopause, early labor. Rheumatism, myalgia, OA, RA. Whooping cough

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56
Q

Genito-urinary female Actea racemosa (Black Cohosh) s/e

A

Nausea, OD: sedative, bradycardias, hypotension, blurred vision, nausea, vomiting, headache

57
Q

Genito-urinary female Actea racemosa (Black Cohosh) CI

A

First trimester of pregnancy, lactation (large doses), estrogen dependent tumors

58
Q

Genito-urinary female Actea racemosa (Black Cohosh) Interactions

A

HRT therapy leading to estrogen excess (but does not affect uterus), reduces hot flushes from tamoxifen

59
Q

Genito-urinary female Angelica sinensis (Dong quai) constituents

A

Couamrins, polysaccharides, ferulic acid

60
Q

Genito-urinary female Angelica sinensis (Dong quai) Actions

A

Uterine tonic, liver tonic, spasmolytic, anti-inflammatory, analgesic, sedative

61
Q

Genito-urinary female Angelica sinensis (Dong quai) Indications

A

Amenorrhea, dysmenorrhea, endometritis, estrogen imbalance, menopause, PMS (menstrual regulator, reduces heavy flow)

Tonic for uterus, liver, digestion and body as a whole

62
Q

Genito-urinary female Angelica sinensis (Dong quai) s/e

A

Possible side effects include fever, G.I. disturbance, and increased bleeding. Patients who are taking large doses of Dong quai, or using it concurrently with blood thinners should be monitored for increases in prothrombin time (PT) and INR

63
Q

Genito-urinary female Angelica sinensis (Dong quai) CI

A

Hemorrhagic disease, hypermenorrhea, chronic diarrhea, abdominal bloating, or acute infections including colds and flus. Dong quai should not be used during pregnancy, specifically in the first trimester. Photodermatitis is a possibility, so do caution patients to limit their time in the sun

64
Q

Genito-urinary female Angelica sinensis (Dong quai) Interactions

A

Potentiates anticoagulants (warfarin) resulting in increased risk for bleeding.

65
Q

Genito-urinary female Chamaelirium luteum (False Unicorn root) constituents

A

Steroid saponins

66
Q

Genito-urinary female Chamaelirium luteum (False Unicorn root) ACTIONS

A

Uterine tonic, ovarian tonic, emmenagogue, diuretic

67
Q

Genito-urinary female Chamaelirium luteum (False Unicorn root) Indications

A

Amenorrhea, dysmenorrhea, endometriosis, leukorrhea, estrogen imbalance, menopause, female infertility, uterine infections, ovarian cyst, Leiomyomas, PMS, threaten miscarriage, premature labor, dyspepsia.

68
Q

Genito-urinary female Chamaelirium luteum (False Unicorn root) s/e

A

Nausea, vomiting, slight antiplatelet activity

69
Q

Genito-urinary female Chamaelirium luteum (False Unicorn root) CI

A

Early pregnancy, G.I. irritation

70
Q

Genito-urinary female Chamaelirium luteum (False Unicorn root) Interactions

A

May potentiate anticoagulants (warfarin)

71
Q

Genito-urinary female Dioscorea villosa (wild yam) Constituents

A

Flavonoids: myricitrin, quercetin. Palmitate. Steroids: beta-sitosterol. Tannins

72
Q

Genito-urinary female Dioscorea villosa (wild yam) Actions

A

Spasmolytic, antirheumatic, anti-inflammatory, diuretic, diaphoretic, hepatic, cholagogue

73
Q

Genito-urinary female Dioscorea villosa (wild yam) Indications

A

Dysmenorrhea, endometriosis, PMS, threatened miscarriage, premature labor, smooth muscle spasm, intestinal colic

Myalgia, neuralgia, OA, RA, acute rheumatism

74
Q

Genito-urinary female Dioscorea villosa (wild yam) s/e

A

None have been recorded when following proper therapeutic dosages

75
Q

Genito-urinary female Dioscorea villosa (wild yam) CI

A

Biliary obstruction, cholecystitis, biliary cancer, pancreatic cancer, hepatitis, cirrhosis, high doses during pregnancy

76
Q

Genito-urinary female Dioscorea villosa (wild yam) Interactions

77
Q

Genito-urinary female Medicago sativa (Alfalfa) Constituents

A

Isoflavones, alkaloids, saponins, cyanogenic glycosides

78
Q

Genito-urinary female Medicago sativa (Alfalfa) Actions

A

Phytoestrogen, hepatoprotective, antioxidant, cholesterol lowering (d/t saponin content)

79
Q

Genito-urinary female Medicago sativa (Alfalfa) Indications

A

Endometriosis, hyperestrogenism, hypoestrogenism, infertility, menopause

80
Q

Genito-urinary female Medicago sativa (Alfalfa) s/e

A

Spoiled alfalfa sprouts may contain E. coli, bacillus cereus and salmonella.

81
Q

Genito-urinary female Medicago sativa (Alfalfa) CI

A

Alfalfa is contraindicated in patients with gout and systemic lupus erythematosus. Not to be used in pregnancy

82
Q

Genito-urinary female Medicago sativa (Alfalfa) Interactions

A

May potentiate hypoglycemic drugs (metformin glyburide, Rosiglitazone), may antagonize anticoagulants (warfarin), HRT, induces CYP 450

83
Q

Genito-urinary female Mitchella repens (Partridge berry) constituents

A

Alkaloids, saponins, tannins

84
Q

Genito-urinary female Mitchella repens (Partridge berry) Actions

A

Parturifacient (induces labor), uterine tonic, emmenagogue, alterative, astringent, diuretic

85
Q

Genito-urinary female Mitchella repens (Partridge berry) Indications

A

Dysmenorrhea, infertility, Leiomyoma, menorrhagia, poor uterine tone

preparation for childbirth

86
Q

Genito-urinary female Mitchella repens (Partridge berry) s/e

87
Q

Genito-urinary female Mitchella repens (Partridge berry) CI

A

Early pregnancy

88
Q

Genito-urinary female Mitchella repens (Partridge berry) Interactions

89
Q

Genito-urinary female Rubus idaeus (Raspberry) Constituents

A

Tannins: gallo tannins, ellagic tannins. Flavonoids and vitamin c.

90
Q

Genito-urinary female Rubus idaeus (Raspberry) Pharmacology

A

Main active constituents are tannin, flavonoids and vitamin C. The tannins give the fruit and astringent effect

91
Q

Genito-urinary female Rubus idaeus (Raspberry) Actions

A

Parturient: Strengthens contractions, reduces hemorrhage during labor. Uterine tonic, astringent, inflammation modulator

92
Q

Genito-urinary female Rubus idaeus (Raspberry) Indications

A

Preparation for labor by strengthening the tone of the uterus. Diarrhea, leucorrhea. aphthous ulcers, gingivitis (mouthwash), conjunctivitis (eyewash).

93
Q

Genito-urinary female Rubus idaeus (Raspberry) s/e

94
Q

Genito-urinary female Rubus idaeus (Raspberry) CI

A

Early stages of pregnancy

95
Q

Genito-urinary female Rubus idaeus (Raspberry) Interactions

96
Q

Genito-urinary female Viburnum opulus (Cramp bark)/ Viburnum prunifolium (Black haw) Constituents

A

Coumarins, flavonoids, tannins, salicin

97
Q

Genito-urinary female Viburnum opulus (Cramp bark)/ Viburnum prunifolium (Black haw) actions

A

Spasmolytic, astringent, emmenagogue, nervine, sedative, hypotensive

98
Q

Genito-urinary female Viburnum opulus (Cramp bark)/ Viburnum prunifolium (Black haw) Indications

A

Dysmenorrhea, endometriosis, PMS, threatened miscarriage, premature labor, smooth muscle spasms, acute urolithiasis, myalgia. Hypertension, arthritis

99
Q

Genito-urinary female Viburnum opulus (Cramp bark)/ Viburnum prunifolium (Black haw) s/e

100
Q

Genito-urinary female Viburnum opulus (Cramp bark)/ Viburnum prunifolium (Black haw) CI

A

Don’t eat raw fruit, it will cause G.I. discomfort

101
Q

Genito-urinary female Viburnum opulus (Cramp bark)/ Viburnum prunifolium (Black haw) Interactions

102
Q

Genito-urinary female Vitex agnus-castus (Vitex, Chaste tree) Constituents

A

Flavonoids, iridoid glycosides, alkaloids, labdane diterpenes

103
Q

Genito-urinary female Vitex agnus-castus (Vitex, Chaste tree) Actions

A

Normalizer of female sex hormones and pituitary gland function uterine tonic supports corpus luteum by increasing progesterone, decreasing estrogen via pituitary gland and FSH, galactagogue

104
Q

Genito-urinary female Vitex agnus-castus (Vitex, Chaste tree) Indications

A

Teen acne both male and female, fibroid cysts

regulation of menstrual cycle when trying to get pregnant due to low progesterone

rebalancing hormones post oral contraceptive use; irregular menstruation, short menstrual cycles,

dysmenorrhea, PMS (with high estrogen, bloating, breast tenderness etc.); menopause

105
Q

Genito-urinary female Vitex agnus-castus (Vitex, Chaste tree) s/e

A

Rashes may occur, as well as itching, nausea, dry mouth, headache, dizziness, agitation

106
Q

Genito-urinary female Vitex agnus-castus (Vitex, Chaste tree) C/I

A

Pregnancy, lactation

107
Q

Genito-urinary female Vitex agnus-castus (Vitex, Chaste tree) Interactions

A

May interact with dopamine antagonists and dopamine receptor blocking agent

108
Q

Genito-urinary Male Pausinystalia yohimbe (yohimbe) constituents

A

indole alkaloids: Yohimbine (quebrachine) and its stereoismoers alpha-yohimbine, beta-yohimbine and allo-yohimbine

109
Q

Genito-urinary Male Pausinystalia yohimbe (yohimbe) Actions

A

Aphrodisiac, alpha2-adrenergic blocker, serotonin antagonist,. Stimulates erection and salivation, prolongs and strengthens erection. cerebral stimulant

110
Q

Genito-urinary Male Pausinystalia yohimbe (yohimbe) Indications

A

Impotence, ED, depression, narcolepsy

111
Q

Genito-urinary Male Pausinystalia yohimbe (yohimbe) s/e

A

Nausea, salivation, dizziness, nervousness, insomnia, anxiety, mania, mydriasis, hypertension, edema, fatigue, paralysis, headaches, diuresis, palpitations, tachypnea, respiratory, paralysis, cardiac paralysis, death

112
Q

Genito-urinary Male Pausinystalia yohimbe (yohimbe) CI

A

Schizophrenia, panic attacks, PTSD, coronary artery disease, severe edema, hypertension, angina, peptic ulcer, renal disease, liver disease, prostatitis, pregnancy, lactation

113
Q

Genito-urinary Male Pausinystalia yohimbe (yohimbe) Interactions

A

Potentiates alpha adrenergic blockers (carvedilol, risperidone, Tamsulosin, trazodone), tricyclic antidepressants a(mitriptyline), MAOIs (phenelzine), sympathomimetics (albuterol, epinephrine, phenylephrine, pseudoephedrine, salbutamol).

May antagonize clonidine, atropine

114
Q

Genito-urinary Male Prunus africana (pygeum afrincanum) Constituents

A

Phytosterols: beta-sitosterol. Triterpenoid saponins, tannins

115
Q

Genito-urinary Male Prunus africana (pygeum afrincanum) Actions

A

Prostatic tonic, 5-alpha reductase inhibitor, anti-inflammatory

116
Q

Genito-urinary Male Prunus africana (pygeum afrincanum) Indications

A

BPH, chronic prostatitis, low prostatic secretions

117
Q

Genito-urinary Male Prunus africana (pygeum afrincanum) s/e

A

Possible GI irritation, nausea, stomach pain

118
Q

Genito-urinary Male Prunus africana (pygeum afrincanum) CI

A

Prunus cannot be recommended during pregnancy or breast-feeding b/c of possible hormonal effects

119
Q

Genito-urinary Male Prunus africana (pygeum afrincanum) Interactions

A

May potentiate five alpha reductase inhibitors (finasteride, pygeum, serenoa)

120
Q

Genito-urinary Male Serenoa repens (Saw Palmetto) constituents

A

Steriodal saponins, fatty acids, flavonoids, tannins

121
Q

Genito-urinary Male Serenoa repens (Saw Palmetto) Pharmacology

A

Lipophilic extract of the herb inhibits binding of dihydroestosterone (DHT) to the cystolic androgenic receptor and alpha1 adrenoceptor in the prostate, which prevents accumulation of the steroid, which may lead to prostate hyperplasia. Antiandrogenic effects of the lipophilic extract also consists of 5-alpha reductase and 3-ketosteroid reductase inhibition. These enzymes are responsible for the conversion of testosterone to DHT and for conversion of DHT to an androgen compound, respectively.

122
Q

Genito-urinary Male Serenoa repens (Saw Palmetto) actions

A

Prostatic tone, 5-alpha reductase inhibitor (Anti-androgenic), anti-estrogenic, anti-inflammatory

123
Q

Genito-urinary Male Serenoa repens (Saw Palmetto) Indications

A

Benign prostatic hypertension, used for inflammation of the urinary tract and bladder. it has also been used for nocturnal enuresis and improvement of libido

124
Q

Genito-urinary Male Serenoa repens (Saw Palmetto) s/e

A

Not to be used during pregnancy and breastfeeding due to its potential hormonal effects.

125
Q

Genito-urinary Male Serenoa repens (Saw Palmetto) CI

A

(don’t) Use prior to surgery (possibility of hemorrhage)

126
Q

Genito-urinary Male Serenoa repens (Saw Palmetto) Interactions

A

May potentiate anticoagulants (warfarin), 5-alpha reductase inhibitors (finasteride). Potential risk with hormone like drugs or adrenergic drugs due to possible estrogenic, androgenic and alpha adrenergic blocking effects of Saw Palmetto.

Iron: Tannin content of Saw palmetto may complex with a concomitantly administered iron and may result in adverse sequela on blood components. Administer separately with one to two hour spacing

127
Q

Genito-urinary Male Smilax species (Sarsparilla) Constituents

A

Steroidal saponins, phytosterols, resin, volatile oils

128
Q

Genito-urinary Male Smilax species (Sarsparilla) Pharmacology

A

Steroid saponins in this herb are responsible for its irritating affect on the skin, and a strong diuretic and diaphoretic effect in high doses.

129
Q

Genito-urinary Male Smilax species (Sarsparilla) actions

A

Alterative, anti-rheumatic, diaphoretic, anti-inflammatory, diuretic

130
Q

Genito-urinary Male Smilax species (Sarsparilla) Indications

A

Gout, chronic dermatitis, psoriasis, fevers, arthritis, rheumatic complaints

131
Q

Genito-urinary Male Smilax species (Sarsparilla) s/e

A

Stomach complaints may occur in rare cases, as could kidney irritation

132
Q

Genito-urinary Male Smilax species (Sarsparilla) CI

133
Q

Genito-urinary Male Smilax species (Sarsparilla) Interactiosn

134
Q

Genito-urinary Male Tribulus terrestris (Bindii) Constituents

A

Steroidal saponins, phytosterols, alkaloids

135
Q

Genito-urinary Male Tribulus terrestris (Bindii) Actions

A

Sex hormone enhancer (estrogenic in females, androgenic in males), negative chronotropic

136
Q

Genito-urinary Male Tribulus terrestris (Bindii) Indications

A

Infertility, impotence, decreased libido, fatigue, convalescence, coronary artery disease

137
Q

Genito-urinary Male Tribulus terrestris (Bindii) s/e

A

Aggravates GERD, insomnia, menorrhagia

138
Q

Genito-urinary Male Tribulus terrestris (Bindii) CI

A

GERD, cholestasis, BPH, pregnancy, lactation

139
Q

Genito-urinary Male Tribulus terrestris (Bindii) Interactions

A

May potentiate cardiac glycosides to (digoxin, Convallaria, digitalis, Leonurus), beta blockers (atenolol, carvedilol, propranolol), calcium channel blockers (amlodipine)

NPLEX2 Botanicals (12 decks)

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