CAM

Question 1

what is the definition of a dietary supplement?

Answer 1

contains one or more dietary ingredients (vitamins, minerals, herbs, botanicals, amino acids, and other substances) or their constituents

Question 2

how are dietary supplements administered?

Answer 2

orally

Question 3

t/f: there is a rising prevalence of use of dietary supplements

Answer 3

true

Question 4

what age group takes the most supplements?

Answer 4

over 60 yo

Question 5

what does the FDA regulate with supplements?

Answer 5

accurate labeling

side effects reported by companies, consumers, and others after the supplement has already been marketed

no contaminants

Question 6

what can labels of supplements not claim?

Answer 6

that they diagnose, cure, treat, or prevent diseases

Question 7

t/f: there is no review for safety and effectiveness of supplements b4 they are marketed

Answer 7

true

Question 8

is there efficacy monitoring of supplements?

Answer 8

nope, bc they don’t claim to be effective for anything, they often just say they “may help improve”

Question 9

what is the purpose of independent commercial organizations like the NSF and USP?

Answer 9

to make sure supplements don’t contain contaminants

Question 10

what are some concerns about supplements?

Answer 10

that they may delay a pt access medical help

pts often fail to report their use to health professionals

the amount and quality of active ingredients Amy be inadequate to expert therapeutic effects

there are many unknown safety profiles

Question 11

t/f: natural=safe and harmless

Answer 11

false

Question 12

what are unknown safety profiles of supplements?

Answer 12

the effects of prolonged usage

its effects in populations such as children, elderly, pre/post-op, pregnant/nursing people, people with comorbidities

Question 13

in a 2008 survey, what % of ppl took a supplement with their prescription meds?

Answer 13

34%

Question 14

t/f: certain supplements can change the pharmacotherapeutics profile of drugs

Answer 14

true

Question 15

what drugs are less effective when taken with St Johns wort?

Answer 15

HIV, heart disease, and depression meds

Question 16

what drug and supplement interaction increases the risk of internal bleeding?

Answer 16

vit E and Warfarin (Coumadin)

Question 17

what are the PT implications for supplements?

Answer 17

ask pts explicitly about supplements they take or they may forget to mention them

educate pts on the evidence (pros/cons, safety and efficacy) of supplements, their side effects, their drug interactions, and make sure they consult with a physician

documentation for conversations with pts about supplements