CANMAT CAM Flashcards
What is the only 1st line physical therapy?
light therapy for seasonal MDD-acute
What are the 2nd line physical therapies?
exercise yoga light therapy for non seasonal MDE level 2 adjunctive mild-mod MDD
What are the 3rd line physical therapies?
sleep deprivation
level 2, but so impractical
adjunctive
mild-mod dep
Which physical therapy has insufficient evidence
acupuncture
recommendation level of light therapy?
1st line for seasonal MDE
2nd line for non seasonal mild- mod MDE
recommendation level of exercise and yoga?
2nd line
adjunctive
mild-mod MDD
recommendation level of sleep deprivation?
3rd line
adjunctive
mild-mod MDD
recommendation level of acupuncture?
insufficient evidence to make recommendation
What are the types of CAM in CANMAT?
physical therpaies
nutraceuticals
herbal therapies
What are the types of physical therapies in CANMAT?
light exercise yoga sleep deprivation acupunture
What are the nutraceuticals mentioned in CANMAT?
Omega-3 SAM-e DHEA Tryptophan Folic Acid
What are the 1st line nutraceuticals?
none are 1st line
What are the 2nd line nutraceuticals for MDE?
Omega-3 SAM-e both have L1 both monotherapy for mild to moderate depression Omega 3 also adjunctive
What are the 3rd line nutraceuticals for MDE?
DHEA, mono
FA, adj
both have L2
What is the recommendation level of tryptophan for MDE
insufficient evidence to make a recommendation
bote: SE do not include seotonin syndrome
What is the recommendation level of Omega 3?
2nd line mono or adj for mild to mod dep
L1
What is the recommendation level of SAM-e?
2nd line mono for mild to mod dep
do not use adjunctively (serotonin syndrome)
L1
What is the recommendation level of DHEA?
3rd line mono
L2
What is the recommendation level of FA?
3rd line adj
L2
what are the herbal therapies in CANMAT?
St. John’s wort
Crocus stavitus
gingko biloba
What is the recommendation level for St.John’s wort?
1st line mothotherapy L1 for mild -mod depression
2nd line adjunctive therapy L2 for mild -mod depression
caution serotonin syndrome
What is the recommendation level for Crocus sativus (saffron)?
third line monotherapy
L2 mild- mod severity
What are the 1st line CAM?
St.JW 1st line mothotherapy L1 for mild -mod depression
light therapy is 1st line monotherapy for seasonal MDD-acute
What are the CAM that can cause mania/hypomania?
light therapy omega3 SAME DHEA St.JW
What are the CAM that can cause serotonin syndrome?
SAM-E
St JW
not tryptophan (though its a precursor for serotonin)
light therapy, how?
2500 lux X 2 hours Q am
or 10, 000 lux x 30 min Q am
dose of: light therapy SAME St john's wort Crocus Sativus Omega 3 DHEA
10,000 lux for 30 minutes 800-1600mg 500-1800mg 30mg 1-2 gm 30-450mg
what are the monotherapies
light for seasonal MDE (1st line) it is 2nd adj for nonseasona
SAME 2nd line(do not use as adj)
Omega 3 (2nd line as mono or adj)
DHEA 3rd line, only mono
St.John’s wort (1st line mono, 2nd line adj)
Crocus sativuas (3rd line mono, or adj)
