Clinical Pharmacology - Complementary Medicine Flashcards

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1
Q

Which groups are at risk of being harmed by CAMs?

A

Children
Pregnant women
Patients on medications
Polypharmacy

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2
Q

What concerns are associated with CAMs?

A
60% of Scottish GPs prescribe them
Lack of evidence and safety data
Evidence of harm
Adverse effects 
Unqualified professionals
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3
Q

What is the typical CAM user?

A

Affluent
Educated
Family/friends also use

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4
Q

Why do healthcare professionals recommend CAM?

A
Genuine belief
Use CAM themselves
Feel good factor 
Placebo effect
Experience-is-seeing
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5
Q

What risks are associated with herbal medications?

A

Heavy metals
Bacteria
Actual drugs

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6
Q

What are the CAM-associated risks in breast cancer patients?

A

1/3 use a supplement with estrogenic activity

Phytoestrogens

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7
Q

Which supplements have estrogenic activity?

A

Soya
Chamomile
Garlic
Red clover

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8
Q

What is the effect of Kava use?

A

Liver failure

Hepatitis

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9
Q

What is the effect of Aristolochia use?

A

Nephrotoxicity
Carcinogenics
Mutagenic

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