Complementary/ Alternative Therapies - Module 10 Flashcards
Use: HTN, cholesterol, heart disease, heart attack, prevent colon and other CA, prevent cold
Does not improve LDL (the one that impacts CV health)
National CA institute recognizes has anti-CA properties→ eat the food not the supplement
Odorless does not have same effect
DI: HIV drugs, warfarin
SE: heartburn, allergies
Garlic
Use: women across lifespan dysmenorrhea to hot flashes, pms sx
NCCIH: funding research for use in menopause
Liver damage has been reported with this supplement
Unsure if safe for pregnant/breastfeeding
Look in database to help patients find safe product
Black Cohosh
Use: BPH No SE of decreased libido Takes up to 8 wks to see benefits CI/DI: other BPH meds, blood thinners SE: HA
Saw Palmetto
Use: improve cognition, dementia (vascular may help slow progression), pain r/t PAD
SE: minimal, HA, dizziness, nausea
Do not need to get naturally - raw or cook seeds are poisonous
Drug Interactions: NSAIDS, antiplatelet, antidepressants, DM, garlic, saw palmetto, risk of bleeding
Ginkgo
Available through Dahlgren library Evidence based In depth Rates supplements on scale 1-10 Information from Canada
Natural Medicines
Geared toward patients
Some clinical guidelines available (migraines, insomnia)
Nutrition.gov
Use: prevention/tx of UTI
Fairly safe and effective for 35% of pts
DI: warfarin, statins, others
No major SE, some stomach upset
Cranberry
Use: antibacterial, antiviral, prevent colds
Risk of allergy if you have atoptic dermatitis (asthma
No sig interactions or SE
Echinacea
Well studied
Back, knee, neck pain, headaches
Acupuncture
Spinal manipulation may be helpful
CI if osteoporosis, arthritis, blood thinner, etc
Often not covered by insurance, however DO and PT can often provide spinal manipulation and is covered by insurance.
Chiropractic
geared toward patients Information on supplements Not in depth as needed for providers CEs available Where to find integrative health Fund research
National Center for Complementary and Integrative Health
Use: liver and gallbladder disease
Can cause allergic reaction if you have ragweed, chrysanthemum allergies
Did not improve disease, did improve QOL and reduced sx
Milk Thistle
Use: high cholesterol, T2DM, asthma, breast pain, menopause, HTN
Contains isoflavones which change to phytoestrogens (similar to endogenous estrogen) questions about safety
May cause hyperplasia of uterus→ uterine cancer
Safe if Breast CA to eat foods, but not supplements
Some people are allergic
SE; GI upset
Soy
