Dietary Supplements for Women Flashcards
What are the increased risks when associated with hormone therapy for menopause/ improvements
Coronary heart disease, stroke, pulmonary emboli, breast cancer/ less hipfracture and fewer colorectal cancers
Which traditional chinese medicine is used, for what, how
Angelica sinensis, amenorrhea and dysmenorrhea, inhibits cox-2 (lessen inflammation)
What drug-drug interactions should be known for angelica sinensis, how
Warfarin, inhibits platelet aggregation
What is the number dietary supplement used by women
Black cohosh
What menopausal symptoms is black cohosh used for
anxiety, depression, hot flashes, profuse sweating, insomnia, and vaginal atrophy
What is the effective dose of estrogen black cohosh is associated with
0.625mg of conjugated estrogens
What product of black cohosh is shown to work the best
Remifemen
What is the adverse effects of black cohosh
Cytotoxic to muscle cells (myopathy/concnetration dependent), heptatoxicity
What native american plant is used for the managment of menopausal symtoms, what is the best product of this extract
Red clover, promensil
What is the dose for Red clover needed to gain an effect, best attribute at this dose, other improvements
80 mg/day, reduced hot flash frequency, increased BMD and reduced LDL but increased HDL
What hormones are increased by red clover, consequences
Estradiol, testosterone, lutenizing hormone/ endometrial thickness
T/F: Women with breast cancer should not take blck cohosh or red clover
True
What happens when post menopausal women are given ginseng
Decreased anxiety scores and deucued cortisol/DHEA ratio showing a reduction in stress
T/F: Ginseng dried root is better than ginseng extract at improving quality of life but not hot flashes
False: Ginseng extract is better for quality of life while the ginseng extract is better to treat hot flashes
What dietary supplement comes from Central America
Maca
What seed oil is good for PMS, best attribute, dose, other attribute
Evening primrose oil, treats breast pain, 3 grams a day, (antiinflammatory activity)
T/F: Primrose oil must be taken for 3 cycles before effect is fully seen
True
Caution of primrose oil
Bruising and anticoagulation
Which native plant to india is used for PMS, what patient will it help most, shown effects
Chasteberry (vitex agnus castus), patient with corpus luteum insufficiency and/or excesss prolactin, reduces serum prolactin levels compared with placebo (dopamine agonist)
which chasteberry product is most recommended
Femaprin
What is the caution if using vitex agnus-castus
heavy menstuation, oral contraceptives (increases fertliity)
T/F: Calcium supplements have shown to reduce PMS symptoms and should be taken at a dose of 1500 mg plus vit D 800 international units
True