female other

Question 1

Actea racemosa

Answer 1

black cohosh

triterpenes, quinolizidine alkaloids, phenylpropane derivatives, isoferulic acid

interactions: HRT therapy leading to estrogen excess, reduces hot flushes from tamoxifen

CI: first trimester, lactation, estrogen sensitive tumors

se: nausea, OD: sedative, bradycardia, hypotension, blurred vision, nausea, vomiting, headache

Question 2

Angelica sinensis

Answer 2

coumarins, polysaccharides, ferric acid

interactions: warfarin
ci: hemorrhagic disease, hypermenorrhea, chronic diarrhea, abdominal bloating, acute infections of colds and flus, pregnancy especially first trimester,
se: fever, gi disturbances, increased bleeding, photosensitivity

Question 3

Caulophyllum thalictroides

Answer 3

blue cohosh

quinolizidine alkaloids, steroidal saponins

interactions: may interfere with nitroglycerin: vasoconstriction of the heart vessels
ci: pregnancy
se: dermatitis, gi irrtiation

Question 4

Dioscorea villosa

Answer 4

flavonoids, palmitate, steroids, tannins

ci: biliary obstruction, cholecystitis, biliary cancer, pancreatic cancer, hepatitis, cirrhosis, high doses during pregnancy

Question 5

Medicago sativa

Answer 5

isoflavones, alkaloids, saponins, cyanogenic glycosides

interaction: increased effect of diabetic agents, may decrease warfarin efficacy, HRT, induces CYP450
ci: gout, SLE, pregnancy
se: spoiled alfalfa sprouts have have E coli, bacillus cereus and salmonella

Question 6

Mitchell repens

Answer 6

alkaloids, saponins, tannins

ci; early pregnancy

Question 7

Rubus ideus

Answer 7

tannins, flavonoids, vitamin C

ci; early pregnancy

Question 8

Viburnum opulus, prunifolium

Answer 8

coumarins, flavonoids, tannins, salicin

ci: raw fruit will cause GI discomfort

Question 9

Vitex agnus castus

Answer 9

flavonoids, iridio glycosides, alkaloids, labdane diterpenes

interactions: dopamine antagonists and dopamine receptor blocking agents
ci: pregnancy and lactation
se: rashes, itching, nausea, dry mouth, headache, dizziness, agitation