Final stuff with Bhat Flashcards

1
Q

What are the benefits of dietary supplements?

A

Minimum side effects

Prevention and treatment

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2
Q

What are the risks of dietary supplements?

A

Lack of/poorly designed studies

PLACEBO EFFECT

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3
Q

What does echinacea do?

A

Increases phagocytosis, total circulating WBC, monocytes, neutrophils, and NK cells

So increases immunity in colds and other RTI

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4
Q

What are the overall results of echinacea?

A

Increased immunity, leading to decreased symptoms and duration of illness, and increased hematologic recovery following chemo

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5
Q

What is echinacea ineffective in treating?

A

Genital herpes

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6
Q

What are the DDI for echinacea?

A

High alcohol content

Patients that have immune deficiency’s

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7
Q

What are the pharmacological effects of garlic?

A

CV- Decreases atherosclerosis

Inhibits HMG-CoA reductase

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8
Q

How does garlic effect cholesterol? Overall and LDL

A

Lowers overall cholesterol but does not lower LDL

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9
Q

What is garlics antineoplastic effects?

A

Reduces incidence of stomach, esophageal, and colorectal cancer

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10
Q

What is garlics DDI?

A

Anticoagulant meds

Decreased bioavailability of saquinavir

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11
Q

What is ginkgos beneficial properties?

A

Antioxidant and radical scavenging properties

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12
Q

What are the CV effects seen in ginkgo?

A

Increases blood flow, reduced blood viscosity, and vasodilation
Increased endogenous NO, antagonize platelet activating factor

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13
Q

What are the CNS effects of ginkgo?

A

Increased muscarinic receptors, decreased B adenoreceptors
Increased serum levels of ach and NE
Inceased synaptosomal reuptake of serotonin
Decreased corticosteroid synthesis
Decreased amyloid B fibril formation

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14
Q

What are the uses of ginkgo?

A

Cerebral insufficiency
Dementia
Prophylactic agent to prevent dementia progressioun

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15
Q

What is ginkgo ADEs?

A

Comparable to placebo

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16
Q

What is ginkgos DDI?

A

Anticlotting meds-Dont use together!!!
Preexisting seizure disorder-Avoid all together
Trazadone-enhanced sedative effect

17
Q

What is ginsengs benefits?

A

Modulation of immune function, increases mRNA levels of interleukons
Increased levels of ach serotonin, NE, and dopamine in the cerebral cortex
Antioxidant, analgesic, antiplatelet, anticancer

18
Q

What is the general belief of ginsengs benefits?

A

Improved physical and mental performance
Decreases cold incidence and duration
Decreased postprandial glucose

19
Q

What are ginsengs DDIs?

A

Anticlotting meds-avoid nsaids and anticlotting stuff

20
Q

What is st johns wort benefits?

A

Antidepressant by acting as an MAO A and B inhibitor

Inhibition of MAO causes increased levels of serotonin

21
Q

What is the ades of st johns wort?

A

Serotonin syndrome

Induction of CYPS and P-GP

22
Q

What is the clinical benefits of CoQ?

A

Decreased systolic BP and distolic BP
Treating ischemic heart disease

ultimately, decreases myopathic pain