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Alisha's NPLEX II Review > GU herbs > Flashcards

GU herbs Flashcards

1
Q

What are the renal herbs? Which ones are asters?

A 
Arcostaphylas uva-ursi
Equisetum
Eupatorium*
Hydrangea
Juniper
Solidago*
Thuja
Urtica
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2
Q

Arctostaphylos uva-ursi

A

Renal antiseptic (NOT a diuretic)

Don’t use >10 days (hepatotoxic), gravid, or simultaneous use with Fe+ (tannins binds them) or with other acid things like vitamin C or cranberry

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3
Q

Equisetum

A

Diuretic, anti-spasmodic for the GU. For UTIs and stones.

Avoid in pts with severe edema or any electrolyte issues or coagulation issues

Avoid with: hypokalemic drugs, steroids, glucosides, AAs, pseudoepinephrine and licorice

Antagonizes anticoagulants

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4
Q

Drug interactions for renal drugs

A

Uva ursi: avoid Fe+ (tannins), acidic supplements
Equisetum: avoid anti-coagulants, hypokalemic drugs, steroids, glucosides, AAs, pseudoepinephrine and licorice
Urtica: tannins prevent Fe+ absorption

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5
Q

Eupatorium

A

ASTER. Anti-lithic, diuretic. Use for stones, UTIs, prostatitis, gout

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6
Q

Hydrangea

A

Diuertic, anti-lithic. Use for issues of the bladder and prostate

High doses cause dizziness

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7
Q

Juniper

A

Diuretic, antiseptic, bitter

Specific for lower GU and renal atonia

Avoid in gravid, inflammatory renal diseases

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8
Q

Solidago (goldenrod)

A

ASTER. Diuretic, carminative, anti-inflammatory

Conditions of the GU and respiratory tract

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9
Q

Thuja

A

Diuretic, antiseptic
Topically: warts, fissures, ulcers
Internally: conditions of the GU and respiratory tract

High doses: NV, insomnia, abortifacient

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10
Q

Urtica (nettles)

A

astringent, diuretic

Root: tx for BPH
Flowering plant
Topically joint problems (counter-irritant)
Internally UTI, stones

Avoid in gravid, edema

Tannins interfere with absorption of Fe+

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11
Q

Actea racemosa (black cohosh)

A

Uterine tonic, E mimic, anti-spasm

For PMS, menopause, early labor; flushing from menopause; causes childbirth

Side effects- sedative (N, bradycardia, hypotension)

Avoid in early pregnancy, lactation and E+ CA, HRT

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12
Q

Angelica sinensis

A

Tonic for the uterus and liver, anti-spasm, analgesic and sedative

Tx for menstrual issues, menopause

Don’t use with blood thinners, can potentiate; gravid; acute infection. Can cause photo dermatitis

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13
Q

Caullophyllum (blue cohosh)

A

Cause period, causes birth

Avoid use of nitroglycerin, can interfere

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14
Q

Chamaelirium lute (false unicorn)

A

uterine tonic, diuretic, brings period

used for period regulation and menopause

NV, anti-platelet activity; may potentiate anticoagulants

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15
Q

What is the major side effect of concern with herbs used for regulating periods and menopause?

A

Many of them potentiate anticoagulants: ACM (Angelica, Chamaelirium) or antagonize them (Medicago)

Some of them can cause premature labor: ACCMRV (Actea, Caulophyllum, Chamaelirium, Mitchella, Rubus, Vitex)

Caullophyllum interacts with NG

Medicago can potentiate diabetes drugs

Vitex interferes with dopamine blockers, like antipsychotics

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16
Q

Dioscorea villosa

A

Antispasm, but don’t use in GB disease; can prevent miscarriage (prevents labor as its a muscular contraction)

17
Q

Medicago sativa

A

Phytoestrogen, lowers cholesterol; regulates high or low estrogen

Alfafa sprouts can have E coli when they go bad

Avoid in: gravid, gout, SLE, DM (potentiates DM drugs), potentiates anti-coagulants

18
Q

Mitchella repens

A

Uterine tonic, causes periods and labor. Don’t use in pregnancy

19
Q

Rubus ideas (raspberry)

A

Causes periods, contractions and labor, reduces hemorrhage during labor.

Helps with things in the mouth and eyes- gingivitis, oral ulcers, and conjunctivitis

20
Q

Viburnum oculus and prunifolium (cramp bark and black haw)

A

anti-spasm (prevents cramps), brings the period, nerving and sedative, hypotensive

Calms premature labor

Don’t eat the raw fruit, GI irritant

21
Q

Vitex agnes-castus

A

Normalizes female hormones and pituitary function. Increases progesterone, decreases E, galactogue

Tx for teenage acne, regulation of menstrual cycle, fertility, menopause

Side effects include NV, HA, dizziness, agitation

Don’t use in gravid, lactation

May interfere with dopamine blockers (antipsychotics)

22
Q

Which herb prevents premature labor?

A

Dioscorea

23
Q

What herbs are used specifically for men?

A

Pausinystalia (yohimbe), Prunus/Pygeum, Serenoa repens, Smilax, Tribulus terrestris

PPSST!

24
Q

Pausinystalia yohimbe

A

aphrodisiac, alpha-2 blocker, serotonin blocker

stimulates erection, salivation, cerebral stimulant

Use in ED, depression

Side effects: insomnia, nervousness, HAs, palpitations, cardiac death

Avoid in schizophrenia, panic attacks, PTSD, CAD, edema, HTN, angina, PUD (mood and heart disorders)

Potentiates alpha blockers, TCAs, MAOIS, beta agonists

Antagonizes atropine, clonidine

25
Q

Prunus/Pygeum africana

A

Prostate tonic

5alpha reductase inhibitor (T->DHT; results in increased testosterone and estrogen); potentiates other 5ARIs (Finasteride, Serenoa)

26
Q

Serenoa repens

A

Inhibits DHT binding, decreasing prostate hyperplasia
5-alpha-reductase inhibitor

Tx for BPH and ED and low libido

Avoid prior to surgery (potentiates anticoagulants)
Tannins interfere with iron absorption

27
Q

Smillax (sarsaparilla)

A

Duiretic, diaphoretic, counter irritant to the skin

Tx for gout, dermatitis, psoriasis, arthritis

high doses irritate GI and kidneys

28
Q

Tribulus terrestris

A

Sex hormone enhancer (estrogenic in females, androgenic in males), negative chronotropic

Tx for infertility, impotence, libido, fatigue, CAD

Avoid in gravid, GERD

May potentiate glycosides, beta-blockers, and CCBS

29
Q

What are the major contraindications for the herbs used to treat the male GU system?

A

Many of them interfere with medications:

5-alpha-reductase inhibitors: prunus/pygeum, serenoa
Alpha blockers & alpha/beta agonists, atropine, antidepressants: yohimbe
Anticoagulants: serenoa
Glycosides, beta-blockers, CCBS: tribulus
Hemorrhage risk: serenoa

30
Q

Which GU herbs interact with anti-coagulants?

A

MACE

Medicago, Angelica, Chamaelirium, Equisetum

31
Q

Which GU herb interacts with anti-psychotics?

A

Vitex

32
Q

Which GU herb interacts with nitroglycerin?

A

Caullophylum

33
Q

Which GU herbs can cause premature labor?

A

A CCM RV

Actea
Caullophylum
Chamealirium
Mitchella
Rubex
Vitex

Alisha's NPLEX II Review (19 decks)

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