herbal Flashcards
Dshea
Dietary Suppliement Health & Education Act
1994
- increased phytochemicals for consumption
- distinguished dietary suppliment from food additiivies
- Limits FDA: allow exemption of premarket approval for supplements
View points of suppliment users
- increasing
- not consider herbal
- herbs contain active drugs
- dont link adverse health events
What percentage of patients revel the use suppliments
40%
Studies that serve as initial indicators of possible herb drug interactions but not establish cause
case report
studies that assess various effects of botanicals using human subject
prospective in vivo studies
Studies that show effects of phyochemicals on purified enzymes/transporters
in vitro screens
Area of the body where herbs can change drug metabolizing enzymes are found
small intestine and liver
herbs can modulate drug transport primarily found in what areas of the body
small intestin, bbb, liver
most important enzymes
cyp3A4, cyp2d6, cyp2c9, cyp 1A2
St. Johns Wort
Indication: Antidepressive
Efficacy good
drug interaction risk highg (render most drugs ineffective)
-effects transplants recieving cyclosporin
means other than conventional medicines to treat
alternative medicines
Herbs, essential oils, and neti pots to treat is example of
alternative medicines
using both conventional and other means to treat without recommendation of providers is called
complimentary medicines
Using prescribed antibiotics, along with essential oils and neti pot to treat is example of
complimentary medicine
prescribed use of conventional medicine along with other means for treatment is known as
integrative medicine
APRN prescribes antibiotics, AND essential oils with neti pot to treat is example of
integrative medicine
Benefits of Tai Chi
helps Parkinsons balance decrease osteoarthritis pain decrease back pain and fibromyalgia increase concentration decrease depression