Herbal, Botanical, and Nutritional Supplements Flashcards

1
Q

main use of echinacea

A

decrease duration and intensity of cold symptoms

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2
Q

main use of garlic

A

reduce cholesterol and HTN

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3
Q

main use of ginkgo

A

dementia/ cerebral insufficiency
intermittent claudication

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4
Q

main use of ginseng

A

improvement of serum glucose and mental performance

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5
Q

main use of milk thistle

A

limitation of hepatic injury
antidote to mushroom poisoning

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6
Q

main use of St. John’s Wort

A

treatment of mild to moderate depression

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7
Q

main use of saw palmetto

A

improvement in symptoms of benign prostatic hyperplasia (BPH)

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8
Q

main use of black cohosh

A

relief of PMS and menopausal symptoms

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9
Q

main use of valerian root

A

anxiety and insomnia

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10
Q

main use of Co-Q10

A

CHF, HTN, statin-induced myopathy
Parkinson’s disease

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11
Q

main use of glucosamine

A

reduction of pain associated with osteoarthritis

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12
Q

main use of melatonin

A

sleep aid

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13
Q

ADR of echinacea

A

unpleasant taste, GI effects, dizziness, headache, high alcohol content possible

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14
Q

who should avoid use of echinacea?

A

immunocompromised and pregnant pts

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15
Q

ADRs of garlic

A

nausea, hypotension, allergic rxns, breath and body odor

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16
Q

who should avoid use of garlic medically?

A

pts on antiplatelet drugs

17
Q

ADRs of ginkgo

A

GI effects, anxiety, insomnia, headache

18
Q

who should avoid use of ginkgo?

A

pts on antiplatelet drugs or hx of seizures

19
Q

ADRs of ginseng

A

estrogenic effects, insomnia, nervousness, HTN

20
Q

who should avoid use of ginseng?

A

pts receiving anticoagulants, antihypertensives, hypoglycemics, or psychiatric meds

21
Q

ADR of milk thistle

A

loose stools

22
Q

ADRs of st. john’s wort

A

photosensitization, GI effects, decreases effectiveness of BC, cyclosporine, digoxin, HIV protease inhibitors, and warfarin

23
Q

who should avoid St. John’s Wort?

A

pts on SSRIs, or MAO-Is (can lead to serotonin syndrome)

24
Q

ADRs of saw palmetto

A

abdominal pain, GI distress, decreased libido, headache, HTN, rare cases: pancreatitis, liver damage, increased risk of bleeding

25
ADR of black cohosh
rash, headache, possible hepatic toxicity
26
ADR of valerian root
vivid dreams, dry mouth, GI upset, hangover effect
27
ADRs of Co-Q10
GI upset, rash, thrombocytopenia, irritability, dizziness, headache, can decrease effect of warfarin
28
ADRs of melatonin
sedation, next-day drowsiness, headache, can suppress mid-cycle surge of LH, can decrease prolactin levels, and sperm quality
29
Who should avoid melatonin?
pregnant women or women trying to conceive
30
ADR of fish oil
elevated LDL, GI effects, fishy burps, increased risk of bleeding
31
who should avoid fish oil?
pts on anticoagulants