Herbal Drugs

Question 1

Treats osteoarthritis of the knee, hip, wrist

Answer 1

Glucosamine

Question 2

An antioxidant of plant originpromoted for anti agin effects and for protection against chronic disease

Answer 2

Resveratrol

Question 3

Taken to relieve urinary symptoms associated with BPH

Answer 3

Saw palmetto
increase risk of bleeding

Question 4

Used for treating symptoms of menopause, hot flashes, vaginal dryness, palpitations, depression, irritability, sleep disturbance

Answer 4

Black cohosh

Question 5

Prevents UTIs and decreases urine odor with incontinence

Answer 5

Cranberry juice

Question 6

Used orally and topically to stimulate immune function and suppress inflammation. Treats wounds, burns, eczema

Answer 6

Echinacea
do not use with RA or immune disorders

Question 7

Prevents breast cancer, postmenopausal hot flashes (vasomotor symptoms), osteoporosis

Answer 7

Soy

Question 8

Vegetarian source of omega 3 fatty acids

Answer 8

Flaxseed

Question 9

Increase pain free walking distance in patients with PAD

Answer 9

Ginko biloba
Suppresses coagulation –> caution with warfarin

Question 10

Prophylaxis of migraine

Answer 10

Feverfew
Increase risk of bleeding for patients on anticoagulants due to platelet aggregation

Question 11

Promote weight loss, improve mental, prevent/treat cancers of (stomach, skin, bladder, breast)

Answer 11

Green tea

Question 12

Treat heart failure, muscle injury caused by HMG-CoA reductase inhibitors (statins), and mitochondrial encephalomyopathy

Answer 12

CO Q-10
Stop effects of Warfarin

Question 13

Dietary supplements composed of beneficial bacteria or yeast

Answer 13

Probiotics

Question 14

Used for primary effects on cardiovascular system

Answer 14

Garlic
Reduces BP, reduces platelet aggregation, INCREASE insulin = hypoglycemia so caution in diabetes pts

Question 15

Used primarily for oral therapy of mild-moderate depression

Answer 15

St. John’s Wort
Interferes with P450 enzyme causing reduced anticoag, digoxin effects, cannot be used with other serotonin agents bc serotonin syndrome = fatal
Photosensitivity

Question 16

Used primarily to treat vertigo and to suppress nausea and vomiting associated with motion sickness, morning sickness, sea sickness, and general anesthesia

Answer 16

Ginger
Suppresses platelet aggregation and lowers blood sugar = watch for hypoglycemia

Question 17

Used for allergies, asthma, and migraine headache

Answer 17

Butterbur

Question 18

Powders used to treat constipation and dyslipidemia

Answer 18

Flaxseed
Reduces LDL, total cholesterol, absorption of drugs so take 2 hrs before or after other meds

Question 19

Maintains cartilage integrity

Answer 19

Chondroitin

Question 20

Manages IBS

Answer 20

Peppermint

Question 21

Sedative effects to promote sleep and reduce anxiety related restlessness

Answer 21

Valerian

Question 22

Drug-drug interactions: Client presents with abdominal pain, nausea, vomiting, jaundice. Client takes dietary supplement for anxiety and stress

Answer 22

Kava
Adverse effect: Hepatic damage = Jaundice

Question 23

Drug-drug interactions: Client takes dietary supplement to improve memory. Also takes warfarin. Presents with melena and hypotension

Answer 23

Ginko Biloba
Do not take with warfarin!
Can promote seizures so do not take with Clozapine (anti psychotic)

Question 24

Drug-drug interactions: Client has history of lupes and takes methotrexate. Client is instructed to avoid this dietary supplement.

Answer 24

Echinacea

Question 25

Drug-drug interactions: Client has history of depression and mentions they are going to visit a naturopath for advice. Has multiple cormobidities and takes several meds. What drug-drug interaction is for this dietary supplement?

Answer 25

St. Johns Worst
Has a high interactions with so many meds
It is the grapefruit juice of herbal meds

Question 26

Drug-drug interactions: Client has HTN and heart failure. Reports beginning a dietary supplement for weight loss. Nurse will instruct on adverse effects of this dietary supplement.

Answer 26

Ma Huang
Adverse: Can elevate BP

Question 27

Drug-drug interactions: Client taking Warfarin should be cautioned against sudden increases in this dietary supplement taken as a drink

Answer 27

Cranberry juice
Increase INR in Warfarin patients

Question 28

Drug-drug interactions: Client reports taking dietary supplement to treat constipation. Nurse instructs

Answer 28

Flaxseed