Herbal Remedies and Homeopathy Flashcards

1
Q

Dilutions–BONUS

A

15X= remedy that has been diluted 1015 times

12C= remedy that has been diluted 10012 times
50 MC: and

Homeopathic potencies are designated by the roman numerals “X” or “C” according to whether each dilution is 10-fold or 100-fold, and by a coefficient that represents the number of steps
X= 1:10
C= 1:100

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2
Q

Homeopathy

A

Homeopathy is the practice of stimulating the body’s ability to heal itself by giving small doses of highly diluted substances (called remedies) derived from a plant, mineral, or animal substance

Homeopaths believe in threating the individual vs. treating the disease
Homeopathy

Homoios (similar)
Pathos (suffering or disease

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3
Q

Red Yeast Rice: Monacolin K

A

Naturally occurring analogue of lovastatin inhibits cholesterol synthesis

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4
Q

Red Yeast Rice: Adverse Effects

A

Increased liver function enzymes

Rhabdomyolysis

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5
Q

Red Yeast Rice:

Monitoring

A

Monitor LFTs

Should NOT drink more than 2 drinks/ day due to increased risk of hepatotoxicity

Pregnancy Category X

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6
Q

Melatonin : MOA

A

Regulates sleep and circadian rhythms

Light inhibits melatonin secretion and darkness stimulates secretion

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7
Q

Melatonin: Proposed benefits

A

Insomnia

Prevention of “jet lag”

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8
Q

Kava: Proposed benefits

A

Mild anxiety

Sleep disturbances

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9
Q

Kava: MOA

A

Dopamine, monoamine oxidase-B, and GABAB receptors.

May have antithrombotic activity.

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10
Q

Kava: Drug Interactions

A

Levodopa- Reduced efficacy of levodopa

Concomitant use is not recommended with medications that cause hepatotoxicity

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11
Q

Evening Primrose Oil:

Proposed benefits

A

Menopause

PMS (studies inconclusive)

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12
Q

Evening Primrose Oil:

Caution

A

Thought to possess antiplatelet effects and patients taking warfarin and platelet active medications or herbs should use with caution.

Should avoid use in patients with seizures (lowers seizure threshold).

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13
Q

Ginseng: Proposed benefits

A

Immunomodulatory/ Antiviral- reduce severity of cold and upper respiratory infection symptoms

Antineoplastic/ Anti-tumor

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14
Q

Ginseng: Asian

A

Panax ginseng (Asian ginseng

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15
Q

Ginseng: American

A

Panax quinquefolius

(American ginseng-better);

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16
Q

Ginkgo biloba:

Proposed Benefits

A

Peripheral Vascular Disease

Dementia

Memory impairment

17
Q

Ginkgo biloba:

Adverse Effects

A

Allergic skin reaction
-Ginkgo pollen can be allergenic; contact with fleshy fruit pulp can cause contact dermatitis

Spontaneous bleeding (rare)

Seizures (seed consumption) –ONLY GET LEAF or you will have a seizure.

18
Q

Ginkgo biloba: Drug interactions

A

Increased bleeding (3G’s) risk with anticoagulants (i.e. warfarin), anti-platelets.

Advise patients using anticoagulants to be cautious and talk to healthcare provider prior to starting

Only leaves should be used- seeds and pulp are toxic

19
Q

Garlic: Active ingredients

A

Allicin

20
Q

Garlic: Proposed benefits

A

Hyperlipidemia

Hypertension –increases 20mgHH

Inhibition of platelet aggregation

21
Q

What are the herbals Anti-platelet effects?

A

AVOID 3G’s Ginger/Garlic/Gingo

22
Q

Garlic: Adverse Effects

A

Potential increased risk in bleeding

23
Q

Black Cohosh:

Proposed benefits

A

Menopause

Premenstrual Syndrome (PMS)

24
Q

Black Cohosh:

Adverse Effects

A

*GI upset – Occurs in 50% patients

Acute hepatitis (increase case reports of acute hepatitis)

25
Q

Black Cohosh:

Drug Interactions

A

Possible additive estrogenic activity with estrogen therapy or oral contraceptives

26
Q

Black Cohosh:

Dietary Supplement Information Expert Committee

A

cautionary statement regarding potential hepatotoxicity

Consider getting LFTs periodically*****

27
Q

Extraction Ratio

A

5:1 ratio
5 parts of herb were used to prepare 1 part of the extract

Ginkgo biloba is prepared as a dried extract in tablet form and is typically standardized to a

50: 1 extract ratio
- 50 parts of the ginkgo leaf were used to prepare 1 part of the extract

28
Q

Plant Based Dietary Supplements

A

Plant based DS should indicated the scientific name of the plant containing the Latin binomial, as well as the specific plant part

The common name
Latin binomial (genus and species)
29
Q

The only Echinacea that works?

A

Echinacea purpurea

30
Q

Counseling Points

A

Purchase products with a seal of quality on the label:

United States Pharmacopeia’s Dietary Supplement Verification Program or NSF International’s Certification Program

Continue to use the same brand and formulation for a continued use product
-Variability between batches; Consistent product and dose

31
Q

Act passed with only test Dietary supplements for SAFETY, not efficacy?

A

Dietary Supplement Health and Education Act (DSHEA) of 1994

Efficacy claims cannot be made, only claims of effects on body structure or function

32
Q

USP Verified Mark:

Mandatory disclaimer?

A

allowed on label only if manufacturer meets certain standards

This product is not intended to diagnose, treat, cure or prevent any disease”

33
Q

Dietary Supplement (DS) Synonyms –Synonymously

A
Nutraceuticals
Natural products
Supplements
Herbs
Botanicals
Phytochemicals
34
Q

meaning Nutritional Supplement?

A

Substance added to diet to improve health. Usually contains dietary ingredients such as vitamins

35
Q

Meaning Herbal Medication?

A

Plants or plant extracts used to improve health

36
Q

Meaning Complimentary Therapy?

A

Used in ADDITION to conventional treatment

37
Q

Meaning Alternative Medicine?

A

Treatments that are NOT generally recognized by the medical community as standard and are used instead of conventional treatments

38
Q

What is DSHEA identified GMPs for dietary supplements in 2007?

A

To ensure supplements “are produced in a quality manner, do not contain contaminants or impurities, and are accurately labeled”

Covers manufacturing, packaging, labeling, storing of supplements, quality control, testing of ingredients, and record keeping

39
Q

Medications vs. Dietary Supplements

A

Medication:
Active ingredient identified

Safety and efficacy proven by manufacturer

Purity and contents regulated

Claims to treat/cure/ prevent disease

Dietary Supplement
May not identify active ingredient

No proof of efficacy required; FDA must provide proof if unsafe

Standards for quality and purity not as strictly regulated

No claims to treat/cure/prevent disease