Herbal supplements

Question 1

ginkgo biloba use and side effects

Answer 1

use: memory enhancement

side effects: increased risk for bleeding

Question 2

Ginsing

Answer 2

use: improved mental performance

side effect: increased bleeding risk

Question 3

saw palmetto

Answer 3

use: BPH

side effect: mild stomach discomfort and increased bleeding risk

Question 4

black cohosh

Answer 4

use: post menopausal hot flashes and vaginal dryness

Side effect: hepatic injury

Question 5

St. John’s wort

Answer 5

use: depression and insomnia

side effect:
drug interactions with antidepressant (serotonin syndrome),
OC’s,
AC (decreases INR and digoxin)

hypertensive crisis

Question 6

Kava

Answer 6

uses: anxiety and insomnia

side effect: severe liver damage

Question 7

Licorice

Answer 7

uses: stomach ulcers and bronchitis and viral illnesses

side effects: hypertension and hypokalemia

Question 8

Echinacea is to treat off label?

what are the side effects?

Answer 8

treatment and prevention of cold and flu

side effects: anaphylaxis (more likely in asthmatics)

Question 9

Ephedra

Answer 9

uses: treatment of cold and flu and weight loss and improved athletic performance

Side effects: HTN, arrhythmia, sudden MI or sudden death

stroke and seizure

Question 10

Herbal supplements that should be stopped 10 days prior to surgery due to increased bleeding risk:

Answer 10

ginkgo biloba, ginseng, saw palmetto

Question 11

why do we not recommend prolonged use of echinacea?

Answer 11

show greater risk for anaphylaxis with those who have allergy or atropy

Question 12

ephedrine is now

Answer 12

illegal to sell in US due to elevated BP and fatal arrhythmias and sudden death

Question 13

Kava is used to “treat”

Answer 13

anxiolytic and sedative and for ADHD in kids.

sever cases of liver toxicity including cirrhosis and liver failure