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Pharm 154 > Herbals > Flashcards

Herbals Flashcards

1
Q

What is one drug we always check with Herbals?

A

Warfarin

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2
Q

What is glucosamine used for?

A

Osteoarthritis
May prevent join space narrowing

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3
Q

What is the dosing of glucosamine?

A

500mg TID
Try for 3-6 months

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4
Q

When would we expect glucosamine to work?

A

4-8 weeks if it even works

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5
Q

What interaction does Glucosamine possibly have?

A

With acetaminophen, making it less efficacious

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6
Q

Does glucosamine benefit back pain?

A

NO

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7
Q

WHat is the belief with Chondroitin?

A

Can help and possibly delay progression, possibly helps with hand pain

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8
Q

What is the dosing of Chondroitin sulfate?

A

400mg

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9
Q

The inclusion of Glucosamine and what will have an additive effect with what?

A

Chondroitin

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10
Q

What is Sierrasil?

A

Possible arthritis medicaiton

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11
Q

What is bromelain

A

Supposed therapy for many things.

(Makes us nervous)

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12
Q

What is curcumin?

A

Found in tumeric

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13
Q

What is tumeric

A

The yellowish powder, where curcumin is a chemical contained in the spice

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14
Q

What does curcumin possibly help with?

A

Possibly decreases of pain in Knee OA

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15
Q

What is the dosing of Curcuma?

A

1g a day
2g a day for pain in arthritis

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16
Q

How many mg of curcumin is in 3g of tumeric

A

200mg

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17
Q

What is ALA?

A

Omega 3 FA, it can be converted to EPA/DHA

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18
Q

What is the best source of EPA/DHA

A

Fish oils

19
Q

What is the benefit of Omega 3?

A

DHA/EPA = antiflam, less platelet adhesion

ALA = cell membranes and hormones

20
Q

What is the main cardiovascular usage of Omega 3

A

Primary: prevent your first MI
Secondary prevent your 2nd MI

21
Q

What is the issue with Omega 3?

A

There isnt that much supportive evidence of it helping.

22
Q

What does Omega 3 lower?

A

Decreases TGs

23
Q

What is the evidence for CVD with Omega 3

A

Secondary prevention with EPA +DHA Omega 3

24
Q

Side effects with Omega 3

A

unlikely risk of bleeding and fishy taste

25
Q

What is the dosing of EPA+DHA Omega 3 for primary prevention

A

1 gram a day for patients with CHD
2 servings of fish a week

26
Q

What is the secondary prevention dosing of Omega 3/Fish oil

A

1000mg TID

27
Q

What is the dosing for hyper-TGs of EPA/DHA

A

2-4 grams

28
Q

What are some other uses of Omega 3 FAs?

A

RA
Depression?
Dry Eyes
ADHD

29
Q

What are the cholesterol lowing medications?

A

Metamucil
Omega 3s
Plant sterols
Soy
Ubiquinone

30
Q

What is the dose of ubiquinone?

A

30-300mg daily

31
Q

What is ubiquinones possible useage?

A

Congestive heart failure
Hypertension
Heart attack
Migraine headache

32
Q

What is St. John Wort used for?

A

Mild=moderate depression

33
Q

What is St John Wort CI with

A

Additional SSRI medicactions, could enter serotoninsyndrome

34
Q

What is the level of St John Wort DI?

A

Has alot of interactions

35
Q

What is the one interaction Jeff remembers with St John Wort?

A

Decreases BCP levels

36
Q

What is the typical dosing of St john wort

A

300mg TID

37
Q

Cranberry is effective for the treatment of?

A

Nothing. might be preventative for UTI

38
Q

What might be the best OTC product for sleep aide?

A

1st gen antihistamine

39
Q

WHat are the main uses for melatonin?

A

Insomnia

40
Q

What doses of melatonin could we try?

A

1-2 mg every night for 2 weeks then increase to 5mg for 2 weeks

Afterwhich reassess to see if it worked

41
Q

Side effects of melatonin?

A

Mild GI

42
Q

What is Flaxseed used for?

A

Cardiovascular (Not likely)
Constipation Sure
Menopause Maybe

43
Q

How much flaxseed should one use during menopause?

A

50g, but dosing doesnt really exist

Pharm 154 (16 decks)

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