Herbals

Question 1

What is one drug we always check with Herbals?

Answer 1

Warfarin

Question 2

What is glucosamine used for?

Answer 2

Osteoarthritis
May prevent join space narrowing

Question 3

What is the dosing of glucosamine?

Answer 3

500mg TID
Try for 3-6 months

Question 4

When would we expect glucosamine to work?

Answer 4

4-8 weeks if it even works

Question 5

What interaction does Glucosamine possibly have?

Answer 5

With acetaminophen, making it less efficacious

Question 6

Does glucosamine benefit back pain?

Answer 6

NO

Question 7

WHat is the belief with Chondroitin?

Answer 7

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

Question 8

What is the dosing of Chondroitin sulfate?

Answer 8

400mg

Question 9

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

Answer 9

Chondroitin

Question 10

What is Sierrasil?

Answer 10

Possible arthritis medicaiton

Question 11

What is bromelain

Answer 11

Supposed therapy for many things.

(Makes us nervous)

Question 12

What is curcumin?

Answer 12

Found in tumeric

Question 13

What is tumeric

Answer 13

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

Question 14

What does curcumin possibly help with?

Answer 14

Possibly decreases of pain in Knee OA

Question 15

What is the dosing of Curcuma?

Answer 15

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

Question 16

How many mg of curcumin is in 3g of tumeric

Answer 16

200mg

Question 17

What is ALA?

Answer 17

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

Question 18

What is the best source of EPA/DHA

Answer 18

Fish oils

Question 19

What is the benefit of Omega 3?

Answer 19

DHA/EPA = antiflam, less platelet adhesion

ALA = cell membranes and hormones

Question 20

What is the main cardiovascular usage of Omega 3

Answer 20

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

Question 21

What is the issue with Omega 3?

Answer 21

There isnt that much supportive evidence of it helping.

Question 22

What does Omega 3 lower?

Answer 22

Decreases TGs

Question 23

What is the evidence for CVD with Omega 3

Answer 23

Secondary prevention with EPA +DHA Omega 3

Question 24

Side effects with Omega 3

Answer 24

unlikely risk of bleeding and fishy taste

Question 25

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

Answer 25

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

Question 26

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

Answer 26

1000mg TID

Question 27

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

Answer 27

2-4 grams

Question 28

What are some other uses of Omega 3 FAs?

Answer 28

RA Depression? Dry Eyes ADHD

Question 29

What are the cholesterol lowing medications?

Answer 29

Metamucil Omega 3s Plant sterols Soy Ubiquinone

Question 30

What is the dose of ubiquinone?

Answer 30

30-300mg daily

Question 31

What is ubiquinones possible useage?

Answer 31

Congestive heart failure Hypertension Heart attack Migraine headache

Question 32

What is St. John Wort used for?

Answer 32

Mild=moderate depression

Question 33

What is St John Wort CI with

Answer 33

Additional SSRI medicactions, could enter serotoninsyndrome

Question 34

What is the level of St John Wort DI?

Answer 34

Has alot of interactions

Question 35

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

Answer 35

Decreases BCP levels

Question 36

What is the typical dosing of St john wort

Answer 36

300mg TID

Question 37

Cranberry is effective for the treatment of?

Answer 37

Nothing. might be preventative for UTI

Question 38

What might be the best OTC product for sleep aide?

Answer 38

1st gen antihistamine

Question 39

WHat are the main uses for melatonin?

Answer 39

Insomnia

Question 40

What doses of melatonin could we try?

Answer 40

1-2 mg every night for 2 weeks then increase to 5mg for 2 weeks Afterwhich reassess to see if it worked

Question 41

Side effects of melatonin?

Answer 41

Mild GI

Question 42

What is Flaxseed used for?

Answer 42

Cardiovascular (Not likely) Constipation Sure Menopause Maybe

Question 43

How much flaxseed should one use during menopause?

Answer 43

50g, but dosing doesnt really exist