Herbals Flashcards
Ephedra key points
^ HR and BP
No MAOIs
Use neo
Hold ephedra and kava for how long before surgery?
24hr
Kava used for?
Sedation anxiolysis
Gingko used for?
Improve PVD
Anti-free radicals
Key points of Gingko
BLEEDING
Seizures
^effects of trazadone
How long to hold gingko?
36 hrs
What is St Johns wart used for?
Anti depression
How long to hold st johns wart?
5 days
Key points of St. Johns Wart
CYP450 inducer
Warfarin
Cyclosporine
Anticonvulsants
Photosenitivity
What is garlic used for?
Decrease cholesterol and BP
How long to hold garlic?
7 days
Key point of garlic?
Bleeding
What is ginseng used for
Immune modulation
Anti-oxidant
Anti-inflammatory
Hold ginseng for how long?
7 days
Ginseng key points?
BLEEDING
Irritability with psych meds
Methylxanthine = bleeding, insomnia, HTN
What is echinacea used for?
Immune modulation?
How long to hold echinacea?
2-3 weeks
Echinacea key points?
No longer than 10-14 days because it leads to immuno supression
Hepatic failure
What is valerian used for?
Sedation
Coenzyme Q10 is used for?
Antioxidant
Conenzyme Q10 key points?
Similar structure to vit K = decreased warfarin
What is glucosamine used for?
Cartilage in OA
Glucosamine key points?
Shellfish allergies
Interferes with warfarin = bruising and bleeding
Key point for melatonin?
BP monitoring
Sleepy sperm
LH suppression
What is saw palmetto used for?
BPH
Key points for saw palmetto?
Rare: liver damage, pancreatitis, bleeding
What is milk thistle used for?
Liver dz
Lactation
Mushroom antidote
Chemo
Key point of milk thistle?
Laxative