Herbals Flashcards
The 3 herbals that have potential antiplatelet effect
Ginkgo biloba
Ginseng
Garlic
St. John’s Wort
CYP450 3A4 inducer
Potential for Serotonin Syndrome when taken with SSRI
Saw Palmetto
helps with BPH
Kava
potentially hepatotoxic
Valerian root
Sedating
Not to be used with benzos, alcohol, sedatives/hypnotics
Herbals for BPH
Saw palmetto
Stinging Nettle
African plum
Omega 3
cod liver oil
Uses: hyperlipidemia, hypertriglyceridemia (>500), CV disease
Drug interactions: anticoagulants/anti-platelets
Potentially additive effects with antihypertensives
Glucosamine
Uses: OA, TMJ arthritis
Interactions: Warfarin- increased risk of bleeding
SE: hyperglycemia, hyperlipidemia, elevated BP
Chondroitin
Uses: dry eyes, OA
Interactions: Warfarin- increased risk for bleeding
SE: N/V
Echinacea
Uses: cold/flu, stimulate immune system, wound/skin problems
Interactions: MS, TB, increases caffeine concentration
SE: rashes, increased asthma, anaphylaxis, GI irritation
Ginko biloba
uses: memory impairment, PAD
Interactions: A/C increase risk of bleeding, decrease efficacy of alprazolam, anticonvulsants
SE: spontaneous bleeding, HA, dizziness, skin reactions
Flaxseed
Uses: constipation, DM, hypercholesterolemia, menopausal symptoms
Interactions: Warfarin, ALL ORAL DRUGS (SPACE THEM OUT)
SE: can cause constipation if not consumed with enough water
Ginseng
Uses: improve health and recovery of illness, increase stamina, DM, Respiratory infections
Interactions: Warfarin, additive affects with DM meds, MAOIs
SE: GI, sleep issues
Garlic
uses: HTN, hyperlipidemia, CAD, GI Cancers
Interactions: Warfarin, oral contraceptives
SE: mouth/GI burning, flatulence, diarrhea
Coenzyme Q-10
Uses: CHF, HTN, Migraines, MI
Interactions: Warfarin, additive effect with HTN meds
