Herbals Products Flashcards

1
Q

Dihydroepaindrosterone - DHEA

  • Indication
  • Risk
A

Indication

  • Syn estrogen, progesterone, testosterone, and cortisol
  • Slow the aging process, or the erectile dysfunction.

Risk:
- Hormone-sensitive cancers

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2
Q

Lysin or L-Lysin

  • Indication
A

An essential amino acid. Human do not make their own. It’s in meat, cheese, certain fish, nuts, and eggs

  • Indication: Cold sores
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3
Q

Lutein

  • Indication
A
  • Helps keep the eyes safe from oxidative stress and the high-energy photons of blue light
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4
Q

St. John’s Wort

  • Indication
  • Increase risk
  • ADEs
  • DDIs
A
  • Indication: depression
  • Increase risk of serotonin syndrome

ADEs

  • insomnia, vivid dreams, restless leg syndrome,
  • GI: diarrhea
  • Fatigue, dry mouth, dizziness, HA

DDIs: Inducer of CYP450

  • Birth control: decrease ethinyl estradiol
  • Warfarin
  • Decr cyclosporine
  • CCB (diltiazem, verapamil)
  • Antifungals: ketoconazole, itraconazole
  • Chemo: etoposide, paclitaxel, vinblastine, vincristine, vindestine
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5
Q

SAM-e

  • Indications
A

Depression

- Osteoarthritis

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6
Q

Symmetry
Serenity

  • SE
A

Lithium orotate

SEs
- Cognitive, wt gain, risk for hypothyroidism. Polyuria, DM can occur

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7
Q

Glucosamine/Chondroitin

  • Indication
  • DM pt:
  • Blood thinner taken pt
  • CI
A
  • Indication: osteoarthritis
  • DM pt: increase insulin resistance => should be under close medical supervision
  • Blood thinner taken pt: increase INR
  • CI: allergic to shellfish
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8
Q

Kava Kava

  • Indication
  • ADEs
  • Kava + EtOH
A
  • Indication: anxiety disorder, stress, insomnia

ADEs

  • Hepatotoxicity, liver failure
  • GI, HA, dizziness, drowsiness
  • Mouth numbness if chewed
  • Allergic rxn

Kava + EtOH: CNS depression

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9
Q

Valerian

  • Indication
A
  • Indication: anxiety
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10
Q

Chamomile

  • Allergy
A

Bedtime tea

  • Allergy to ragweed will also be allergic to chamomile
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11
Q

Saw Palmetto

  • Indication
  • SE
A
  • Indication: BPH

- SEs: mild GI, HA, decreased libido

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12
Q

Ephedra

  • Indication:
  • Ephedra action
A

Ma Huang

  • Increase energy levels, build muscle mass, weight loss
  • Ephedra action: FDA prohibits from selling to due risk of serious illness

ADEs: agitation, tremor, seizures, dizziness, n/v, increased HR and BP, arrhythmias, chest pain, kidney stones, heart attack, stroke, and death

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13
Q

Lean Systerm 7

A

Ephedra-free weight loss

  • Bitter orange + caffeine
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14
Q

Ginseng

  • Indication
  • ADEs
A

Indication

  • Fatigue
  • Improve cognitive function
  • Stimulate immune fxn

ADEs

  • Insomnia, nervousness, tachycardia, HA, depression, GI
  • May ppt hypoGlycemia
  • May decrease INR
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15
Q

Ginkgo

  • Indications
  • Risk in elderly
A

Indication:

  • Dementia, improve memory
  • Asthma
  • Sexual dysfunction, Alzheimers
  • Risk in elderly: increase risk of stroke
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16
Q

Garlic

  • Indication
  • ADEs
  • DDI
  • Dose
A

Indication

  • Prevention of atherosclerosis
  • High blood pressure
  • Immune system stimulation
  • Tx of hyperlipidemia

ADEs
- GI, HA, dizziness, palpitation

  • DDI: warfarin, and anti platelet drugs
  • Dose: 4g/day
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17
Q

Echinacea

  • Indication
A

Indication

  • Used to treat respiratory track infection
  • General immune system stimulation
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18
Q

Goldenseal

  • Indication
  • Avoid in
A
  • Anti-inflammatory, antimicrobial, laxative, and used to induce contraction or greater tonicity of the uterus
  • Some people take this to pass urine drug test
  • Do not give it to pregnancy women => move the baby
19
Q

Feverfew

  • Indication
A

Used for

  • Migraine prophylaxis
  • Anti-inflammatory
  • Anti-coagulant effects
20
Q

Soy

  • Indication
A

Decrease hot flashes

Decrease postmenopausal sx

21
Q

Yohimbe

  • Indication
A

To treat:

  • Impotence
  • Aphrodisiac
  • for body building
22
Q

Evening primrose oil

  • Indication
  • Avoid
A
  • Used for: eczema, inflammation (premenopausal and postmenopausal syndrome)
  • Do not give to pt with sz
23
Q

Borage seed oil

  • Indication
  • May cause
A

Indication:

  • Join pain and swelling of arthritis
  • Atopic dermatitis
  • Menopausal disorders
  • May cause liver damage
24
Q

Vit E

  • Active form:
  • Indication
A
  • Most active form: alpha-tocopherol
  • Act to protect your cells again the effects of free radicals

Neither Vit E or C reduced the risk of major CV events

25
Q

Cranberry

A

Reduce recurrent urinary tract infection

26
Q

Dong Quai

  • Indication
  • ADEs
  • Safety concerns
A
  • Female ginseng

Indication:

  • Regulates menstrual cycles
  • Help with painful menstruation/pelvic pain
  • ADEs: bleeding, photosensitivity

Effects and safety concerns:

  • Do no use in pt with bleeding disorders, excessive menstrual bleeding, diarrhea, bloating, during infection
  • May contain estrogen-like comp’d => pregnant and nursing women do not take it
  • Do not take if on warfarin
27
Q

Black Cohost

  • Indication
  • ADEs
  • C/I
A

Indication:
- Menopausal sx: hot flashes, sweating, HA, sleep disturbances, depressed mood

  • ADEs: liver failure
  • CI: pregnancy. may induce labor/miscarriage
28
Q

Co10

  • Indication
A

Indication

  • Lower BP slightly
  • Help with HF and other heart conditions
  • Statin myalgia: reduce statin induce pain
29
Q

Milk thistle

  • Indication
  • Avoid
A

Indication

  • Liver problem
  • Liver cirrhosis, hepatitis
  • Gall bladder problem

Avoid:

  • Breast cancer
  • Endometriosis
  • Hormone sensitive conditions: ovarian CA, uterine CAN, uterine fibroids
30
Q

Red Yeast Rice Supplements

  • Indication
  • ADEs
A

Lower cholesterol (has lovastatin)

  • ADEs: Hepatitis
31
Q

Honey

  • Indication
A

Indication
- Wound healing

Medical honey
- Pressure ulcers, surgical wounds, burns

  • Provides moisture barrier which help keep the wound hydrated and promotes growth of healthy tissue
  • Has some anti-bacterial and anti fungal activity
32
Q

Herbal with clotting problems

  • Glucosamin:
  • Chondroitin:
  • Evening primrose oil:
  • Borage seed oil
  • Vit E
  • Cranberry juice
  • Dong quai
  • American ginseng
  • Green tea
  • CoQ10
  • Goldenseal
A
  • Glucosamin: increase INR
  • Chndroitin: increase INR
  • Evening primrose oil: 40% show increase risk of bleeding
  • Borage seed oil: Same as above
  • Vit E: dose > 1200 can increase bleed time
  • Cranberry juice: Increase INR
  • Dong quai: Increase INR
  • American ginseng: Decrease INR
  • Green tea: Decrease INR
  • CoQ10: Decrease INR
  • Goldenseal: Induces 3A$ and 2D6
33
Q

3Gs and DEFF causing bleeding

A
  • Garlic, ginger, ginkgo: don’t take with anti platelet
  • Dong Quai
  • Vit E
  • Fever few
  • Fish oil
34
Q

USP

A

USP has tested n verified to assure the following:

  • What is on the label is in fact in the bottle
  • Does not contain harmful levels of contaminant
  • Supplement will break down and release ingredients into the body
  • Has been made under good manufacturing practices

USP is enforceable by FDA

35
Q

Zantrex - 3

A

Ephedra-Free Weight Loss

  • Contain caffeine
36
Q

Ajo

  • Indication
A

Garlic

  • Prevention of atherosclerosis, hyperLD, immune system stimulation
37
Q

Nectar of the Gods

  • Indication
A

Garlic

  • Prevention of atherosclerosis, hyperLD, immune system stimulation
38
Q

Stinking Rose

  • Indication
A

Garlic

  • Prevention of atherosclerosis, hyperLD, immune system stimulation
39
Q

Poor Man’s Treacle

  • Indication
A

Garlic

  • Prevention of atherosclerosis, hyperLD, immune system stimulation
40
Q

American Cone Flower

  • Indication
A

Echinacea

  • Tx Res Tract infection and immune system stimulation
  • Not for ppx
41
Q

Black Susan

  • Indication
A

Echinacea

  • Tx Res Tract infection and immune system stimulation
  • Not for ppx
42
Q

Snakeroot

  • Indication
A

Echinacea

  • Tx Res Tract infection and immune system stimulation
  • Not for ppx
43
Q

Hedgehog

  • Indication
A

Echinacea

  • Tx Res Tract infection and immune system stimulation
  • Not for ppx
44
Q

Allium Sativum

  • Indication
A

Garlic

  • Prevention of atherosclerosis, hyperLD, immune system stimulation