- Helps keep the eyes safe from oxidative stress and the high-energy photons of blue light

St. John's Wort - Indication - Increase risk - ADEs - DDIs

- 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

Glucosamine/Chondroitin - Indication - DM pt: - Blood thinner taken pt - CI

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

Kava Kava - Indication - ADEs - Kava + EtOH

- Indication: anxiety disorder, stress, insomnia ADEs - Hepatotoxicity, liver failure - GI, HA, dizziness, drowsiness - Mouth numbness if chewed - Allergic rxn Kava + EtOH: CNS depression

Bedtime tea - Allergy to ragweed will also be allergic to chamomile

Saw Palmetto - Indication - SE

- Indication: BPH - SEs: mild GI, HA, decreased libido

Ephedra - Indication: - Ephedra action

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

Ephedra-free weight loss - Bitter orange + caffeine

Ginkgo - Indications - Risk in elderly

Indication: - Dementia, improve memory - Asthma - Sexual dysfunction, Alzheimers - Risk in elderly: increase risk of stroke

Garlic - Indication - ADEs - DDI - Dose

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

Goldenseal - Indication - Avoid in

- 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

Herbals Products Flashcards by Christina Marie

Dihydroepaindrosterone - DHEA

Indication
Risk

Indication

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

Risk:
- Hormone-sensitive cancers

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Lysin or L-Lysin

Indication

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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Lutein

Indication

Helps keep the eyes safe from oxidative stress and the high-energy photons of blue light

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St. John’s Wort

Indication
Increase risk
ADEs
DDIs

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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SAM-e

Indications

Depression

- Osteoarthritis

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Symmetry
Serenity

Lithium orotate

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

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Glucosamine/Chondroitin

Indication
DM pt:
Blood thinner taken pt
CI

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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Kava Kava

Indication
ADEs
Kava + EtOH

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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Valerian

Indication

Indication: anxiety

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Chamomile

Allergy

Bedtime tea

Allergy to ragweed will also be allergic to chamomile

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Saw Palmetto

Indication
SE

Indication: BPH

- SEs: mild GI, HA, decreased libido

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Ephedra

Indication:
Ephedra action

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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Lean Systerm 7

Ephedra-free weight loss

Bitter orange + caffeine

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Ginseng

Indication
ADEs

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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Ginkgo

Indications
Risk in elderly

Indication:

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

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Garlic

Indication
ADEs
DDI
Dose

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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Echinacea

Indication

Indication

Used to treat respiratory track infection
General immune system stimulation

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Goldenseal

Indication
Avoid in

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

Feverfew

Indication

Used for

Migraine prophylaxis
Anti-inflammatory
Anti-coagulant effects

Soy

Indication

Decrease hot flashes

Decrease postmenopausal sx

Yohimbe

Indication

To treat:

Impotence
Aphrodisiac
for body building

Evening primrose oil

Indication
Avoid

Used for: eczema, inflammation (premenopausal and postmenopausal syndrome)
Do not give to pt with sz

Borage seed oil

Indication
May cause

Indication:

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

Vit E

Active form:
Indication

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

Cranberry

Reduce recurrent urinary tract infection

Dong Quai - Indication - ADEs - Safety concerns

- 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

Black Cohost - Indication - ADEs - C/I

Indication: - Menopausal sx: hot flashes, sweating, HA, sleep disturbances, depressed mood - ADEs: liver failure - CI: pregnancy. may induce labor/miscarriage

Co10 - Indication

Indication - Lower BP slightly - Help with HF and other heart conditions - Statin myalgia: reduce statin induce pain

Milk thistle - Indication - Avoid

Indication - Liver problem - Liver cirrhosis, hepatitis - Gall bladder problem Avoid: - Breast cancer - Endometriosis - Hormone sensitive conditions: ovarian CA, uterine CAN, uterine fibroids

Red Yeast Rice Supplements - Indication - ADEs

Lower cholesterol (has lovastatin) - ADEs: Hepatitis

Honey - Indication

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

Herbal with clotting problems - Glucosamin: - Chondroitin: - Evening primrose oil: - Borage seed oil - Vit E - Cranberry juice - Dong quai - American ginseng - Green tea - CoQ10 - Goldenseal

- 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

3Gs and DEFF causing bleeding

- Garlic, ginger, ginkgo: don't take with anti platelet - Dong Quai - Vit E - Fever few - Fish oil

USP

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

Zantrex - 3

Ephedra-Free Weight Loss - Contain caffeine

Ajo - Indication

Garlic - Prevention of atherosclerosis, hyperLD, immune system stimulation

Nectar of the Gods - Indication

Garlic - Prevention of atherosclerosis, hyperLD, immune system stimulation

Stinking Rose - Indication

Garlic - Prevention of atherosclerosis, hyperLD, immune system stimulation

Poor Man's Treacle - Indication

Garlic - Prevention of atherosclerosis, hyperLD, immune system stimulation

American Cone Flower - Indication

Echinacea - Tx Res Tract infection and immune system stimulation - Not for ppx

Black Susan - Indication

Echinacea - Tx Res Tract infection and immune system stimulation - Not for ppx

Snakeroot - Indication

Echinacea - Tx Res Tract infection and immune system stimulation - Not for ppx

Hedgehog - Indication

Echinacea - Tx Res Tract infection and immune system stimulation - Not for ppx

Allium Sativum - Indication

Garlic - Prevention of atherosclerosis, hyperLD, immune system stimulation