Herbals Products Flashcards
Dihydroepaindrosterone - DHEA
- Indication
- Risk
Indication
- Syn estrogen, progesterone, testosterone, and cortisol
- Slow the aging process, or the erectile dysfunction.
Risk:
- Hormone-sensitive cancers
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
Lutein
- Indication
- 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
SAM-e
- Indications
Depression
- Osteoarthritis
Symmetry
Serenity
- SE
Lithium orotate
SEs
- Cognitive, wt gain, risk for hypothyroidism. Polyuria, DM can occur
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
Valerian
- Indication
- Indication: anxiety
Chamomile
- Allergy
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
Lean Systerm 7
Ephedra-free weight loss
- Bitter orange + caffeine
Ginseng
- Indication
- ADEs
Indication
- Fatigue
- Improve cognitive function
- Stimulate immune fxn
ADEs
- Insomnia, nervousness, tachycardia, HA, depression, GI
- May ppt hypoGlycemia
- May decrease INR
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
Echinacea
- Indication
Indication
- Used to treat respiratory track infection
- General immune system stimulation
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
