Herbs

Question 1

What are indications for Garlic use

Answer 1

anti-lipedemic anti-microbial anti-inflammatory anti-asthmatic

Question 2

What components of Garlic potentiate bleeding?

Answer 2

ajoene allicin sulfur containing compounds

Question 3

What portion of garlic causes the potent smell

Answer 3

allicin

Question 4

How does garlic cause anti platelet effects

Answer 4

acts on arachidonic pathway

Question 5

What are indications for Gingko use

Answer 5

Brain stuff- prevent decreased cerebral function peripheral vascular insufficiency with Alzheimers disease improve memory

Question 6

What are indications for Ginseng use

Answer 6

Anti-cancer, slows again prevent heart attack reduce hypertension improve digestion strengthen immunity CNS stimulant

Question 7

What are indications for ginger use

Answer 7

motion sickness decrease arthritis pain and inflammation upset stomach

Question 8

What are indications for feverfew use

Answer 8

anti-inflammatory (RA) fever reduction prevent migraine muscle soreness

Question 9

What are indications for use of fish oils

Answer 9

skin disorders cardio protection diabetes headache immune support memory PMS ulcerative colitis

Question 10

What are the indications for St. John’s Wort

Answer 10

depression

Question 11

What are the indications for Vitamin E use

Answer 11

Antioxidant

Question 12

What are the indications for use of Echinacea

Answer 12

common cold cough bronchitis

Question 13

What are the indications for Kava-Kava

Answer 13

anxiety stress relief muscle tranquilizer

Question 14

What are the indications for use of Licorice

Answer 14

GI disorders antitussive apthous ulcers herpes simplex

Question 15

What are the indications for use of Valerian

Answer 15

sedative anxiety depression

Question 16

What are the active ingredients of Gingko

Answer 16

Terpenoids

Question 17

What are the active ingredients of Ginseng

Answer 17

Ginsenosides

Question 18

What are the active ingredients of ginger

Answer 18

pungent principles volatile oils proteolytic enzymes

Question 19

What are the active ingredients of feverfew

Answer 19

sesquiterpene lactone parthenolide

Question 20

What are the active ingredients of St. John’s wort

Answer 20

hyperforin hypericin flavanoids tannins

Question 21

What active ingredient of St. John’s Wort is involved with neurotransmitter reuptake

Answer 21

Hyperforin

Question 22

What active ingredient of St. John’s Wort induces cytochrome P450

Answer 22

hypericin

Question 23

What active ingredient of St. John’s Wort is involved with bleeding

Answer 23

hypericin

Question 24

What herbs alter efficacy of warfarin

Answer 24

Few E G’s

Question 25

medications with what therapeutic range are at a greater risk for adverse HDS-drug interactions

Answer 25

narrow therapeutic range

Question 26

What herb decreases effects of corticosteroids

Answer 26

echinacea

Question 27

What herb causes apthous ulcers and irritation to the oral mucosa

Answer 27

feverfew (15% of pts)

Question 28

What HDS potentiate effects of CNS depressants

Answer 28

Kava-Kava, Valerian

Question 29

What HDS are contraindicated with pregnancy

Answer 29

Feverfew, Kava-Kava, Licorice

Question 30

What herb causes hypertension

Answer 30

licorice

Question 31

What vitamin effects Vitamin K on clotting factors

Answer 31

Vitamin E

Question 32

How long do you hold herbal use prior to surgery

Answer 32

14 days

Question 33

What herb causes difficulty to awaken after anesthesia

Answer 33

St. John's Wort, Kava-Kava

Question 34

Two websites for reliable herbal information

Answer 34

CAM on PubMed and naturalstandard.com

Question 35

What is important to know about a patients herbal use

Answer 35

is it in place of or as an adjunct to conventional treatment

Question 36

What are some of the most popular products used by adults according to 2007 survey

Answer 36

fish oil, glucosamine, echinacea, flaxseed, ginseng

Question 37

What are the most common supplements used according to 2007 survey

Answer 37

multivitamins, Vitamins E and C, calcium, B-complex vitamins

Question 38

Who is at most risk for adverse HDS-drug interactions due to polyherbacy and polypharmacy

Answer 38

geriatric

Question 39

What drug is the most commonly involved in HDS-drug interaction

Answer 39

warfarin (Coumadin)

Question 40

Most common reasons for supplement use among adults

Answer 40

improve general health, arthritis, colds, memory

Question 41

What drugs report the most HDS-drug interactions

Answer 41

warfarin, insulin, aspirin, digoxin, ticlopidine

Question 42

From vitamins, minerals, and herbs... which is most likely to be the cause of HDS-drug interactions

Answer 42

herbs

Question 43

Would you say patients are aware or unaware of adverse bleeding effects of supplements?

Answer 43

unaware

Question 44

What 2 effects does garlic have on platelets?

Answer 44

anti platelet by inhibiting PAF and adenosine

Question 45

Which drug has a risk for severe spontaneous bleeding with concurrent aspirin use and warfarin

Answer 45

Ginkgo

Question 46

In what ways does ginseng cause anti platelet effects?

Answer 46

inhibit PAF, thrombin and thromboplastin

Question 47

What potentiates bleeding with aspirin, NSAIDS, warfarin and heparin

Answer 47

ginseng

Question 48

What herb causes increased photosensitivity and irritation to oral mucosa and tongue

Answer 48

feverfew

Question 49

How much fish oil do you have to take to increase risk for hemorrhagic stroke?

Answer 49

a crap ton

Question 50

What herb is involved with 5-HT reuptake inhibition?

Answer 50

St. John's wort

Question 51

What herb reduces effect of warfarin and lowers INR

Answer 51

St. John's wort

Question 52

What herb renders oral contraceptives ineffective

Answer 52

St. John's wort

Question 53

What supplements are hepatotoxic

Answer 53

echinacea, Kava-Kava

Question 54

What are dental considerations with patients on supplements

Answer 54

synergistic drug effects with aspirin and NSAIDS, monitor patients on warfarin, cross reference all prescriptions to avoid HDS-drug interaction