Lecture 6

Question 1

What are the sources of remedies?

Answer 1

plants
minerals
animals
synthetics
imponderables

Question 2

What are imponderables?

Answer 2

immaterial dynamic energy: Sol, X-ray

Question 3

What remedy carriers are used in preparation?

Answer 3

solid vehicles
liquid vehicles
semi-solid vehicles

Question 4

What are examples of solid vehicles? What are the forms?

Answer 4

Saccharum lactis (milk sugar) or cane sugar/dextrose, sucrose…
Forms: Globules or pellets, tablets

Question 5

What are examples of liquid vehicles?

Answer 5

Distilled water, alcohol, glycerin, saline (eye drops), ether, olive oil, almond oil, sesame oil coconut oil, sandalwood oil, lavender oil, rosemary oil.

Question 6

What are examples of semi-solid vehicles?

Answer 6

Paraffin, beeswax, lanoline, any topical cream

Question 7

What does remedy mean?

Answer 7

homeopathic medicine

Question 8

What does potency mean?

Answer 8

number of serial dilutions and succussions in preparation of the remedy

Question 9

What does potentization/dynamization mean?

Answer 9

process by which the dynamic power of the substance is released by serial dilutions and succussions

Question 10

What does succussion mean?

Answer 10

vigorous taping of container which used for potentization of liquid potencies

Question 11

What does trituration mean?

Answer 11

process of diluting a non-soluble substance by grinding it to a fine powder and mixing it w/ lactose powder
- used for solid substances up to 3rd centesimal potency and then will continue potentization in liquid form

Question 12

What does decimal represent for dilution?

Answer 12

(1/10) first potency contains the one-tenth part of the original medicine (1x or 1D)

Question 13

What does centesimal represent for dilution?

Answer 13

(1/100) first potency contains the one-hundreth part of the original medicine (1C; 1M = 1000, 10M = 10000, CM: 100000)

Question 14

What does fifty millesimal-LM or Q potency represent for dilution?

Answer 14

(1/50000) last discovery of Hahnemann for a rapid, gentle permanent cure (Q1 or LM1)

Question 15

What is serial dilution?

Answer 15

take one drop from 1X –> put into 2X –> succussion –> take 1 drop from 2X –> put into 3X

Question 16

What does the 6 and X represent in 6X?

Answer 16

6 represents the number of serial dilutions; X represents it is a decimal dilution

Question 17

What does “H” refer to?

Answer 17

refers to Hahnemannian method which will use different vials in the process of serial dilutions

Question 18

What does “K” refer to?

Answer 18

a method of manufacturing known as the Korsakovian method
- only difference is that we re-use the same bottle in process of dynamization, so it costs less than CH potencies

Question 19

What are advantages of homeopathic remedies?

Answer 19

• ethical trials
• sustainable (very minimum of original substance)
• cost effective
• easy to use (especially for children)
• manufacturing industry causes less harm to nature or humans

Question 20

What is the definition of dispensing?

Answer 20

to provide medicines or devices for specific treatments. This includes the packaging, labeling and security necessary to safeguard the substances or devices provided. Dispensing includes both technical and cognitive components performed by Registrants

Question 21

T/F: Dispensing methods of homeopathic medicines has been very controversial among homeopaths

Answer 21

True

Question 22

Since homeopathic medicines are not available at pharmacies, where do they prefer to dispense the remedies?

Answer 22

at their office

Question 23

What does dispensing at the office allow practitioners?

Answer 23

allows practitioners to have control on the quality and efficacy of the dispensed medicine, but also provides more convenience for patients and increases the compliance rate

Question 24

What is the disadvantage of dispensing at the office?

Answer 24

here are still some ethical concerns around office-based dispensing by practitioners. Therefore, homeopaths/Naturopaths need to adopt a right and ethically appropriate method of dispensing to develop a trustful relationship with their patients

Question 25

What does the College of Homeopaths of Ontario's Standard on Infection Control include?

Answer 25

- Cleaning procedures for the area, tools and receptacles where substances are compounded into medicines - Proper sanitary handling of materials - Minimum requirements of health and hygienic behavior; - Utilizing readily disinfected, non-porous containers for storage - All substances are stored in a controlled-access area and in such a way as to avoid contamination. - No contaminated, disintegrated or decomposed substances may be used. - The Registrant shall be able to distinguish materials that require specialized handling and storage and demonstrate safe handling techniques. - The Registrant shall ensure the quality of the ingredients by using products with a standard designation or equivalent pharmacopoeia standard

Question 26

What will containers w/out a label give the indication of?

Answer 26

- an unreliable system or ineffective medicine - patient's compliance with treatment may be affected by inappropriate methods of dispensing

Question 27

T/F: in some of homeopaths or naturopaths who dispense medicines at their offices, avoided writing prescription or sufficiently informative labeling

Answer 27

True

Question 28

Why did practitioners avoid labeling medicines?

Answer 28

perceived benefit of not informing pt's w/ the name of medicines

Question 29

What are some percieved negative effects by naturopaths or homeopaths who were not labeling their remedies?

Answer 29

- thought pt may dislike substance - self-prescription by pt's and possibility of overdosing - pt might not agree w/ homeopath's opinion or selection of medicine, especially if they have some homeopath knowledge - pt's bias w/ the homeopathic remedy

Question 30

What are some positive effects of transparent communication w/ pt?

Answer 30

- building up a trustful relationship - Giving more confidence to patients and empower them to have an active role in their treatment - Educating patients about the treatment process and medicines would result in better treatment outcomes

Question 31

What are labeling requirements by CHO?

Answer 31

- The Registrant’s name and telephone number Patient’s name - Name of the medicine - Date the medicine was compounded - Potency - Directions for the proper use of the substance and any cautionary information about the substance. - This information may be included in a label affixed to the product, or where space is limited, information may be provided on an accompanying sheet.

Question 32

T/F: Pt's can follow labels on a bottle they bought from a natural pharmacy

Answer 32

False, too generalized, need to follow the individualized plan given to them

Question 33

What is on a prescription?

Answer 33

- the name and address of the patient for whom the drug is prescribed - the name, strength (where applicable) and quantity of the prescribed drug - directions for use of the drug, including dose, frequency, route of administration and any special instructions - the name, signature, address, telephone number and College registration number of the Registrant issuing the instruction - the date the prescription was issued - the number of refills that the Registrant has authorized

Question 34

Registrants must maintain a pt record for individuals prescribed a drug that includes?

Answer 34

- details of the reason for prescribing the drug; - a copy of the prescription given to the patient; - a record of the results of any laboratory or other tests that the Registrant considered in deciding to prescribe the drug; and - the names and addresses of the patient’s other health care providers who were notified, and how the notification was given - other health care providers that were involved

Question 35

What are some homeopathic manufacturers?

Answer 35

- Boiron - Reckeweg - Helios (UK) for rare remedies - Unda (Seroyal)

Question 36

What are handling precautions for homeopathic remedies?

Answer 36

- out of direct sun-light - do not store them beside substances or medicines with strong odors, such as essential oils or perfumes - do not store them near electromagnetic devices such as cell-phones, computers, TV, etc - Do not take any other homeopathic medicine or any other herbal/ natural supplement without consulting with your homeopath during the treatment period - Avoid touching the pellets or tablets with your hands. Put the desired number of tablets/pellets into the lid of the vial and place pellets directly under your tongue - Do not brush your teeth, eat (including chewing gum), or drink anything for at least 10 minutes before and after taking the remedy. Your mouth should be clean without any taste

Question 37

What do homeopathic prescriptions provide?

Answer 37

different instructions than conventional medicine or even other natural or herbal supplements

Question 38

Why do we need to educate the pt well to make sure pt understands the instructions before leaving the office?

Answer 38

because instructions are different than conventional or other herbal medicine

Question 39

What needs to be clarified before a pt leaves the appointment?

Answer 39

- instructions - potencies (C is not the same as D) - frequency